A Study Assessing Bryostatin in the Treatment of Moderately Severe to Severe Alzheimer's Disease

This is a randomized double-blind placebo-controlled study comparing different doses of bryostatin for the treatment of moderately severe to severe Alzheimer's disease. The study is 15 weeks in duration, including a safety and efficacy evaluation 30 days after the last dose of study drug.

This study will enroll 150 moderately severe to severe Alzheimer's disease subjects. Subjects will be randomly assigned 1:1:1 to treatment with two different doses of bryostatin 1 or placebo. The primary analysis will take place after 12 weeks of treatment (7 doses).

Eligibility Criteria:
Inclusion Criteria:

* Written informed consent from caregiver and subject (if possible) or legally acceptable representative if different from caregiver
* Male and female subjects 55-85 years of age inclusive
* Cognitive deficit present for at least 2 years that meet the diagnostic criteria for probable Alzheimer's
* Mini Mental State Exam (MMSE-2) score of 4-15
* Patients must be able to perform at least one item on the Severe Impairment Battery Scale
* Neuroimaging (computerized tomography (CT) or Magnetic Resonance Imaging (MRI)) within the last 24 months consistent with a diagnosis of probable Alzheimer's disease (AD)
* Reliable caregiver(s) or informant(s) who attends the subject at least an average of 3 hours or more per day for 3 or more days per week
* Adequate vision and motor function to comply with testing
* If taking drugs approved for treatment of Alzheimer's disease (e.g. cholinesterase inhibitors, memantine), must be on a stable dose for at least 3 months prior to entry into study and the dose must not change during the study unless a change is required due to an adverse event or a clinically significant change in the patient's status.

Exclusion Criteria:

* Dementia due to any condition other than AD, including vascular dementia (Rosen-modified Hachinski lschemic score ≥ 5)
* Evidence of significant central nervous system (CNS) vascular disease on previous neuroimaging including but not limited to: cortical stroke, multiple infarcts, localized single infarcts in the thalamus, angular gyrus, multiple lacunar infarcts or extensive white matter injury
* Clinically significant neurologic disease or condition other than AD, such as cerebral tumor, chronic subdural fluid collections, Huntington's Disease, Parkinson's Disease, normal pressure hydrocephalus, or any other diagnosis that could interfere with assessment of safety and efficacy
* Evidence of clinically significant unstable cardiovascular, pulmonary, renal, hepatic, gastrointestinal, neurologic, or metabolic disease within the 6 months prior to enrollment
* Poorly controlled diabetes, at the discretion of the Principal Investigator
* Creatinine clearance (CL) of \<45ml/min
* Use of an active Alzheimer's vaccine within 2 years prior to screening
* Use of a monoclonal antibody for treatment of AD within 1 year prior to screening
* Any medical or psychiatric condition that is likely to require initiation of additional medication or surgical intervention during the course of the study
* Use of an investigational drug within 30 days prior to screening
* Prior exposure to bryostatin, or known sensitivity to bryostatin or any ingredient in the study drug
* Any other concurrent medical condition, which in the opinion of the PI makes the subject unsuitable for the clinical study