AzTrials
AzTrials

Alzheimer DiseasePhase 3COGNISNCT07062198

Combined Metabolic Activator Supplementation in Subjects Diagnosed With Alzheimer's Disease

A Phase 3 study testing Combined metabolic activators and Collagen and maltodextrin in people with Alzheimer Disease, run by ScandiBio Therapeutics AB at 8 sites in Turkey (Türkiye).

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 randomised, double-blinded, placebo-controlled study aims to establish metabolic improvements in subjects diagnosed with Alzheimer's Disease (AD) by treatment with CMA2 including N-acetyl-L-cysteine (NAC), L-carnitine-L-tartrate (LCAT), nicotinamide (niacinamide), and L-serine. Read more about this study

Who is it for?
Ages 50 years and older
Conditions the study is for
Alzheimer Disease
What is being tested?
Combined metabolic activators and Collagen and maltodextrin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
845 participants
Where
8 sitesTurkey (Türkiye)
Study dates
12 Sep 2025to Sep 2026
Phase
Phase 3
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 50 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Men and women of non-childbearing potential ≥ 50 years of age.
  • Diagnosed with AD and at the Screening visit having the scores of ADAS-Cog ≥ 12 and GDS≥ 4.
  • Stable AD treatments and clinical course for at least 1 month.
  • Females of childbearing potential must have documented tubal ligation or hysterectomy; or be post-menopausal (defined as 12 months of amenorrhoea [in questionable cases a blood sample with simultaneous follicle stimulating hormone (FSH) 25-140 IE/L and oestradiol <200 pmol/Lis confirmatory]).
  • Able to give written informed consent for participation in the study by the patient and/or legal representatives.

Who cannot join

  • History of stroke.
  • History of brain trauma < 14 days.
  • Uncontrolled diagnosed depression.
  • Uncontrolled (HbA1C > 8) type 1 or type 2 diabetes.
  • Severe swallowing problems.
  • PEG-feeding.
Show all 17Show fewer
  • Chronic diarrhoea.
  • Chronic kidney disease with S-Creatinin > 1,30 mg/dl.
  • Active bronchial asthma at the time of screening.
  • History of phenylketonuria (contraindicated for NAC).
  • Known allergy for substances used in the study.
  • Known malignancies.
  • Use of dietary supplements such as vitamins, omega-3 products, or plant stanol/sterol products later than one (1) week prior to inclusion.
  • Use of anti-microbial agents later than one (1) week prior to inclusion.
  • Drug and/or alcohol abuse.
  • Subjects considered as inappropriate for this study for any reason (noncompliance etc.) per investigator assessment.
  • Administration of another new chemical entity (defined as a compound that has not been approved for marketing) or has participated in any other clinical study that included drug treatment with the last administration within 3 months prior to administration of IMP in this study.

Trial locations and contacts

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

Sevki SAHIN, Prof. Dr. contact

+90 216 606 33 00

drsahin@gmail.com

8 sites in 1 country

Turkey (Türkiye)8 sites, 8 recruiting
  • Department of Neurology and Neuroscience, Faculty of Medicine, Alaaddin Keykubat University

    Alanya

    Burak Yuluğ, Dr.

    Burak Yuluğ, Dr.

    Recruiting
  • Ataturk University, Faculty of Medicine, Department of Neurology, Erzurum, Turkey; Movement Disorders and Neuromodulation Center, Ataturk University

    Erzurum

    Mustafa Ceylan, Assoc. Prof. Dr.

    Mustafa Ceylan, Assoc. Prof. Dr.

    Recruiting
  • Behavioural Neurology and Movement Disorders Unit, Department of Neurology, Istanbul Faculty of Medicine, Istanbul University

    Istanbul

    Haşmet Hanagasi, Prof. Dr.

    Haşmet Hanagasi, Prof. Dr.

    Recruiting
  • Haydarpaşa Numune Training and Research Hospital, University of Health Sciences Istanbul

    Istanbul

    Gülbün Asuman Yüksel, Dr.

    Gülbün Asuman Yüksel, Dr.

    Not yet recruiting
  • Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, University of Health Sciences Istanbul

    Istanbul

    Şevki Şahin, Prof. Dr.

    Şevki Şahin, Prof. Dr.

    Recruiting
  • SB Haseki Training and Research Hospital, Istanbul, University of Health Sciences Istanbul

    Istanbul

    Ayla Çulha Oktar, Dr.

