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CompletedNCT07187141Updated Sep 22, 2025

Nasal Protollin in Early Symptomatic Alzheimer's Disease

A Phase 1 interventional study of Protollin in Alzheimer Disease (AD), sponsored by Brigham and Women's Hospital. Completed at 1 site in United States. Open to participants aged 60 Years to 85 Years. Per ClinicalTrials.gov, last updated 2025-09-22.

Sponsored by Brigham and Women's Hospital · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Sep 2022, 4 years ago, and no results have been posted to the registry.
  • Registered 3 years 9 months after the study started (first participant enrolled Nov 2021, registered Sep 2025).
Phase
Phase 1
Study type
Interventional
Enrollment
16
Allocation
Randomized
Ages
60 Years to 85 Years
Sex
All
01

Study summary

In this research study investigators aim to learn more about a new drug called Protollin as a possible new treatment for Alzheimer's Disease (AD). The primary goal is to assess the safety and tolerability.

Read the detailed description

In this research study investigators want to learn more about a new drug called nasal Protollin as a possible new treatment for Alzheimer's Disease (AD). In AD, there is accumulation in the brain of a toxic substance called amyloid. It is believed that this toxic substance causes brain cells to progressively waste away (degenerate) and die, causing a continuous decline in thinking, behavioral and social skills. Why amyloid accumulates is not completely understood.

The aim of this treatment is to remove toxic amyloid from the brain and prevent further degeneration. Although nasal Protollin has been given as part of vaccination programs, this is the first time Protollin will be given nasally (through the nose) in AD patients. Investigators aim to see if this way of giving the Protollin is safe and whether it stimulates the body's white blood cells to remove toxic amyloid from the brain and ultimately improve cognition. This will be a dose escalating (gradually increasing the dose in different subjects) study, which means we want to find the highest dose of Protollin that is safe to take. Protollin is not approved by the U.S. Food and Drug Administration (FDA). This means that Protollin can only be used in research studies.

This research study will compare Protollin to placebo. The placebo looks exactly like Protollin, but it does not contain any Protollin. During this study participants may get a placebo instead of Protollin. Placebos are used in research studies to see if the results are due to the study drug or due to other reasons.

02

Conditions studied

  • Alzheimer Disease (AD)

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Keywords

  • Alzheimer's disease
  • Protollin
  • immune response
03

In context

Alzheimer Disease

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

This study's enrollment of 16 is below the median of 70 across 2,805 interventional studies indexed under Alzheimer Disease.

Browse Alzheimer Disease studies →

Lead sponsor

Brigham and Women's Hospital is the lead sponsor of 1,236 studies on the registry; 224 are open to participants now.

Of its 116 completed or terminated interventional studies of FDA-regulated products, 64 (55%) have results posted.

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

04

Who can participate

Ages eligible
60 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. The Sponsor will rely on NIA-AA Alzheimer's Disease Diagnostic Guidelines1 for Early Symptomatic Alzheimer's Disease and have a MMSE of 29-20.
  2. Age between 60-85 years (inclusive).
  3. Good general health with no disease expected to interfere with the study.
  4. On a stable medication regimen for 8 weeks prior to the study and which is anticipated to remain stable during the study.
  5. Subject is not pregnant, lactating, or of childbearing potential (i.e., women must be two years post-menopausal or surgically sterile). ). If a woman is of childbearing potential, her partner is required to use contraception throughout the study (for those identifying as male).
  6. Amyloid-positive PET scan (if subject meets all other inclusion criteria).
  7. Ability to understand and provide informed consent.

