AzTrials
AzTrials

Alzheimer DiseasePhase 2NCT07905352

A Phase 2 Clinical Study of Simenafil Hydrochloride Tablets in the Treatment of Alzheimer's Disease

A Phase 2 study testing Simenafil Hydrochloride Tablets 2.5 mg, Simenafil Hydrochloride Tablets 5 mg and Simenafil Hydrochloride Tablets 10 mg in people with Alzheimer Disease, run by Vigonvita Life Sciences at 1 site in China.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

This study is a multicenter, randomized, double-Blind, placebo-controlled Phase 2 clinical study to evaluate the efficacy and safety of Simenafil Hydrochloride Tablets in the treatment of participants with Alzheimer's Disease Read more about this study

Who is it for?
Ages 55 to 90 years
Conditions the study is for
Alzheimer Disease
What is being tested?
Simenafil Hydrochloride Tablets 2.5 mg, Simenafil Hydrochloride Tablets 5 mg and Simenafil Hydrochloride Tablets 10 mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
200 participants
Where
1 siteChina
Study dates
Nov 2026to Dec 2028
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 90 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female participants aged 55 to 90 years of age inclusive at the time of signing the informed consent form.
  • Mild cognitive impairment due to AD or mild AD dementia defined by stages 3 to 4 according to the National Institute on Aging and Alzheimer's Association (NIA-AA) 2024 diagnostic and staging criteria at Screening.
  • At screening, participants show positive cerebral amyloid pathology on amyloid beta (Aβ) positron emission tomography (PET) imaging.
  • Participants with a history of subjective cognitive and memory decline with onset within 5 years before Screening, confirmed by a relative, caregiver, or other informant familiar with their medical history.
  • Participants who have a Mini-Mental State Examination (MMSE) score ≥ 20 at Screening.
  • Participants who have a Clinical Dementia Rating-Global Score (CDR-GS) of 0.5 or 1, and a CDR memory box score ≥ 0.5 at Screening.
Show all 9Show fewer
  • Participants must have a stable and reliable adult study partner. The study partner should have known the participant for at least 1 year, maintain frequent and adequate contact with the participant during the study (at least 4 days per week and at least 2 hours per day), be familiar with the participant's daily cognitive, functional, and living status, be able to understand the requirements of study participation, accompany the participant to all study visits, and provide reliable information for relevant scale assessments. The study partner should not be changed during the study whenever possible. The study partner voluntarily signs the informed consent form to participate as a study partner.
  • From signing the informed consent form until 3 months after the last dose, women of childbearing potential (WOCBP) and male participants with female partners of childbearing potential agree to use effective contraception.
  • Participants fully understand the purpose, content, and possible adverse reactions of this study, voluntarily participate in the clinical trial and sign the written informed consent form, and are able to complete the entire study process in accordance with study requirements and comply with study regulations.

