ClinicalTrials.gg
Not yet recruitingNCT07680660Updated Jul 22, 2026

Efficacy of Lymphatic-Venous Anastomosis Plus Donepezil Versus Donepezil Alone for Alzheimer's Disease

An interventional study of Cervical lymph vessel/node-venous anastomosis surgery combined with oral donepezil and Oral treatment with donepezil in Alzheimer s Disease, sponsored by Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University. Not yet recruiting at 1 site in China. Open to participants aged 50 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-07-22.

Sponsored by Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University · Not applicable, Interventional, and Treatment

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Phase
Not applicable
Study type
Interventional
Enrollment
216
Allocation
Randomized
Ages
50 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 260 studies in Alzheimer Disease with a site in China — 150 open to participants now, 162 under way, 21 of them phase 3. Alzheimer Disease · China.

Planned enrollment
52nd of 176
216 · median 100
Started
2026
with 35 others
No phase
78 of 260
47 open now
Primary completion
2028-09
later than 116 of 161 live
Registered
235th of 260
by date

Among the 260 studies in Alzheimer Disease with a site in China, this one is the 52nd largest by planned enrollment of the 176 interventional ones that give a count, is one of 36 that started in 2026, is one of 78 with no phase, reaches primary completion later than 116 of the 161 other live ones, and was the 235th registered.

Alzheimer Disease

3,968 studies on the registry are indexed under Alzheimer Disease; 928 are open to participants now.

Browse Alzheimer Disease studies →

Open to participants now

150 of the 260 studies in Alzheimer Disease with a site in China are open now. Recruiting first, the newest first:

145 more — sign in →

All 150 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

Who these studies take

Of the 643 Alzheimer Disease studies recruiting now, 284 (44%) set no upper age limit and 55 (9%) stop at 75 or younger; 34 take children under 18; 285 take healthy volunteers.

This study: 50 Years to 80 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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02

Study summary

This study employed a multicenter, randomized controlled trial (RCT) design to evaluate the efficacy and safety of deep cervical lymphatic/lymph node-venous anastomosis combined with oral donepezil compared to donepezil monotherapy in patients with Alzheimer's disease and moderate dementia. Participants were randomized using a central randomization system with stratified block design, with the study center and age group (50-64 years, 65-80 years) as stratification factors. While study participants and surgical investigators could not be blinded due to the nature of the intervention, efficacy assessors and imaging specialists remained blinded to ensure the objectivity and reliability of the findings. The intervention group received deep cervical lymphatic/lymph node-venous anastomosis (detailed surgical procedure is specified in the protocol) in combination with oral donepezil (5-10 mg/day), while the control group received oral donepezil alone. The total treatment and follow-up period was 18 months, with assessments conducted at baseline, 1 week, 1, 3, 6, 12, and 18 months post-operation. These included neuropsychological evaluations (MMSE, MoCA, CDR, BADL, IADL, NPI, AES), neuroimaging (MRI, PET, ultrasound), fluid biomarker analyses (CSF and blood levels of Aβ, Tau, neuroinflammatory factors, etc.), and safety monitoring. The primary efficacy endpoint was the change in CDR-SB score at 12 months post-treatment. Secondary endpoints included changes in multiple cognitive scales, neuroimaging metrics, and biomarkers at 18 months. Safety indicators encompassed adverse event recording, vital signs, and laboratory tests.

03

Conditions studied

  • Alzheimer s Disease

Browse trials for

Keywords

  • cervical lymph vessel/node-venous anastomosis
  • LVA
  • Alzheimer
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. The patient or guardian signs the form;
  2. Age 50-80 years (≥50 years, ≤80 years), male or female;
  3. The first diagnosis is Alzheimer's disease with dementia;
  4. score ≤24;
  5. Positive β-amyloid protein PET imaging findings;
  6. HAMD score ≤17;
  7. Hachinski score ≤7;
  8. No AD-related drug treatment has been received within the past 1 month;
  9. 1-3 (≥ grade 1, ≤ grade 3);
  10. CDR-SB score of 9.5-15.5.

