Long Term, Extension Study of the Safety and Efficacy of AVP-786 for the Treatment of Agitation in Patients With Dementia of the Alzheimer's Type

Sponsor
Otsuka Pharmaceutical Development & Commercialization, Inc. (Industry)
Overall Status
Recruiting
CT.gov ID
NCT02446132
Collaborator
(none)
1,200
241
3
94
5
0.1

Study Details

Study Description

Brief 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.

Condition or Disease Intervention/Treatment Phase
Phase 3

Detailed 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.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
1200 participants
Allocation:
Non-Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Phase 3, Multicenter, Long Term, Extension Study of the Safety and Efficacy of AVP-786 (Deuterated [d6] Dextromethorphan Hydrobromide [d6-DM]/Quinidine Sulfate [Q]) for the Treatment of Agitation in Patients With Dementia of the Alzheimer's Type
Study Start Date :
Dec 1, 2015
Anticipated Primary Completion Date :
Oct 1, 2023
Anticipated Study Completion Date :
Oct 1, 2023

Arms and Interventions

Arm Intervention/Treatment
Experimental: AVP-786 (dose 1)

AVP-786 dose 1; capsules administered twice a day over a 52-week period

Drug: AVP-786

Experimental: AVP-786 (dose 2)

AVP-786 dose 2; capsules administered twice a day over a 52-week period

Drug: AVP-786

Experimental: AVP-786 (dose 3)

AVP-786 dose 3; capsules administered twice a day over a 52-week period

Drug: AVP-786

Outcome Measures

Primary Outcome Measures

  1. Number of Participants with any Treatment-Emergent Adverse Event [up to 64 weeks]

  2. Number of Participants with any Treatment-Emergent Serious Adverse Event [up to 64 weeks]

  3. Number of Participants with any abnormal, clinically significant Clinical Laboratory Value [up to 52 weeks]

  4. Number of Participants with any abnormal, clinically significant 12-lead Electrocardiogram (ECG) value [up to 52 weeks]

  5. Number of Participants with any abnormal, clinically significant Physical and Neurological Examination finding [up to 52 weeks]

  6. Number of participants with any abnormal, clinically significant vital sign value [up to 52 weeks]

  7. Change from Baseline to Week 64 in the Sheehan Suicidality Tracking Scale (S-STS) Score [Baseline; Week 64]

  8. Change from Baseline to Week 52 in the Mini-Mental State Examination (MMSE) Score [Baseline; Week 52]

  9. Change from Baseline to Week 52 in the Epworth Sleepiness Scale (ESS) Score [Baseline; Week 52]

Secondary Outcome Measures

  1. Change from Baseline to Week 64 in the Cohen-Mansfield Agitation Inventory (CMAI) Composite Score [Baseline; Week 64]

  2. 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]

  3. 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]

  4. Change from Baseline to Week 52 in the Clinical Global Impression of Severity of Illness (CGIS)-Agitation Domain Score [Baseline; Week 52]

  5. Change from Baseline to Week 52 in the Patient Global Impression of Change (PGIC) Score [Baseline; Week 52]

    PGIC (rated by caregiver)

  6. Change from Baseline to Week 52 in the Dementia Quality of Life (DEMQOL) Score [Baseline; Week 52]

  7. Change from Baseline to Week 52 in the Resource Utilization in Dementia (RUD) Score [Baseline; Week 52]

  8. 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]

Other Outcome Measures

  1. Number of participants using concomitant medications [up to 64 weeks]

Eligibility Criteria

Criteria

Ages Eligible for Study:
50 Years to 90 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
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

