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Addressing Dementia Via Agitation-Centered Evaluation

NCT03226522 — Phase 2 / Phase 3, Completed, 366 participants, Axsome Therapeutics, Inc.

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A Randomized, Double-blind, Placebo-controlled Trial to Assess the Efficacy and Safety of AXS-05 for the Treatment of Agitation in Subjects With Dementia of the Alzheimer's Type

RegistryNCT03226522, acronym ADVANCE
StatusCompleted
PhasePhase 2 / Phase 3
Study typeInterventional; randomized, parallel, masking: triple, treatment
Enrollment366 (Actual)
SponsorAxsome Therapeutics, Inc. (Industry)
ConditionsAgitation in Patients With Dementia of the Alzheimer's Type, Alzheimer Disease, Agitation,Psychomotor
InterventionsAXS-05, Bupropion, Placebo (Drug)
Datesstart 2017-07-13, primary completion 2020-04-17, completion 2020-04-17, first posted 2017-07-21, last updated 2023-09-13
Locations78 sites in United States, Australia

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-Summary

This is a multi-center, randomized, double-blind, placebo-controlled study, to assess the efficacy and safety of AXS-05 in the treatment of agitation in patients with Alzheimer's disease.

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+Arms and interventions

ArmTypeInterventionsDescription
AXS-05ExperimentalDrug: AXS-05AXS-05 tablets taken by mouth for 5 weeks.
BupropionActive comparatorDrug: BupropionBupropion tablets taken by mouth for 5 weeks.
PlaceboPlacebo comparatorDrug: PlaceboPlacebo tablets taken by mouth for 5 weeks.
  • AXS-05 (Drug): AXS-05
  • Bupropion (Drug): Bupropion
  • Placebo (Drug): Placebo

+Outcome measures

Primary outcomes

  • Change in CMAI Total Score [5 weeks]: The Cohen-Mansfield Agitation Inventory (CMAI) is a 29-item caregiver-rated questionnaire that assesses the frequency of agitation-related and disruptive behaviors in subjects with dementia. The scale contains 29 behaviors or items organized into four subscales: physically aggressive, physically non-aggressive, verbally aggressive, and verbally non-aggressive. The CMAI is administered by interviewing the caregiver and asking him or her to rate the frequency with which the subject manifests each behavior using a seven-point scale: 1=never (better outcome), 7=several times an hour (worse outcome). The CMAI total score is the sum of the scores for all of the items in the CMAI. CMAI total scores range from a minimum of 29 (better outcome) to a maximum of 203 (worse outcome).

+Eligibility

Sex: All, ages: 65 Years to 90 Years

Key Inclusion Criteria:

* Diagnosis of probable Alzheimer's disease (AD) based on the 2011 National Institute on Aging-Alzheimer Association (NIA-AA) criteria.
* Diagnosis of clinically signification agitation resulting from probable AD according to the International Psychogeriatric Association (IPA) provisional definition of agitation.

Exclusion Criteria:

* Patient has dementia predominantly of non-Alzheimer's type.
* Unable to comply with study procedures.
* Medically inappropriate for study participation in the opinion of the investigator.

+Posted results

Participant flow

MilestoneAXS-05BupropionPlacebo
Started15949158
Safety population15949158
Mitt population15249156
Completed13748136
Not completed22122

Outcome results

  • Change in CMAI Total Score (Primary), Mean, score on a scale: AXS-05 -15.4 +/- 1.25; Bupropion -10.0 +/- 3.02; Placebo -11.5 +/- 1.10 (p 0.010)

Adverse events

Time frame: Adverse events were collected from the Baseline visit through 30 days after the last study visit (up to 10 weeks).

ArmDeathsSerious adverse eventsOther adverse events
AXS-050/159 (0.0%)5/159 (3.1%)33/159 (20.8%)
Bupropion1/49 (2.0%)4/49 (8.2%)17/49 (34.7%)
Placebo1/158 (0.6%)9/158 (5.7%)24/158 (15.2%)

Serious adverse events by term

TermOrgan systemAXS-05BupropionPlacebo
Abdominal discomfortGastrointestinal disorders0/1591/490/158
Abdominal painGastrointestinal disorders0/1591/490/158
Oedema peripheralGeneral disorders0/1590/491/158
Staphylococcal infectionInfections and infestations1/1590/490/158
Urinary tract infectionInfections and infestations0/1591/491/158
FallInjury, poisoning and procedural complications1/1590/490/158
Road traffic accidentInjury, poisoning and procedural complications0/1590/491/158
DehydrationMetabolism and nutrition disorders0/1590/491/158
HyperglycaemiaMetabolism and nutrition disorders1/1590/490/158
Adenocarcinoma gastricNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/1590/491/158
Transitional cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/1590/490/158
DementiaNervous system disorders0/1591/490/158
Dementia Alzheimer's typeNervous system disorders1/1590/491/158
SyncopeNervous system disorders0/1590/491/158
Transient ischaemic attackNervous system disorders0/1590/491/158
DeliriumPsychiatric disorders0/1590/491/158