Exclusion criteria

Exclusion Criteria

  1. Presence of to MRI, ICG angiography, or PET scan;
  2. Presence of contraindications to lumbar puncture;
  3. Severe heart disease or unstable hemodynamic status;
  4. Severe lung disease, including severe obstructive, restrictive, or mixed ventilatory dysfunction, or acute inflammation within 3 months;
  5. Hepatic insufficiency, or ALT >3 times the ;
  6. Renal insufficiency, \<60 mL/min or need for blood purification treatment;
  7. MRI indicates active or acute intracranial lesions, including intracranial infection, space-occupying lesions, major hemorrhage, and ≥4 lobar microbleeds, etc.;
  8. History of cerebral hemorrhage or cerebral infarction with severe residual neurological dysfunction;
  9. Blood diseases, bleeding/coagulation disorders, coagulation dysfunction;
  10. Abnormal thyroid function;
  11. Moderate or severe stenosis of intracranial or cervical vessels with severe residual neurological dysfunction;
  12. Severe hypertension not effectively controlled, systolic blood pressure ≥180 mmHg or diastolic blood pressure ≥110 mmHg;
  13. The disease requires systemic use of ;
  14. Drug addiction (including alcohol, narcotics, and alcohol dependence);
  15. Severe infectious diseases, including positivity, severe infection, etc.;
  16. Severe psychiatric disease or potential suicide risk;
  17. Within 3 years after radical surgery for malignant tumor;
  18. Participation in other interventional clinical trials within the past three months;
  19. In the physician's judgment, poor compliance, inability to complete, or unwillingness to cooperate with regular postoperative follow-up;
  20. Other circumstances that the physician considers unsuitable for this clinical trial;
  21. Anti-Aβ monoclonal antibody treatment has been received within half a year;
  22. Previous neck surgery.
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
216 participants (estimated)

Study arms

  • Experimental
    Cervical lymph vessel/node-venous anastomosis surgery combined with oral donepezil group

    Procedure: Cervical lymph vessel/node-venous anastomosis surgery combined with oral donepezil · Drug: Oral treatment with donepezil

  • Active comparator
    Oral donepezil group

    Drug: Oral treatment with donepezil

Interventions

  • ProcedureCervical lymph vessel/node-venous anastomosis surgery combined with oral donepezil

    Under total intravenous anesthesia, the patient is placed supine with the head turned and shoulders elevated. A transverse neck incision is made, the platysma is opened, and the external jugular vein and great auricular nerve are exposed and protected. Dissection proceeds along the sternocleidomastoid muscle and carotid sheath to create two lymphatic composite flaps: a lateral IIB/III flap rich in deep cervical lymph nodes and lymphatic vessels, and a medial IIA flap containing the angular lymph node. Both flaps are prepared to ensure continuous lymphatic fluid outflow. Revascularization is then performed by end-to-end anastomosis of the IIA flap to a branch of the common facial vein or external jugular vein, and end-to-side anastomosis of the IIB/III flap to the internal or external jugular vein. After the anastomosis is completed, the incision is sutured layer by layer for cosmetic purposes.

  • DrugOral treatment with donepezil

    Drug page: Donepezil

    After randomly assigned into the group, the study participants were given donepezil orally (the cervical lymph vessel/node-venous anastomosis surgery combined with oral donepezil group began to take donepezil orally on the first day after operation, and the oral donepezil group began to take donepezil after completing the baseline examination), once a day, before sleep, starting at 5 mg/day, and adjusted to 10 mg/day after 6 weeks; if not tolerated, it will be maintained at 5 mg/day, continued for 6 weeks, and then 10 mg/day will be attempted again, with continuous administration for 18 months. If research participants still cannot tolerate the high dose, they may be maintained at 5 mg/day for 18 months.

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Clinical Dementia Rating-Sum of Boxes Score at Month 12

    The Clinical Dementia Rating-Sum of Boxes is a clinician-rated measure of dementia severity. The score ranges from 0 to 18, with higher scores indicating greater impairment and more severe dementia. The outcome measure is the change from baseline to Month 12. The scale will be administered face to face by trained evaluators blinded to treatment assignment, and results will be reviewed by an independent endpoint adjudication committee.

