SNIFF - Combo INI+EMPA Trial
Part of paid clinical trials in Winston-Salem, North Carolina.
- Sponsor
- Wake Forest University Health Sciences
- Study ID
- NCT05081219
- Phase
- PHASE2
- Status
- Completed
Conditions
- Alzheimer Disease
- Cognitive Impairment
- Mild Cognitive Impairment
Eligibility Criteria
- Sex
- ALL
- Age
- 55 Years - 85 Years
- Healthy Volunteers
- Accepted
Interventions
- Insulin (Humulin® R U-100) — DRUGParticipants will administer 40 IU of Humulin® U-100 insulin four times per day with an intranasal delivery device.
- Empagliflozin 10 MG — DRUGParticipants will be assigned to receive Empagliflozin 10 mg capsules to be taken by mouth once daily.
- Aptar Pharma CPS Intranasal Delivery Device — DEVICEParticipants will be assigned to receive Humulin® insulin or placebo administered through the Aptar Pharma CPS intranasal delivery device.
- Placebo (Insulin Diluent) — DRUGParticipants will administer placebo (insulin diluent) four times per day with an intranasal delivery device.
- Placebo (Capsules) — DRUGParticipants will be assigned to receive placebo capsules (Empagliflozin 10 mg) to be taken by mouth once daily.
Study Details
The proposed pilot study will provide safety and efficacy preliminary data regarding singular and combined effects of two therapeutic approaches, intranasal insulin and treatment with the sodium-glucose cotransporter type 2 inhibitor (SGLT2i) empagliflozin, to correct bioenergetic and vascular dysfunction in adults with preclinical Alzheimer's disease (AD) and amnestic mild cognitive impairment (aMCI) or early AD.
Key Dates
- Start date
- Sep 14, 2021
- Status verified
- Sep 2024
- Primary completion
- Sep 17, 2024
- Completion
- Sep 17, 2024
Study Design
- Enrollment
- 47 participants (actual)
- Allocation
- RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- TREATMENT
Arms
- Experimental: Intranasal Insulin and Empagliflozin Placebo* 40 IU of intranasal insulin administered using the Aptar CPS device 30 minutes prior to eating and 30 minutes before bedtime for a total of four (4) times daily * Placebo capsules taken by mouth 30 minutes before breakfast once daily
- Experimental: Empagliflozin and Intranasal Insulin Placebo* Empagliflozin 10 mg capsules taken by mouth 30 minutes before breakfast once daily * 40 IU of intranasal insulin diluent (placebo) administered using the Aptar CPS device 30 minutes prior to eating and 30 minutes before bedtime for a total of four (4) times daily
- Experimental: Intranasal Insulin and Empagliflozin* 40 IU of intranasal insulin administered using the Aptar CPS device 30 minutes prior to eating and 30 minutes before bedtime for a total of four (4) times daily * Empagliflozin 10 mg capsules taken by mouth 30 minutes before breakfast once daily
- Placebo Comparator: Placebo* 40 IU of intranasal insulin diluent (placebo) administered using the Aptar CPS device 30 minutes prior to eating and 30 minutes before bedtime for a total of four (4) times daily * Placebo capsules taken by mouth 30 minutes before breakfast once daily
Primary Outcome Measure
Number of Participants With Treatment-Related Serious Adverse Events as Assessed by CTCAE v5.0 [ Time Frame: Week 8 ]
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Wake Forest University Health Sciences / Wake Forest School of Medicine | Winston-Salem | North Carolina | 27157 | - |
Related coverage on Hipa.ai
- Empagliflozin Pilot for Cognitive Impairment: Safety Profile HoldsEmpagliflozin · Oct 21, 2025 · ClinicalTrials.gov
Find similar trials in Winston-Salem, NC
By condition
By specialty
Related Studies
- Biodistribution of [11C]PIB in Patients With Risk Factors for Alzheimer's DiseaseEnrolling By Invitation · Wake Forest University Health Sciences · Winston-Salem, North Carolina
- Wake Forest Alzheimer's Disease Clinical CoreRecruiting · Wake Forest University Health Sciences · Winston-Salem, North Carolina
- Retinal Imaging in Neurodegenerative DiseaseRecruiting · Duke University · Durham, North Carolina
- Brain Energy for Amyloid Transformation in Alzheimer's Disease StudyRecruiting · Wake Forest University Health Sciences · Winston-Salem, North Carolina