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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT02446132
Other study ID # 15-AVP-786-303
Secondary ID 2017-002455-29
Status Recruiting
Phase Phase 3
First received
Last updated
Start date December 2015
Est. completion date January 30, 2025

Study information

Verified date March 2024
Source Otsuka Pharmaceutical Development & Commercialization, Inc.
Contact Otsuka Call Center
Phone 844-687-8522
Email OtsukaRMReconciliation@rmpdc.org
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This is an extension study of the Phase 3 Studies 15-AVP-786-301, 15-AVP-786-302, and 17-AVP-786-305, which also allows participants from the Phase 2 Study 12-AVR-131 to be included.


Description:

Participant has successfully completed Studies 15-AVP-786-301, 15-AVP-786-302, 12-AVR-131, or 17-AVP-786-305. Participants will be enrolled in the study for approximately 56 weeks (participants who have a follow-up visit 3 months after the last dose of treatment will be enrolled for approximately 64 weeks). Approximately 1200 participants will be enrolled at approximately 250 centers globally. All participants enrolled will receive AVP-786; the treatment dose assigned will be masked to the participant, investigator, study staff, and the sponsor.


Recruitment information / eligibility

Status Recruiting
Enrollment 1200
Est. completion date January 30, 2025
Est. primary completion date January 30, 2025
Accepts healthy volunteers No
Gender All
Age group 50 Years to 90 Years
Eligibility Inclusion Criteria: - Participant has successfully completed Studies 15-AVP-786-301, 15-AVP-786-302, 12-AVR-131, or 17-AVP-786-305. (Note: A delay in enrollment may include delays associated with COVID-19 restrictions.) - Participants with a diagnosis of probable Alzheimer's Disease (AD) according to the 2011 National Institute on Aging-Alzheimer's Association (NIA-AA) working group criteria - Either out-patients or residents of an assisted-living facility or a skilled nursing home - Participants who delay enrollment must have clinically significant, moderate/severe agitation at least 2 weeks prior to baseline - Participants who delay enrollment must have a diagnosis of agitation that must meet the International Psychogeriatric Association (IPA) provisional definition of agitation - Participants who delay enrollment must have a Clinical Global Impression of Severity of Illness (CGIS) score assessing Agitation of = 4 (moderately ill) at screening and baseline - Participants who delay enrollment must have a Mini-Mental State Examination (MMSE) score between 6 and 26 (inclusive) at screening and baseline Exclusion Criteria: - Participants with co-existent clinically significant or unstable systemic diseases that could confound the interpretation of the safety results of the study (e.g., malignancy, poorly controlled diabetes, poorly controlled hypertension, unstable pulmonary, renal or hepatic disease, unstable ischemic cardiac disease, dilated cardiomyopathy, or unstable valvular heart disease) - Participants determined to have a high imminent risk of falls during the study based on a clinical evaluation by the investigator - Participants who are currently using or were on NUEDEXTA® in the 2 weeks preceding baseline