    Time frame: Baseline and Month 12

Secondary outcomes

  1. Change From Baseline in Clinical Dementia Rating-Sum of Boxes Score at Month 18

    The Clinical Dementia Rating-Sum of Boxes score ranges from 0 to 18, with higher scores indicating greater dementia severity. The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  2. Change From Baseline in Mini-Mental State Examination Score at Month 18

    The Mini-Mental State Examination assesses global cognitive function. The score ranges from 0 to 30, with higher scores indicating better cognitive function. The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  3. Change From Baseline in Montreal Cognitive Assessment Score at Month 18

    The Montreal Cognitive Assessment assesses cognitive function. The score ranges from 0 to 30, with higher scores indicating better cognitive function. The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  4. Change From Baseline in 18-item Apathy Evaluation Scale Score at Month 18

    The 18-item Apathy Evaluation Scale assesses apathy symptoms. The total score ranges from 18 to 72, with higher scores indicating more severe apathy. The outcome measure is the change from baseline to Month 18. Assessments will be performed by trained evaluators blinded to treatment assignment.

    Time frame: Baseline and Month 18

  5. Change From Baseline in Neuropsychiatric Inventory Total Score at Month 18

    The 12-item Neuropsychiatric Inventory assesses behavioral and psychological symptoms in dementia. For each domain, the domain score is calculated as frequency multiplied by severity. The total score ranges from 0 to 144, with higher scores indicating more severe neuropsychiatric symptoms. The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  6. Change From Baseline in Basic Activities of Daily Living Score at Month 18

    The Basic Activities of Daily Living score is derived from six items of the Activities of Daily Living scale, including walking, eating, dressing, grooming, bathing, and toileting. Each item is scored from 1 to 4, and the total score ranges from 6 to 24, with higher scores indicating greater impairment in basic self-care ability. The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  7. Change From Baseline in Instrumental Activities of Daily Living Score at Month 18

    The Instrumental Activities of Daily Living score is derived from eight items of the Activities of Daily Living scale, including using public transportation, cooking, doing housework, taking medication, doing laundry, shopping, using the telephone, and handling personal finances. Each item is scored from 1 to 4, and the total score ranges from 8 to 32, with higher scores indicating greater impairment in complex daily living ability. The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  8. Change From Baseline in PET Imaging Measures at Month 18

    Positron emission tomography (PET) will be used to assess cerebral amyloid and tau burden: Amyloid PET: Cerebral amyloid deposition will be quantified using the unitless standardized uptake value ratio (SUVR) and the standardized Centiloid scale. Higher SUVR and Centiloid values indicate greater amyloid deposition. Tau PET: Cerebral tau deposition will be quantified using the unitless standardized uptake value ratio (SUVR). Higher SUVR values indicate greater tau deposition.

    Time frame: Baseline and Month 18

  9. Change From Baseline in Brain Volumetric MRI Measures at Month 18

    Structural brain MRI will be used to measure gray matter volume (GMV), white matter volume (WMV), cerebrospinal fluid volume (CSFV), intracranial volume (ICV), white matter hyperintensity volume (WMHV), hippocampal volume (HippV), and frontal lobe volume (FronV). All volumes will be reported in milliliters (mL). The outcome measures are the changes in these MRI-derived volumes from baseline to Month 18.

    Time frame: Baseline and Month 18

  10. Change From Baseline in Glymphatic System-Related MRI Measures at Month 18

    MRI will be used to assess glymphatic system-related measures: perivascular space volume fraction in the whole brain, white matter, and basal ganglia (PVSVF-ALL, PVSVF-WM, and PVSVF-BG); free-water fraction in the whole brain, white matter, and basal ganglia (FW-ALL, FW-WM, and FW-BG); and diffusion tensor imaging analysis along the perivascular space indices for the left hemisphere, right hemisphere, and overall brain (ALPS-L, ALPS-R, and ALPS-ALL). PVSVF and FW are reported as unitless numerical fractions, and the ALPS indices are dimensionless. The outcome measures are the changes in these MRI-derived values from baseline to Month 18.

    Time frame: Baseline and Month 18

  11. Change From Baseline in Internal Jugular Vein Diameter on Ultrasound at Month 18

    Ultrasound will be used to measure the diameter of the internal jugular vein in the operative area. The diameter will be reported in millimeters. The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  12. Change From Baseline in External Jugular Vein Diameter on Ultrasound at Month 18

    Ultrasound will be used to measure the diameter of the external jugular vein in the operative area. The diameter will be reported in millimeters. The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  13. Change From Baseline in Maximum Jugular Vein Flow Velocity on Ultrasound at Month 18

    Ultrasound will be used to measure the maximum flow velocity of the internal or external jugular vein in the operative area. Flow velocity will be reported in centimeters per second. The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  14. Histopathological Findings in Intraoperatively Collected Lymph Node Tissue

    Histopathological findings in lymph node tissue collected intraoperatively, when available, will be assessed using routine histopathological staining.

