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Active, not recruitingNCT04838301REGEN-BRAIN©Updated Jun 30, 2026

Allopregnanolone Regenerative Therapeutic for Mild Alzheimer's Disease

A Phase 2 interventional study of Allopregnanolone and Placebo in Alzheimer Dementia, Late Onset Alzheimer Disease and Neurodegenerative Diseases, sponsored by University of Arizona. Active, not recruiting at 9 sites in United States. Open to participants aged 55 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-06-30.

Sponsored by University of Arizona · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
55 Years to 80 Years
Sex
All
01

Study summary

A phase 2, double-blind, randomized, placebo-controlled clinical trial to evaluate the safety and efficacy of Allopregnanolone as a regenerative therapeutic for Alzheimer's disease.

Read the detailed description

This is a proof-of-concept phase 2 clinical trial to investigate the long-term safety and efficacy of Allo to function as a regenerative therapeutic to restore structural integrity and cognitive function of the brain in participants with mild Alzheimer's disease (AD) dementia. Study participants will be male and female, diagnosed with probable AD, Mini-Mental State Exam (MMSE) 20 to 26, ages 55 to 80 years old.

After a 2-4-week screening period, participants will be randomized to 4 mg Allo (administered intravenously over 30 minutes, once per week, in clinic) or matching placebo, 1:1 allocation, for a period of 6 months. After 6 months, all participants in the placebo group will be crossed-over to receive Allo for the remainder of the study (3 month open-label phase). Brain imaging to evaluate the primary endpoint will be conducted at baseline, 3 and 6 months.

02

Conditions studied

  • Alzheimer Dementia
  • Late Onset Alzheimer Disease
  • Neurodegenerative Diseases

Keywords

  • Mild Alzheimer Disease
  • Regenerative Therapeutic
  • Neurogenesis
  • Allopregnanolone
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In context

Alzheimer Disease

3,675 studies on the registry are indexed under Alzheimer Disease; 869 are open to participants now.

This study's planned enrollment of 100 is above the median of 70 across 2,805 interventional studies indexed under Alzheimer Disease.

Browse Alzheimer Disease studies →

Lead sponsor

University of Arizona is the lead sponsor of 466 studies on the registry; 87 are open to participants now.

Of its 47 completed or terminated interventional studies of FDA-regulated products, 29 (62%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
55 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Main Inclusion Criteria:

  • Men and postmenopausal women
  • Age 55 to 80 years old
  • Meets NIA-AA criteria for probable AD dementia
  • MMSE of 20-26
  • Plasma p-Tau217 positive
  • Geriatric Depression Scale short form (GDS-S) score of ≤ 6
  • No medical contraindications to participation
  • Capacity to provide informed consent at screening

Main Exclusion Criteria:

  • Dementia other than probable AD
  • Use of benzodiazepines, anticonvulsants, antipsychotics, or other drugs that might interact with the GABA-A receptor complex
  • History of stroke with a modified Hachinski Ischemic Scale score >4
  • History of seizure disorder, focal brain lesion, traumatic brain injury
  • History within the last 5 years of a primary or recurrent malignant disease
  • Unstable or clinically significant cardiovascular, kidney or liver disease
  • MRI indicative of any other significant abnormality, including but not limited to one or more significant ARIA-E or macro-hemorrhage findings, or multiple microhemorrhages (>8), or Fazekas score of 3; encephalomalacia, aneurysms, vascular malformations, subdural hematoma, or space occupying lesions
  • Any conditions that would contraindicate MRI studies.
  • No evidence of AD-like pattern of brain atrophy
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Allo group

    Allopregnanolone 4mg IV 30-minute infusion once per week for 6 months.

    Drug: Allopregnanolone

  • Placebo comparator
    Control group

    Placebo (normal saline) IV 30-minute infusion once per week for 6 months.

    Other: Placebo

Interventions

  • DrugAllopregnanolone

    Allopregnanolone 4mg IV via 30-minute infusion, once per week.

    Also known as: Allo

  • OtherPlacebo

    Normal saline solution IV via 30-minute infusion, once per week

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What researchers measure

Primary outcomes

  1. Hippocampal volume

    mm3

    Time frame: Baseline to 6 months

Secondary outcomes

  1. Cambridge Cognition's Paired Associates Learning Test

    Total errors score (adjusted) - number of errors made by the participant (range: 0 to \~120). Higher scores indicate poor performance.

    Time frame: Baseline to 6 months

  2. Cambridge Neuropsychological Test Automated Battery (CANTAB)

    Composite score (higher score indicate better outcome)

    Time frame: Baseline to 6 months

  3. Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog) 11

    Total score (range 0 to 70); higher scores indicate poor performance.

