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Alzheimer DiseasePhase 2NCT06847321

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

A Phase 2 study testing LHP588 in people with Alzheimer Disease and Alzheimer Disease Due to P. Gingivalis, run by Lighthouse Pharmaceuticals, Inc. at 39 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial 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. Read more about this study

Who is it for?
Ages 55 to 80 years
What is being tested?
LHP588
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
300 participants
Where
39 sitesUnited States
Study dates
17 Feb 2025to 15 Mar 2029
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 55 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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.

Who cannot join

  • 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.

Trial locations and contacts

39 sites in 1 country. Contact the study team or a site near you to ask about taking part.

39 sites in 1 country

United States39 sites, 37 recruiting
  • Alzheimer's Disease Research Center

    Albany, New York, 12208

    Richard Holub, MD, 518-426-0575, research@naaresearch.com

    Richard Holub, MD

    Recruiting
  • IMA Evaluations

    Albuquerque, New Mexico, 87109

    Valerie Ramirez, 505-848-3773, valerie.ramirez@imaresearch.com

    Daniel Collins, MD

    Recruiting
  • JEM Research Institute

    Atlantis, Florida, 33462

    Linda Pao, MD, 561-968-2933, jem.research@jemri.net

    Linda Pao, MD

    Recruiting
  • Northwest Clinical Research Center

    Bellevue, Washington, 98007

    Study Coordinator, 425-453-0404, study.coordinator@nwcrc.net

    study.coordinator@nwcrc.net

    Recruiting
  • Adams Clinical Boston

    Boston, Massachusetts, 02116

    Megan Norris, 617-362-4386, mnorris@adamsclinical.com

    Darin Dougherty, MD

    Recruiting
  • University of Virginia Adult Neurology

    Charlottesville, Virginia, 22903

    Colleen Webber, 434-243-5898, cmn6x@virginia.edu

    Carol Manning, PhD

    Recruiting
  • Clinical Research Professionals - Headlands

    Chesterfield, Missouri, 63005

    Recruitment, 636-220-1200, recruitment@clinicalresearchprofessionals.net

    Siddarth Kaul, MD, PhD

    Recruiting
  • Columbus Memory Center

    Columbus, Georgia, 31909

    Mark Stafford, 706-653-8455, info@researchalz.com

    Mark Stafford, DO

    Recruiting
  • Kerwin Research Center, LLC - Oak Cliff

    Dallas, Texas, 75216

    Megha Chadha, 972-433-9100, enroll@kerwinmedical.com

    Zaid Shah, DO

    Recruiting
  • Kerwin Research Center, LLC in Texas

    Dallas, Texas, 75231

    Megha Chadha, 972-433-9100, enroll@kerwinmedical.com

    Alka Khera, MD

    Recruiting
  • NDx Clinical Research

    Dayton, Ohio, 45459

    Study Team, 937-224-8200 ext. 5, Contact@NdxResearch.com

    Joel Vandersluis, MD

    Recruiting
  • Brain Matters Research

    Delray Beach, Florida, 33445

    Jen Blasi, 561-374-8461, jblasi@ergclinical.com

    RecruitmentBMR@ergclinical.com

    Recruiting
  • CenExel Denver, CO

    Englewood, Colorado, 80113

    Susan McPhie, 720-477-7899, rmcr.recruitment@cenexel.com

    Katherine Coerver, MD, PhD

    Recruiting
  • Re-Cognition Health Fairfax

    Fairfax, Virginia, 22031

    Active, not recruiting
  • Neuropsychiatric Research Center of Southwest Florida

    Fort Myers, Florida, 33912

    Jacqueline Acosta, 239-939-7777, recruitmentnprc@ergclinical.com

    Jennifer Springer, MD

    Recruiting
  • Center for Advanced Research & Education Flourish-Gainesville

    Gainsville, Georgia, 30501

    Tina Foreman, 770-534-5154, tforeman@flourishresearch.com

    Angela Ritter, MD

    Recruiting
  • Neurological Research Center - Hattiesburg Clinic

    Hattiesburg, Mississippi, 39401

    Krista-Elizabeth Hanley, 601-579-5016, bree.hanley@hattiesburgclinic.com

    Ronald Schwartz, MD

    Recruiting
  • Tandem Clinical Research - Metairie

    Metairie, Louisiana, 70006

    Tandem Clinical Research - Recruitment, 504-321-1700, recruitment@tandemclinicalresearch.com