    Time frame: During surgery

  15. Concentration of Phosphorylated Tau 217 in Intraoperatively Collected Lymphatic Fluid

    The concentration of phosphorylated tau 217 (P-tau217) in lymphatic fluid collected intraoperatively, when available, will be measured (pg/mL).

    Time frame: During surgery

  16. Concentration of Amyloid-Beta 42 in Intraoperatively Collected Lymphatic Fluid

    The concentration of amyloid-beta 42 (Aβ42) in lymphatic fluid collected intraoperatively, when available, will be measured (pg/mL).

    Time frame: During surgery

  17. Concentration of Phosphorylated Tau 181 in Intraoperatively Collected Lymphatic Fluid

    The concentration of phosphorylated tau 181 (P-tau181) in lymphatic fluid collected intraoperatively, when available, will be measured (pg/ml).

    Time frame: During surgery

  18. Concentration of Amyloid-Beta 40 in Intraoperatively Collected Lymphatic Fluid

    The concentration of amyloid-beta 40 (Aβ40) in lymphatic fluid collected intraoperatively, when available, will be measured (pg/mL).

    Time frame: During surgery

  19. Concentration of Neurofilament Light Chain in Intraoperatively Collected Lymphatic Fluid

    The concentration of neurofilament light chain (NfL) in lymphatic fluid collected intraoperatively, when available, will be measured (pg/mL).

    Time frame: During surgery

  20. Concentration of Glial Fibrillary Acidic Protein in Intraoperatively Collected Lymphatic Fluid

    The concentration of glial fibrillary acidic protein (GFAP) in lymphatic fluid collected intraoperatively, when available, will be measured (pg/mL).

    Time frame: During surgery

  21. Concentration of Interleukin-1 Beta in Intraoperatively Collected Lymphatic Fluid

    The concentration of interleukin-1 beta (IL-1β) in lymphatic fluid collected intraoperatively, when available, will be measured (pg/mL).

    Time frame: During surgery

  22. Concentration of Interleukin-2 in Intraoperatively Collected Lymphatic Fluid

    The concentration of interleukin-2 (IL-2) in lymphatic fluid collected intraoperatively, when available, will be measured (pg/mL).

    Time frame: During surgery

  23. Concentration of Interleukin-8 in Intraoperatively Collected Lymphatic Fluid

    The concentration of interleukin-8 (IL-8) in lymphatic fluid collected intraoperatively, when available, will be measured (pg/mL).

    Time frame: During surgery

  24. Concentration of Tumor Necrosis Factor Alpha in Intraoperatively Collected Lymphatic Fluid

    The concentration of tumor necrosis factor alpha (TNF-α) in lymphatic fluid collected intraoperatively, when available, will be measured (pg/mL).

    Time frame: During surgery

  25. Concentration of Interleukin-12 p70 in Intraoperatively Collected Lymphatic Fluid

    The concentration of interleukin-12 p70 (IL-12p70) in lymphatic fluid collected intraoperatively, when available, will be measured (pg/mL).

    Time frame: During surgery

  26. Concentration of Interleukin-6 in Intraoperatively Collected Lymphatic Fluid

    The concentration of interleukin-6 (IL-6) in lymphatic fluid collected intraoperatively, when available, will be measured (pg/mL).

    Time frame: During surgery

  27. Concentration of Interferon Gamma in Intraoperatively Collected Lymphatic Fluid

    The concentration of interferon gamma (IFN-γ) in lymphatic fluid collected intraoperatively, when available, will be measured (pg/mL).

    Time frame: During surgery

  28. Concentration of Interleukin-17 in Intraoperatively Collected Lymphatic Fluid

    The concentration of interleukin-17 (IL-17) in lymphatic fluid collected intraoperatively, when available, will be measured (pg/mL).

    Time frame: During surgery

  29. Concentration of Interleukin-4 in Intraoperatively Collected Lymphatic Fluid

    The concentration of interleukin-4 (IL-4) in lymphatic fluid collected intraoperatively, when available, will be measured (pg/mL).

    Time frame: During surgery

  30. Concentration of Interleukin-10 in Intraoperatively Collected Lymphatic Fluid

    The concentration of interleukin-10 (IL-10) in lymphatic fluid collected intraoperatively, when available, will be measured (pg/mL).