Who cannot join

  • Dementia due to other causes, including but not limited to vascular dementia, central nervous system infection, Creutzfeldt-Jakob disease, Huntington's disease, Parkinson's disease, dementia with Lewy bodies, frontotemporal dementia, post-traumatic dementia, other physical or chemical factors (e.g., drug intoxication, alcohol intoxication, carbon monoxide poisoning), major somatic diseases (e.g., hepatic encephalopathy, pulmonary encephalopathy, etc.), intracranial space-occupying lesions (e.g., subdural hematoma, brain tumors), endocrine disorders (e.g., thyroid disease), or vitamin B12 or folate deficiency, or dementia due to any other known cause.
  • Significant focal lesions shown on MRI within 3 months prior to screening or at screening, meeting any of the following: 1) more than 2 infarcts with a diameter greater than 2 cm; 2) infarcts in key regions such as the thalamus, hippocampus, entorhinal cortex, perirhinal cortex, angular gyrus, and other cortical and subcortical gray matter nuclei; 3) white matter damage with a Fazekas Scale grade ≥ 3. Focal lesions judged by the investigator not to affect cognition or function are excepted.
  • Participants with a psychiatric disorder diagnosed by a psychiatrist that, in the investigator's judgment, may confound the interpretation of the drug effect, affect cognitive assessments, or affect the participant's ability to complete the study, including but not limited to schizophrenia, bipolar I disorder, bipolar II disorder, major depressive disorder, delirium, etc.
  • Participants with central nervous system diseases, including but not limited to stroke, neuromyelitis optica, Parkinson's disease, epilepsy, etc.
  • Participants with a Geriatric Depression Scale 15-item (GDS-15) score ≥ 8 at Screening.
  • Based on the investigator's assessment and the Columbia-Suicide Severity Rating Scale (C-SSRS), participants who had suicidal intent within 6 months prior to screening or are at risk of impulsive behavior or suicide during the study, i.e., those who answer "yes" to item 4 (active suicidal ideation with some intent to act, without specific plan) or item 5 (active suicidal ideation with specific plan and intent) of the C-SSRS "suicidal ideation" items, or who have had an actual suicide attempt within the past 1 year. Non-suicidal self-injurious behavior within the past 1 year does not constitute an exclusion criterion; however, if the investigator clinically assesses that the participant currently has a significant risk of self-injury, the participant should still be excluded.
Show all 33Show fewer
  • Participants with a history of drug abuse or illicit drug use within 1 year prior to screening.
  • Participants with hereditary degenerative retinal diseases such as retinitis pigmentosa, or a history of non-arteritic anterior ischemic optic neuropathy (NAION), or other serious ocular diseases that, in the investigator's judgment, may affect the participant's safety assessment, completion of scales, or study compliance.
  • Participants with known allergy to any component of simenafil hydrochloride tablets or the placebo, or a history of allergy to phosphodiesterase type 5 (PDE5) inhibitors.
  • Participants who have a contraindication to PET or MRI in the Investigator's judgment. Note: MRI contraindication applies only to participants who are required to undergo the corresponding examination.
  • Participants with a history of myocardial infarction, unstable angina, coronary artery disease and/or New York Heart Association (NYHA) class III or IV heart failure within 1 year prior to screening.
  • Participants with a history of cancer or malignancy within 5 years prior to screening, except for the following:
  • Basal or squamous cell carcinoma of the skin or cervical cell dysplasia that has been adequately treated.
  • Stage 1 cervical carcinoma in situ that has been completely treated for at least 2 years prior to screening, with no recurrence.
  • Prostate cancer confined to the prostate that has been adequately treated (e.g., surgery and/or radiotherapy, or watchful waiting), with normal or low prostate-specific antigen (PSA) levels that have remained stable for at least 2 years prior to screening; where necessary, relevant examinations will be performed at the investigator's discretion.
  • Non-metastatic breast cancer that has been adequately treated.
  • Participants with uncontrolled hypertension (systolic blood pressure > 160 mmHg or diastolic blood pressure > 95 mmHg) or hypotension (systolic blood pressure < 90 mmHg or diastolic blood pressure < 60 mmHg).
  • Participants meet any of the following:
  • Aspartate aminotransferase (AST), alanine aminotransferase (ALT), or total bilirubin > 2.5 × the upper limit of normal (any one).
  • Vitamin B12 < the lower limit of normal.
  • Known history of human immunodeficiency virus (HIV) positivity, or positive HIV 1/2 test at screening.
  • Positive hepatitis B virus surface antigen (HBsAg) test.
  • Known history of hepatitis C virus (HCV), or positive HCV antibody (HCVAb) test at screening (unless confirmatory PCR is negative).
  • Known history of neurosyphilis, or positive Treponema pallidum specific antibody (TP Ab) at screening.
  • Participants who are using a cholinesterase inhibitor and/or memantine at Screening but have been receiving stable-dose treatment for less than 3 months.
  • Participants who have a history of, or are receiving at Screening, anti-amyloid therapy, anti-tau therapy, or any investigational treatment for Alzheimer's disease.
  • Participants who have used the following prohibited medications prior to randomization without meeting the corresponding washout period requirements (if the same drug falls under multiple prohibited categories, the longer prohibition period shall apply), or who are expected to require concomitant use of the following prohibited medications during the study:
  • Other PDE5 inhibitors, with a washout period of at least 5 half-lives (of the prohibited drug) prior to randomization;
  • Nitrates, nitric oxide (NO) donors, soluble guanylate cyclase stimulators, or alpha-blockers, with a washout period of at least 5 half-lives (of the prohibited drug) prior to randomization;
  • Strong CYP3A4 inhibitors, moderate CYP3A4 inhibitors, strong CYP3A4 inducers, or moderate CYP3A4 inducers, with a washout period of at least 30 days prior to randomization, except for topical use.
  • Participants who have participated in any drug or device clinical trial and received investigational drug or device within 3 months prior to Screening, or who are currently participating in another clinical trial.
  • Female participants who are lactating, or female participants of childbearing potential with a positive pregnancy test.
  • Participants with any other factors that make them unsuitable for participation in the study, in the investigator's judgment.