    Ayla Çulha Oktar, Dr.

    Recruiting
  • Sultan Abdülhamid Han Training and Research Hospital, University of Health Sciences Istanbul

    Istanbul

    Nazlı Gamze Bülbül, Dr.

    Nazlı Gamze Bülbül, Dr.

    Recruiting
  • Umraniye Training and Research Hospital, University of Health Sciences Istanbul

    Istanbul

    Nevin Pazarcı, Dr.

    Nevin Pazarcı, Dr.

    Recruiting

Other trials in Turkey (Türkiye)

About this study

Official title: A Phase 3, Randomised, Double-blinded, Placebo-controlled Study to Evaluate the Efficacy, Tolerability, and Safety of Combined Metabolic Activator Supplementation in Subjects Diagnosed With Alzheimer's Disease

This randomised, double-blinded, placebo-controlled study aims to establish metabolic improvements in subjects diagnosed with Alzheimer's Disease (AD) by treatment with CMA2 including N-acetyl-L-cysteine (NAC), L-carnitine-L-tartrate (LCAT), nicotinamide (niacinamide), and L-serine.

Participants will take the drug CMA2 or a placebo twice a day for 26 weeks. They will visit the clinic 4 times for checkups and tests.

Read the detailed description

This will be a randomised, double-blinded, placebo-controlled, multi-centre Phase 3 study with the aim to establish metabolic improvements in subjects diagnosed with AD by dietary supplementation with CMA2, including NAC, LCAT, niacinamide, and L-serine. The study will be performed at approximately 9 clinical sites in Turkey and aims to include a total of 676 evaluable subjects (up to 845 randomised).

The study comprises four clinical visits. Consenting subjects will be screened for eligibility (Visit 1; screening) according to study-specific eligibility criteria within 28 days prior to randomisation and start of IMP administration. Eligible subjects will be randomised on Day 1 (Visit 2) to 26 weeks of b.i.d. oral administration of either CMA2 or placebo (1:1). The first dose will be administered at the study clinic. The subjects will be observed for 2 hours post dose for the development of any allergic reactions or intolerance after taking the first dose. Subjects who cannot tolerate the study agents will be withdrawn from the study.

Visits at the study site will be performed at Week 13 (Visit 5) and Week 26 (Visit 8; end of treatment). Monthly telephone contacts will be scheduled with the patients. At the telephone visits IMP compliance, Concomitant medication and adverse event will be addressed.

The following clinical scales will be used to assess the effect of CMA2 on cognition and daily life activity: MMSE, ADAS-Cog, and ADCS-ADL. Blood samples will be collected for advanced plasma metabolomics, proteomics, and lipidomics analysis. Whole genome sequencing will not be performed.

Optional blood samples will be collected for p- tau217, Nfl, GFAP, and S-Urate analysis. Optional Saliva and faeces sampling for oral and gut microbiome will be collected. CSF samples will be optional collected for determination of Abeta42, total-Tau, p-Tau181 levels and Neurofilament light chain concentrations, and for advanced CSF metabolomics, proteomics, and lipidomics analysis. These samples will be decided by each investigator and will be analysed as exploratory endpoint.

Being tested
Combined metabolic activators, Collagen and maltodextrin
Medical subject headings
Alzheimer Disease

What participants receive

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

  • Combined metabolic activatorsDrug

    A total of 20g of CMA2 with strawberry aroma and colouring agent will be given. The IMP will be provided as a soluble powder packed as individual dosages in identical sachets. The powder should be dissolved in 200 ml preferably cold water before use. The powder can also be used on yoghurt or other food. The subjects will take two daily oral doses of the IMP, one dose just after breakfast and one dose just after dinner. Subjects who cannot tolerate (e.g., diarrhoea) taking full dose will be withdrawn from the study.

  • Collagen and maltodextrinOther

    As placebo, a total of 20g of compound primarily containing collagen and maltodextrin will be administered. Placebo contains strawberry aroma flavouring and colouring agent.