    Time frame: During surgery

  31. Concentration of Interleukin-5 in Intraoperatively Collected Lymphatic Fluid

    The concentration of interleukin-5 (IL-5) in lymphatic fluid collected intraoperatively, when available, will be measured (pg/mL).

    Time frame: During surgery

  32. Concentration of Interferon Alpha in Intraoperatively Collected Lymphatic Fluid

    The concentration of interferon alpha (IFN-α) in lymphatic fluid collected intraoperatively, when available, will be measured (pg/mL).

    Time frame: During surgery

  33. Change From Baseline in Cerebrospinal Fluid P-tau181 Level at Month 18

    The concentration of phosphorylated tau 181 (P-tau181) in cerebrospinal fluid will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  34. Change From Baseline in Cerebrospinal Fluid Aβ42 Level at Month 18

    The concentration of amyloid-beta 42 (Aβ42) in cerebrospinal fluid will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  35. Change From Baseline in Cerebrospinal Fluid Aβ40 Level at Month 18

    The concentration of amyloid-beta 40 (Aβ40) in cerebrospinal fluid will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  36. Change From Baseline in Cerebrospinal Fluid Aβ42/Aβ40 Ratio at Month 18

    The ratio of amyloid-beta 42 to amyloid-beta 40 (Aβ42/Aβ40) in cerebrospinal fluid will be reported as a unitless ratio. The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  37. Change From Baseline in Cerebrospinal Fluid GFAP Level at Month 18

    The concentration of glial fibrillary acidic protein (GFAP) in cerebrospinal fluid will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  38. Change From Baseline in Cerebrospinal Fluid NfL Level at Month 18

    The concentration of neurofilament light chain (NfL) in cerebrospinal fluid will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  39. Change From Baseline in Cerebrospinal Fluid pTau217 Level at Month 18

    The concentration of phosphorylated tau 217 (pTau217) in cerebrospinal fluid will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  40. Change From Baseline in Cerebrospinal Fluid IL-1β Level at Month 18

    The concentration of interleukin-1 beta (IL-1β) in cerebrospinal fluid will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  41. Change From Baseline in Cerebrospinal Fluid IL-2 Level at Month 18

    The concentration of interleukin-2 (IL-2) in cerebrospinal fluid will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  42. Change From Baseline in Cerebrospinal Fluid IL-8 Level at Month 18

    The concentration of interleukin-8 (IL-8) in cerebrospinal fluid will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  43. Change From Baseline in Cerebrospinal Fluid TNF-α Level at Month 18

    The concentration of tumor necrosis factor alpha (TNF-α) in cerebrospinal fluid will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  44. Change From Baseline in Cerebrospinal Fluid IL-12p70 Level at Month 18

    The concentration of interleukin-12 p70 (IL-12p70) in cerebrospinal fluid will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  45. Change From Baseline in Cerebrospinal Fluid IL-6 Level at Month 18

    The concentration of interleukin-6 (IL-6) in cerebrospinal fluid will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  46. Change From Baseline in Cerebrospinal Fluid IFN-γ Level at Month 18

    The concentration of interferon gamma (IFN-γ) in cerebrospinal fluid will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  47. Change From Baseline in Cerebrospinal Fluid IL-17 Level at Month 18

    The concentration of interleukin-17 (IL-17) in cerebrospinal fluid will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  48. Change From Baseline in Cerebrospinal Fluid IL-4 Level at Month 18

    The concentration of interleukin-4 (IL-4) in cerebrospinal fluid will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  49. Change From Baseline in Cerebrospinal Fluid IL-10 Level at Month 18

    The concentration of interleukin-10 (IL-10) in cerebrospinal fluid will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  50. Change From Baseline in Cerebrospinal Fluid IL-5 Level at Month 18

    The concentration of interleukin-5 (IL-5) in cerebrospinal fluid will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  51. Change From Baseline in Cerebrospinal Fluid Interferon Alpha Level at Month 18

    The concentration of interferon alpha (IFN-α) in cerebrospinal fluid will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  52. Change From Baseline in Plasma P-tau181 Level at Month 18

    The concentration of phosphorylated tau 181 (P-tau181) in plasma will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  53. Change From Baseline in Plasma Aβ42 Level at Month 18