Trial locations and contacts

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

China1 site
  • Xuanwu Hospital ,Capital Medical University

    Beijing, Beijing Municipality

    Yi Tang

Other trials in China

About this study

Official title: A Multicenter, Randomized, Double-Blind, Placebo-Controlled Phase 2 Clinical Study to Evaluate the Efficacy and Safety of Simenafil Hydrochloride Tablets in the Treatment of Alzheimer's Disease

This study is a multicenter, randomized, double-Blind, placebo-controlled Phase 2 clinical study to evaluate the efficacy and safety of Simenafil Hydrochloride Tablets in the treatment of participants with Alzheimer's Disease

Read the detailed description

This study initially plans to enroll 200 participants, who will be randomized in a 1:1:1:1 ratio to receive simenafil hydrochloride tablets 2.5 mg, 5 mg, 10 mg, or placebo, with 50 participants in each group.Participants will receive the study drug once daily for 52 consecutive weeks of treatment.

Being tested
Simenafil Hydrochloride Tablets 2.5 mg, Simenafil Hydrochloride Tablets 5 mg, Simenafil Hydrochloride Tablets 10 mg, Placebo Tablets
Medical subject headings
Alzheimer Disease

What participants receive

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

  • Simenafil Hydrochloride Tablets 2.5 mgDrug

    Also called Low-dose group

    Simenafil Hydrochloride Tablets 1 tablet (2.5mg/tablet) + Simenafil Hydrochloride Tablets placebo 1 tablet (10mg/tablet)

  • Simenafil Hydrochloride Tablets 5 mgDrug

    Also called Medium-dose group

    Simenafil Hydrochloride Tablets 1 tablet (5mg/tablet) + Simenafil Hydrochloride Tablets placebo 1 tablet (10mg/tablet)

  • Simenafil Hydrochloride Tablets 10 mgDrug

    Also called High-dose group

    Simenafil Hydrochloride Tablets 1 tablet (10mg/tablet) + Simenafil Hydrochloride Tablets placebo 1 tablet (5mg/tablet)

  • Placebo TabletsDrug

    Also called Placebo Comparator

    Simenafil Hydrochloride Tablets placebo 1 tablet (5mg/tablet) + Simenafil Hydrochloride Tablets placebo 1 tablet (10mg/tablet)

Study groups in NCT07905352
Study groupRoleWhat they receive
Simenafil Hydrochloride TabletsExperimental2.5 mg/5 mg /10 mg, administered orally once daily for 52consecutive weeks
Receives: Drug: Simenafil Hydrochloride Tablets 2.5 mg; Drug: Simenafil Hydrochloride Tablets 5 mg; Drug: Simenafil Hydrochloride Tablets 10 mg
Placebo TabletPlacebo comparatorAdministered orally once daily for 52 consecutive weeks
Receives: Drug: Placebo Tablets

What is being measured

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

  1. Clinical Dementia Rating Scale-Sum of Boxes (CDR-SB)

    Change from baseline in the Clinical Dementia Rating Scale-Sum of Boxes (CDR-SB) total score at Week 26 and Week 52. Possible scores range from 0 to 18; higher scores represent greater dementia impairment (worse outcome).

