NCT04570085 · Phase 3 · RECRUITING

Effect of CAFfeine on Cognition in Alzheimer's Disease

This trial tests whether taking caffeine for 30 weeks slows cognitive decline compared with a placebo in people who already have early to moderate Alzheimer's dementia. Cognition is tracked with memory and thinking scores. It is a Phase 3 trial, a larger study testing whether it works and is safe, not yet proven or approved for this use.

Eligibility criteria

Inclusion Criteria:
* Age ≥ 50 at screening
* Probable Alzheimer dementia according to the criteria of the National Institute on Aging-Alzheimer's Association; diagnosis must be supported by brain imaging (CT or MRI) and blood test (including ionogram, kidney and liver function, calcemia, CRP, TSH, B12 vitamins and folates) performed in routine care
* MMSE score ≥16
* Presence of an informant and caregiver, living with the patient
* IAChE and/or Memantine treatment non-compulsory ; If implemented it must be effective and stable for 2 months before the selection visit and must remain stable for the duration of the study
Exclusion Criteria:
* Patients who refuse to adopt a low caffeine diet (eviction of tea, caffeinated sodas, chocolate in large quantities)
* Current major depressive episode according to DSM-5 criteria
* Another chronic pathology of the central nervous system
* Major anxiety according to the clinician (consistent with the corresponding nPI-R items that must indicate a severity >2 and an impact >3)
* Sleep disorders defined by severity and an impact on NPI-R; a patient fitted for OSA may be included if the device has been in use for 3 months and well tolerated (stable)
* Decompensated heart disease or severe rhythm disorder (excluding slow, treated and stable chronic atrial fibrillation)
* Active smoking
* For childbearing women : pregnancy in progress or planned (A pregnancy test will be performed)
* Patients who take forbidden treatment :
  * Psychotropic treatments introduced or modified \< 2 months before inclusion
  * Chronic use of CYP1A2 inducing or inhibiting drugs
  * All caffeine-containing specialties
  * Drugs that influence caffeine metabolism
  * Drugs that may interact with caffeine

The sponsor's own eligibility wording, lightly reformatted. The study team makes the final eligibility decision — worth discussing with your doctor.

Eligibility criteria as of 2026-04-20

View full record on ClinicalTrials.gov

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