Contacts and Locations

Locations

Site City State Country Postal Code
1 Brain and Spine Center Chandler Arizona United States 85226
2 Banner Alzheimer's Institute Phoenix Arizona United States 85006
3 NoesisPharma, LLC Phoenix Arizona United States 85032
4 Perseverance Research Center, LLC Scottsdale Arizona United States 85254
5 Health Initiatives Research Fayetteville Arkansas United States 72703
6 Behavioral Research Specialists, LLC Glendale California United States 91206
7 Irvine Center for Clinical Research Irvine California United States 92614
8 University of California, Irvine Irvine California United States 92697
9 Omega Clinical Trials, LLC La Habra California United States 90631
10 Collaborative Neuroscience Network, LLC. Long Beach California United States 90806
11 Alliance for Wellness, Inc dba Alliance for Research Long Beach California United States 90807
12 Shankle Clinic Newport Beach California United States 92663
13 NRC Research Institute Orange California United States 92868
14 California Neurological Services Panorama City California United States 91402
15 Havana Research Institute Site 787 Pasadena California United States 91105
16 Havana Research Institute Pasadena California United States 91105
17 Pacific Research Network, Inc. #1 San Diego California United States 92103
18 Pacific Research Network, Inc. #2 San Diego California United States 92103
19 VA San Diego Healthcare System San Diego California United States 92103
20 HB Clinical Trials Inc. Santa Ana California United States 92704
21 Syrentis Clinical Research Santa Ana California United States 92705
22 Viking Clinical Research Temecula California United States 92591
23 New Foundation Medical Group Clinical Trials Tustin California United States 92780
24 Lytle and Weiss, PLLC dba Clinical Trials of the Rockies Denver Colorado United States 80209
25 Connecticut Clinical Research Cromwell Connecticut United States 06416
26 Associated Neurologists, PC Danbury Connecticut United States 06810
27 Geriatric and Adult Psychiatry LLC Hamden Connecticut United States 06518
28 Coastal Connecticut Research, LLC New London Connecticut United States 06320
29 Research Center for Clinical Studies, Inc. Norwalk Connecticut United States 06851
30 JEM Research Institute Atlantis Florida United States 33462
31 Neurology Offices of South Florida Boca Raton Florida United States 33428
32 Clinical Research Of Brandon, LLC Brandon Florida United States 33511
33 Meridien Research Brooksville Florida United States 34601
34 Quantum Laboratories, Inc. Deerfield Beach Florida United States 33064
35 Moonshine Research Center, Inc Doral Florida United States 33166
36 Science Connections, LLC Doral Florida United States 33166
37 University of Florida Gainesville Florida United States 32607
38 Finlay Medical Research Corp Greenacres City Florida United States 33467
39 Direct Helpers Research Center Hialeah Florida United States 33012
40 Indago Research & Health Center, Inc. Hialeah Florida United States 33012
41 New Life Medical Research Center, Inc. Hialeah Florida United States 33012
42 Reliable Clinical Research,LLC Hialeah Florida United States 33012
43 Research in Miami, Inc Hialeah Florida United States 33013
44 The Research Center, Inc Hialeah Florida United States 33013
45 Berma Research Group Hialeah Florida United States 33016
46 Galiz Research Hialeah Florida United States 33016
47 Maxblue Institute Hialeah Florida United States 33018
48 Clinical Neuroscience Solutions, Inc. Jacksonville Florida United States 32256
49 SIH Research, LLC Kissimmee Florida United States 34741
50 Alzheimer's Research and Treatment Center #1 Lake Worth Florida United States 33449
51 Alzheimer's Research and Treatment Center #2 Lake Worth Florida United States 33449
52 Alzheimer's Research and Treatment Center #3 Lake Worth Florida United States 33449
53 Meridien Research Lakeland Florida United States 33803
54 Premier Clinical Research Institute, Inc. #1 Miami Florida United States 33122
55 Premier Clinical Research Institute, Inc. #2 Miami Florida United States 33122
56 Global Medical Institutes, LLC Miami Florida United States 33125
57 Optimus U Corp Miami Florida United States 33125
58 Project 4 Research #1 Miami Florida United States 33125
59 Project 4 Research #2 Miami Florida United States 33125