    Measured: 52 Weeks

Secondary outcomes (14)
  1. Alzheimer's Disease Assessment Scale-Cognitive Subscale 13-item (ADAS-Cog13)

    Change from baseline in the Alzheimer's Disease Assessment Scale-Cognitive Subscale 13-item (ADAS-Cog13) score at Week 26 and Week 52. Possible scores range from 0 to 85; higher scores represent worse cognitive function (worse outcome).

    Measured: 52 Weeks

  2. Alzheimer's Disease Cooperative Study-Activities of Daily Living (ADCS-ADL)

    Change from baseline in the Alzheimer's Disease Cooperative Study-Activities of Daily Living (ADCS-ADL) score at Week 26 and Week 52. Possible scores range from 0 to 78; higher scores represent better daily function (better outcome).

    Measured: 52 Weeks

  3. 15-item Geriatric Depression Scale (GDS-15)

    Change from baseline in the 15-item Geriatric Depression Scale (GDS-15) score at Week 26 and Week 52. Possible scores range from 0 to 15; higher scores represent more severe depressive symptoms (worse outcome).

    Measured: 52 Weeks

  4. Mini-Mental State Examination (MMSE)

    Change from baseline in the Mini-Mental State Examination (MMSE) score at Week 26 and Week 52. Possible scores range from 0 to 30; higher scores represent better global cognitive function (better outcome).

    Measured: 52 Weeks

  5. Plasma p-tau181

    Change from baseline in plasma p-tau181 concentration at Week 26 and Week 52.

    Measured: 52 Weeks

  6. Plasma p-tau217

    Change from baseline in plasma p-tau217 concentration at Week 26 and Week 52.

    Measured: 52 Weeks

  7. Plasma p-tau231

    Change from baseline in plasma p-tau231 concentration at Week 26 and Week 52.

    Measured: 52 Weeks

  8. Plasma Aβ42

    Change from baseline in plasma Aβ42 concentration at Week 26 and Week 52.

    Measured: 52 Weeks.

  9. Plasma Aβ40

    Change from baseline in plasma Aβ40 concentration at Week 26 and Week 52.

    Measured: 52 Weeks

  10. Plasma Aβ42/Aβ40 Ratio

    Change from baseline in plasma Aβ42/Aβ40 ratio at Week 26 and Week 52.

    Measured: 52 Weeks

  11. Plasma Glial Fibrillary Acidic Protein (GFAP)

    Change from baseline in plasma Glial Fibrillary Acidic Protein (GFAP) concentration at Week 26 and Week 52.

    Measured: 52 Weeks

  12. Plasma Neurofilament Light Chain (NfL)

    Change from baseline in plasma Neurofilament Light Chain (NfL) concentration at Week 26 and Week 52.

    Measured: 52 Weeks

  13. Brain Aβ-PET Centiloid (CL)

    Change from baseline in brain amyloid-beta PET quantified Centiloid (CL) value at Week 26 and Week 52. Higher Centiloid values indicate greater amyloid-beta burden (worse amyloid pathology).

    Measured: 52 Weeks

  14. Adverse Events (AEs) and Serious Adverse Events (SAE

    Incidence, frequency, and severity of adverse events (AEs) and serious adverse events (SAEs) from baseline through Week 52.

    Measured: 52 Weeks

Timeline

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

  1. First posted29 Oct 2026
  2. Study startNov 2026 (estimated)
  3. Primary completionSep 2028 (estimated)
  4. Study completionDec 2028 (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
Double blind
Who is masked
Participant, Investigator
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07905352
Sponsor's protocol ID
TPN171-AD-II-01
Status last verified
Oct 2026
First submitted
18 Oct 2026
Last updated
29 Oct 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 2 study testing Simenafil Hydrochloride Tablets 2.5 mg, Simenafil Hydrochloride Tablets 5 mg and Simenafil Hydrochloride Tablets 10 mg in people with Alzheimer Disease, run by Vigonvita Life Sciences at 1 site in China.

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 9 inclusion and 33 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: opening soon, as of the sponsor's last update on 29 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 1 site in China. 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 Huaqing Duan (+8618061926005, huaqing.duan@vigonvita.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Clinical Dementia Rating Scale-Sum of Boxes (CDR-SB) (time frame: 52 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 29 Oct 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