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Alzheimer DiseasePhase 3NCT03446001

Safety and Efficacy of TRx0237 in Subjects With Alzheimer's Disease Followed by Open-Label Treatment

A Phase 3 study testing TRx0237 16 mg/day and TRx0237 8 mg/day in people with Alzheimer Disease, run by TauRx Therapeutics Ltd at 103 sites in 8 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to determine the safety and efficacy of TRx0237 16 mg/day and 8 mg/day in the treatment of subjects with Alzheimer's Disease compared to placebo. In addition, an open-label, delayed-start phase is included to demonstrate a disease-modifying effect of TRx0237. Read more about this study

Who is it for?
Ages Up to 90 years
Conditions the study is for
Alzheimer Disease
What is being tested?
TRx0237 16 mg/day and TRx0237 8 mg/day
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
598 participants
Where
103 sitesin 8 countries
Study dates
1 Dec 2017to 4 Apr 2023
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Up to 90 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Diagnosis of Alzheimer's Disease (AD), encompassing probable AD and mild cognitive impairment due to AD (MCI-AD) based on the 2011 National Institute on Aging and Alzheimer's Association (NIA/AA) criteria
  • Documented PET scan that is positive for amyloid
  • Mini-Mental State Examination (MMSE) score of 16-27 (inclusive), subject to stratification requirements
  • Global Clinical Dementia Rating (CDR) of 0.5 to 2 (if 0.5, including a score of >0 in one of the functional domains: Community Affairs, Home and Hobbies, or Personal Care)
  • Age <90 years
  • Females must be surgically sterile, have undergone bilateral tubal occlusion / ligation, be post-menopausal, or use adequate contraception
Show all 10Show fewer
  • Subject, and/or, in the case of reduced decision-making capacity, legally acceptable representative(s) consistent with local and national law is/are able to read, understand, and provide written informed consent in the designated language of the study site
  • Has one or more identified adult study partner who either lives with the subject or has sufficient contact to provide assessment of changes in subject behavior and function over time and information on safety and tolerability; is willing to provide written informed consent for his/her own participation; is able to read, understand, and speak the designated language(s) at the study site; agrees to accompany the subject to each study visit; and is able to verify daily compliance with study drug
  • Must not be taking an acetylcholinesterase inhibitor and/or memantine for at least 60 days at the time of the Baseline assessments
  • Able to comply with the study procedures in the view of the Investigator

Who cannot join

  • Significant central nervous system disorder other than probable AD or MCI-AD
  • Significant intracranial focal or vascular pathology seen on brain MRI scan that would lead to a diagnosis other than probable AD or MCI-AD
  • Clinical evidence or history of cerebrovascular accident; transient ischemic attack; significant head injury, for example, associated loss of consciousness, skull fracture or persisting cognitive impairment; other unexplained or recurrent loss of consciousness for ≥15 minutes
  • Epilepsy (a single prior seizure >6 months prior to Screening is considered acceptable)
  • Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition criteria met for major depressive disorder; schizophrenia; other psychotic disorders, bipolar disorder; substance (including alcohol) related disorders
  • Metal implants in the head, pacemaker, cochlear implants, or any other non-removable items that are contraindications to MRI
Show all 20Show fewer
  • Resides in hospital or moderate to high dependency continuous care facility
  • Any physical disability that would prevent completion of study procedures or assessments
  • History of swallowing difficulties
  • Pregnant or breastfeeding
  • Glucose-6-phosphate dehydrogenase (G6PD) deficiency
  • History of significant hematological abnormality or current acute or chronic clinically significant abnormality
  • Abnormal serum chemistry laboratory value at Screening deemed to be clinically significant by the Investigator
  • Clinically significant cardiovascular disease or abnormal electrocardiogram assessments
  • Pre-existing or current signs or symptoms of respiratory failure
  • Concurrent acute or chronic clinically significant immunologic, hepatobiliary, or endocrine disease and/or other unstable or major disease other than probable AD or MCI-AD
  • Diagnosis of cancer (excluding basal cell carcinoma, squamous cell carcinoma, or prostate carcinoma in situ [Stage 1]) within the past 2 years or a previous (>2 years) diagnosis of cancer that has required any form of intervention or treatment within the past 2 years
  • Prior intolerance or hypersensitivity to methylthioninium (MT)-containing drug or methemoglobinemia induced by MT-containing drug, similar organic dyes, or any of the excipients
  • Treatment currently or within 90 days before Baseline with Souvenaid®, clozapine, carbamazepine, primidone, valproate, or drugs for which there is a warning or precaution in the labeling about methemoglobinemia at approved doses
  • Current or prior participation in any clinical trial of TRx0237; a clinical trial of a product for cognition prior to Baseline in which the last dose was received within 90 days prior to Baseline unless confirmed to have been randomized to placebo; or a clinical trial of any other investigational drug, biologic, device, or medical food in which the last dose was received within 28 days prior to Baseline