60 BioMed Research Institute Miami Florida United States 33126
61 Finlay Medical Research Corp Miami Florida United States 33126
62 CCM Clinical Research Group Miami Florida United States 33133
63 Innova Clinical Trials Miami Florida United States 33133
64 Advance Medical Research Center #1 Miami Florida United States 33135
65 Advance Medical Research Center #2 Miami Florida United States 33135
66 Dade Research Center Llc Miami Florida United States 33135
67 Vitae Researrch Center LLC Miami Florida United States 33135
68 University of Miami Miami Florida United States 33136
69 Miami Jewish Health Systems, Inc. Miami Florida United States 33137
70 AMB Research Center, Inc. Miami Florida United States 33144
71 United Health Research Corp. #1 Miami Florida United States 33144
72 United Health Research Corp. #2 Miami Florida United States 33144
73 Advanced Medical Center Group Miami Florida United States 33145
74 Future Care Solution, LLC Miami Florida United States 33165
75 Clinical Research Associates of South Florida #1 Miami Florida United States 33172
76 Clinical Research Associates of South Florida #2 Miami Florida United States 33172
77 Coral Research Clinic Corp Miami Florida United States 33175
78 P&S Research, Llc. Miami Florida United States 33175
79 Pharmax Research of South Florida Miami Florida United States 33175
80 Miami Dade Medical Research Institute, LLC Miami Florida United States 33176
81 The Neurology Research Group, LLC Miami Florida United States 33176
82 International Research Associates, LLC Miami Florida United States 33183
83 Kendall Research Institute Miami Florida United States 33183
84 Nuovida Research Center Corp. Miami Florida United States 33186
85 Research Institute of West Kendall Miami Florida United States 33186
86 Collier Neurologic Specialists, LLC Naples Florida United States 34102
87 Naples Research, Inc Naples Florida United States 34102
88 Bayside Clinical Research New Port Richey Florida United States 34655
89 Lazlo J. Mate, MD, PA North Palm Beach Florida United States 33408
90 Research Centers of America, LLC Oakland Park Florida United States 33334
91 Sensible Healthcare Ocoee Florida United States 34761
92 Compass Research, LLC Orlando Florida United States 32806
93 Neurology Associates of Ormond Beach Ormond Beach Florida United States 32174
94 Innovation Medical Research Center Palmetto Bay Florida United States 03157
95 IMIC Inc. Palmetto Bay Florida United States 33157
96 University of West Florida Pensacola Florida United States 32514
97 Suncoast Neuroscience Associates, Inc. Saint Petersburg Florida United States 33713
98 Roskamp Institute Sarasota Florida United States 34243
99 Olympian Clinical Research Tampa Florida United States 33609
100 University of South Florida Tampa Florida United States 33613
101 Compass Research North, LLC The Villages Florida United States 32162
102 Neurology Research Institute Palm Beach, LLC #1 West Palm Beach Florida United States 33407
103 Neurology Research Institute Palm Beach, LLC #2 West Palm Beach Florida United States 33407
104 Florida Premier Research Institute Winter Park Florida United States 32789
105 Emory Brain Health Center Atlanta Georgia United States 30329
106 NeuroTrials Research Inc Atlanta Georgia United States 30342
107 Columbus Research & Wellness Institute, INC Columbus Georgia United States 31904
108 Medical Research & Health Education Foundation, Inc. Columbus Georgia United States 31909
109 NeuroStudies. Net, LLC Decatur Georgia United States 30033
110 Alexian Brothers Neurosciences Institute Elk Grove Village Illinois United States 60007
111 Behavioral Health Care Associates Schaumburg Illinois United States 60194
112 Indiana University School of Medicine Indianapolis Indiana United States 46202
113 Josephson Wallack Munshower Neurology, PC Indianapolis Indiana United States 46256
114 MidAmerica Neuroscience Research Foundation Lenexa Kansas United States 66214
115 Four Rivers Clinical Research Inc. Paducah Kentucky United States 42003
116 J. Gary Booker, MD, APMC Shreveport Louisiana United States 71104
117 The Samuel & Alexia Bratton Memory Clinic Easton Maryland United States 21601
118 Mir Neurology Hagerstown Maryland United States 21742
119 Bedford VA Hospital Bedford Massachusetts United States 01730
120 Boston Center for Memory Newton Massachusetts United States 02459
