Registry evidence

Alzheimer's Disease and Exosomes and extracellular vesicles: what the trial registry contains

The ClinicalTrials.gov registry holds 10 records for exosomes in Alzheimer's Disease: 1 recruiting now, 0 labelled Phase 3 or 4, across 5 countries. Snapshot 2026-08-29.

Medical review statusMedically reviewedReviewed by: Stem Plus medical teamReviewed on: 2026-08-29Last evidence update: 2026-08-29Methodology and editorial standards
Clinical review team: Dr Kamelia Milcheva, Hematologist · Dr Vadym Uvarov, Board-Certified Physician · Hepatobiliary Surgeon · Candidate of Medical SciencesEditorial responsibility: StemCellAtlas research teamEducational information only. This page does not provide medical advice, diagnosis or a treatment recommendation.

Why this is studied in Alzheimer's Disease

Alzheimer's involves amyloid and tau pathology, synaptic loss and chronic neuroinflammation years before diagnosis. Cell and exosome approaches target the inflammatory and trophic side rather than removing plaques. The hard problem is delivery across the blood-brain barrier and the fact that by the time symptoms are obvious, substantial neuronal loss has already happened.

What exosomes means in this table

Exosome and extracellular-vesicle products are cell-free: vesicles harvested from cultured cells and given without the cells themselves. They are attractive commercially because they avoid live-cell logistics, and they are regulatorily contested for the same reason — several regulators have issued explicit warnings about unapproved exosome products marketed for human use.

The numbers

Every figure below comes from one reproducible query (alzheimer disease x exosome) run against ClinicalTrials.gov API v2 on 2026-08-29.

MetricValue
Registered studies (all statuses)10
Interventional studies in the sample7
Recruiting right now1
Completed2
Terminated, withdrawn or suspended0
Phase 3 or Phase 4 records0
Countries with at least one site5
Median planned enrolment58 participants
Largest single planned enrolment500 participants
First / most recent start year2014 — 2026

How mature is this evidence?

This remains early-stage territory: 10 registered records, none labelled Phase 3 or 4, and 1 currently recruiting.

Completion status: 2 completed, 0 stopped early (0% of all records). A registration is a plan, not a result.

Phase labelRecordsShare
Not applicable542%
Phase 1433%
Phase 2325%

Median planned enrolment is 58 participants (largest single study: 500). Trials of this size can describe safety and generate hypotheses; detecting a modest clinical benefit reliably usually needs substantially larger numbers with a control group.

Where the studies are

Sites are spread across 5 countries, with China accounting for roughly 56% of country mentions — geography reflects where regulators permit this work and where sponsors sit, not where care is best.

CountryStudies with a site there
China5
Norway1
Mexico1
Hong Kong1
United States1

Legal pathway differs by country — see where cell therapy is legal, by country.

Who runs them

Funding profile: 5 academic or hospital sponsors against 2 commercial ones — academic overall, which is worth knowing before reading any single positive report.

  • Xuanwu Hospital, Beijing — 2 records
  • Ruijin Hospital — 1 record
  • Helse Stavanger HF — 1 record
  • Shanghai Mental Health Center — 1 record
  • Shanghai 10th People's Hospital — 1 record
  • Central Hospital, Nancy, France — 1 record

Representative registered studies

Recruiting studies first, then the most advanced phases. Each identifier links to the registry record, where eligibility criteria, outcome measures and contacts are published.

StudyPhaseStatusPlanned nLead sponsorStart
NCT07457125 — The Effect of CB-Exo-A600 in Mild to Moderate Alzheimer's DiseasePhase 1, Phase 2Recruiting33Xuanwu Hospital, Beijing2026-05-30
NCT04388982 — the Safety and the Efficacy Evaluation of Allogenic Adipose MSC-Exos in Patients With Alzheimer's DiseasePhase 1, Phase 2Unknown9Ruijin Hospital2020-07-01
NCT01811381 — Curcumin and Yoga Therapy for Those at Risk for Alzheimer's DiseasePhase 2Unknown80VA Office of Research and Development2014-01-20
NCT07554872 — Study of Neural Stem Cell-Derived Exosomes in Moderate-to-Severe Early-Onset Alzheimer's DiseasePhase 1Not Yet Recruiting9Shanghai Mental Health Center2026-05
NCT06774261 — Phenserine on the Alzheimer's Treatment Horizon, Study 1Phase 1Completed16Helse Stavanger HF2025-02-01
NCT07521384 — Real World Outcomes of Intranasal MuSE Exosomes and Stem Cells in Neurological Regenerative Therapyn/aEnrolling By Invitation36Healing Hope International2026-06-01
NCT06825663 — Marker of Brain Insulin Resistance in AD Prognosisn/aNot Yet Recruiting122Central Hospital, Nancy, France2025-03-15
NCT05163626 — Combined Aerobic Exercise and Cognitive Training in Seniors at Increased Risk for Alzheimer's Diseasen/aNot Yet Recruiting200Xuanwu Hospital, Beijing2024-12
NCT06883461 — Association Between Age-related Macular Degeneration and Cognitive Impairment Based on Exosome Proteomicsn/aCompleted120Shanghai 10th People's Hospital2019-04-01
NCT03275363 — The University of Hong Kong Neurocognitive Disorder Cohortn/aUnknown500The University of Hong Kong2014-09-01

What this page does and does not tell you

None of these numbers say the therapy works. They say how much organised research exists and how far along it is; effect sizes live in published results, not registry entries.

If a clinic offers you this today, the useful question is not "is there research?" but "which of these registered studies is mine part of, and if none, what evidence applies to the exact product I am being sold?" The Provider Question Builder turns that into a scored checklist.

Frequently asked

How many exosomes studies for Alzheimer's Disease are recruiting right now?

1 of 10 registered records were listed as recruiting in the 2026-08-29 snapshot. Recruitment status changes frequently; the registry record is authoritative.

Is exosomes an approved treatment for Alzheimer's Disease?

Registration on ClinicalTrials.gov is not approval. Approval is granted by a regulator for a specific product and indication after review of submitted evidence. 10 registered studies tell you research exists, not that a product cleared review.

How advanced is the research on exosomes for Alzheimer's Disease?

0 of 10 records carry a Phase 3 or Phase 4 label and 2 are marked completed. Registrations run from 2014 to 2026.

Registry and literature counts retrieved 2026-08-29 (ClinicalTrials.gov API v2; PubMed E-utilities). Registration or publication volume measures research activity, not effectiveness or approval. Educational information — not medical advice; verify product, indication, legal pathway and evidence with an independent qualified physician. Page generated 2026-08-29. See our editorial standards.

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Query totals are full API matches; status, phase and country counts describe the first up to 400 returned records per query. Query classes overlap and must not be summed as unique trials. Counts are not treatment outcomes. Snapshot: 2026-08-29. Methods and field definitions.