Alzheimer's Disease Clinical Trial
Official title:
Safety, Tolerability and Efficacy Study of Tricaprilin (AC-1202) Administered for Ninety Days in Subjects With Probable Alzheimer's Disease of Mild to Moderate Severity
The purpose of this study is to evaluate the safety, tolerability and effectiveness of tricaprilin administered once a day for ninety days in subjects with mild to moderate, probable Alzheimer's disease.
Substantial scientific evidence has shown that defects in glucose metabolism occur in
Alzheimer's disease. Attempts to compensate for the reduced cerebral metabolic rates in AD
have met with some success. Treatment of AD patients with high doses of glucose and insulin
will raise cognitive scores. However, this effect is slight, and high doses of insulin can
have adverse consequences. Administration of ketone bodies or their metabolic precursors such
as medium chain triglycerides (MCTs) presents an attractive alternative to glucose and
insulin. In a preliminary study, tricaprilin, an MCT, demonstrated pharmacological activity
and statistically significant efficacy in improving short-term memory and attention
performance after a single dose.
Participants will be randomized to receive either tricaprilin or a matching placebo,
administered once a day by mixing powder in a glass of liquid. The treatment period will last
90 days, followed by a 2-week washout period. Each patient will be seen 5 times: at
screening, baseline, and post-baseline days 45, 90, and 104. The visits will include physical
and/or neuropsychological examinations, electrocardiograms (ECGs) and laboratory tests.
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