121 Alzheimer's Disease Center Quincy Massachusetts United States 02169
122 Onyx Clinical Research, LLC Caro Michigan United States 48723
123 Michigan State University Department of Neurology East Lansing Michigan United States 48824
124 Bronson Neurobehavioral Health Paw Paw Michigan United States 49079
125 Galen Research Chesterfield Missouri United States 63005
126 Millennium Psychiatric Associates, LLC Creve Coeur Missouri United States 63141
127 Saint Luke's Hospital of Kansas City Kansas City Missouri United States 64111
128 PsychCare Consultants Research Saint Louis Missouri United States 63128
129 Clinical Research Professionals Saint Louis Missouri United States 63141
130 Geriatric Solutions, LLC Las Vegas Nevada United States 89144
131 Flora Baker Center for Alzheimer's Disease and Related Disorders Marmora New Jersey United States 08223
132 The NeuroCognitive Institute Mount Arlington New Jersey United States 07856
133 Bio Behavioral Health Toms River New Jersey United States 08755
134 Dent Neurologic Institute Amherst New York United States 14226
135 Brooklyn Medical Institute Brooklyn New York United States 11214
136 Integrative Clinical Trials LLC #1 Brooklyn New York United States 11229
137 Integrative Clinical Trials LLC #2 Brooklyn New York United States 11229
138 Columbia University Medical Center New York New York United States 10032
139 Manhattan Behavioral Medicine, PLLC New York New York United States 10036
140 Eastside Comprehensive Medical Center, LLC New York New York United States 10128
141 Nathan S. Kline Institute for Psychiatric Research #1 Orangeburg New York United States 10962
142 Nathan S. Kline Institute for Psychiatric Research #2 Orangeburg New York United States 10962
143 University of Rochester Medical Center Rochester New York United States 14620
144 Psychiatry and Alzheimer's Care of Rochester, PLLC Rochester New York United States 14623
145 Richmond Behavioral Associates Staten Island New York United States 10312
146 Burke Rehabilitation Hospital White Plains New York United States 10605
147 Herbert Harris, Md, Phd, Pa Chapel Hill North Carolina United States 27517
148 ANI Neurology PLLC dba Alzheimer's Memory Center Charlotte North Carolina United States 28270
149 Duke University Medical Center Durham North Carolina United States 27710
150 Daystar Clinical Research Inc Akron Ohio United States 44313
151 Neurology and Neuroscience Associates, Inc. Akron Ohio United States 44320
152 Insight Clinical Trials, LLC Beachwood Ohio United States 44122
153 Insight Neuroscience, LLC Bellevue Ohio United States 44811
154 Valley Medical Research Site #788 Centerville Ohio United States 45459
155 Valley Medical Research Centerville Ohio United States 45459
156 CTI Clinical Research Center Cincinnati Ohio United States 45212
157 University of Cincinnati Cincinnati Ohio United States 45219
158 The Ohio State University Columbus Ohio United States 43210
159 Cleveland Clinic Lou Ruvo Center for Brain Health at Lakewood Hospital Lakewood Ohio United States 44107
160 IPS Research Company Oklahoma City Oklahoma United States 73103
161 Oklahoma Clinical Research Center Oklahoma City Oklahoma United States 73112
162 Tulsa Clinical Research, LLC Tulsa Oklahoma United States 74104
163 Heritage Valley Medical Group, Inc. Beaver Pennsylvania United States 15009
164 The Birches at Newton / Family Medical Associates Levittown Pennsylvania United States 19056
165 Drexel University Philadelphia Pennsylvania United States 19107
166 Thomas Jefferson University Philadelphia Pennsylvania United States 19107
167 Abington Neurological Associates, LTD Willow Grove Pennsylvania United States 19090
168 Rhode Island Mood & Memory Research Institute East Providence Rhode Island United States 02914
169 RH Johnson VA Medical Center Charleston South Carolina United States 29401
170 Roper St. Francis Healthcare Charleston South Carolina United States 29401
171 Coastal Neurology, PA Port Royal South Carolina United States 29935
172 BG Neurology Spartanburg South Carolina United States 29307
173 Neurology Clinic, P.C. Cordova Tennessee United States 38018
174 Clinical Research Solutions Franklin Tennessee United States 37064
175 Texas Neurology, P.A. Dallas Texas United States 75214
176 Neurology Consultants of Dallas, PA Dallas Texas United States 75231
