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CompletedNCT06538116Updated Jun 18, 2026

A Study of Mevidalen (LY3154207) in Participants With Alzheimer's Disease

A Phase 2 interventional study of Mevidalen and Placebo in Alzheimer Disease, sponsored by Eli Lilly and Company. Completed at 64 sites in 2 countries. Open to participants aged 50 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-06-18.

Sponsored by Eli Lilly and Company · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
304
Allocation
Randomized
Ages
50 Years to 80 Years
Sex
All
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Study summary

The main purpose of this study is to look at how safe the study drug (mevidalen) is and whether it works to alleviate symptoms when given to people with mild to moderate Alzheimer Disease (AD) dementia. This is done by looking at participants: thinking and memory (cognition), everyday activities and sleep, AD symptoms, physical activity, irritability or anxiety. The study is expected to last approximately 26 weeks and may include up to 14 visits.

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Conditions studied

  • Alzheimer Disease

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03

In context

Alzheimer Disease

3,678 studies on the registry are indexed under Alzheimer Disease; 872 are open to participants now.

This study's enrollment of 304 is above the median of 70 across 2,808 interventional studies indexed under Alzheimer Disease.

Browse Alzheimer Disease studies →

Lead sponsor

Eli Lilly and Company is the lead sponsor of 2,048 studies on the registry; 140 are open to participants now.

Of its 521 completed or terminated interventional studies of FDA-regulated products, 341 (65%) have results posted.

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

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Who can participate

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

Inclusion criteria

  • Have gradual and progressive decline in memory function for greater than or equal to 6 months that is severe enough to interfere with activities of daily living.
  • Have MMSE score of 13 to 24.
  • Have eligibile plasma P-tau or historical evidence of AD pathology.
  • Have a reliable study partner who will provide written informed consent to participate, is in frequent contact with the participant and will be available at designated times.
  • Males with partners of childbearing potential must agree to abide with provided contraception guidance.

Exclusion criteria

Exclusion Criteria:

  • Are individuals of childbearing potential.
  • Have significant central nervous system or psychiatric disease, other than AD, that in the investigator's opinion may affect cognition or the ability to complete the study (e.g: head trauma, stroke, seizure disorder etc.,).
  • Have cardiovascular-related risk factors or history that include uncontrolled hypertension, heart failure, stroke; or liver-related abnormalities.
  • Use of moderate or strong CYP3A4 inhibitors or inducers.
  • Have participated within the last 30 days in a clinical trial involving an investigational product.
  • Participant is, in the judgment of the investigator, actively suicidal and therefore deemed to be at significant risk for suicide.
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
304 participants (actual)

Study arms

  • Experimental
    Mevidalen (high dose)

    Mevidalen high dose administered orally.

    Drug: Mevidalen

  • Experimental
    Mevidalen (low dose)

    Mevidalen low dose administered orally.

    Drug: Mevidalen

  • Placebo comparator
    Placebo

    Placebo administered orally.

    Drug: Placebo

Interventions

  • DrugMevidalen

    Administered orally

    Also known as: LY3154207

  • DrugPlacebo

    Administered orally

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What researchers measure

Primary outcomes

  1. Change from Baseline in Integrated Alzheimer's Disease Rating Scale (iADRS)

    iADRS assesses the impact of cognitive loss on everyday activities and provides a measure of global AD severity as a single summary score. It comprises of 2 underlying domains "cognitive ability" and "functional ability," and integrates the items in both the domains a single overall score ranging from 0 to 144, with lower scores indicating worse performance.

    Time frame: Baseline, Week 24

Secondary outcomes

  1. Change from Baseline in Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog13)

    The ADAS-Cog13 consists of 13 items which assess the areas of cognitive function that are the most typically impaired in AD: orientation, verbal memory, language, praxis, delayed free recall, and digit cancellation measures. The scale ranges from 0 to 85, with higher scores indicating greater disease severity.

    Time frame: Baseline, Week 24

  2. Change from Baseline in Verbal Fluency Test

    The Verbal Fluency Test, also known as the FAS test, requires participants to say as many words as possible beginning with specific letters (F, A, and S) in 1 minute. The FAS score corresponds to the number of words generated by each participant under each letter category within 1 minute. A higher score indicates better performance.

    Time frame: Baseline, Week 24

  3. Change from Baseline in Category Fluency Test

    The Category Fluency test is a measure of semantic memory and involves planning, organization, and cognitive flexibility. The participant is asked to generate as many words as possible in 1 minute that belong to the animal semantic category. Total score is the sum of correct words generated for the animal category, and higher values indicate better performance.