Trial locations and contacts

103 sites in 8 countries.

103 sites in 8 countries

United States60 sites
  • Albany Medical College

    Albany, New York, 12208

  • Visionary Investigators Network

    Aventura, Florida, 33180

  • UBMD Neurology

    Buffalo, New York, 14203

  • Neuroscience Research Center, LLC

    Canton, Ohio, 44718

  • Valley Medical Research

    Centerville, Ohio, 45459

  • CBRI - Roper Hospital

    Charleston, South Carolina, 29414

  • Alzheimer's Memory Center

    Charlotte, North Carolina, 28270

  • The Lindner Research Center

    Cincinnati, Ohio, 45219

  • ATP Clinical Research, Inc.

    Costa Mesa, California, 92626

  • Neurology Diagnostics Inc.

    Dayton, Ohio, 45459

  • NeuroStudies.net, LLC

    Decatur, Georgia, 30033

  • Re:Cognition Health

    Fairfax, Virginia, 22031

  • HB Clinical Trials Inc.

    Fountain Valley, California, 92708

  • Fullerton Neurology and Headache Center

    Fullerton, California, 92835

  • Finlay Medical Research

    Greenacres City, Florida, 33467

  • MD Clinical

    Hallandale, Florida, 33009

  • Indago Research & Health Center, Inc.

    Hialeah, Florida, 33012

  • Josephson Wallack Munshower Neurology P.C.

    Indianapolis, Indiana, 46256

  • Senior Clinical Trials, Inc.

    Laguna Hills, California, 92653

  • Atria Clinical Research

    Little Rock, Arkansas, 72209

  • Merrit Island Medical Research

    Merritt Island, Florida, 32952

  • Health Care Family Rehab and Research

    Miami, Florida, 33015

  • Optimus Clinical Research

    Miami, Florida, 33125

  • Biomed Research Institute, Inc

    Miami, Florida, 33126

  • Finlay Medical Research

    Miami, Florida, 33126

  • CCM Clinical Research Group

    Miami, Florida, 33133

  • Advance Medical Research Center

    Miami, Florida, 33135

  • Vitae Research Center, LLC

    Miami, Florida, 33135

  • L&C Professional Medical Research Institute

    Miami, Florida, 33144

  • Allied Biomedical Research Institute

    Miami, Florida, 33155

  • Future Care Solution, LLC

    Miami, Florida, 33165

  • Florida International Research Center

    Miami, Florida, 33173

  • Miami Dade Medical Research Institute, LLC

    Miami, Florida, 33176

  • Visionary Investigators Network

    Miami, Florida, 33176

  • Hoag Memorial Hospital Presbyterian

    Newport Beach, California, 92663

  • Neuro-Behavioral Clinical Research, Inc.

    North Canton, Ohio, 44321

  • Excell Research, Inc.

    Oceanside, California, 92056

  • Sensible Healthcare

    Ocoee, Florida, 34761

  • IPS Research Company

    Oklahoma City, Oklahoma, 73106

  • Bioclinica Research

    Orlando, Florida, 32806

  • IMIC Inc

    Palmetto Bay, Florida, 33157

  • Emerald Coast Center for Neurological Disorders

    Pensacola, Florida, 32504

  • Xenoscience

    Phoenix, Arizona, 85004

  • Arizona Research Center

    Phoenix, Arizona, 85053

  • Progressive Medical Research

    Port Orange, Florida, 32127

  • Coastal Neurology

    Port Royal, South Carolina, 29935

  • Neural Net Research

    Portland, Oregon, 97225

  • Sharp Mesa Vista Hospital

    San Diego, California, 92123

  • Syrentis Clinical Research

    Santa Ana, California, 92705

  • The Roskamp Institute, Inc.