177 University Texas Southwestern Medical Center Dallas Texas United States 75390-8898
178 InSite Clinical Research Site #576 DeSoto Texas United States 75115
179 Baylor College of Medicine Houston Texas United States 77030
180 Houston Methodist Neurological Institute Houston Texas United States 77030
181 University Hills Clinical Research Irving Texas United States 75062
182 Neurology Associates of Arlington Mansfield Texas United States 76063
183 Texas Medical Research Associates, L.L.C. San Antonio Texas United States 78238
184 Ericksen Research and Development Clinton Utah United States 84015
185 Pharmaceuticals Research Associates, Inc. Salt Lake City Utah United States 84107
186 Clinical Neuroscience Research Associates, Inc. dba The Memory Clinic Bennington Vermont United States 05201
187 Neuropsychiatric Associates Woodstock Vermont United States 05091
188 Sentara Neurosciences Institute Norfolk Virginia United States 23510
189 Veteran Affairs Medical Center, Salem Virginia Salem Virginia United States 24153
190 Northwest Clinical Research Center Bellevue Washington United States 98007
191 Frontier Institute Spokane Washington United States 99204
192 IPC Research Waukesha Wisconsin United States 53188
193 Center for Mental Health - Ruse Ruse Bulgaria
194 Medical Center Sveti Naum Sofia Bulgaria 1113
195 Vrach and Sv. Sv. Kuzma and Damian Sofia Bulgaria 1408
196 University Multiprofile Hospital for Active Treatment Alexandrovska Sofia Bulgaria
197 Medica Plus Medical Center Veliko Tarnovo Bulgaria
198 Dr. Alexander McIntyre Inc. Penticton Canada
199 Fakultni Nemocnice u sv. Anny v Brne Brno Czechia
200 Fakultní Nemocnice Hradec Králové Hradec Kralové Czechia
201 NeuropsychiatrieHK Hradec Kralové Czechia
202 Brain-Soultherapy Kladno Czechia
203 Námestí národního odboje 692 Kutna Hora Czechia
204 A-Shine s.r.o. Site #731 Plzen Czechia
205 AD71 Praha Czechia
206 Clintrial Praha Czechia
207 Neurologicka Ambulance - Forbeli Praha Czechia
208 Neuropsychiatrie Praha Czechia
209 Vestra Clinics Rychnov nad Kněžnou Czechia
210 Centre Hospitalier Universitaire Dijon Bourgogn Dijon Cedex France
211 Centre Hospitalier Universitaire de Saint-Étienne - Hôpital Nord Saint-Etienne France
212 Centre Hospitalier Universitaire Toulouse - Casselardit Ancely Toulouse France
213 Dr. Kenessey Albert Kórház-Rendelőintézet Balassagyarmat Hungary
214 Pszichiatriai es Pszichiatriai Rehabilitacios Osztaly Budapest Hungary
215 Semmelweis Egyetem Budapest Hungary
216 Debreceni Egyetem Kenezy Gyula Egyetemi Korhaz Debrecen Hungary
217 PsychoTech Pécs Hungary
218 Azienda Ospedaliera Sant'Andrea Roma Italy
219 Fondazione Policlinico Tor Vergata Roma Italy
220 Fondazione Santa Lucia - Istituto di Ricovero e Cura a Carattere Scientifico Roma Italy
221 Ksiedza Hugona Kollataja 9 Bydgoszcz Poland
222 Care Clinic Katowice Poland
223 Wielospecjalistyczna Poradnia Lekarska Synapsis Katowice Poland
224 Krakowska Akademia Neurologii Kraków Poland
225 Malopolskie Centrum Medyczne Kraków Poland
226 Medycyna Milorzab Lodz Poland
227 Solumed Centrum Medyczne Poznań Poland
228 Centrum Medyczne Euromedis Szczecin Poland
229 Centrum Medyczne NeuroProtect Warszawa Poland
230 ACF Neurological Services Cape Town South Africa
231 Cape Trial Centre Cape Town South Africa
232 Flexivest Fourteen Research Centre Cape Town South Africa
233 Apollo Clinical Research Johannesburg South Africa
234 Medical and Dental Centre Rosebank South Africa
235 Fundació ACE Barcelona Spain
236 Hospital Clinic de Barcelona Barcelona Spain
237 Hospital General Universitario de Elche Elche Spain
238 Hospital Universitario de Salamanca Salamanca Spain
239 Hospital Universitario Virgen Macarena Sevilla Spain
240 Complejo Asistencial de Zamora Hospital Virgen de la Concha Zamora Spain
241 Hospital Viamed Montecanal Zaragoza Spain

Sponsors and Collaborators

  • Otsuka Pharmaceutical Development & Commercialization, Inc.

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Otsuka Pharmaceutical Development & Commercialization, Inc.
ClinicalTrials.gov Identifier:
NCT02446132
Other Study ID Numbers:
  • 15-AVP-786-303
  • 2017-002455-29
First Posted:
May 18, 2015
Last Update Posted:
Aug 24, 2022
Last Verified:
Apr 1, 2022
Individual Participant Data (IPD) Sharing Statement:
Yes
Plan to Share IPD:
Yes
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of Aug 24, 2022