    Time frame: Baseline to 6 months

  4. Alzheimer's Disease Cooperative Study (ADCS) Instrumental Activities of Daily (iADL) Living (iADL)

    iADL subscore (range 0-56): Lower score indicates greater severity

    Time frame: Baseline to 6 months

  5. Safety and tolerability

    Frequency of adverse events and serious adverse events

    Time frame: Baseline to 6 months

Other outcomes

  1. Other regional brain volumes

    Change in regional brain volumes (mm3)

    Time frame: Baseline to 6 and 9 months

  2. Diffusion tensor imaging (DTI)

    Change in white matter tract diffusion (scalar values and/or mm2/sec)

    Time frame: Baseline to 6 and 9 months

  3. Resting state functional MRI

    Change in functional connectivity (z transformed correlations)

    Time frame: Baseline to 6 and 9 months

  4. Arterial spin labeling (ASL)

    Change in regional cerebral blood flow (mL/100g)

    Time frame: Baseline to 6 and 9 months

  5. Exploratory blood based biomarkers

    Change from baseline in biomarkers of AD pathology, neurogenesis and inflammation

    Time frame: Baseline to 6 and 9 months

  6. Clinical Dementia Rating (CDR)

    Sum of boxes score (CDR-SB): range 0-18

    Time frame: Baseline to 6 and 9 months

  7. Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog) 14

    Total score (range 0-90)

    Time frame: Baseline to 6 and 9 months

  8. Mini Mental State Examination (MMSE)

    Total score (range 0-30)

    Time frame: Baseline to 6 and 9 months

  9. Neuropsychiatric Inventory-Questionnaire (NPI-Q)

    Total score (range 0-36). Higher scores indicate greater symptom severity

    Time frame: Baseline to 6 and 9 months

  10. EuroQol 5-Dimension / 5-Level health-related quality of life scale scores (EQ-5D-5L)

    Reported as frequency, percentage and index value.

    Time frame: Baseline to 6 and 9 months

  11. Quality of Life in Alzheimer's Disease scale (QoL-AD)

    Total score (range 13-52). Higher score indicate better QoL

    Time frame: Baseline to 6 and 9 months

  12. Zarit Burden Interview (ZBI)

    Total score (range 0-48). Higher scores indicate high burden

    Time frame: Baseline to 6 and 9 months

07

Study locations

9 sites
  • Perseverance Research Center
    Scottsdale, Arizona 85253, United States
  • University of Arizona / Clinical & Translational Sciences Research Center
    Tucson, Arizona 85721, United States
  • ATP Clinical Research
    Costa Mesa, California 92626, United States
  • Syrentis Clinical Research
    Santa Ana, California 92705, United States
  • Optimus U Corporation
    Miami, Florida 33135, United States
  • Miami Jewish Health
    Miami, Florida 33137, United States
  • Combined Research Orlando
    Orlando, Florida 32807, United States
  • Conquest Research
    Winter Park, Florida 32789, United States
  • MedVadis Research
    Waltham, Massachusetts 02451, United States
08

References and documents

Publications

  • Raikes AC, Hernandez GD, Matthews DC, Lukic AS, Law M, Shi Y, Schneider LS, Brinton RD. Exploratory imaging outcomes of a phase 1b/2a clinical trial of allopregnanolone as a regenerative therapeutic for Alzheimer's disease: Structural effects and functional connectivity outcomes. Alzheimers Dement (N Y). 2022 Mar 14;8(1):e12258. doi: 10.1002/trc2.12258. eCollection 2022. PubMed 35310526 ↗
  • Hernandez GD, Solinsky CM, Mack WJ, Kono N, Rodgers KE, Wu CY, Mollo AR, Lopez CM, Pawluczyk S, Bauer G, Matthews D, Shi Y, Law M, Rogawski MA, Schneider LS, Brinton RD. Safety, tolerability, and pharmacokinetics of allopregnanolone as a regenerative therapeutic for Alzheimer's disease: A single and multiple ascending dose phase 1b/2a clinical trial. Alzheimers Dement (N Y). 2020 Dec 16;6(1):e12107. doi: 10.1002/trc2.12107. eCollection 2020. PubMed 33344752 ↗
  • Brinton RD. Neurosteroids as regenerative agents in the brain: therapeutic implications. Nat Rev Endocrinol. 2013 Apr;9(4):241-50. doi: 10.1038/nrendo.2013.31. Epub 2013 Feb 26. PubMed 23438839 ↗
  • Brinton RD, Wang JM. Therapeutic potential of neurogenesis for prevention and recovery from Alzheimer's disease: allopregnanolone as a proof of concept neurogenic agent. Curr Alzheimer Res. 2006 Jul;3(3):185-90. doi: 10.2174/156720506777632817. PubMed 16842093 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 30, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04838301
Lead sponsor
University of Arizona
Collaborators
National Institute on Aging (NIA), Syneos Health, University of Southern California, ADM Diagnostics
Responsible party
Roberta Brinton (Director, Center for Innovation in Brain Science; Professor, Departments of Pharmacology and Neurology, University of Arizona) — Principal investigator
First posted
Apr 9, 2021
Start date
Aug 15, 2023
Primary completion
Nov 18, 2026 (estimated)
Completion
Mar 18, 2027 (estimated)
Last update
Jun 30, 2026

Study contacts

Roberta D Brinton, PhD
principal investigator · University of Arizona
Lon Schneider, MD
principal investigator · University of Southern California
Gerson D Hernandez, MD, MPH
study director · University of Arizona

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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