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RecruitingPhase 3NCT07083154

GLP-1/GCG Dual Agonist in Type 2 Diabetes With Early Dementia (LIGHT-COG Study)

Trial Parameters

ConditionDementia, Mild
SponsorThe Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
Study TypeINTERVENTIONAL
PhasePhase 3
Enrollment420
SexALL
Min Age50 Years
Max Age75 Years
Start Date2025-09-27
Completion2029-08-01
Interventions
MazdutidePlacebo

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Brief Summary

The LIGHT-COG study is a 76-week, multicenter, randomized, double-blind, placebo-controlled, parallel-group clinical trial. A total of 420 type 2 diabetes patients with early dementia are randomized 1:1 to either the active treatment group (receiving subcutaneous injections of mazdutide weekly, with stepwise dose escalation to a maintenance dose per protocol) or the placebo group (receiving matched placebo injections). The primary objective is to evaluate the potential disease-modifying effects of mazdutide on cognitive dysfunction in type 2 diabetes.

Eligibility Criteria

Inclusion Criteria: 1. Type 2 diabetes mellitus (T2DM). 2. Aged 50-75 years (inclusive), male or female. 3. Early symptomatic dementia (Mild cognitive impairment or mild dementia), defined as: 1. MMSE score \>20 and \<27, 2. CDR global score 0.5-1.0 (inclusive), with a CDR memory subscore ≥0.5, 3. Subjective memory complaints for ≥6 months. 4. Stable glycemic control regimen for ≥3 months prior to screening, meeting one of the following: 1. Lifestyle/dietary intervention alone (no glucose-lowering drugs), 2. Oral antidiabetic drugs (OADs), with or without once-daily basal insulin. 5. HbA1c 7.0-9.0% (inclusive) at screening. 6. BMI ≥20 kg/m², with stable weight (fluctuation \<5%) for ≥3 months. 7. Stable treatment regimen for cognitive impairment for at least 3 months prior to screening and commit to its continuation throughout the study period, meeting one of the following criteria: 1. No treatment: Not receiving any pharmacological or non-pharmacological interventions for cognitive im

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