Study groups in NCT07062198
Study groupRoleWhat they receive
Treatment ArmExperimentalNot described
Receives: Drug: Combined metabolic activators
Placebo ArmPlacebo comparatorNot described
Receives: Other: Collagen and maltodextrin

What is being measured

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

  1. Change in Alzheimer's Disease Assessment Scale-cognitive subscale (ADAS-Cog) score from baseline to end-of-treatment

    The test administrator adds up points for the errors in each task for a total score ranging from 0 to 70. The greater the dysfunction, the greater the score. A score of 70 represents the most severe impairment and 0 represents the least impairment

    Measured: Visit 1, Visit 5 (13 weeks), Visit 8 (26 weeks)

Secondary outcomes (23)
  1. Change in Mini Mental State Examination (MMSE) score from baseline to end-of-treatment

    MMSE is administered serially to assess the effect of time on the progression of dementia. The MMSE contains seven domains (including orientation, attention, recall) each with an assigned point value totaling 30. Severe cognitive impairment is indicated by a score of (≤9 points) moderate (10- 20 points) and mild (21-24 points). A score of 25 and over indicates normal cognition.

    Measured: Visit 1, Visit 5 (13 weeks), Visit 8 (26 weeks)

  2. Change in Alzheimer's Disease Cooperative Study - Activities of Daily Living (ADCS-ADL) score from baseline to end-of-treatment

    The 23 ADL items (Activities of Daily Living; 6 basic and 17 instrumental) assess the competence of patients with Alzheimer's Disease in activities of daily living. All responses should relate to the 4 weeks prior to the time of rating. The total score is 0-78, with low scores indicating more severe impairment.

    Measured: Visit 1, Visit 5 (13 weeks), Visit 8 (26 weeks)

  3. To evaluate compliance daily two doses treatment in patients

    The subject will be instructed to bring all unused IMP and empty containers to the clinic visits on Week 13 and Week 26.

    Measured: Visit 5 (13 weeks), Visit 8 (26 weeks)

  4. Change in body weight from baseline through-out the study

    Body weight will be measured at Visit 1, Visit 5 and Visit 8 to evaluate the safety of metabolic cofactor supplementation.

    Measured: Visit 1, Visit 5 (13 weeks), Visit 8 (26 weeks)

  5. Change in body height from baseline through-out the study

    Body height will be measured at Visit 1, Visit 5 and Visit 8 to evaluate the safety of metabolic cofactor supplementation.

    Measured: Visit 1, Visit 5 (13 weeks), Visit 8 (26 weeks)

  6. Change in BMI from baseline through-out the study

    BMI will be assessed at Visit 1, Visit 5 and Visit 8 to evaluate the safety of metabolic cofactor supplementation.

    Measured: Visit 1, Visit 5 (13 weeks), Visit 8 (26 weeks)

  7. Change in waist and hip circumference from baseline

    Waist and hip circumference will be measured aat Visit 1, Visit 5 and Visit 8 to evaluate the safety of metabolic cofactor supplementation.

    Measured: Visit 1, Visit 5 (13 weeks), Visit 8 (26 weeks)

  8. Change in blood pressure from baseline

    Systolic and Diastolic Blood Pressure (mmHg) will be measured at Visit 1, Visit 5 and Visit 8 to evaluate the safety of metabolic cofactor supplementation.

    Measured: Visit 1, Visit 5 (13 weeks), Visit 8 (26 weeks)

  9. Change in heart rate from baseline

    Change in heart rate will be measured at Visit 1, Visit 5 and Visit 8 to evaluate the safety of metabolic cofactor supplementation

    Measured: Visit 1, Visit 5 (13 weeks), Visit 8 (26 weeks)

  10. Change in red blood cell count from baseline

    Red Blood Cell count test will be performed to measure possible toxic effects of metabolic cofactor supplementation on the hematological system.

    Measured: Visit 1, Visit 5 (13 weeks), Visit 8 (26 weeks)

  11. Change in platelet count from baseline

    Platelet count test will be performed to measure possible toxic effects of metabolic cofactor supplementation on the hematological system.

    Measured: Visit 1, Visit 5 (13 weeks), Visit 8 (26 weeks)

  12. Change in hemoglobin concentration from baseline

    Hemoglobin concentrations will be assessed to measure possible toxic effects of the metabolic cofactor supplementation on hematological system.

    Measured: Visit 1, Visit 5 (13 weeks), Visit 8 (26 weeks)

  13. Change in white blood cell count from baseline

    White blood cell count test will be performed to measure possible toxic effects of the metabolic cofactor supplementation on hematological system.

