Dose Response Study of Simufilam for Mild-to-Moderate Alzheimer's Disease (REFOCUS-ALZ)
Start: November 18, 2021
End: June 2024
Enrollment: 1083
What Is This Study About?
This Phase 3 clinical trial, named REFOCUS-ALZ, will test the safety and effects of different dosing levels of the experimental drug simufilam designed to slow cognitive and functional decline in older adults with mild-to-moderate Alzheimer's disease. All participants will be randomly assigned to receive either 50 mg or 100 mg tablets of simufilam or a placebo, twice daily for 76 weeks. Participants will attend clinic visits for evaluation four weeks after the start of the study, and then every three months until the end of the study. Testing will include neurological exams, laboratory tests, electrocardiograms, questionnaires, and interviews. Some study locations may also analyze blood samples or cerebral spinal fluid (optional) to measure the levels of proteins associated with Alzheimer's disease. In addition, some locations may also collect brain scans, using MRI or PET imaging. Researchers will monitor all participants for safety throughout the study and measure changes in cognitive function and mobility.
Do I Qualify To Participate in This Study?
Minimum Age: 50 Years
Maximum Age: 87 Years
Must have:
- Diagnosis of mild or moderate Alzheimer's disease
- Mini-Mental State Exam score of 16 to 27
- Clinical Dementia Rating Global Score of 0.5, 1, or 2
- Evidence of brain changes associated with Alzheimer's disease, based on MRI brain scan or other tests, either before or during study screening
- If taking any medications for Alzheimer's disease, the dosage must be stable for at least three months before starting the study
- Nonsmoker for at least three years
- Availability of a study partner
Must NOT have:
- Any condition, disease, or injury that could significantly contribute to the participants cognitive impairment including:
- Neurologic condition, other than Alzheimer's disease
- Serious head trauma
- Sleep apnea
- Any current primary psychiatric diagnosis, other than Alzheimer's disease, which could interfere with cognitive assessment or the ability to complete study procedures
- Geriatric Depression Scale score > 8
- Suicidal ideation during the past three months or suicidal behavior during the past year
- Alcohol or substance use disorder within two years of study screening
- Evidence of vascular disease (i.e., damaged blood vessels) or other signs of disease, based on MRI brain scan
- History of seizure, stroke, or transient ischemic attack in the past two years
- Insufficiently controlled diabetes or high blood pressure
- History or diagnosis of significant cardiac disease
- Body mass index < 18.5 or > 35
- Currently taking aducanumab
- COVID-19 infection within three months of study screening. If no history of a prior COVID-19 infection, must be fully vaccinated for COVID-19 at least two weeks prior to start of study
If I Qualify, Who Do I Contact?
Contact study personnel listed either under the general study contact or the location nearest you.
Study Contact
Study Director
Need Help?
Contact NIA’s Alzheimer’s and related Dementias Education and Referral (ADEAR) Center at 800-438-4380 or email ADEAR.
Where Is This Study Located?
| Arizona | |
|---|---|
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Banner Alzheimer's Institute
Phoenix, AZ 85006
Recruiting
Po-Heng Tsai, MD |
|
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Clinical Endpoints
Scottsdale, AZ 85258
Recruiting
Allan Block, MD |
|
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Banner Sun Health Research Institute
Sun City, AZ 85351
Recruiting
Danielle Goldfarb, MD |
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Banner Alzheimer's Institute - Tucson
Tucson, AZ 85718
Recruiting
Joshua Sipes |
|
| California | |
|
North County Neurology Associates
Carlsbad, CA 92011
Recruiting
Estela Soto |
|
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Neuro-Pain Medical Center
Fresno, CA 93710
Recruiting
Perminder Bhatia, MD |
|
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Neurology Center of North Orange County
Fullerton, CA 92835
Recruiting
Johnson Moon, MD |
|
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California Research Insitute
Los Angeles, CA 90027
Not yet recruiting
Nelson Owyoung, MD |
|
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Shankle Clinic and Hoag Memorial Hospital Presbyterian
Newport Beach, CA 92663
Recruiting
William Shankle, MD |
|
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Pacific Research Network, LLC
San Diego, CA 92103
Recruiting
Stephen Thein, PhD |
|
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University of California - San Francisco: Memory and Aging Center
San Francisco, CA 94158
Recruiting
Lawren VandeVrede, MD |
|
| Connecticut | |
|
Nuvance Health Medical Practice CT, Inc. - Associated Neurologists, PC
Danbury, CT 06810
Recruiting
Dawn Marie Morsey |
|
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Ki Health Partners, LLC
Stamford, CT 06905
Not yet recruiting
Valerija Misev |
|
| Florida | |
|
JEM Research Institute
Atlantis, FL 33462
Recruiting
Mark Goldstein, MD |
|
|
Parkinson's Disease and Movement Disorders Center of Boca Raton
Boca Raton, FL 33486
Not yet recruiting
Mariana Carvalho |
|
|
Clinical Research of Brandon, LLC
Brandon, FL 33511
Recruiting
Maylin Barrios |
|
|
Brain Matters Research Inc
Delray Beach, FL 33445
Recruiting
Paayal Patel, MD |
|
|
Indago Research and Health Center, Inc.