    Angela Traylor, MD

    Recruiting
  • Esperanza Clinical

    Murrieta, California, 92562

    Antonio Mason-Villeda, 951-417-4466, hello@esperanzaclinical.com

    Michael Ropacki, PhD

    Recruiting
  • K2 Medical Research Nashville LLC

    Nashville, Tennessee, 37204

    Victoria Marsh, 615-208-5252, victoria.marsh@k2med.com

    Joshua Lennon, MD

    Recruiting
  • Adams Clinic Harlem

    New York, New York, 10029

    Outreach Recruitment Team, 646-917-6804, jmoraleslu@adamsclinical.com

    Rachel Noone, MD

    Recruiting
  • Oakland Clinical Research

    Oakland, California, 94609

    Crystal Huynh, 510-817-2000, crystal@irvineclinical.com

    Richard Parenteau, MD

    Recruiting
  • ATP Clinical Research, Inc.

    Orange, California, 92866

    Christine Som, 714-662-9556, christines@pnsoc.com

    Bobby Shih, 714-453-4114, bshih@atpcr.com

    Recruiting
  • Conquest Research - Lake Nona

    Orlando, Florida, 32832

    Daniela LaraRivillas, 407-916-0060, Daniela.LaraRivillas@conquestresearch.com

    Gilbert Mbeo, MD

    Recruiting
  • Anchor Neuroscience

    Pensacola, Florida, 32502

    Active, not recruiting
  • Banner Alzheimer's Institute

    Phoenix, Arizona, 85006

    Laura Martinez, SCRC, 602-839-6500, BannerAlzResearch@bannerhealth.com

    Allison Perrin, MD

    Recruiting
  • Barrow Neurological Institute

    Phoenix, Arizona, 85013

    Margeaux Snell, MD, CCRC, 602-406-3378, Margeaux.snell@commonspirit.org

    Anna Burke, MD

    Recruiting
  • Headlands PharmaSite

    Pikesville, Maryland, 21208

    Aparna Ayyala, 410-699-9833, aparna.ayyala@pharmasiteresearch.com

    Sarah Herts, DO

    Recruiting
  • Headlands Research-EMA

    Plymouth, Massachusetts, 02360

    Jay Patel, 508-746-5060 ext. 103, jay.patel@headlandsresearchema.com

    Kinan Hreib, MD, PhD

    Recruiting
  • Progressive Medical Research

    Port Orange, Florida, 32127

    Kyrie Allen, 386-304-7070, kyriem@progressivemedicalresearch.com

    Alex White, MD

    Recruiting
  • Summitt Research

    Portland, Oregon, 97210

    Annika Truitt, 503-972-9822, annika.truitt@summittnetwork.com

    Scott Losk, PhD

    Recruiting
  • Riverside Clinical Research

    Riverside, California, 92506

    Erick Delgado, 951-374-8000, edelgado@irvineclinical.com

    Cydney Osano, MD

    Recruiting
  • Clinical Endpoints

    Scottsdale, Arizona, 85258

    Jenna Leger, 480-566-9090, jleger@clinicalendpoints.com

    Allan Block, MD

    Recruiting
  • CenExel Sherman Oaks

    Sherman Oaks, California, 91403

    Mekaela Theobald, (818) 990-2671, m.theobald@cenexel.com

    Thomas Shiovitz, MD

    Recruiting
  • Alzheimer's Research and Treatment Center - Stuart

    Stuart, Florida, 34997

    Adam Falchook, MD, 772-675-0000, info@researchalz.com

    Adam Falchook, MD

    Recruiting
  • CenExel Research - Toms River

    Toms River, New Jersey, 08755

    Anna Brocco, 732-341-9500 ext. 3510, amri.recruitment@cenexel.com

    Arun Singh, MD

    Recruiting
  • Adams Clinical Watertown

    Watertown, Massachusetts, 02472

    Nova Chenda, 617-362-4386, Nchenda@adamsclinical.com

    Stephanie Rutrick, MD

    Recruiting
  • Alzheimer's Research and Treatment Center - Wellington

    Wellington, Florida, 33414

    Annet Falchook, MD, 561-209-2400, info@researchalz.com

    Annet Falchook, MD

    Recruiting
  • Ascension via Christi Research

    Wichita, Kansas, 67214

    Angie Vincent, 316-268-6055, angie.vincent@ascension.org

    Paul Murphy, MD

    Recruiting

Other trials in United States

About this study

Official title: A Randomized, Double-Blind, Placebo-Controlled Study of LHP588 in Subjects With P. Gingivalis-Positive Alzheimer's Disease

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.

