Dementia describes a set of symptoms — memory loss, confusion, difficulty with language or planning — that interfere with daily life. Alzheimer's disease accounts for about two-thirds of cases. Current treatment includes drugs that modestly slow cognitive decline in early-stage Alzheimer's and supportive care for symptoms, but no treatments yet stop or reverse the disease.
What's actually going on in research
Trials are testing antibodies that clear amyloid plaques from the brain, drugs targeting tau tangles, anti-inflammatory approaches, and repurposed diabetes medications. Lecanemab and donanemab, both FDA-approved, showed modest slowing of decline in early Alzheimer's. Researchers are also studying prevention in people with genetic risk and ways to diagnose disease earlier using blood tests.
Anti-amyloid antibodies
Lecanemab and donanemab remove amyloid plaques and slow decline by several months in early Alzheimer's. New trials are testing whether starting these drugs even earlier, before symptoms appear, can prevent dementia.
Tau-targeting drugs
Tau tangles inside brain cells may drive symptoms more directly than amyloid plaques. Several antibodies and small molecules aim to stop tau from spreading between neurons.
Blood tests for early detection
New blood tests can detect amyloid and tau years before symptoms start. This may allow earlier treatment and help identify people for prevention trials.
What to know before you search
Eligibility often depends on dementia stage, biomarker results (amyloid PET scan or blood test), genetic status (APOE4), and whether someone has had recent brain imaging showing no bleeding risk.
What types of trials are currently open
- Anti-amyloid trials — Testing antibodies that clear amyloid plaques, usually given by infusion every few weeks in people with mild cognitive impairment or early Alzheimer's.
- Prevention trials — Testing whether drugs can prevent dementia in people with genetic risk or early biomarker changes but no symptoms yet.
- Tau trials — Testing drugs that block tau tangles from forming or spreading, often in people with positive amyloid and tau biomarkers.
- Symptom trials — Testing treatments for agitation, sleep problems, depression, or other symptoms that come with dementia.
- Observational studies — Following people over time to understand how dementia progresses, what predicts decline, and how biomarkers change.
Recently added Dementia trials
Regulating Together for Intellectual Disability: A Group Behavioral Therapy for for Emotion Dysregulation in Autism and Intellectual Disability
The goal of this study is to help children with autism and a co-occurring intellectual disability and their families learn practical strategies for managing issues like irritability, aggression, and other challenging behaviors. The main objective of this study is: To adapt current Regulating Together materials to create an outpatient group program for emotion dysregulation in autism and co-occurring intellectual disability (ASD + ID) that will improve psychosocial outcomes for youth with ASD + ID.
BCI With 40Hz Stimulation in Alzheimer's Disease
This study aims to evaluate the efficacy and safety of non-invasive brain-computer interface (BCI) neuromodulation technique combined with 40Hz audio-visual stimulation on cognitive function in patients with Alzheimer's disease (AD). This is a single-center, randomized, double-blind, sham-controlled trial. A total of 90 participants with Aβ-PET positive AD diagnosed according to NIA-AA criteria will be enrolled and randomly assigned to three groups in a 1:1:1 ratio: (1) 40Hz stimulation group (fixed 40Hz audio-visual stimulation, 60 minutes daily for 6 months), (2) individualized stimulation group (closed-loop BCI with real-time EEG feedback to adjust stimulation parameters, 60 minutes daily for 6 months), and (3) sham stimulation group (inactive stimulation, same duration). The primary outcome is the change in MoCA-B score from baseline to 6 months. Secondary outcomes include changes in cognitive domain-specific assessments (AVLT, STT, DST), multimodal brain imaging, EEG parameters, peripheral blood AD biomarkers, safety, tolerability, and comparison of efficacy between open-loop and closed-loop stimulation.
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