    The concentration of amyloid-beta 42 (Aβ42) in plasma will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  54. Change From Baseline in Plasma Aβ40 Level at Month 18

    The concentration of amyloid-beta 40 (Aβ40) in plasma will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  55. Change From Baseline in Plasma Aβ42/Aβ40 Ratio at Month 18

    The ratio of amyloid-beta 42 to amyloid-beta 40 (Aβ42/Aβ40) in plasma will be reported as a unitless ratio. The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  56. Change From Baseline in Plasma GFAP Level at Month 18

    The concentration of glial fibrillary acidic protein (GFAP) in plasma will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  57. Change From Baseline in Plasma NfL Level at Month 18

    The concentration of neurofilament light chain (NfL) in plasma will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  58. Change From Baseline in Plasma pTau217 Level at Month 18

    The concentration of phosphorylated tau 217 (pTau217) in plasma will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  59. Change From Baseline in Plasma IL-1β Level at Month 18

    The concentration of interleukin-1 beta (IL-1β) in plasma will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  60. Change From Baseline in Plasma IL-2 Level at Month 18

    The concentration of interleukin-2 (IL-2) in plasma will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  61. Change From Baseline in Plasma IL-8 Level at Month 18

    The concentration of interleukin-8 (IL-8) in plasma will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  62. Change From Baseline in Plasma TNF-α Level at Month 18

    The concentration of tumor necrosis factor alpha (TNF-α) in plasma will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  63. Change From Baseline in Plasma IL-12p70 Level at Month 18

    The concentration of interleukin-12 p70 (IL-12p70) in plasma will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  64. Change From Baseline in Plasma IL-6 Level at Month 18

    The concentration of interleukin-6 (IL-6) in plasma will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  65. Change From Baseline in Plasma IFN-γ Level at Month 18

    The concentration of interferon gamma (IFN-γ) in plasma will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  66. Change From Baseline in Plasma IL-17 Level at Month 18

    The concentration of interleukin-17 (IL-17) in plasma will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  67. Change From Baseline in Plasma IL-4 Level at Month 18

    The concentration of interleukin-4 (IL-4) in plasma will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  68. Change From Baseline in Plasma IL-10 Level at Month 18

    The concentration of interleukin-10 (IL-10) in plasma will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  69. Change From Baseline in Plasma IL-5 Level at Month 18

    The concentration of interleukin-5 (IL-5) in plasma will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

  70. Change From Baseline in Plasma Interferon Alpha Level at Month 18

    The concentration of interferon alpha (IFN-α) in plasma will be measured in picograms per milliliter (pg/mL). The outcome measure is the change from baseline to Month 18.