Read the detailed description

This is a randomized, double-blind, placebo-controlled study that will assess the efficacy and safety of LHP588 in participants with evidence of P. gingivalis [Pg] infection and Alzheimer's Disease (AD) according to the National Institute on Aging-Alzheimer's Association (NIA-AA) research criteria. Enrolled participants must also have evidence of P. gingivalis infection as determined by polymerase chain reaction (PCR) of saliva oral rinse and clinical evidence of progressive cognitive decline in the last year. The participant should not have other conditions or brain imaging abnormalities that can explain the symptoms of dementia based on prior imaging and the screening magnetic resonance imaging (MRI). Due to the nature of AD, participants must identify a primary caregiver prior to enrollment in the study who will assist the participant with study participation and attend clinic visits.

The study will consist of the following periods: 1) screening period of up to 12 weeks, 2) double-blind treatment period of 48 weeks (including a 2 week up-titration for the high dose arm), and 3) safety follow-up period of 4 weeks.

The screening period will include at least two office visits during which eligibility will be verified. The first screening visit assessments will be limited to include the Mini-Mental State Examination (MMSE), saliva sample collection to assess Pg positivity, and pTau217 sample collection. The second screening visit will only be scheduled for participants with positive results of Pg infection and pTau217 test, and the rest of the screening procedures will be performed. Screening MRI will be performed as the last eligibility verification assessment.

Participants who meet all eligibility criteria will be randomized in a 1:1:1 fashion to receive LHP588 25 mg, LHP588 50 mg, or placebo, orally, once daily (QD) in a fasted state (at least one hour before or two hours after a meal) for 48 weeks. Dosing should be done at approximately the same time each day. Blood samples for pharmacokinetics levels and biomarkers will be collected during selected visits.

Evaluations will be conducted according to the schedule of assessments and will include: Medical history, physical examination, height, weight, saliva rinse for verification of Pg infection, blood for pharmacokinetic analysis, safely laboratory measures, electrocardiogram, and cognitive and functional scale assessments such as ADAS Cog, administered periodically.

After completion of study treatment, participants will continue to be monitored for 4 weeks and will have a phone call to assess safety at Week 50 and will return for the Safety Follow-up Visit (Week 52).

Being tested
LHP588, Placebo Drug
Keywords
placebo-controlled, p. gingivalis, Alzheimer disease
Medical subject headings
Alzheimer Disease

What participants receive

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

  • LHP588Drug

    Also called Low dose

    25 mg, once daily

  • LHP588Drug

    Also called High dose

    50 mg, once daily

  • Placebo DrugDrug

    Placebo, once daily

Study groups in NCT06847321
Study groupRoleWhat they receive
PlaceboPlacebo comparatorTwo (2) placebo capsules, once daily, for 48 weeks
Receives: Drug: Placebo Drug
LHP588 25 mgExperimentalOne (1) 25 mg capsule and one (1) placebo capsule, once daily, for 48 weeks
Receives: Drug: LHP588
LHP588 50 mgExperimentalTwo (2) 25 mg capsules, once daily, for 48 weeks
Receives: Drug: LHP588

What is being measured

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

  1. Change in ADAS-Cog11

    ADAS-COG11 is the Alzheimer's Disease Assessment Scale-Cognitive Subscale 11

    Measured: 40 - 48 weeks

Secondary outcomes (3)
  1. Change in ADCS-ADL

    ADCS-ADL is the Alzheimer's Disease Cooperative Study Group-Activities of Daily Living

    Measured: 40 - 48 weeks

  2. Change in CMAI

    CMAI is the Cohen-Mansfield Agitation Inventory

    Measured: 40 - 48 weeks

  3. Change in CDR-SB

    CDR-SB is the Clinical Dementia Rating-Sum of Boxes

    Measured: 40 - 48 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 2025
  2. Study start17 Feb 2025
  3. Primary completion31 Jan 2029 (estimated)
  4. Study completion15 Mar 2029 (estimated)

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
300 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06847321
Sponsor's protocol ID
LHP588-201
Status last verified
Jun 2026
First submitted
21 Feb 2025
Last updated
7 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing LHP588 in people with Alzheimer Disease and Alzheimer Disease Due to P. Gingivalis, run by Lighthouse Pharmaceuticals, Inc. at 39 sites in United States.

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 7 inclusion and 7 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: looking for participants now, as of the sponsor's last update on 7 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 39 sites in United States. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Joanna Bolger (858-248-5124, jbolger@lighthousepharma.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in ADAS-Cog11 (time frame: 40 - 48 weeks). 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 7 Oct 2026.

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