Other adverse events by term

TermOrgan systemAXS-05BupropionPlacebo
DiarrheaGastrointestinal disorders7/1593/497/158
FatigueGeneral disorders3/1595/492/158
FallInjury, poisoning and procedural complications4/1597/493/158
DizzinessNervous system disorders10/1595/495/158
HeadacheNervous system disorders6/1593/494/158
SomnolenceNervous system disorders13/1592/495/158
InsomniaPsychiatric disorders1/1593/493/158

+Locations (78)

FacilityCityCountryStatus
Axsome Study SiteGilbert, ArizonaUnited States
Axsome Study SitePhoenix, ArizonaUnited States
Axsome study siteScottsdale, ArizonaUnited States
Axsome study siteScottsdale, ArizonaUnited States
Axsome Study SiteTucson, ArizonaUnited States
Axsome Study SiteLittle Rock, ArkansasUnited States
Axsome study siteCanoga Park, CaliforniaUnited States
Axsome study siteCosta Mesa, CaliforniaUnited States
Axsome study siteFresno, CaliforniaUnited States
Axsome study siteLong Beach, CaliforniaUnited States
Axsome study siteLong Beach, CaliforniaUnited States
Axsome Study SiteLos Alamitos, CaliforniaUnited States
Axsome study siteRiverside, CaliforniaUnited States
Axsome study siteSacramento, CaliforniaUnited States
Axsome study siteSanta Ana, CaliforniaUnited States
Axsome Study SiteSanta Clarita, CaliforniaUnited States
Axsome study siteSherman Oaks, CaliforniaUnited States
Axsome study siteSimi Valley, CaliforniaUnited States
Axsome study siteTemecula, CaliforniaUnited States
Axsome study siteVentura, CaliforniaUnited States
Axsome Study SiteColorado Springs, ColoradoUnited States
Axsome study siteCromwell, ConnecticutUnited States
Axsome study siteNew London, ConnecticutUnited States
Axsome Study SiteApopka, FloridaUnited States
Axsome study siteBoca Raton, FloridaUnited States
Axsome study siteBoynton Beach, FloridaUnited States
Axsome Study SiteCoconut Creek, FloridaUnited States
Axsome Study SiteGreenacres City, FloridaUnited States
Axsome study siteHallandale, FloridaUnited States
Axsome study siteHialeah, FloridaUnited States
Axsome Study SiteLake City, FloridaUnited States
Axsome study siteMiami, FloridaUnited States
Axsome study siteMiami, FloridaUnited States
Axsome Study SiteOrlando, FloridaUnited States
Axsome study sitePensacola, FloridaUnited States
Axsome Study SitePort Orange, FloridaUnited States
Axsome study siteSpring Hill, FloridaUnited States
Axsome study siteTampa, FloridaUnited States
Axsome study siteTampa, FloridaUnited States
Axsome study siteAtlanta, GeorgiaUnited States
Axsome study siteDecatur, GeorgiaUnited States
Axsome Study SiteHonolulu, HawaiiUnited States
Axsome study siteBoise, IdahoUnited States
Axsome Study SiteFlossmoor, IllinoisUnited States
Axsome study siteAvon, IndianaUnited States
Axsome Study SiteOverland Park, KansasUnited States
Axsome Study SiteTopeka, KansasUnited States
Axsome study siteBaton Rouge, LouisianaUnited States
Axsome Study SiteLake Charles, LouisianaUnited States
Axsome Study SiteHattiesburg, MississippiUnited States
Axsome study siteChesterfield, MissouriUnited States
Axsome Study SiteSt Louis, MissouriUnited States
Axsome study siteLas Vegas, NevadaUnited States
Axsome Study SiteLas Vegas, NevadaUnited States
Axsome Study SitePrinceton, New JerseyUnited States
Axsome study siteToms River, New JerseyUnited States
Axsome Study SiteAlbany, New YorkUnited States
Axsome study siteBrooklyn, New YorkUnited States
Axsome study siteNew York, New YorkUnited States
Axsome study siteNew York, New YorkUnited States
Axsome study siteStaten Island, New YorkUnited States
Axsome Study SiteCharlotte, North CarolinaUnited States
Axsome study siteCharlotte, North CarolinaUnited States
Axsome Study SiteWinston-Salem, North CarolinaUnited States
Axsome study siteCincinnati, OhioUnited States
Axsome Study SiteDayton, OhioUnited States
Axsome study siteShaker Heights, OhioUnited States
Axsome Study SiteOklahoma City, OklahomaUnited States
Axsome study siteDeSoto, TexasUnited States
Axsome Study SiteMcKinney, TexasUnited States
Axsome study siteWichita Falls, TexasUnited States
Axsome study siteOrem, UtahUnited States
Axsome Study SiteCharlottesville, VirginiaUnited States
Axsome Study SiteRichmond, VirginiaUnited States
Axsome study siteBellevue, WashingtonUnited States
Axsome Study SiteEverett, WashingtonUnited States
Axsome study siteSpokane, WashingtonUnited States
Axsome study siteCaulfield, Melbourne, VictoriaAustralia

+Study documents

My Notes