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Clinical Trials in the USA / NCT06847321
Recruiting Phase 2

Study of LHP588 in Subjects With P. Gingivalis-Positive Alzheimer's Disease

NCT06847321 · tracked via the Priya Life Science USA tracker
Sponsor
Lighthouse Pharmaceuticals, Inc.
Phase
Phase 2
Started
2025-02-17
Last updated
2026-09-15

Condition(s) studied

Alzheimer DiseaseAlzheimer Disease Due to P. Gingivalis

Investigational drug(s) / intervention(s)

LHP588LHP588Placebo Drug

LHP588: 25 mg, once daily

LHP588: 50 mg, once daily

Placebo Drug: Placebo, once daily

Study summary

This study is to test LHP588 in persons who have mild to moderate Alzheimer's disease (AD) who have shown progressive mental decline in the last year and who have P. gingivalis (Pg) infection. P. gingivalis infection has been linked to the development of dementia. LHP588 is designed to target the P. gingivalis bacterium, to potentially help to halt or slow down the progression of AD and its symptoms. A saliva test will be done to determine P. gingivalis infection. Tests for AD include standard questionnaires such as MMSE and a blood test for pTau217. Treatment will be blinded, meaning the participant and the doctor will not know if the participant is receiving LHP588 or placebo. The total time for participation in the study may be up to 64 weeks. This includes a screening period (to ensure the participant is suitable for the study and the study is suitable for the participant) of up to 12 weeks, a treatment period of up to 48 weeks, and a safety follow-up period of 4 weeks after the last dose of the study drug to check the participant's overall health. Treatment is a once-a-day capsule. Caregiver participation is required. The study requires the participant to visit the study center (with the caregiver) at least 20 times within 64 weeks (this does not include any unplanned visits that may be recommended by the study doctor). In addition, the study doctor or clinic staff will contact the participant via phone at least 1 time.

Eligibility

Sex
ALL
Min age
55 Years
Max age
80 Years
Healthy volunteers
No
Inclusion Criteria: * AD according to the National Institute on Aging-Alzheimer's Association criteria. * MMSE scores corresponding to mild and moderate AD. * Saliva rinse sample positive for P. gingivalis. * Plasma pTau217 above cutoff. * Subject and caregiver have provided full written informed consent. * Background symptomatic therapy with acetylcholinesterase inhibitors, and/or memantine, are allowed if the dose has been stable for 90 days and no changes are planned during the study. * Modified Hachinski score ≤4 at screening. Exclusion Criteria: * History of cancer requiring systemic therapy in last 5 years. * Evidence of a clinically significant, unstable cardiovascular, pulmonary, renal, hepatic, gastrointestinal, neurologic, or metabolic disease within 6 months prior to screening. * Unstable angina, uncompensated and/or symptomatic congestive heart failure (Grade 2 or higher on the New York Heart Association scale) or myocardial infarction within 6 months. * Acute or poorly controlled blood pressure \>180 mmHg systolic or \>100 mmHg diastolic at screening visit. * History or current evidence of major neurological or psychiatric illness such as schizophrenia, bipolar disorder, Parkinson's Disease, other. * Currently being treated with anti-amyloid beta antibodies or other disease-modifying treatments for dementia. * Other criteria in the Investigator's judgement that may interfere with the ability to participate in the study.

Primary outcome measure(s)

Trial sites (38)

FacilityCityRegionStatus
Banner Alzheimer's Institute Phoenix Arizona Recruiting
Barrow Neurological Institute Phoenix Arizona Recruiting
Clinical Endpoints Scottsdale Arizona Recruiting
Oakland Clinical Research Oakland California Recruiting
ATP Clinical Research, Inc. Orange California Recruiting
Riverside Clinical Research Riverside California Recruiting
CenExel Sherman Oaks Sherman Oaks California Recruiting
CenExel Denver, CO Englewood Colorado Recruiting
JEM Research Institute Atlantis Florida Recruiting
Brain Matters Research Delray Beach Florida Recruiting
Neuropsychiatric Research Center of Southwest Florida Fort Myers Florida Recruiting
Conquest Research - Lake Nona Orlando Florida Recruiting
Anchor Neuroscience Pensacola Florida Active Not Recruiting
Progressive Medical Research Port Orange Florida Recruiting
Alzheimer's Research and Treatment Center - Stuart Stuart Florida Recruiting
Alzheimer's Research and Treatment Center - Wellington Wellington Florida Recruiting
Columbus Memory Center Columbus Georgia Recruiting
Center for Advanced Research & Education Flourish-Gainesville Gainsville Georgia Recruiting
Ascension via Christi Research Wichita Kansas Recruiting
Tandem Clinical Research - Metairie Metairie Louisiana Recruiting
Headlands PharmaSite Pikesville Maryland Recruiting
Adams Clinical Boston Boston Massachusetts Recruiting
Headlands Research-EMA Plymouth Massachusetts Recruiting
Adams Clinical Watertown Watertown Massachusetts Recruiting
Neurological Research Center - Hattiesburg Clinic Hattiesburg Mississippi Recruiting
Clinical Research Professionals - Headlands Chesterfield Missouri Recruiting
CenExel Research - Toms River Toms River New Jersey Recruiting
IMA Evaluations Albuquerque New Mexico Recruiting
Alzheimer's Disease Research Center Albany New York Recruiting
Adams Clinic Harlem New York New York Recruiting
NDx Clinical Research Dayton Ohio Recruiting
Summitt Research Portland Oregon Recruiting
K2 Medical Research Nashville LLC Nashville Tennessee Recruiting
Kerwin Research Center, LLC - Oak Cliff Dallas Texas Recruiting
Kerwin Research Center, LLC in Texas Dallas Texas Recruiting
University of Virginia Adult Neurology Charlottesville Virginia Recruiting
Re-Cognition Health Fairfax Fairfax Virginia Recruiting
Northwest Clinical Research Center Bellevue Washington Recruiting

Other trials for the same condition

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06847321 on ClinicalTrials.gov ↗ ← All trials in the USA