    Time frame: Baseline, Week 24

  4. Change from Baseline in Digit Symbol Coding Test( Wechsler Adult Intelligence Scale-IV)(WAIS-IV)

    The Digit Symbol-Coding test from the WAIS-IV involves testing processing speed among subjects; The digit symbol coding requires a subject to match symbols to numbers according to a key. The number of correct symbols within the allowed time constitutes the score, and higher values indicate better performance.

    Time frame: Baseline, Week 24

  5. Change from Baseline in Mini Mental State Examination (MMSE)

    The MMSE is a brief instrument used to assess global cognition. The instrument measures orientation, memory, attention, ability to name objects, follow verbal/written commands, write a sentence, and copy figures. Total score ranges from 0 to 30, with lower score indicating greater level of impairment.

    Time frame: Baseline, Week 24

  6. Change from Baseline in Alzheimer's Disease Cooperative Study-Activities of Daily Living (ADCS-ADL)

    The ADCS-ADL is a 23-item inventory developed as a rater-administered questionnaire that is to be answered by the participant's study partner. Study partner is asked to observe and rate the performance of activities of daily living attempted by participants. The range for the total ADCS-ADL score is 0 to 78, with lower scores indicating greater level of impairment.

    Time frame: Baseline, Week 24

  7. Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change score (ADCS-CGIC)

    The ADCS-CGIC is a 7-point, categorical scale that provides a single global rating of change from baseline. A score of 1 indicates marked improvement; a score of 2, moderate improvement; a score of 3, minimal improvement; a score of 4, no change; a score of 5, minimal worsening; a score of 6, moderate worsening; and a score of 7, marked worsening.

    Time frame: Week 24

  8. Change from Baseline on Neuropsychiatric Inventory (NPI-12)

    The NPI-12 is rating instrument to assess abnormal behaviors in dementia patients by informant-based interview that utilizes scripted questions to explore 12 different symptom domains: delusions, hallucinations, agitation/aggression, dysphoria, anxiety, euphoria, apathy, disinhibition, irritability/lability, aberrant motor activity, night-time behavioral disturbances, and appetite and eating abnormalities. The frequency of behaviour is scored from 0 (Rarely) to 4 (very often) and the severity from 0 (mild) to 3 (severe). A total score for each symptom is calculated by multiplying the frequency rating by the severity rating. The total NPI-12 score is the sum of all symptom scores and ranges from 0 to 144, with higher scores indicating a greater degree of symptomatology.

    Time frame: Baseline, Week 24

  9. Change from Baseline on Epworth Sleepiness Scale (ESS)

    ESS is an 8-item questionnaire that measures the chances of "dozing off" in different daytime situations over the past week. Scores range from 0 to 24, with scores greater than or equal to 10 indicating excessive daytime sleepiness.

    Time frame: Baseline, Week 24

  10. Change from Baseline on Quick Dementia Rating Scale (QDRS)

    The QDRS is a 10-item rating scale that assesses aspects of cognition, behavior, and daily functioning on a 5-point scale where no problems = 0, slight problems = 0.5, mild problems = 1, moderate to severe problems = 2, and severe problems = 3. Total scores range from 0 to 30 and higher scores indicate increased cognitive impairment.