    Time frame: Baseline and Month 18

07

Study locations

1 site
08

References and documents

Publications

  • Kukreja-Pandey S, Al-Malak M, Ku Y, Duarte-Bateman D, Chen WF. D40. Effects of Lymphaticovenular Anastomosis in Contralateral Leg in Patients with Acquired Bilateral Leg Lymphedema. Plast Reconstr Surg Glob Open.2023;11(4S):81-82.
  • 卢鸿瑞,谭云飞,谢庆平. 3D脱目镜下行颈深淋巴管-静脉引流术治疗老年认知障碍患者一例疗效初步观察. 中华显微外科杂志,2022,45(5):570-574.
  • Jack CR Jr, Andrews JS, Beach TG, Buracchio T, Dunn B, Graf A, Hansson O, Ho C, Jagust W, McDade E, Molinuevo JL, Okonkwo OC, Pani L, Rafii MS, Scheltens P, Siemers E, Snyder HM, Sperling R, Teunissen CE, Carrillo MC. Revised criteria for diagnosis and staging of Alzheimer's disease: Alzheimer's Association Workgroup. Alzheimers Dement. 2024 Aug;20(8):5143-5169. doi: 10.1002/alz.13859. Epub 2024 Jun 27. PubMed 38934362 ↗
  • Zhang S, Qiu Q, Qian S, Lin X, Yan F, Sun L, Xiao S, Wang J, Fang Y, Li X. Determining Appropriate Screening Tools and Cutoffs for Cognitive Impairment in the Chinese Elderly. Front Psychiatry. 2021 Dec 2;12:773281. doi: 10.3389/fpsyt.2021.773281. eCollection 2021. PubMed 34925100 ↗
  • Xie Q, Louveau A, Pandey S, Zeng W, Chen WF. Rewiring the Brain: The Next Frontier in Supermicrosurgery. Plast Reconstr Surg. 2024 Feb 1;153(2):494e-495e. doi: 10.1097/PRS.0000000000010933. Epub 2023 Jul 18. No abstract available. PubMed 37467388 ↗
  • Da Mesquita S, Papadopoulos Z, Dykstra T, Brase L, Farias FG, Wall M, Jiang H, Kodira CD, de Lima KA, Herz J, Louveau A, Goldman DH, Salvador AF, Onengut-Gumuscu S, Farber E, Dabhi N, Kennedy T, Milam MG, Baker W, Smirnov I, Rich SS; Dominantly Inherited Alzheimer Network; Benitez BA, Karch CM, Perrin RJ, Farlow M, Chhatwal JP, Holtzman DM, Cruchaga C, Harari O, Kipnis J. Meningeal lymphatics affect microglia responses and anti-Abeta immunotherapy. Nature. 2021 May;593(7858):255-260. doi: 10.1038/s41586-021-03489-0. Epub 2021 Apr 28. PubMed 33911285 ↗
  • Da Mesquita S, Louveau A, Vaccari A, Smirnov I, Cornelison RC, Kingsmore KM, Contarino C, Onengut-Gumuscu S, Farber E, Raper D, Viar KE, Powell RD, Baker W, Dabhi N, Bai R, Cao R, Hu S, Rich SS, Munson JM, Lopes MB, Overall CC, Acton ST, Kipnis J. Functional aspects of meningeal lymphatics in ageing and Alzheimer's disease. Nature. 2018 Aug;560(7717):185-191. doi: 10.1038/s41586-018-0368-8. Epub 2018 Jul 25. PubMed 30046111 ↗
  • Louveau A, Plog BA, Antila S, Alitalo K, Nedergaard M, Kipnis J. Understanding the functions and relationships of the glymphatic system and meningeal lymphatics. J Clin Invest. 2017 Sep 1;127(9):3210-3219. doi: 10.1172/JCI90603. Epub 2017 Sep 1. PubMed 28862640 ↗
  • Louveau A, Smirnov I, Keyes TJ, Eccles JD, Rouhani SJ, Peske JD, Derecki NC, Castle D, Mandell JW, Lee KS, Harris TH, Kipnis J. Structural and functional features of central nervous system lymphatic vessels. Nature. 2015 Jul 16;523(7560):337-41. doi: 10.1038/nature14432. Epub 2015 Jun 1. PubMed 26030524 ↗
  • Sims JR, Zimmer JA, Evans CD, Lu M, Ardayfio P, Sparks J, Wessels AM, Shcherbinin S, Wang H, Monkul Nery ES, Collins EC, Solomon P, Salloway S, Apostolova LG, Hansson O, Ritchie C, Brooks DA, Mintun M, Skovronsky DM; TRAILBLAZER-ALZ 2 Investigators. Donanemab in Early Symptomatic Alzheimer Disease: The TRAILBLAZER-ALZ 2 Randomized Clinical Trial. JAMA. 2023 Aug 8;330(6):512-527. doi: 10.1001/jama.2023.13239. PubMed 37459141 ↗
  • van Dyck CH, Swanson CJ, Aisen P, Bateman RJ, Chen C, Gee M, Kanekiyo M, Li D, Reyderman L, Cohen S, Froelich L, Katayama S, Sabbagh M, Vellas B, Watson D, Dhadda S, Irizarry M, Kramer LD, Iwatsubo T. Lecanemab in Early Alzheimer's Disease. N Engl J Med. 2023 Jan 5;388(1):9-21. doi: 10.1056/NEJMoa2212948. Epub 2022 Nov 29. PubMed 36449413 ↗
