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neflamapimod

Phase 2

Dementia With Lewy Bodies (DLB) | Small molecule | Neurology |CervoMed Inc.|Last Updated: Jul 8, 2026

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Trial Design
UNCONTROLLEDBiomarker
Total Trials1
Total Enrollment25
FDA Designations
ORPHAN_DRUG
Clinical trial landscape

neflamapimod · 4 trials · 5 indications

Phase 2 4
NCT07033481Clinical Study of Neflamapimod in Patients With Primary Progressive AphasiaNonfluent Variant Primary Progressive Aphasia (nfvPPA)
ACTIVE NOT_RECRUITING20 Analytics
NCT06987643A Clinical Study to Investigate the Effect of Oral Neflamapimod on Motor Recovery After Acute Ischaemic StrokeModerate to Severe Acute Ischaemic Stroke
ACTIVE NOT_RECRUITING90 Analytics
NCT06815965A Clinical Study of Neflamapimod in Patients With Dementia With Lewy BodiesDementia With Lewy Bodies (DLB)
COMPLETED26 Analytics
NCT05869669RewinD-LB - Clinical Study of Neflamapimod in Patients With Dementia With Lewy BodiesDementia With Lewy Bodies
COMPLETED159 Analytics
PHASE2ACTIVE NOT_RECRUITING
Clinical Study of Neflamapimod in Patients With Primary Progressive Aphasia
Nonfluent Variant Primary Progressive Aphasia (nfvPPA)Unlock trial analytics
PHASE2ACTIVE NOT_RECRUITING
A Clinical Study to Investigate the Effect of Oral Neflamapimod on Motor Recovery After Acute Ischaemic Stroke
Moderate to Severe Acute Ischaemic StrokeUnlock trial analytics
PHASE2COMPLETED
A Clinical Study of Neflamapimod in Patients With Dementia With Lewy Bodies
Dementia With Lewy Bodies (DLB)Unlock trial analytics
PHASE2COMPLETED
RewinD-LB - Clinical Study of Neflamapimod in Patients With Dementia With Lewy Bodies
Dementia With Lewy BodiesUnlock trial analytics
Study Endpoints
Primary Endpoints
Incidence of Adverse Events and Serious Adverse Events.
Baseline to Week 36

The number and proportion of participants experiencing adverse events (AEs) and serious adverse events (SAEs) during the study period, categorized by severity and relationship to the study intervention.

Change from baseline to Week 12 in Fugl-Meyer Assessment of Motor Recovery after Stroke (FMMS) motor score (upper and lower) and total score
From enrollment until the end of treatment at 12 weeks

The FMMS test has a maximum upper motor score of 66, maximum lower motor score of 34, and a maximum total score of 212, where an increase indicates improved motor function while a decrease indicates worsening impairment.

Change from baseline to Week 12 in the Timed Up and Go Test (TUG)
From enrollment until the end of treatment at 12 weeks

The TUG test is recorded in seconds. The test has no minimum or maximum value, and an increase in the time required to complete the TUG is a worse outcome.

Change from baseline to Week 12 in National Institutes of Health Stroke Scale (NIHSS) motor score
From enrollment until the end of treatment at 12 weeks

Scores for the NIHSS range from 0 to 42 where higher scores indicate greater impairment/worsening.

Evaluate the safety and tolerability 80 mg neflamapimod given twice daily in patients with dementia with Lewy bodies.
From enrollment until the end of treatment at 24 weeks

The safety and tolerability of 80 mg neflamapimod given twice daily in patients with dementia with lewy bodies will be evaluated via the incidence of treatment-emergent Adverse events (AEs) and Serious adverse events (SAEs) during 24 weeks of treatment

Evaluate the safety and tolerability of 80mg neflamapimod given twice daily in patients with dementia with Lewy bodies.
From enrollment until the end of treatment at 24 weeks

The safety and tolerability of 80 mg neflamapimod given twice daily in patients with dementia with lewy bodies will be evaluated via the incidence of elevations in amino-alanine transferase (ALT) and/or aspartate amino-transferase (AST) ≥ three times the upper limit of normal during 24 weeks of treatment

Evaluate the maximum plasma concentration (Cmax) of 80mg neflamapimod given twice daily in patients with dementia with Lewy bodies.
From enrollment until the end of treatment at 24 weeks

The maximum plasma concentration (Cmax) of 80 mg neflamapimod given twice daily in patients with dementia with lewy bodies will be evaluated via mean (with 95% confidence interval) plasma drug concentration at steady state during 24 weeks of treatment with neflamapimod 80mg BID.