Exclusion criteria

Exclusion Criteria:

  1. Any significant neurologic disease including Parkinson's disease, multi-infarct dementia, Huntington's disease, frontotemporal dementia, Lewy body dementia, normal pressure hydrocephalus, brain tumor, brain hemorrhage with persistent neurologic deficits, progressive supra-nuclear palsy, seizure disorder, multiple sclerosis, or history of significant head trauma followed by persistent neurologic defaults or known structural brain abnormalities.
  2. Clinically significant or unstable medical condition, including uncontrolled hypertension, uncontrolled diabetes, or significant cardiac, pulmonary, renal, hepatic, endocrine, or other systemic disease.
  3. History of autoimmune disease.
  4. Current treatment with immunomodulatory or immunosuppressive drugs, or corticosteroid administration by any route of administration (including nasal corticosteroids) within the past month.
  5. Major depression or bipolar disorder or a history of schizophrenia.
  6. History of alcohol or substance abuse or dependence within the past 2 years.
  7. History within the last 5 years of a primary or recurrent malignant disease with the exception of non-melanoma skin cancers, resected cutaneous squamous cell carcinoma in situ, basal cell carcinoma, cervical carcinoma in situ, or in situ prostate cancer with normal prostate-specific antigen post-treatment.
  8. Clinically significant abnormalities (defined as greater than mild on the FDA's vaccine toxicity scale) in screening laboratories.
  9. Participation in another clinical trial of an investigational drug concurrently or within the past 30 days.
  10. Active COVID-19 disease
  11. Amyloid-negative PET scan (at screening)
  12. COVID-19 vaccine within past 10 days or any other vaccine within past 7 days (at dosing)
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
16 participants (actual)

Study arms

  • Active comparator
    Cohort A

    Protollin 0.1 mg or placebo

    Drug: Protollin

  • Active comparator
    Cohort B

    Protollin 0.5 mg or placebo

    Drug: Protollin

  • Active comparator
    Cohort C

    Protollin 1.0 mg or placebo

    Drug: Protollin

  • Active comparator
    Cohort D

    Protollin 1.5 mg or placebo

    Drug: Protollin

Interventions

  • DrugProtollin

    For the 0.1, 0.5, and 1.0 mg dose groups, Protollin (450 μL per vial) in an aqueous buffer will be administered in two, 0.1 μL sprays, one per nostril. For the 1.5 mg dose group, Protollin (450 muL per vial) in an aqueous buffer will be administered in three, 0.1 μL sprays, two in one nostril and one in the other nostril.

06

What researchers measure

Primary outcomes

  1. Safety and tolerability of ascending doses of nasal Protollin

    Safety and tolerability of ascending doses of nasal Protollin following administration of two doses one week apart in subjects, 60-85 years inclusive with Early Symptomatic Alzheimer's Disease (29-20 MMSE classification). Safety will be assessed by physical examination (including evaluation of the nose and oropharynx), laboratory studies, EKG, and elicited and spontaneously reported signs and symptoms, using the FDA Guidance for Industry: Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials (September 2007) for the evaluation of toxicities and reactogenicity. Tolerability will be assessed by the degree of severity of both spontaneously reported and elicited symptoms and associated signs, systemically and at the site of administration following administration of nasal Protollin, if thought by the investigator to be related or possibly related to its administration.

    Time frame: Day 1 (enrollment) to 180 days (end of study)

07

Study locations

1 site
  • Brigham and Women's Hospital
    Boston, Massachusetts 02115, United States
08

References and documents

Publications

  • Kolypetri P, da Silva P, Francisco RS Jr, Frenkel D, Cecere RR, Kiliaan PCJ, Montini F, Saxena S, Clementi WA, Liu X, Sun C, Bergmark RW, Singhal T, Saraceno TJ, Zimmermann J, Gale SA, Selkoe DJ, Chitnis T, Weiner HL. Nasal administration of Protollin enhances monocyte phagocytosis and decreases CD8+ T cell cytotoxicity in subjects with early Alzheimer's disease: a Phase 1 clinical trial. NPJ Aging. 2026 Jun 5. doi: 10.1038/s41514-026-00397-3. Online ahead of print. PubMed 42248874 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 22, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07187141
Lead sponsor
Brigham and Women's Hospital
Collaborators
I-Mab Biopharma US Limited
Responsible party
Tanuja Chitnis (Senior Neurologist, Brigham and Women's Hospital) — Principal investigator
First posted
Sep 22, 2025
Start date
Nov 18, 2021
Primary completion
Sep 22, 2022
Completion
Feb 21, 2023
Last update
Sep 22, 2025

Oversight

Data monitoring committee
No
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 Sep 2025. You cannot join it, but the record below documents what was studied.

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