Evidence map›Paper›PMID 40386807›Full record

ArticleFrontiers in neuroscience2025

An exploratory analysis of bezisterim treatment associated with decreased biological age acceleration, and improved clinical measure and biomarker changes in mild-to-moderate probable Alzheimer's disease.

Christopher L Reading, Jiayan Yan, Marcia A Testa, Donald C Simonson, Hira Javaid, Lisa Schmunk, Daniel E Martin-Herranz, Robert Brooke, Juozas Gordevicius, Jeffrey Zhang and 7 more

Erratum issued Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in neuroscience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04669028 (A Phase 3, Double Blind, Randomized, Placebo Controlled, Parallel Group, Multicenter Study of NE3107 in Subjects Who Have Mild to Moderate Probable Alzheimer's Disease), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04669028 phase3completednot on this map

A Phase 3, Double Blind, Randomized, Placebo Controlled, Parallel Group, Multicenter Study of NE3107 in Subjects Who Have Mild to Moderate Probable Alzheimer's Disease

TypeinterventionalSponsorBioVie Inc.Ran2021 to 2023Enrolled439ConditionsAlzheimer DiseaseArmsNE3107, Placebo
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Article
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  4. Review
  5. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Christopher L ReadingBioVie Inc., Carson City, NV, United States.
Jiayan YanBioVie Inc., Carson City, NV, United States.
Marcia A TestaDepartment of Biostatistics, Harvard T. H. Chan School of Public Health, Boston, MA, United States.
Donald C SimonsonDivision of Endocrinology, Diabetes, and Hypertension, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States.
Hira JavaidHurdle.bio/Chronomics Ltd., London, United Kingdom.
Lisa SchmunkHurdle.bio/Chronomics Ltd., London, United Kingdom.
Daniel E Martin-HerranzHurdle.bio/Chronomics Ltd., London, United Kingdom.
Robert BrookeEpigenetic Clock Development Foundation, Torrance, CA, United States.
Juozas GordeviciusEpigenetic Clock Development Foundation, Torrance, CA, United States.
Jeffrey ZhangPrinceton Pharmatech, Princeton, NJ, United States.
Harvey YuanPrinceton Pharmatech, Princeton, NJ, United States.
Clarence AhlemBioVie Inc., Carson City, NV, United States.
Lixia WangBioVie Inc., Carson City, NV, United States.
Penelope MarkhamBioVie Inc., Carson City, NV, United States.
Nily OsmanBioVie Inc., Carson City, NV, United States.
Stephen O'QuinnBioVie Inc., Carson City, NV, United States.
Joseph PalumboBioVie Inc., Carson City, NV, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Aging is the primary risk factor for sporadic Alzheimer's disease. Chronic low-grade inflammation associated with aging drives cognitive impairment through multiple mechanisms involving oxidative stress, insulin resistance, and dysregulation of metabolic, immunologic, and hematologic systems. Methods: In a 7-month, randomized, double-blind, placebo-controlled trial (NCT04669028), we investigated the safety and activity of bezisterim, a first-in-class, oral, blood-brain barrier-permeable, anti-inflammatory agent on cognitive, molecular, biochemical, physiological, and biological aging parameters in a subset of 50 mild-to-moderate probable Alzheimer's disease participants. These participants had source-document-verified clinical measures and samples, and they completed the protocol. This study focuses on epigenetic, metabolic, biomarker, and cognitive measures in the exploratory biomarker population that completed the protocol. Results: Bezisterim was associated with non-significant directional improvements in multiple measures of cognitive and functional performance compared to placebo, with correlations to biological age (determined by DNA methylation "clocks") and to metabolism, inflammation, and dementia biomarkers. In addition, clinical measures correlated with the extent of DNA methylation of certain cytosine-phosphate-guanine (CpG) sites in genes associated with metabolic inflammation and neurodegeneration. Discussion: The results suggest the possible use of bezisterim to target the multifactorial processes underlying dementia. Clinical trial registration: https://clinicaltrials.gov/study/NCT04669028, Identifier: NCT04669028.

Indexed as

agingAlzheimer'sbezisterimcognitiondementiaDNA methylationinsulinneuroinflammation

Identifiers

PMID40386807
PMCPMC12082838

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.