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
AVP-786


Locations

Country Name City State
Bulgaria Center for Mental Health - Ruse Ruse
Bulgaria Medical Center Sveti Naum Site #707 Sofia
Bulgaria Mental Health Centre Prof. Nikola Shipkovenski Site #713 Sofia
Bulgaria University Multiprofile Hospital for Active Treatment Alexandrovska Site #704 Sofia
Bulgaria Vrach and Sv. Sv. Kuzma and Damian Site #710 Sofia
Bulgaria Medical Center Mladost-M Varna
Bulgaria Medica Plus Medical Center Veliko Tarnovo
Canada Dr. Alexander McIntyre Inc. Penticton
Czechia Fakultni Nemocnice u sv. Anny v Brne Site #722 Brno
Czechia Fakultní Nemocnice Hradec Králové Site #724 Hradec Kralové
Czechia NeuropsychiatrieHK Site #729 Hradec Kralové
Czechia Brain-Soultherapy Kladno
Czechia Námestí národního odboje 692 Site #723 Kutna Hora
Czechia A-Shine s.r.o. Site #731 Plzen
Czechia AD71 Praha
Czechia Clintrial Praha
Czechia Neurologicka Ambulance - Forbeli Praha
Czechia Neuropsychiatrie Site #726 Praha
Czechia Vestra Clinics Rychnov nad Knežnou
France Centre Hospitalier Universitaire Dijon Bourgogn Site #536 Dijon Cedex
France Centre Hospitalier Universitaire de Saint-Étienne - Hôpital Nord Site #535 Saint-Etienne Auvergne-Rhone-Alpes
France Centre Hospitalier Universitaire Toulouse - Casselardit Ancely Site #533 Toulouse
Hungary Dr. Kenessey Albert Kórház-Rendelointézet Balassagyarmat
Hungary Pszichiatriai es Pszichiatriai Rehabilitacios Osztaly Site #586 Budapest
Hungary Semmelweis Egyetem Budapest
Hungary Debreceni Egyetem Kenezy Gyula Egyetemi Korhaz Debrecen
Hungary Dr. Mathe es Tarsa Beteti Tarsasag Site #593 Kalocsa
Hungary PsychoTech Clinical Research Site# 580 Pécs
Italy Azienda Ospedaliera Sant'Andrea Site #606 Roma
Italy Fondazione Policlinico Tor Vergata Site #609 Roma
Italy Fondazione Santa Lucia - Istituto di Ricovero e Cura a Carattere Scientifico Roma
Poland Ksiedza Hugona Kollataja 9 Bydgoszcz
Poland Care Clinic Clinical Research Site #750 Katowice
Poland Wielospecjalistyczna Poradnia Lekarska Synapsis Site #741 Katowice
Poland Krakowska Akademia Neurologii Site #740 Kraków
Poland Malopolskie Centrum Medyczne Site #747 Kraków
Poland Medycyna Milorzab Site #743 Lodz
Poland Solumed Centrum Medyczne Site #753 Poznan
Poland Centrum Medyczne Euromedis Szczecin
Poland Centrum Medyczne NeuroProtect Site #742 Warszawa
Poland ClinHouse Centrum Medyczne Zabrze
South Africa ACF Neurological Services Cape Town
South Africa Cape Trial Centre Cape Town
South Africa Flexivest Fourteen Research Centre Cape Town
South Africa Apollo Clinical Research Site #623 Johannesburg
South Africa Medical and Dental Centre Rosebank
Spain Accellacare Alcobendas Alcobendas
Spain Fundació ACE Barcelona
Spain Hospital Clinic de Barcelona Barcelona
Spain Hospital General Universitario de Elche Elche
Spain Hospital Universitario 12 de Octubre Site #657 Madrid
Spain Hospital Universitario de Salamanca Salamanca
Spain Hospital Universitario Virgen Macarena Site #649 Sevilla
Spain Complejo Asistencial de Zamora Hospital Virgen de la Concha Zamora
Spain Hospital Viamed Montecanal Site #643 Zaragoza
United States Daystar Clinical Research Inc Akron Ohio
United States Neurology and Neuroscience Associates, Inc. Akron Ohio
United States Neurology of Central Florida Rsch Ctr Site #803 Altamonte Springs Florida
United States Dent Neurologic Institute Amherst New York
United States Advanced Research Center, Inc. Site #835 Anaheim California
United States Emory Brain Health Center Atlanta Georgia
United States NeuroTrials Research Inc Atlanta Georgia
United States JEM Research Institute Atlantis Florida
United States Negron Research Services / Humanity Clinical Research Site# 766 Aventura Florida
United States Insight Clinical Trials, LLC Site #570 Beachwood Ohio
United States Heritage Valley Medical Group, Inc. Beaver Pennsylvania
United States Bedford VA Hospital Bedford Massachusetts
United States Insight Neuroscience, LLC Bellevue Ohio
United States Northwest Clinical Research Center Bellevue Washington
United States Clinical Neuroscience Research Associates, Inc. dba The Memory Clinic Bennington Vermont
United States Neurology Offices of South Florida Boca Raton Florida
United States SFM Clinical Research, LLC Site #563 Boca Raton Florida
United States Bradenton Research Center Site #834 Bradenton Florida
United States Alzheimer Disease Center Site #804 Braintree Massachusetts