    Sarasota, Florida, 34243

  • Imaging Endpoints Research

    Scottsdale, Arizona, 85258

  • California Neuroscience Medical Group

    Sherman Oaks, California, 91403

  • Kingfisher Cooperative, LLC

    Spokane, Washington, 99202

  • Richmond Behavioral Associates

    Staten Island, New York, 10312

  • Georgia Neurology and Sleep Medicine Associates

    Suwanee, Georgia, 30024

  • Universal Research Group, LLC

    Tacoma, Washington, 98405

  • Stedman Clinical Trials

    Tampa, Florida, 33613

  • Advanced Memory Research of NJ PC

    Toms River, New Jersey, 08755

  • Tulsa Clinical Research LLC

    Tulsa, Oklahoma, 74136

  • Alzheimer's Research and Treatment Center

    Wellington, Florida, 33414

Other trials in United States

France9 sites
  • CHU Bordeaux - Pellegrin

    Bordeaux, 33076

  • Hôpital Neurologique Pierre Wertheimer

    Bron, 69677

  • CHU de Limoges

    Limoges, 87042

  • Timone Adults Hospital

    Marseille, 13385

  • Guidechauliac Hospital

    Montpellier, 34295

  • Hôpital Laënnec - CHU de Nantes

    Nantes, 44093

  • CHU de Rennes

    Rennes, 35009

  • CRC Gerontopole Cite de la Sante, Hôpital La Grave

    Toulouse, 31059

  • Hopital des Charpennes

    Villeurbanne, 69100

Other trials in France

Italy9 sites
  • IRCCS Centro S. Giovanni di Dio Fatebenefratelli

    Brescia, 25125

  • Foundation Institute G.Giglio

    Cefalù, 90015

  • Azienda Ospedaliera San Gerardo - Clinica Neurologica

    Monza, 20900

  • Istituto Neurologico Casimiro Mondino, IRCCS

    Pavia, 27100

  • University of Perugia, Ospedale S.M. della Misericordia

    Perugia, 06156

  • Ospedale San Giovanni Calibita Fatebenefratelli

    Roma, 00186

  • Azienda Ospedaliera Sant'Andrea

    Roma, 00189

  • IRCCS Fondazione Santa Lucia

    Rome, 00179

  • Clinica Neurologica Santa Maria della Misericordia

    Udine, 33100

Other trials in Italy

Spain8 sites
  • Hospital General de Catalunya

    Barcelona, 08195

  • Hospitales de Madrid

    Madrid, 28015

  • Hospital Universitario 12 de Octubre

    Madrid, 28041

  • Hospital Universitario QuironSalud Madrid

    Madrid, 28223

  • Centro de salud de San Juan, Unidad de Investigación Neurociencias

    Salamanca, 37005

  • Hospital Virgen de la Macarena

    Seville, 41009

  • Hospital Universitario Mutua Terrassa

    Terrassa, 08222

  • Hospital Universitario Doctor Peset

    Valencia, 46017

Other trials in Spain

Poland7 sites
  • Podlaskie Centrum Psychogeriatrii

    Bialystok, 15-756

  • Centrum Medyczne NEUROMED

    Bydgoszcz, 85-163

  • NZOZ Wielospecjalistyczna Poradnia Lekarska Synapsis

    Katowice, 40-123

  • Indywidualna Praktyka Lekarska

    Lublin, 20-582

  • NZOZ Neuro-Kard

    Poznan, 61-853

  • Euromedis Sp. z o.o.

    Szczecin, 70-111

  • Centrum Medyczne NeuroProtect

    Warsaw, 01-684

Other trials in Poland

United Kingdom5 sites
  • Re:Cognition Health

    Birmingham, B16 8LT

  • Glasgow Memory Clinic Ltd

    Glasgow, G20 0XA

  • Re:Cognition Health

    Guildford, GU2 7YD

  • Re:Cognition Health - Central London

    London, W1G 9JF

  • Re:Cognition Health

    Plymouth, PL6 8BT

Other trials in United Kingdom

Canada4 sites
  • Clinique Mémoire de l'Outaouais

    Gatineau, Quebec, J8T 8J1

  • Okanagan Clinical Trials, Ltd.