    Measured: Visit 1, Visit 5 (13 weeks), Visit 8 (26 weeks)

  14. Changes in kidney function tests from baseline

    Kidney function tests (creatinine, urea, urate) will be performed to measure possible toxic effects of the metabolic cofactor supplementation on kidney function.

    Measured: Visit 1, Visit 5 (13 weeks), Visit 8 (26 weeks)

  15. Changes in kidney function tests from baseline

    Kidney function tests (sodium, potassium) will be performed to measure possible toxic effects of the metabolic cofactor supplementation on kidney function.

    Measured: Visit 1, Visit 5 (13 weeks), Visit 8 (26 weeks)

  16. Changes in liver function tests [Alanine aminotransferase (ALT), Aspartate aminotransferase (AST), Gamma-glutamyl transferase (GGT), Alkaline phosphatase (ALP)] from baseline

    Liver function tests (ALT, AST, GGT, ALP) will be performed to measure possible toxic effects of the metabolic cofactor supplementation on liver function.

    Measured: Visit 1, Visit 5 (13 weeks), Visit 8 (26 weeks)

  17. Changes in liver function tests (Total Bilirubin, and Albumin) from baseline

    Liver function tests (Total Bilirubin, Albumin) will be performed to measure possible toxic effects of the metabolic cofactor supplementation on liver function.

    Measured: Visit 1, Visit 5 (13 weeks), Visit 8 (26 weeks)

  18. Changes in creatinine kinase (CK) level from baseline

    Creatinine kinase (CK) level will be evaluated to measure possible toxic effects of the metabolic cofactor supplementation.

    Measured: Visit 1, Visit 5 (13 weeks), Visit 8 (26 weeks)

  19. Changes in blood lipid levels (total cholesterol (TC), triglyceride (TG), low density lipoprotein (LDL-C), high density lipoprotein (HDL-C)) from baseline

    Blood lipid levels (total cholesterol (TC), triglyceride (TG), low density lipoprotein (LDL-C), high density lipoprotein (HDL-C)) will be evaluated to measure possible toxic effects of the metabolic cofactor supplementation.

    Measured: Visit 1, Visit 5 (13 weeks), Visit 8 (26 weeks)

  20. Changes in blood glucose levels from baseline

    Blood glucose levels will be evaluated to measure possible toxic effects of the metabolic cofactor supplementation.

    Measured: Visit 1, Visit 5 (13 weeks), Visit 8 (26 weeks)

  21. Change in blood insulin level from baseline

    Blood insulin level will be evaluated to measure possible toxic effects of the metabolic cofactor supplementation.

    Measured: Visit 1, Visit 5 (13 weeks), Visit 8 (26 weeks)

  22. Change in thyroid-stimulating hormone (TSH) level from baseline

    Thyroid-stimulating hormone (TSH) level will be evaluated to measure possible toxic effects of the metabolic cofactor supplementation.

    Measured: Visit 1, Visit 5 (13 weeks), Visit 8 (26 weeks)

  23. Monitoring Adverse Events

    This process aiming to monitoring of adverse events of metabolic cofactor supplementation. Adverse events, serious adverse events, serious adverse reactions, suspected unexpected serious adverse reactions will be monitored continuously and all events that occur at any time during the study will be reported in Case Report Forms. Any symptoms of intestinal discomfort or other side effects will be carefully recorded and all study subjects will be informed to contact (by phone or text message) the investigators immediately if they experience any symptoms of discomfort or any side effects during the intervention period

    Measured: 26 weeks

Timeline

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

  1. First posted14 Jul 2025
  2. Study start12 Sep 2025
  3. Primary completionSep 2026 (estimated)
  4. Study completionSep 2026 (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 3
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
845 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07062198
Sponsor's protocol ID
SB-AD-002
Acronym
COGNIS
Status last verified
Sep 2025
First submitted
11 Jun 2025
Last updated
6 Feb 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Combined metabolic activators and Collagen and maltodextrin in people with Alzheimer Disease, run by ScandiBio Therapeutics AB at 8 sites in Turkey (Türkiye).

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 5 inclusion and 17 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 6 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in Turkey (Türkiye). 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?

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 Sevki SAHIN, Prof. Dr. (+90 216 606 33 00, drsahin@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Alzheimer's Disease Assessment Scale-cognitive subscale (ADAS-Cog) score from baseline to end-of-treatment (time frame: Visit 1, Visit 5 (13 weeks), Visit 8 (26 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 6 Feb 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in