United States Clinical Research of Brandon Brandon Florida
United States Clinical Research Of Brandon, LLC Site #838 Brandon Florida
United States Brooklyn Medical Institute Brooklyn New York
United States Integrative Clinical Trials LLC #1 Brooklyn New York
United States Integrative Clinical Trials LLC #2 Brooklyn New York
United States Meridien Research Brooksville Florida
United States Onyx Clinical Research, LLC Caro Michigan
United States Valley Medical Research Centerville Ohio
United States Valley Medical Research Site #788 Centerville Ohio
United States Brain and Spine Center Chandler Arizona
United States MD First Research, LLC Chandler Arizona
United States Herbert Harris, Md, Phd, Pa Chapel Hill North Carolina
United States RH Johnson VA Medical Center Charleston South Carolina
United States Roper St. Francis Healthcare Charleston South Carolina
United States ANI Neurology PLLC dba Alzheimer's Memory Center Charlotte North Carolina
United States Galen Research Chesterfield Missouri
United States CTI Clinical Research Center Cincinnati Ohio
United States University of Cincinnati Cincinnati Ohio
United States Ericksen Research and Development Clinton Utah
United States Columbus Research & Wellness Institute, INC Columbus Georgia
United States Medical Research & Health Education Foundation, Inc. Columbus Georgia
United States The Ohio State University Columbus Ohio
United States Neurology Clinic, P.C. Cordova Tennessee
United States ATP Clinical Research, Inc. Site #763 Costa Mesa California
United States Millennium Psychiatric Associates, LLC Creve Coeur Missouri
United States Connecticut Clinical Research Cromwell Connecticut
United States Neurology Consultants of Dallas, PA Dallas Texas
United States Texas Neurology, P.A. Dallas Texas
United States University Texas Southwestern Medical Center Dallas Texas
United States Associated Neurologists, PC Danbury Connecticut
United States NeuroStudies. Net, LLC Decatur Georgia
United States Quantum Laboratories, Inc. Deerfield Beach Florida
United States Lytle and Weiss, PLLC dba Clinical Trials of the Rockies Denver Colorado
United States InSite Clinical Research Site #576 DeSoto Texas
United States Moonshine Research Center, Inc Doral Florida
United States Science Connections, LLC Site #814 Doral Florida
United States Duke University Medical Center Durham North Carolina
United States Michigan State University Department of Neurology East Lansing Michigan
United States Rhode Island Mood & Memory Research Institute East Providence Rhode Island
United States The Samuel & Alexia Bratton Memory Clinic Easton Maryland
United States Alexian Brothers Neurosciences Institute Elk Grove Village Illinois
United States Core Clinical Research Site #772 Everett Washington
United States Health Initiatives Research Fayetteville Arkansas
United States Clinical Research Solutions Franklin Tennessee
United States University of Florida Gainesville Florida
United States Behavioral Research Specialists, LLC Glendale California
United States Finlay Medical Research Corp Greenacres City Florida
United States Mir Neurology Hagerstown Maryland
United States Geriatric and Adult Psychiatry LLC Hamden Connecticut
United States Berma Research Group Hialeah Florida
United States Direct Helpers Research Center Hialeah Florida
United States Direct Helpers Research Center #801 Hialeah Florida
United States Galiz Research Hialeah Florida
United States Indago Research & Health Center, Inc. Hialeah Florida
United States Maxblue Institute Hialeah Florida
United States New Life Medical Research Center, Inc. Hialeah Florida
United States Reliable Clinical Research,LLC Hialeah Florida
United States Research in Miami, Inc Hialeah Florida
United States The Research Center, Inc Hialeah Florida
United States Baylor College of Medicine Houston Texas
United States Houston Methodist Neurological Institute Houston Texas
United States Indiana University School of Medicine Indianapolis Indiana
United States Josephson Wallack Munshower Neurology, PC Indianapolis Indiana
United States Irvine Center for Clinical Research Irvine California
United States University of California, Irvine Irvine California
United States University Hills Clinical Research Irving Texas
United States Clinical Neuroscience Solutions, Inc. Jacksonville Florida
United States Alphab Global Research #793 Jupiter Florida
