NCT07789873

Brief Summary

This Phase 2a study will evaluate the safety and tolerability of GAL-101 in approximately 100 participants with mild to moderate Alzheimer's disease associated with amyloid-beta pathology. Participants will be randomly assigned to receive either 1200 mg of GAL-101 salt or matching placebo tablets by mouth once daily for 28 days. Neither the participants nor the study team will know which treatment each participant receives during the study. The study will also explore whether GAL-101 affects brain-wave activity measured using quantitative electroencephalography, Alzheimer's disease-related biomarkers in cerebrospinal fluid, and performance on cognitive tests. Blood and cerebrospinal fluid samples will be collected to evaluate how GAL-101 is absorbed and distributed in the body.

Trial Health

65
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
100

participants targeted

Target at P50-P75 for phase_2

Timeline
17mo left

Started Feb 2027

Shorter than P25 for phase_2

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 24, 2026

Completed
3 days until next milestone

First Posted

Study publicly available on registry

August 27, 2026

Completed
6 months until next milestone

Study Start

First participant enrolled

February 28, 2027

Expected
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 30, 2028

3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 31, 2028

Last Updated

August 27, 2026

Status Verified

August 1, 2026

Enrollment Period

1.2 years

First QC Date

August 24, 2026

Last Update Submit

August 24, 2026

Conditions

Keywords

GAL-101Amyloid-BetaPathology Synaptic PlasticityQuantitative Electroencephalography qEEGCerebrospinal Fluid BiomarkersNeurograninSNAP-25VAMP2Cognitive FunctionPharmacokinetics

Outcome Measures

Primary Outcomes (1)

  • Number of Participants With Adverse Events

    Number of participants who experience one or more adverse events following administration of GAL-101 salt or placebo.

    From the first dose through 4 weeks after the last dose, approximately 8 weeks

Secondary Outcomes (1)

  • Change From Baseline in Global Alpha-Band Corrected Amplitude Envelope Correlation

    Baseline to the end of the 28-day treatment perio

Study Arms (2)

GAL-101 1200 mg

EXPERIMENTAL

Participants will receive two 600 mg GAL-101 salt tablets orally once daily for 28 days. Treatment may be administered with or without food.

Drug: GAL-101 Salt

Placebo

PLACEBO COMPARATOR

Participants will receive two matching placebo tablets orally once daily for 28 days. Treatment may be administered with or without food.

Drug: Placebo

Interventions

GAL-101 salt will be administered orally as two 600 mg tablets, for a total dose of 1200 mg once daily for 28 days. The tablets may be taken with or without food.

GAL-101 1200 mg

Matching placebo will be administered orally as two tablets once daily for 28 days. The tablets may be taken with or without food.

Placebo

Eligibility Criteria

Age50 Years - 85 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male or female participants aged 50 to 85 years, inclusive.
  • Clinical diagnosis of Alzheimer's disease at the mild or moderate dementia stage (Stages 4 or 5) according to the 2018 National Institute on Aging and Alzheimer's Association criteria
  • Evidence of amyloid-beta pathology based on cerebrospinal fluid biomarkers, amyloid-beta positron emission tomography, or plasma phosphorylated tau 217.
  • Evidence of cognitive decline during the previous year.
  • Availability of a reliable trial partner, caregiver, or legal representative who has contact with the participant for at least 10 hours per week and can support study participation.
  • Able and willing to provide informed consent and comply with study requirements.
  • In sufficiently good health, in the investigator's opinion, to participate in the study.
  • If receiving an acetylcholinesterase inhibitor or memantine, treatment must be at a stable dose for the protocol-specified period.

You may not qualify if:

  • A neurological, psychiatric, cerebrovascular, or other medical condition that could explain the participant's cognitive impairment, interfere with study assessments, or create an unacceptable safety risk.
  • Previous treatment with anti-amyloid-beta immunotherapy.
  • Participation in another interventional clinical study or receipt of an investigational drug within 3 months before screening.
  • Use of prohibited medications or substances that could affect cognition, electroencephalography assessments, safety, or interpretation of the study results.
  • Clinically significant or unstable cardiovascular, respiratory, renal, hepatic, metabolic, infectious, or malignant disease.
  • Active major depression, schizophrenia, bipolar disorder, or clinically significant suicide risk.
  • Known or suspected hypersensitivity to GAL-101, placebo, or their components.
  • A scalp condition that would prevent adequate electroencephalography assessment.
  • Inability to comply with the study schedule or procedures.
  • Any other condition that, in the investigator's opinion, makes the participant unsuitable for the study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Plaque, Amyloid

Condition Hierarchy (Ancestors)

Pathological Conditions, AnatomicalPathological Conditions, Signs and Symptoms

Central Study Contacts

Luciana Summo, PhD

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 24, 2026

First Posted

August 27, 2026

Study Start (Estimated)

February 28, 2027

Primary Completion (Estimated)

April 30, 2028

Study Completion (Estimated)

July 31, 2028

Last Updated

August 27, 2026

Record last verified: 2026-08

Data Sharing

IPD Sharing
Will not share