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Alzheimer s DiseaseMIND-ITNCT07265323

Effect of Physiologic Insulin Administration on Insulin Sensitivity and Cognition

A study testing Physiological Insulin Intervention in people with Alzheimer s Disease and Alzheimer Blood Biomarkers, run by Pennington Biomedical Research Center at 1 site in United States.

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Sites and contacts
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Trial summary

The goal of this clinical trial is to determine if a weekly delivery of insulin at short intervals lasting up to 2 hours can improve insulin sensitivity and cognition in adults with Alzheimer's Disease. It will also provide information about the safety and feasibility of this intervention. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Physiological Insulin Intervention
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
8 participants
Where
1 siteUnited States
Study dates
Dec 2025to May 2027
Phase
Interventional

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Mini Mental State Examination (MMSE) score < 25

Who cannot join

  • On daily medication for the specific treatment of anxiety including benzodiazepines.
  • An infant, child, or teenager
  • A pregnant woman
  • A prisoner
  • Having any condition that impedes testing of the study hypothesis or are otherwise deemed to be unsuitable (determined by the investigative team).

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Tim Gilbert, M.D. contact

2257632584

Tim.Gilbert@pbrc.edu

Candida Rebello, Ph.D. contact

2257633159

Candida.Rebello@pbrc.edu

United States1 site, 1 recruiting
  • Pennington Biomedical Research Center

    Baton Rouge, Louisiana, 70806

    Tim Gilbert, Dr, 2257632584, Tim.Gilbert@pbrc.edu

    Candida Rebello, Ph.D., candida.rebello@pbrc.edu

    Recruiting

Other trials in United States

About this study

Official title: Effect of Physiologic Insulin Intervention on Insulin Sensitivity and Cognition

The goal of this clinical trial is to determine if a weekly delivery of insulin at short intervals lasting up to 2 hours can improve insulin sensitivity and cognition in adults with Alzheimer's Disease. It will also provide information about the safety and feasibility of this intervention.

The main questions it aims to answer are:

Read more

Does the intervention improve insulin sensitivity (how the body uses glucose)?

Does the intervention improve cognition, measured by the Montreal Cognitive Assessment (MoCA) and the Revised Memory and Behavior Problems Checklist (RMBPC)?

What changes occur in brain glucose uptake (FDG-PET)?

Participants will:

Receive the intervention once a week for 6 months, with each session lasting up to 2 hours

Complete cognitive assessments. Adverse events will be assessed throughout the study.

Being tested
Physiological Insulin Intervention
Keywords
Alzheimer's disease, Insulin Sensitivity
Medical subject headings
Insulin Resistance, Alzheimer Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Physiological Insulin InterventionOther

    Insulin infusion every five minutes over approximately two hours for six months. Initially infusion will be weekly and then frequency will reduce based on participants' response.

Study groups in NCT07265323
Study groupRoleWhat they receive
Physiologic InsulinExperimentalInsulin infusion at five-minute intervals over approximately two hours weekly for six months. Initially infusion will be weekly and then frequency will reduce based on participants' response.
Receives: Other: Physiological Insulin Intervention

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Cognition

    Cognition will be assessed using Montreal Cognitive Assessment (MoCA). The MoCA test scores range from 0 to 30, with a higher score indicating a better outcome.

    Measured: Over a six-month period

  2. Cognition

    Cognition will be assessed using the Revised Memory and Behavior Problems Checklist (RMBPC). The two subscales are frequency and reaction. The score for each subscale ranges from 0 to 96. A lower score indicates a better outcome.

    Measured: Over a six-month period

  3. Insulin Sensitivity

    Insulin sensitivity (glucose disposal rate measured during a hyperinsulinemic euglycemic clamp)

    Measured: Over a six-month period

Secondary outcomes (1)
  1. Brain Glucose Uptake

    We will measure brain glucose uptake using FDG-PET.

    Measured: Six months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Dec 2025
  2. Study startDec 2025 (estimated)
  3. Primary completionMay 2027 (estimated)
  4. Study completionMay 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
8 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07265323
Sponsor's protocol ID
2025-019-PBRC
Other IDs
PBRC Foundation funds
Acronym
MIND-IT
Status last verified
Nov 2025
First submitted
18 Nov 2025
Last updated
4 Dec 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

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