United States Saint Luke's Hospital of Kansas City Kansas City Missouri
United States SIH Research, LLC Kissimmee Florida
United States Omega Clinical Trials, LLC La Habra California
United States Alzheimer's Research and Treatment Center #1 Lake Worth Florida
United States Alzheimer's Research and Treatment Center #2 Lake Worth Florida
United States Alzheimer's Research and Treatment Center #3 Lake Worth Florida
United States Meridien Research Site #558 Lakeland Florida
United States Cleveland Clinic Lou Ruvo Center for Brain Health at Lakewood Hospital Lakewood Ohio
United States Sheenath Clinical Service Site #770 Lakewood California
United States Geriatric Solutions, LLC Las Vegas Nevada
United States Innovative Clinical Research, Inc. Site #819 Lauderhill Florida
United States MidAmerica Neuroscience Research Foundation Lenexa Kansas
United States The Birches at Newton / Family Medical Associates Levittown Pennsylvania
United States Torrance Clinical Research Institute, Inc. Site #826 Lomita California
United States Alliance for Wellness, Inc dba Alliance for Research Long Beach California
United States Collaborative Neuroscience Network, LLC. Long Beach California
United States Neurology Associates of Arlington Mansfield Texas
United States Flora Baker Center for Alzheimer's Disease and Related Disorders Marmora New Jersey
United States Wellness Clinical Research Site #824 McKinney Texas
United States PRX Research Site #825 Mesquite Texas
United States Advance Medical Research Center #1 Miami Florida
United States Advance Medical Research Center #2 Miami Florida
United States Advanced Medical Center Group Miami Florida
United States AMB Research Center, Inc. Miami Florida
United States BioMed Research Institute Miami Florida
United States CCM Clinical Research Group Miami Florida
United States Central Miami Medical Institute Miami Florida
United States Clinical Research Associates of South Florida #1 Miami Florida
United States Clinical Research Associates of South Florida #2 Miami Florida
United States Coral Research Clinic Corp Miami Florida
United States Dade Research Center Llc Miami Florida
United States Finlay Medical Research Corp Site #552 Miami Florida
United States First Class Medical Services Site #807 Miami Florida
United States Future Care Solution, LLC Miami Florida
United States Global Medical Institutes, LLC Miami Florida
United States Homestead Associates in Research Site# 797 Miami Florida
United States Hope Research Network LLC Site #773 Miami Florida
United States Innova Clinical Trials Miami Florida
United States International Research Associates, LLC Miami Florida
United States Kendall Research Institute Miami Florida
United States Miami Dade Medical Research Institute, LLC Miami Florida
United States Miami Jewish Health Systems, Inc. Miami Florida
United States Nuovida Research Center Corp. Miami Florida
United States Optimus U Corp Miami Florida
United States P&S RESEARCH, LLC. Site #805 Miami Florida
United States Pharmax Research of South Florida Miami Florida
United States Premier Clinical Research Institute, Inc. #1 Miami Florida
United States Premier Clinical Research Institute, Inc. #2 Miami Florida
United States Project 4 Research #1 Miami Florida
United States Project 4 Research #2 Miami Florida
United States Reliant Medical Research LLC Site #811 Miami Florida
United States Research Institute of West Kendall Miami Florida
United States The Neurology Research Group, LLC Miami Florida
United States United Health Research Corp. #1 Miami Florida
United States United Health Research Corp. #2 Miami Florida
United States University of Miami Miami Florida
United States Vitae Researrch Center LLC Miami Florida
United States New Med Research, Inc Site #812 Miami Gardens Florida
United States Agility Clinical Research, Inc. Miami Lakes Florida
United States NorthStar Medical Research Site #778 Middleburg Heights Ohio
United States The NeuroCognitive Institute Mount Arlington New Jersey
United States Collier Neurologic Specialists, LLC Naples Florida
United States Naples Research, Inc Naples Florida
United States Coastal Connecticut Research, LLC New London Connecticut
United States Bayside Clinical Research Site #556 New Port Richey Florida
United States Columbia University Medical Center New York New York
United States Eastside Comprehensive Medical Center, LLC New York New York