  • Sevigny J, Chiao P, Bussiere T, Weinreb PH, Williams L, Maier M, Dunstan R, Salloway S, Chen T, Ling Y, O'Gorman J, Qian F, Arastu M, Li M, Chollate S, Brennan MS, Quintero-Monzon O, Scannevin RH, Arnold HM, Engber T, Rhodes K, Ferrero J, Hang Y, Mikulskis A, Grimm J, Hock C, Nitsch RM, Sandrock A. The antibody aducanumab reduces Abeta plaques in Alzheimer's disease. Nature. 2016 Sep 1;537(7618):50-6. doi: 10.1038/nature19323. PubMed 27582220 ↗
  • Winblad B, Amouyel P, Andrieu S, Ballard C, Brayne C, Brodaty H, Cedazo-Minguez A, Dubois B, Edvardsson D, Feldman H, Fratiglioni L, Frisoni GB, Gauthier S, Georges J, Graff C, Iqbal K, Jessen F, Johansson G, Jonsson L, Kivipelto M, Knapp M, Mangialasche F, Melis R, Nordberg A, Rikkert MO, Qiu C, Sakmar TP, Scheltens P, Schneider LS, Sperling R, Tjernberg LO, Waldemar G, Wimo A, Zetterberg H. Defeating Alzheimer's disease and other dementias: a priority for European science and society. Lancet Neurol. 2016 Apr;15(5):455-532. doi: 10.1016/S1474-4422(16)00062-4. No abstract available. PubMed 26987701 ↗
  • Jia L, Du Y, Chu L, Zhang Z, Li F, Lyu D, Li Y, Li Y, Zhu M, Jiao H, Song Y, Shi Y, Zhang H, Gong M, Wei C, Tang Y, Fang B, Guo D, Wang F, Zhou A, Chu C, Zuo X, Yu Y, Yuan Q, Wang W, Li F, Shi S, Yang H, Zhou C, Liao Z, Lv Y, Li Y, Kan M, Zhao H, Wang S, Yang S, Li H, Liu Z, Wang Q, Qin W, Jia J; COAST Group. Prevalence, risk factors, and management of dementia and mild cognitive impairment in adults aged 60 years or older in China: a cross-sectional study. Lancet Public Health. 2020 Dec;5(12):e661-e671. doi: 10.1016/S2468-2667(20)30185-7. PubMed 33271079 ↗
  • Zhang XX, Tian Y, Wang ZT, Ma YH, Tan L, Yu JT. The Epidemiology of Alzheimer's Disease Modifiable Risk Factors and Prevention. J Prev Alzheimers Dis. 2021;8(3):313-321. doi: 10.14283/jpad.2021.15. PubMed 34101789 ↗
  • Scheltens P, De Strooper B, Kivipelto M, Holstege H, Chetelat G, Teunissen CE, Cummings J, van der Flier WM. Alzheimer's disease. Lancet. 2021 Apr 24;397(10284):1577-1590. doi: 10.1016/S0140-6736(20)32205-4. Epub 2021 Mar 2. PubMed 33667416 ↗
  • Jia J, Wei C, Chen S, Li F, Tang Y, Qin W, Zhao L, Jin H, Xu H, Wang F, Zhou A, Zuo X, Wu L, Han Y, Han Y, Huang L, Wang Q, Li D, Chu C, Shi L, Gong M, Du Y, Zhang J, Zhang J, Zhou C, Lv J, Lv Y, Xie H, Ji Y, Li F, Yu E, Luo B, Wang Y, Yang S, Qu Q, Guo Q, Liang F, Zhang J, Tan L, Shen L, Zhang K, Zhang J, Peng D, Tang M, Lv P, Fang B, Chu L, Jia L, Gauthier S. The cost of Alzheimer's disease in China and re-estimation of costs worldwide. Alzheimers Dement. 2018 Apr;14(4):483-491. doi: 10.1016/j.jalz.2017.12.006. Epub 2018 Feb 9. PubMed 29433981 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Jul 2026; primary completion for Sep 2028, 26 months later.

Of 885 non-industry interventional studies with no phase under Alzheimer Disease, half reached primary completion within 30 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 51. This study's planned 26 months is below that.

Counting every sponsor, half of 962 studies reached it within 29 months; a quarter within 15 and three quarters within 51.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 7, 2026
First posted
Jul 2, 2026
StartEst.
Jul 15, 2026
Primary completionEst.
Sep 30, 2028
CompletionEst.
Mar 31, 2029
Last update
Jul 22, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07680660
Responsible party
Sponsor
First posted
Jul 2, 2026
Start date
Jul 15, 2026 (estimated)
Primary completion
Sep 30, 2028 (estimated)
Completion
Mar 31, 2029 (estimated)
Last update
Jul 22, 2026

Study contacts

Yixin Zhang
Contact
zhangyixin6688@163.com
+86 13061775858
Ke Li
Contact

Oversight

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

Not currently enrolling

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

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