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Science · 2026-10-22 · Morning briefing

UK trial tests diabetes and ADHD drugs for Alzheimer's

A major clinical trial has launched in the UK to test if existing medicines for diabetes and ADHD can treat Alzheimer's disease. The AD-SMART study will recruit 1,200 people with mild to moderate Alzheimer's across more than 30 sites. The first two drugs being tested are metformin, for type 2 diabetes, and atomoxetine, for ADHD, chosen for their potential to reduce the brain inflammation that drives neurodegeneration.

The trial uses an adaptive platform design, a method successfully employed in cancer research. This allows multiple drugs to be tested simultaneously against a single placebo group. Researchers can quickly drop treatments that show no benefit and add new candidates, a process intended to significantly shorten the decade-long timelines typical for single-drug studies.

The first patient, a 67-year-old woman diagnosed in January, has begun treatment. While the trial's design is built for speed, initial results for the first two drugs are not expected until 2030.

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