Niacin and an MS drug ingredient as possible treatments to protect the Alzheimer's brain

Repurposing FDA-approved agonists of HCAR2 as novel therapeutics for Alzheimer's Disease

NIH-funded research Indiana University Indianapolis · NIH-11330654

This project looks at whether two FDA-approved drugs that activate HCAR2 (niacin and the active metabolite of dimethyl fumarate) can protect brain cells and help people with Alzheimer's disease.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionIndiana University Indianapolis NIH-funded
Lab location1 site (Indianapolis, United States)
Project IDNIH-11330654 on NIH RePORTER

What this research studies

Researchers will test FDA-approved HCAR2-activating drugs (niacin/Niaspan and monomethyl fumarate, the active form of Tecfidera) in laboratory and animal models of Alzheimer's disease. They will measure how these drugs change microglial behavior, brain inflammation, markers of neurodegeneration, and memory-related outcomes in mice and cell-based systems. The team will examine HCAR2 expression and downstream molecular effects and use dosing information relevant to approved human uses to support repurposing. If the lab and animal results look promising, these data would support moving toward trials in people with Alzheimer's.

Who could benefit from this research

Good fit: Ideal future candidates would be people diagnosed with Alzheimer's disease or early-stage cognitive decline due to AD who might enroll in clinical trials of repurposed HCAR2-activating drugs.

Not a fit: People without Alzheimer's or those whose dementia is caused by non-AD conditions, and possibly individuals with very advanced AD, may not benefit from these treatments.

Why it matters

Potential benefit: If successful, this work could point to already-approved, affordable medicines that slow neurodegeneration and memory decline in people with Alzheimer's disease.

How similar studies have performed: HCAR2 activation showed neuroprotective effects in Parkinson's disease, stroke, and MS models and niacin improved outcomes in Parkinson's patients, but using these drugs in Alzheimer's is largely untested.

Where this research is happening

Indianapolis, 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 2026-06-10 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.