United States Manhattan Behavioral Medicine, PLLC New York New York
United States Shankle Clinic Newport Beach California
United States Boston Center for Memory Newton Massachusetts
United States Sentara Neurosciences Institute Norfolk Virginia
United States Lazlo J. Mate, MD, PA North Palm Beach Florida
United States Research Center for Clinical Studies, Inc. Norwalk Connecticut
United States Research Centers of America, LLC Oakland Park Florida
United States Sensible Healthcare Ocoee Florida
United States IPS Research Company Oklahoma City Oklahoma
United States Oklahoma Clinical Research Center Oklahoma City Oklahoma
United States NRC Research Institute Orange California
United States Nathan S. Kline Institute for Psychiatric Research #1 Orangeburg New York
United States Nathan S. Kline Institute for Psychiatric Research #571 Orangeburg New York
United States Combined Research Orlando Site #799 Orlando Florida
United States Compass Research, LLC Orlando Florida
United States Neurology Associates of Ormond Beach Ormond Beach Florida
United States Four Rivers Clinical Research Inc. Paducah Kentucky
United States IMIC Inc. Palmetto Bay Florida
United States Innovation Medical Research Center Palmetto Bay Florida
United States Innovation Medical Research Center Site #802 Palmetto Bay Florida
United States California Neurological Services Panorama City California
United States Havana Research Institute Pasadena California
United States Havana Research Institute Site 787 Pasadena California
United States Bronson Neurobehavioral Health Paw Paw Michigan
United States University of West Florida Pensacola Florida
United States Drexel University Philadelphia Pennsylvania
United States Thomas Jefferson University Philadelphia Pennsylvania
United States Banner Alzheimer's Institute Phoenix Arizona
United States NoesisPharma, LLC Phoenix Arizona
United States Neurostudies Inc. Site#796 Port Charlotte Florida
United States Coastal Neurology, PA Port Royal South Carolina
United States Alzheimer's Disease Center Quincy Massachusetts
United States Psychiatry and Alzheimer's Care of Rochester, PLLC Rochester New York
United States University of Rochester Medical Center Rochester New York
United States Clinical Research Professionals Saint Louis Missouri
United States PsychCare Consultants Research Saint Louis Missouri
United States Suncoast Neuroscience Associates, Inc. Saint Petersburg Florida
United States Veteran Affairs Medical Center, Salem Virginia Salem Virginia
United States Pharmaceuticals Research Associates, Inc. Salt Lake City Utah
United States Texas Medical Research Associates, L.L.C. San Antonio Texas
United States Pacific Research Network, Inc. #1 San Diego California
United States Pacific Research Network, Inc. #2 San Diego California
United States VA San Diego Healthcare System San Diego California
United States HB Clinical Trials Inc. Santa Ana California
United States Syrentis Clinical Research Santa Ana California
United States Roskamp Institute Sarasota Florida
United States Behavioral Health Care Associates Schaumburg Illinois
United States Perseverance Research Center, LLC Scottsdale Arizona
United States J. Gary Booker, MD, APMC Shreveport Louisiana
United States BG Neurology Spartanburg South Carolina
United States Frontier Institute Spokane Washington
United States Richmond Behavioral Associates Staten Island New York
United States Olympian Clinical Research Tampa Florida
United States University of South Florida Tampa Florida
United States VICIS Clinical Research Inc. Tampa Florida
United States Viking Clinical Research Temecula California
United States Compass Research North, LLC The Villages Florida
United States Bio Behavioral Health Toms River New Jersey
United States Oakland Medical Research Site #762 Troy Michigan
United States Tulsa Clinical Research, LLC Tulsa Oklahoma
United States New Foundation Medical Group Clinical Trials Tustin California
United States IPC Research Waukesha Wisconsin
United States Neurology Research Institute Palm Beach, LLC #1 West Palm Beach Florida
United States Neurology Research Institute Palm Beach, LLC #2 West Palm Beach Florida
United States Burke Rehabilitation Hospital White Plains New York
United States Abington Neurological Associates, LTD Willow Grove Pennsylvania
United States Florida Premier Research Institute Winter Park Florida
United States Neuropsychiatric Associates Woodstock Vermont