    Kelowna, British Columbia, V1Y 1Z9

  • Memory Clinic (Ottawa)

    Ottawa, Ontario, K1Z 1G3

  • Alpha Recherche Clinique

    Québec, G3K 2P8

Other trials in Canada

Belgium1 site
  • Cliniques Universitaires Saint-Luc

    Brussels, 1200

Other trials in Belgium

About this study

Official title: Randomized, Double-Blind, Placebo-Controlled, Three-Arm, 12-Month, Safety and Efficacy Study of TRx0237 Monotherapy in Subjects With Alzheimer's Disease Followed by a 12-Month Open-Label Treatment

The purpose of this study is to determine the safety and efficacy of TRx0237 16 mg/day and 8 mg/day in the treatment of subjects with Alzheimer's Disease compared to placebo. In addition, an open-label, delayed-start phase is included to demonstrate a disease-modifying effect of TRx0237.

Being tested
TRx0237 16 mg/day, Control, TRx0237 8 mg/day
Medical subject headings
Alzheimer Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TRx0237 16 mg/dayDrug

    Oral TRx0237 4-mg tablets administered twice daily

  • ControlDrug

    Oral placebo tablets (some of which contain a urinary discolorant) administered twice daily

  • TRx0237 8 mg/dayDrug

    Oral TRx0237 4-mg tablet administered twice daily

Study groups in NCT03446001
Study groupRoleWhat they receive
TRx0237 16 mg/dayExperimentalNot described
Receives: Drug: TRx0237 16 mg/day
ControlPlacebo comparatorNot described
Receives: Drug: Control
TRx0237 8 mg/dayExperimentalNot described
Receives: Drug: TRx0237 8 mg/day

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline on Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-cog11) (16 mg/Day vs Control)

    This primary outcome measure was assessed in the TRx0237 16 mg/day group compared to the control group. The scores on this scale range from 0 to 70, with higher numbers indicating a worse outcome (greater impairment).

    Measured: 52 weeks

  2. Change From Baseline on Alzheimer's Disease Cooperative Study - Activities of Daily Living (ADCS-ADL23) (16 mg/Day vs Control)

    This primary outcome measure was assessed in the TRx0237 16 mg/day group compared to the control group. The scores on this scale range from 0 to 78, with higher numbers indicating a better outcome (lower impairment).

    Measured: 52 weeks

  3. Number of Study Participants With Serious and Non-serious Adverse Events (16 mg/Day vs Control)

    This primary outcome measure was assessed in the TRx0237 16 mg/day group compared to the placebo group. All laboratory test or vital sign parameter abnormalities deemed clinically significant by the Investigator are to be reported as adverse events.

    Measured: 52 weeks

Secondary outcomes (10)
  1. Change in Annualized Rate of Whole Brain Atrophy (16 mg/Day vs Control)

    This secondary outcome measure was assessed in the TRx0237 16 mg/day group compared to the control group.

    Measured: 52 weeks

  2. Change in Standardized Uptake Value Ratio (SUVR) Based on Temporal Lobe 18F-fluorodeoxyglucose Positron Emission Tomography (18F-FDG-PET) (16 mg/Day vs Control)

    This secondary outcome measure (normalized to pons) was assessed in the TRx0237 16 mg/day dose group compared to the control group, and restricted to subjects with Clinical Dementia Rating (CDR) 0.5 at Screening.

    Measured: 52 weeks

  3. Change in Annualized Rate of Temporoparietal Lobe Atrophy (16 mg/Day vs Control)

    This secondary outcome measure was assessed in the TRx0237 16mg/day group compared to the control group.

    Measured: 52 weeks

  4. Change From Baseline on Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-cog11) (8 mg/Day vs Control)

    This secondary outcome measure was assessed in the TRx0237 8 mg/day group compared to the control group. The scores on this scale range from 0 to 70, with higher numbers indicating a worse outcome (greater impairment).

    Note: Estimates for the Control Arm in the primary outcome and this secondary outcome are estimated using separate Mixed Models for Repeated Measures (MMRM). Thus, it is appropriate for the two models to yield two slightly different estimates for the Control Arm change as the comparator is different in each case and the model uses this information to make its estimates.