    Time frame: Baseline, Week 24

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Study locations

64 sites
  • Banner Alzheimer's Institute
    Phoenix, Arizona 85006, United States
  • Baptist Health Center for Clinical Research LLC
    Little Rock, Arkansas 72205, United States
  • Profound Research LLC At The Neurology Center of Southern California
    Carlsbad, California 92011, United States
  • Neuropain Medical Center
    Fresno, California 93710, United States
  • Catalina Research Institute
    Montclair, California 91763, United States
  • California Neuroscience Research, LLC
    Sherman Oaks, California 91403, United States
  • JEM Research Institute
    Atlantis, Florida 33462, United States
  • Visionary Investigators Network
    Aventura, Florida 33180, United States
  • Excel Medical Clinical Trials, LLC Boca Raton dba Flourish Research
    Boca Raton, Florida 33434, United States
  • Vertex Clinical Research
    Clermont, Florida 34711, United States
  • Neuropsychiatric Research Center of Southwest Florida
    Fort Myers, Florida 33912, United States
  • Clinical Neuroscience Solutions, Inc.
    Jacksonville, Florida 32256, United States
  • Merritt Island Medical Research, LLC dba Flourish Research
    Merritt Island, Florida 32952, United States
  • Visionary Investigators Network
    Miami, Florida 33176, United States
  • Suncoast Clinical Research - New Port Richey
    New Port Richey, Florida 34652, United States
  • Renstar Medical Research
    Ocala, Florida 34470, United States
  • Charter Research, LLC
    Orlando, Florida 32803, United States
  • Progressive Medical Research
    Port Orange, Florida 32127, United States
  • Intercoastal Medical Group
    Sarasota, Florida 34239, United States
  • Brain Matters Research
    Stuart, Florida 34997, United States
  • Charter Research - The Villages
    The Villages, Florida 32162, United States
  • Premiere Research Institute at Palm Beach Neurology
    West Palm Beach, Florida 33407, United States
  • Conquest Research
    Winter Park, Florida 32789, United States
  • Accel Research Sites - NeuroStudies CRU
    Decatur, Georgia 30030, United States
  • CenExel iResearch Atlanta
    Decatur, Georgia 30030, United States
  • CenExel iResearch, LLC
    Savannah, Georgia 31405, United States
  • Hawaii Pacific Neuroscience
    Honolulu, Hawaii 96817, United States
  • Ascension Alexian Brothers
    Elk Grove Village, Illinois 60007, United States
  • Josephson, Wallack, Munshower Neurology, P.C.
    Indianapolis, Indiana 46256, United States
  • ActivMed Practices & Research, LLC
    Methuen, Massachusetts 01844, United States
  • QUEST Research Institute
    Farmington Hills, Michigan 48334, United States
  • CenExel Advanced Memory Research Institute of NJ
    Toms River, New Jersey 08755, United States
  • AMC Research, LLC dba Flourish Research
    Matthews, North Carolina 28105, United States
  • Eximia Clinical Research-NC, LLC
    Raleigh, North Carolina 27612, United States
  • Keystone Clinical Studies, LLC Philadelphia dba Flourish Research
    Plymouth Meeting, Pennsylvania 19462, United States
  • Clinical Neuroscience Solutions, Inc.Ta
    Memphis, Tennessee 38119, United States
  • Senior Adults Specialty Research
    Austin, Texas 78757, United States
  • Kerwin Medical Center
    Dallas, Texas 75231, United States
  • Cedar Health Research, LLC
    Euless, Texas 76040, United States
  • Clinical Trial Network LLC
    Houston, Texas 77074, United States
  • El Faro Health and Therapeutics
    Rio Grande City, Texas 78582, United States
  • Be Well Clinical Studies
    Round Rock, Texas 78681, United States
  • Clinical Trials of Texas, LLC San Antonio dba Flourish Research
    San Antonio, Texas 78229, United States
  • University of Washington Medical Center
    Seattle, Washington 98104, United States
  • Akita City Hospital
    Akita, 010-0933, Japan
  • Memory Clinic Ochanomizu
    Bunkyō City, 113-0034, Japan
  • Inage Neurology and Memory Clinic
    Chiba, 263-0043, Japan
  • Ikuseikai Shinozuka Hospital
    Fujioka-shi, 375-0017, Japan
  • Mental Clinic Sakurazaka
    Fukuoka, 810-0023, Japan
  • Kuramitsu Hospital
    Fukuoka, 819-0037, Japan
  • Himeji Central Hospital Clinic
    Himeji-shi, 672-8043, Japan
  • Koseikai Cocoro Hospital Kusatsu
    Hiroshima, 733-0864, Japan
  • NHO Hizen Psychiatric Medical Center
    Kanzaki-gun, 842-0192, Japan
  • Rainbow & Sea Hospital
    Karatsu-shi, 847-0031, Japan
  • Kishikai Kishi Hospital
    Kiryu-shi, 376-0011, Japan
  • Southern TOHOKU Medical Clinic
    Koriyama-shi, 963-8563, Japan
  • Katayama Medical Clinic
    Kurashiki-shi, 710-0813, Japan
  • Mabashi Clinic
    Matsudo-shi, 271-0047, Japan
  • National Center for Geriatrics and Gerontology
    Obu-shi, 474-8511, Japan
  • Tokyo Medical University Hospital
    Shinjuku-ku, 160-0023, Japan
  • Tokyo Metropolitan Bokutoh Hospital
    Sumida-ku, 130-8575, Japan
  • Memory Clinic Toride
    Toride-shi, 302-0004, Japan
  • Yamagata University Hospital
    Yamagata, 990-9585, Japan
  • Oita University Hospital
    Yufu-shi, 879-5593, Japan
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References and documents

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 18, 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
NCT06538116
Lead sponsor
Eli Lilly and Company
Responsible party
Sponsor
First posted
Aug 5, 2024
Start date
Aug 26, 2024
Primary completion
May 1, 2026
Completion
May 11, 2026
Last update
Jun 18, 2026

Study contacts

Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 8 AM - 8 PM Eastern time (UTC/GMT - 5 hours, EST)
study director · Eli Lilly and Company

Oversight

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

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

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