Neflamapimod for Lewy Body Dementia

Not currently recruiting at 46 trial locations
JC
AG
AR
Overseen ByAaron Ritter, MD
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: EIP Pharma Inc
Must be taking: Cholinesterase inhibitors
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests whether neflamapimod can improve learning, problem-solving, and memory in individuals with Lewy Body Dementia (DLB), a condition affecting thinking and movement. Participants will receive either neflamapimod or a placebo (a harmless, inactive substance) for 16 weeks to assess improvements in memory and attention. Suitable candidates for this trial have DLB, experience symptoms like visual hallucinations or sleep disturbances, and are not currently on certain dementia medications. After the initial 16 weeks, all participants can continue taking neflamapimod for an additional 8 months. As a Phase 2 trial, this research measures the treatment's effectiveness in an initial, smaller group, allowing participants to contribute to important advancements in DLB treatment.

Will I have to stop taking my current medications?

The trial requires that you are not currently taking cholinesterase inhibitors unless you have been on a stable dose for at least 6 weeks. If you previously took cholinesterase inhibitors, you must have stopped at least 3 months before joining. Memantine is allowed if started at least 3 months prior and you are also on cholinesterase inhibitors, or as monotherapy if you have never taken cholinesterase inhibitors.

Is there any evidence suggesting that neflamapimod is likely to be safe for humans?

Research shows that neflamapimod, the treatment under study, is generally well-tolerated by patients. In a previous study with individuals who have dementia with Lewy bodies (DLB), neflamapimod improved thinking abilities, and no major safety issues emerged. The study examined patient reactions to the drug over several weeks, and results suggested it was safe to use.

Neflamapimod has also advanced in clinical research, indicating it has passed earlier safety tests. Like any medication, minor side effects may occur, but no serious problems have been reported in the research so far.

Overall, current evidence supports that neflamapimod is safe for people, especially since earlier studies have carefully tested it.12345

Why do researchers think this study treatment might be promising for Lewy Body Dementia?

Most treatments for Lewy Body Dementia focus on managing symptoms using drugs like cholinesterase inhibitors or antipsychotics. But Neflamapimod works differently, targeting the underlying disease mechanisms by inhibiting an enzyme called p38 MAP kinase. This enzyme is associated with inflammation and nerve cell dysfunction, which are key factors in Lewy Body Dementia. Researchers are excited because this approach could potentially slow down disease progression, offering more than just symptom relief.

What evidence suggests that neflamapimod might be an effective treatment for Lewy Body Dementia?

Research has shown that neflamapimod, which participants in this trial may receive, may help slow memory and thinking problems in people with Lewy Body Dementia (DLB). In some studies, patients taking neflamapimod performed better on memory and thinking tests compared to those who took a placebo, a pill with no active medicine. Specifically, improvements appeared in tests measuring dementia severity. Neflamapimod also improved patients' movement, potentially making daily activities easier. Early results from other research suggest it could positively affect brain health markers. Overall, these findings offer hope that neflamapimod could effectively treat DLB.12346

Are You a Good Fit for This Trial?

This trial is for individuals aged ≥55 with Dementia with Lewy Bodies (DLB), who have received a positive DaTscan™ or have REM sleep behavioral disorder, and are on stable cholinesterase inhibitor therapy. They must be vaccinated against COVID-19, not suffer from other CNS conditions like Alzheimer's or Parkinson's, and should not have major psychiatric disorders or recent drug abuse history.

Inclusion Criteria

No history of learning difficulties that may interfere with their ability to complete the cognitive tests
Your CDR Global Score is 0.5 or 1.0 during the screening.
Must have reliable informant or caregiver
See 6 more

Exclusion Criteria

I can continue in the study for an extra 8 months after the first 16 weeks.
Your liver enzymes (AST or ALT) are more than double the normal level, your bilirubin level is higher than 1.5 times the normal level, and/or your blood clotting time is prolonged.
You have HIV, hepatitis B, or active hepatitis C infection.
See 11 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive neflamapimod or placebo for 16 weeks to assess improvements in cognitive and motor functions

16 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Neflamapimod
Trial Overview The study tests if Neflamapimod can improve cognitive functions such as verbal learning, memory, and attention in DLB patients compared to a placebo. Participants will initially receive either the drug or placebo for 16 weeks; afterwards, all participants may receive Neflamapimod for an additional 32 weeks.
How Is the Trial Designed?
2Treatment groups
Active Control
Placebo Group
Group I: NeflamapimodActive Control1 Intervention
Group II: PlaceboPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

EIP Pharma Inc

Lead Sponsor

Trials
7
Recruited
480+
Founded
Not available
Headquarters
Boston, USA
Known For
CNS Therapeutics
Top Products
Neflamapimod

Worldwide Clinical Trials

Collaborator

Trials
70
Recruited
15,800+

National Institute on Aging (NIA)

Collaborator

Trials
1,841
Recruited
28,150,000+

CervoMed, Inc

Collaborator

Trials
2
Recruited
180+

Published Research Related to This Trial

Currently, there are no FDA-approved drugs specifically for treating dementia with Lewy bodies (DLB), and only a few options for Parkinson's disease dementia (PDD), with cholinesterase inhibitors like rivastigmine showing benefits for cognitive symptoms.
Ongoing clinical trials, primarily in phase I and II, are exploring new treatments aimed at modifying the disease rather than just alleviating symptoms, with early results for neflamapimod appearing promising.
Current Therapies and Drug Development Pipeline in Lewy Body Dementia: An Update.MacDonald, S., Shah, AS., Tousi, B.[2022]

Citations

Data from Full Extension Phase of RewinD-LB Trial ...... trial continue to suggest that the study drug, neflamapimod, may slow cognitive decline in dementia with Lewy bodies (DLB). In addition, lab ...
Neflamapimod Advances to Phase 3 Trial in Dementia With ...Neflamapimod showed significant improvements in cognitive and neurodegenerative biomarkers in DLB patients, particularly with the new capsule ...
CervoMed Announces New Data from Phase 2b Trial ...Significant improvement relative to placebo on primary outcome measure, change in Clinical Dementia Rating Sum of Boxes (CDR-SB), ...
Phase 2A Learnings Incorporated into RewinD-LB, a Phase ...In this study, neflamapimod reduced dementia severity (assessed by Clinical Dementia Rating Sum-of-Boxes, CDR-SB) and improved functional mobility (assessed by ...
A Clinical Study of Neflamapimod in Patients With ...The purpose of this clinical study is to evaluate the safety and tolerability (side effects) and pharmacokinetics (drug levels in the body) of 80mg neflamapimod ...
CervoMed Announces 32-Week Data from RewinD-LB ...Based on the primary endpoint of Clinical Dementia Rating Sum of Boxes (CDR-SB), patients treated with neflamapimod showed 54% risk ...
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