Sponsors (1)

Lead Sponsor Collaborator
Otsuka Pharmaceutical Development & Commercialization, Inc.

Countries where clinical trial is conducted

United States,  Bulgaria,  Canada,  Czechia,  France,  Hungary,  Italy,  Poland,  South Africa,  Spain, 

Outcome

Type Measure Description Time frame Safety issue
Other Number of participants using concomitant medications up to 64 weeks
Primary Number of Participants with any Treatment-Emergent Adverse Event up to 64 weeks
Primary Number of Participants with any Treatment-Emergent Serious Adverse Event up to 64 weeks
Primary Number of Participants with any abnormal, clinically significant Clinical Laboratory Value up to 52 weeks
Primary Number of Participants with any abnormal, clinically significant 12-lead Electrocardiogram (ECG) value up to 52 weeks
Primary Number of Participants with any abnormal, clinically significant Physical and Neurological Examination finding up to 52 weeks
Primary Number of participants with any abnormal, clinically significant vital sign value up to 52 weeks
Primary Change from Baseline to Week 64 in the Sheehan Suicidality Tracking Scale (S-STS) Score Baseline; Week 64
Primary Change from Baseline to Week 52 in the Mini-Mental State Examination (MMSE) Score Baseline; Week 52
Primary Change from Baseline to Week 52 in the Epworth Sleepiness Scale (ESS) Score Baseline; Week 52
Secondary Change from Baseline to Week 64 in the Cohen-Mansfield Agitation Inventory (CMAI) Composite Score Baseline; Week 64
Secondary Change from Baseline to Week 52 in the Agitation/Aggression, Irritability/Lability, and Aberrant Motor Behavior Domain Scores of the Neuropsychiatric Inventory (NPI) Baseline; Week 52
Secondary Change from Baseline to Week 64 in the modified Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change-Agitation (mADCS-CGIC-Agitation) Score Baseline; Week 64
Secondary Change from Baseline to Week 52 in the Clinical Global Impression of Severity of Illness (CGIS)-Agitation Domain Score Baseline; Week 52
Secondary Change from Baseline to Week 52 in the Patient Global Impression of Change (PGIC) Score PGIC (rated by caregiver) Baseline; Week 52
Secondary Change from Baseline to Week 52 in the Dementia Quality of Life (DEMQOL) Score Baseline; Week 52
Secondary Change from Baseline to Week 52 in the Resource Utilization in Dementia (RUD) Score Baseline; Week 52
Secondary Change from Baseline to Week 52 in the EuroQol 5-Dimension 5-Level (EQ-5D-5L) for Participants from Study 17-AVP-786-305 Baseline; Week 52
See also
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Completed NCT03226522 - Addressing Dementia Via Agitation-Centered Evaluation Phase 2/Phase 3
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