    Measured: 52 weeks

  5. Change From Baseline on Alzheimer's Disease Cooperative Study - Activities of Daily Living (ADCS-ADL23) (8 mg/Day vs Control)

    This secondary outcome measure was assessed in the TRx0237 8 mg/day group compared to the control group. The scores on this scale range from 0 to 78, with higher numbers indicating a better outcome (lower impairment).

    Note: Estimates for the Control Arm in the primary outcome and this secondary outcome are estimated using separate Mixed Models for Repeated Measures (MMRM). Thus, it is appropriate for the two models to yield two slightly different estimates for the Control Arm change as the comparator is different in each case and the model uses this information to make its estimates.

    Measured: 52 weeks

  6. Change in Standardized Uptake Value Ratio (SUVR) Based on Temporal Lobe 18F-fluorodeoxyglucose Positron Emission Tomography (18F-FDG-PET) (8 mg/Day vs Control)

    This secondary outcome measure was assessed in the TRx0237 8mg/day dose group compared to the control group, and restricted to subjects with Clinical Dementia Rating (CDR) 0.5 at Screening.

    Note: Estimates for the Control Arm in the TRx0237 16 mg/day dose group comparison and this secondary outcome are estimated using separate Mixed Models for Repeated Measures (MMRM). Thus, it is appropriate for the two models to yield two slightly different estimates for the Control Arm change as the comparator is different in each case and the model uses this information to make its estimates.

    Measured: 52 weeks

  7. Change in Annualized Rate of Temporoparietal Lobe Atrophy (8 mg/Day vs Control)

    This secondary outcome measure was assessed in the TRx0237 8 mg/day dose group compared to the control group.

    Note: Estimates for the Control Arm in the TRx0237 16 mg/day dose group comparison and this secondary outcome are estimated using separate Mixed Models for Repeated Measures (MMRM). Thus, it is appropriate for the two models to yield two slightly different estimates for the Control Arm change as the comparator is different in each case and the model uses this information to make its estimates.

    Measured: 52 weeks

  8. Change From Open-Label Baseline on Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-cog11)

    This secondary outcome measure was assessed for the open-label period of the study comparing subjects originally randomized to placebo to subjects originally randomized to either dose of TRx0237. The scores on this scale range from 0 to 70, with higher numbers indicating a worse outcome (greater impairment).

    Note: It was prespecified to combine subjects who received TRx0237 8 mg/day or TRx0237 16 mg/day in the double-blind phase as early starters; thus these are combined for this comparison.

    Measured: 104 weeks

  9. Number of Study Participants With Serious and Non-serious Adverse Events (8 mg/Day vs Control)

    This secondary outcome measure was assessed in the TRx0237 8 mg/day group compared to the control group over 52 weeks. All laboratory test or vital sign parameter abnormalities deemed clinically significant by the Investigator were to be reported as adverse events.

    Measured: 52 weeks

  10. Number of Study Participants With Serious and Non-serious Adverse Events (Open-label)

    This secondary outcome measure was assessed for all subjects receiving TRx0237 in the open-label phase of the study (in which subjects had received TRx0237 for up to 104 weeks).

    Note: Subjects who received TRx0237 8 mg/day or TRx0237 16 mg/day arms in the double-blind phase are combined for this comparison as all had previously received TRx0237 as compared to those subjects in the control arm who were receiving TRx0237 for the first time in the open-label phase.

    Measured: 104 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Feb 2018
  2. Study start1 Dec 2017
  3. Primary completion31 Mar 2022
  4. Study completion4 Apr 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
598 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03446001
Sponsor's protocol ID
TRx-237-039
Status last verified
Aug 2025
First submitted
8 Feb 2018
Last updated
4 Sep 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Expanded access
Available

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing TRx0237 16 mg/day and TRx0237 8 mg/day in people with Alzheimer Disease, run by TauRx Therapeutics Ltd at 103 sites in 8 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 4 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 103 sites in United States, France, Italy, Spain, Poland and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 4 Sep 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline on Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-cog11) (16 mg/Day vs Control) (time frame: 52 weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Sep 2025.

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