NCT07496021 · RECRUITING

Safety and Efficacy of L. Lactis CKDB001 in Subjects With Early Alzheimer's Disease

This trial is testing a probiotic bacterial strain called L. lactis CKDB001 against a placebo in people with early Alzheimer's disease — meaning mild cognitive symptoms and confirmed amyloid buildup on a PET scan. Participants take the intervention for 24 weeks. This is a proof-of-concept study, which means researchers are gathering early evidence on whether it works and is safe, not confirming a proven treatment.

Eligibility criteria

Inclusion Criteria:
1. Male and female adults aged ≥55 and ≤85 years at the time of written consent
2. Subjects with a Korean Mini-Mental State Examination (K-MMSE) score of 20 to 28
3. Have a global Clinical Dementia Rating (CDR) score of 0.5 to 1 and a CDR Memory Box score of 0.5 or greater
4. Subjects who test positive for amyloid on Positron Emission Tomography (PET)
Exclusion Criteria:
1. Subjects with clinically significant diseases other than Alzheimer's disease that may confound cognitive assessment
   * History of central nervous system (CNS) diseases
   * Active central nervous system (CNS) infection capable of affecting cognitive function, or a history of infection resulting in neurological sequelae
   * Structural brain abnormalities identified on screening MRI that could account for cognitive impairment
   * Abnormal thyroid function identified at screening
   * Vitamin B12 deficiency identified at screening
2. History of seizure disorder or epilepsy
3. History or suspicion of alcohol or substance abuse/dependence
4. History of psychiatric disorders, including schizophrenia, bipolar disorder, or clinically significant major depressive disorder, with current active symptoms
5. History of malignancy diagnosed or recurrent within 5 years prior to screening
6. History of a major cardiovascular event within 12 months prior to screening
7. Cardiovascular disease requiring the administration of anticoagulants
8. Severe or active infectious disease requiring treatment with antibiotics or antivirals within 4 weeks prior to randomization, or expected to require such treatment during the study period
9. Clinically significant gastrointestinal disorders within 3 months prior to screening, or conditions that may lead to malabsorption
10. Treatment with any disease-modifying therapy for Alzheimer's disease within 1 year prior to screening
11. Initiation or dosage/regimen changes of symptomatic treatments for dementia within 12 weeks prior to screening
12. Chronic use of medications acting on the CNS or those that may affect cognitive function within 8 weeks prior to screening
13. Regular use of medications that may alter the gut microbiota within 4 weeks prior to screening

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 2026-03-30

View full record on ClinicalTrials.gov

All APOE4 clinical trials