NCT07447206 · Phase 2 · NOT YET RECRUITING

Vascular Intervention Strategies Trial for Alzheimer's

This small pilot study tests whether a pharmacist-led program can manage high blood pressure and high cholesterol in 10 people. Everyone takes an angiotensin receptor blocker for blood pressure and a statin, or a non-statin alternative, for cholesterol over six months. It is a Phase 2 trial, an early check on practicality and safety, not proof that it works.

You may qualify if

  • APOE ε4 carrier (homozygote or heterozygote)
  • LDL-C of 100-250 mg/dL
  • Systolic blood Pressure (SBP) 130-180 mm Hg
  • Age 50-75 years
  • Fluency in English
  • No dementia based on medical record review
  • Male or post-menopausal female

You're excluded if

  • One minute standing SBP \< 110 mm Hg
  • Arm circumference prevents from accurate BP measurement with use of available devices
  • Lost weight of > 10% unintendedly (within the past 6 months),
  • Contraindications to blood pressure and cholesterol lowering medications
  • Use of medications prescribed for dementia (e.g., aducanumab, donanemab, lecanemab, donepezil, galantamine, rivastigmine, memantine)
  • Evidence of dementia based on medical record review
  • Living in a skilled nursing or rehabilitation facility
  • Receiving palliative or hospice care
  • Bipolar illness or schizophrenia
  • Drug or alcohol disorder
  • Receiving chronic opioid therapy
  • Any significant neurological disease (e.g., Parkinson's disease, amyotrophic lateral sclerosis, or multiple sclerosis)
  • Severe loss of visual, hearing or communication ability
  • Organ transplant
  • History of stroke, symptomatic HF or left ventricular ejection fraction \< 35%
  • ESRD or eGFR \< 20 ml/min /1.73m2
  • Does not consent to be contacted or to have their medical record reviewed for research purposes
  • Concurrent participation in another clinical trial

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 2026-05-04

View full record on ClinicalTrials.gov

All APOE4 clinical trials