High-dose vitamin B1 (benfotiamine) to reduce harmful sugar-related protein damage in Alzheimer's

Mechanistic links between the benefits of pharmacologically high thiamine (vitamin B1) in Alzheimer's disease to Advanced Glycation Endproducts (AGE)

NIH-funded research Winifred Masterson Burke Med Res Inst · NIH-11258969

Looks at whether high-dose thiamine (benfotiamine) lowers harmful sugar-related protein damage and helps people with Alzheimer's, and whether the common APOE4 gene changes the effect.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionWinifred Masterson Burke Med Res Inst NIH-funded
Lab location1 site (White Plains, United States)
Project IDNIH-11258969 on NIH RePORTER

What this research studies

This project follows up on a small clinical finding that benfotiamine (a form of vitamin B1) lowered blood markers called advanced glycation endproducts (AGE) and improved symptoms in some people with Alzheimer’s. Researchers will map which proteins and exact sites are modified by AGE and test how high thiamine changes those modifications. The team will compare results between people with and without the APOE4 genetic risk to understand why APOE4 carriers had smaller benefits previously. Outcomes come from lab analysis of patient-derived samples and linked clinical measures to see who may benefit most.

Who could benefit from this research

Good fit: Ideal participants are people with Alzheimer's disease or related cognitive impairment who can provide blood samples and clinical information, and who can be genotyped for APOE.

Not a fit: People who carry the APOE4 gene may get less benefit based on prior results, so they might not experience the same effects.

Why it matters

Potential benefit: If successful, this work could support a low-cost treatment approach using benfotiamine to reduce damaging AGE and slow Alzheimer's-related damage, and help target the therapy by APOE type.

How similar studies have performed: A prior small clinical trial showed reduced plasma AGE and symptom improvement with benfotiamine, but larger and more detailed mechanistic work is still needed.

Where this research is happening

White Plains, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.