Evaluate the trough plasma concentration (Ctrough) of 80mg neflamapimod given twice daily in patients with dementia with Lewy bodies.
From enrollment until the end of treatment at 24 weeks

The trough plasma concentration (Ctrough) of 80 mg neflamapimod given twice daily in patients with dementia with lewy bodies will be evaluated via mean (with 95% confidence interval) plasma drug concentration at steady state during 24 weeks of treatment with neflamapimod 80mg BID.

Change in Clinical Dementia Rating Scale - Sum of Boxes (CDR-SB) in Neflamapimod-treated Participants Compared to Placebo Recipients (Blinded Treatment Period)
16 weeks

The primary objective is to demonstrate the efficacy of neflamapimod, compared to placebo, as a treatment for DLB, as assessed by the CDR-SB scale. CDR-SB scores range from 0 to 18 with a higher score indicating worsening of cognitive impairment.

Change in Clinical Dementia Rating Scale - Sum of Boxes (CDR-SB) in Neflamapimod-treated Participants, Drug Batch A Compared to Drug Batch B (Open-label Extension)
16 weeks

The primary objective is to demonstrate the efficacy of neflamapimod, in recipients of Drug Batch A compared to Drug Batch B, as a treatment for DLB, as assessed by the CDR-SB scale. CDR-SB scores range from 0 to 18 with a higher score indicating worsening of cognitive impairment.

Secondary Endpoints
Proportion of participants with Modified Rankin Scale (mRS) score of ≤ 2 at Week 12
From enrollment until the end of treatment at 12 weeks
Change from baseline to Week 12 in mean Barthel score
From enrollment until the end of treatment at 12 weeks
Change in ADNI-EF composite score from baseline to 24 weeks
From enrollment until the end of treatment at 24 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
NeflamapimodEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
Cohort 1 neflamapimodACTIVE_COMPARATORNeflamapimod will be administered with food for 12 weeks in subjects with Moderate to Severe Acute Ischaemic Stroke. Subjects will receive 3 capsules per day (TID) with food (i.e., with the morning, mid-day and evening meals).
Cohort 1 placeboPLACEBO_COMPARATORPlacebo will be administered with food for 12 weeks in subjects with Moderate to Severe Acute Ischaemic Stroke. Subjects will receive 3 capsules per day (TID) with food (i.e., with the morning, mid-day and evening meals).
Cohort 2 placeboPLACEBO_COMPARATORPlacebo will be administered with food for 12 weeks in subjects with Moderate to Severe Acute Ischaemic Stroke. Subjects will receive 2 capsules twice per day (BID) with food (i.e., with the morning and evening meals).
Cohort 2 neflamapimodACTIVE_COMPARATORNeflamapimod will be administered with food for 12 weeks in subjects with Moderate to Severe Acute Ischaemic Stroke. Subjects will receive 2 capsules twice per day (BID) with food (i.e., with the morning and evening meals).
Neflamapimod, Open-labelEXPERIMENTALNeflamapimod will be administered orally, with food, for 24 weeks in subjects with DLB. Subjects will receive 4 capsules per day (80 mg BID), two capsules in the morning and two capsules in the evening, with food (i.e., with the morning and evening meals)
Open-label extensionEXPERIMENTALNeflamapimod will be administered with food for 32 weeks in participants with DLB who have completed the blinded treatment period. Participants will receive 3 capsules per day (TID) with food (i.e., with the morning, mid-day and evening meals).
Interventions
NameTypeDescription
NeflamapimodDRUGNeflamapimod is a highly specific inhibitor of the intra-cellular enzyme mitogen-activated protein kinase14 (p38α)
PlaceboDRUGPlacebo is a capsule that looks just like neflamapimod but without the active ingredients
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Eligibility Criteria
Age Range40 Years to 85 Years
SexALL
Healthy VolunteersNo
Study Sites7

Inclusion Criteria: * Men and women aged 40-85 years at Screening. * Participant or participant's legally authorized representative (where applicable) is willing and able to provide written informed consent. * Clinical diagnosis of nfvPPA by consensus criteria \[Gorno-Tempini et al, 2011\]. * At...

Countries:United StatesUnited KingdomAustraliaFranceNetherlands
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Recent Changes (Last 90 Days)
HIGHAug 1, 2026NCT06815965Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHAug 1, 2026NCT06815965Status: ACTIVE_NOT_RECRUITING → COMPLETED
MEDIUMJul 8, 2026NCT06987643Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMJul 8, 2026NCT06987643Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMJul 6, 2026NCT07033481Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMJul 6, 2026NCT07033481Status: RECRUITING → ACTIVE_NOT_RECRUITING
LOWMay 26, 2026NCT06987643primaryCompletionDate: changed
LOWMay 26, 2026NCT07033481primaryCompletionDate: changed
LOWMay 24, 2026NCT06987643studyFirstPostDate: changed
LOWMay 24, 2026NCT07033481studyFirstPostDate: changed
LOWMay 24, 2026NCT06815965studyFirstPostDate: changed