• A Phase 2A-2B clinical trial, Benfoteam, is underway to evaluate benfotiamine, a thiamine precursor, for slowing Alzheimer's progression in patients with mild cognitive impairment or mild dementia.
• The trial, involving 406 participants across 50 sites, aims to determine the optimal safe dose of benfotiamine and its impact on global function and cognition over 18 months.
• Benfotiamine targets thiamine deficiency, hypothesized to alter glucose metabolism in brain cells, potentially addressing the root cause of Alzheimer's disease, unlike current treatments focused on amyloid plaques.
• Previous pilot studies showed promising results, with benfotiamine increasing blood thiamine levels and reducing cognitive decline, warranting further investigation into its efficacy.