Hialeah, FL 33012
Recruiting
Evelio Sosa, MD |
|
|
Mind Institute at Miami Jewish Health
Miami, FL 33137
Recruiting
Alex Gomez |
|
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Brainstorm Research
Miami, FL 33176
Not yet recruiting
Brad Herskowitz |
|
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Health Synergy Clinical Research
Okeechobee, FL 34972
Not yet recruiting
Marina Winberg |
|
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Medical Research Group of Central Florida
Orange City, FL 32763
Not yet recruiting
Adly Thebaud |
|
|
Clinical Neuroscience Solutions, Inc. dba CNS Healthcare
Orlando, FL 32801
Recruiting
Joan Cutillo |
|
|
Quantum Laboratories
Pompano Beach, FL 33064
Recruiting
Karen Herr |
|
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Intercoastal Medical Group - Sarasota
Sarasota, FL 34239
Recruiting
Mauricio Concha, MD |
|
|
Alzheimer's Research & Treatment Center
Stuart, FL 34997
Recruiting
Jennifer Lipofsky, MD |
|
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Brain Matters Research Inc
Stuart, FL 34997
Recruiting
Paayal Patel, MD |
|
|
USF Health - Byrd Alzheimer's Center and Research Institute
Tampa, FL 33613
Recruiting
Breanna Davis |
|
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Alzheimer's Research & Treatment Center
Wellington, FL 33414
Recruiting
Sydney Werner, MD |
|
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Conquest Research
Winter Park, FL 32789
Recruiting
Melissa O'Neill |
|
| Georgia | |
|
Columbus Memory Center, PC
Columbus, GA 31909
Recruiting
Jonathan Liss, MD |
|
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Accel Research Sites - NeuroStudies
Decatur, GA 30030
Recruiting
Adrienne Hilliard |
|
| Illinois | |
|
Great Lakes Clinical Trials
Chicago, IL 60640
Not yet recruiting
Kimberly Potocki |
|
| Massachusetts | |
|
ActivMed Practices & Research, LLC
Methuen, MA 01844
Not yet recruiting
Alfaurys Rosario |
|
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Boston Center for Memory
Newton, MA 02459
Not yet recruiting
Paul Solomon, PhD |
|
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Office of Donald S. Marks, M.D., P.C.
Plymouth, MA 02360
Not yet recruiting
Elaine Kearney |
|
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MedVadis Research
Waltham, MA 02451
Recruiting
Donald Counihan |
|
| New Jersey | |
|
Global Medical Institutes, LLC
Princeton, NJ 08540
Recruiting
James Wolberg, MD |
|
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The Cognitive and Research Center of New Jersey (CRCNJ)
Springfield, NJ 07081
Recruiting
Jessica Tabman |
|
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Advanced Memory Research Institute of NJ
Toms River, NJ 08755
Recruiting
Sanjiv Sharma, MD |
|
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Neurology Specialists of Monmouth County
West Long Branch, NJ 07764
Recruiting
Noah Gilson, MD |
|
| New York | |
|
Albany Medical Center
Albany, NY 12208
Not yet recruiting
David Hart, MD |
|
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Neurological Associates of Albany
Albany, NY 12208
Recruiting
Richard Holub, MD |
|
|
Integrative Clinical Trials
Brooklyn, NY 11229
Recruiting
Michael Yuryev, DO |
|
|
SPRI Clinical Trials Brooklyn
Brooklyn, NY 11235
Not yet recruiting
Tatyana Tsiporin |
|
|
Clarity Clinical Research
East Syracuse, NY 13057
Recruiting
Robert Cupelo, MD |
|
|
Richmond Behavioral Associates
Staten Island, NY 10312
Recruiting
Mark DiBuono, MD |
|
| Ohio | |
|
Ohio State University
Columbus, OH 43210
Recruiting
Douglas Scharre, MD |
|
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Neurology Diagnostics
Dayton, OH 45459
Recruiting
Joel Vandersluis, MD |
|
|
Neuro-Behavioral Clinical Research (NBCR)
North Canton, OH 44720
Not yet recruiting
Shishuka Malhotra, MD |
|
| Oregon | |
|
Center for Cognitive Health - Portland
Portland, OR 97225
Recruiting
Ericka Eyton |
|
| Pennsylvania | |
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The Clinical Trial Center
Jenkintown, PA 19046
Recruiting
Marvin Kalafer, MD |
|
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Keystone Clinical Studies, LLC
Plymouth Meeting, PA 19462
Recruiting
Cherian Verghese, MD |
|
| Tennessee | |
|
KCA Neurology, PLLC
Franklin, TN 37067
Not yet recruiting
Gretchen Campbell, MD |
|
| Texas | |
|
Neurology Consultants of Dallas, PA
Dallas, TX 75243
Recruiting
J. Christina Howell |
|
| Vermont | |
|
The Memory Clinic - Bennington
Bennington, VT 05201
Recruiting
Guy deBros |
|
| Washington | |
|
Northwest Clinical Research Center
Bellevue, WA 98007
Recruiting
Rachel Hall |
|
| Wisconsin | |
|
Medical College of Wisconsin
Milwaukee, WI 53226
Recruiting
Malgorzata Franczak, MD |
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Who Sponsors This Study?
Lead: Cassava Sciences, Inc.
Collaborator Sponsor
- Premier Research International LLC
Source: ClinicalTrials.gov ID: NCT05026177