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NCT03594123

A 12-week Extension Trial to Evaluate the Safety and Tolerability of Brexpiprazole in the Treatment of Subjects With Agitation Associated With Dementia of the Alzheimer's Type

Completed Phase 3 Results posted Last updated 14 November 2023
What this trial tests

Phase 3 trial testing Brexpiprazole in Alzheimer's Disease in 259 participants. Completed in 19 September 2022.

Timeline
11 October 2018
Primary endpoint
19 September 2022
19 September 2022

Quick facts

Lead sponsorOtsuka Pharmaceutical Development & Commercialization, Inc.
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsingle group
Maskingquadruple
Primary purposetreatment
Enrollment259
Start date11 October 2018
Primary completion19 September 2022
Estimated completion19 September 2022
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Otsuka Pharmaceutical Development & Commercialization, Inc. — full company profile →

Who can join

Adults 55 to 91, any sex, with Alzheimer's Disease. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) by Severity Primary · From first dose through 30 days after last dose of study drug (Up to approximately Week 16)

An adverse event (AE) was defined as any untoward medical occurrence in a patient or clinical trial participant administered a medicinal product and which does not necessarily have a causal relationship with this treatment. TEAEs were defined as AEs with an onset date on or after the first dose of brexpiprazole. They are all adverse events that started after start of brexpiprazole; or if the event was continuous from baseline and was worsening, serious, study drug-related, or resulted in death, discontinuation, interruption, or reduction of study therapy. Adverse events were graded on a 3-poi

Mild
GroupValue95% CI
Prior Brexpiprazole20.9
Prior Placebo13.5
Moderate
GroupValue95% CI
Prior Brexpiprazole9.2
Prior Placebo19.8
Severe
GroupValue95% CI
Prior Brexpiprazole3.1
Prior Placebo0

Adverse events — posted to ClinicalTrials.gov

Time frame: From first dose through 30 days after last dose of study drug (Up to approximately Week 16). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Prior Brexpiprazole
Serious: 6/163 (4%)
Deaths: 0/163
Prior Placebo
Serious: 0/96 (0%)
Deaths: 0/96

Serious adverse events (7 terms)

ReactionSystemPrior BrexpiprazolePrior Placebo
FallInjury, poisoning and procedural complications
Blood Loss AnaemiaBlood and lymphatic system disorders
HaemorrhoidsGastrointestinal disorders
Femur FractureInjury, poisoning and procedural complications
Hip FractureInjury, poisoning and procedural complications
Hepatic Enzyme IncreasedInvestigations
SyncopeNervous system disorders
Other adverse events (1 terms — click to expand)

ReactionSystemPrior BrexpiprazolePrior Placebo
NasopharyngitisInfections and infestations

Most-reported serious reactions: Fall, Blood Loss Anaemia, Haemorrhoids, Femur Fracture, Hip Fracture, Hepatic Enzyme Increased, Syncope.

Data from ClinicalTrials.gov NCT03594123 adverse events section.

Sponsor's own description

Active treatment extension study of the 331-14-213 trial, to assess the long-term safety and tolerability of oral brexpiprazole as treatment in adult participants with agitation associated with dementia of the Alzheimer's type (AAD).

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Alzheimer's disease drug development pipeline: 2019.
    Cummings J, Lee G, Ritter A, Sabbagh M, et al · · 2019 · cited 485× · PMID 31334330 · DOI 10.1016/j.trci.2019.05.008
  2. Clinical trials of new drugs for Alzheimer disease.
    Huang LK, Chao SP, Hu CJ. · · 2020 · cited 426× · PMID 31906949 · DOI 10.1186/s12929-019-0609-7
  3. Alzheimer's disease drug development pipeline: 2022.
    Cummings J, Lee G, Nahed P, Kambar MEZN, et al · · 2022 · cited 369× · PMID 35516416 · DOI 10.1002/trc2.12295
  4. Alzheimer's disease drug development pipeline: 2020.
    Cummings J, Lee G, Ritter A, Sabbagh M, et al · · 2020 · cited 350× · PMID 32695874 · DOI 10.1002/trc2.12050
  5. Alzheimer's disease drug development pipeline: 2021.
    Cummings J, Lee G, Zhong K, Fonseca J, et al · · 2021 · cited 312× · PMID 34095440 · DOI 10.1002/trc2.12179
  6. Pathological mechanisms and therapeutic strategies for Alzheimer's disease.
    Ju Y, Tam KY. · · 2022 · cited 260× · PMID 34380884 · DOI 10.4103/1673-5374.320970
  7. Brexpiprazole for the Treatment of Agitation in Alzheimer Dementia: A Randomized Clinical Trial.
    Lee D, Slomkowski M, Hefting N, Chen D, et al · · 2023 · cited 84× · PMID 37930669 · DOI 10.1001/jamaneurol.2023.3810
  8. Pharmacotherapy of Behavioral and Psychological Symptoms of Dementia: State of the Art and Future Progress.
    Magierski R, Sobow T, Schwertner E, Religa D. · · 2020 · cited 76× · PMID 32848775 · DOI 10.3389/fphar.2020.01168

Verify or expand the search:

Other trials of Brexpiprazole

Trials testing the same drug.

Other recruiting trials for Alzheimer's Disease

Currently open trials in the same condition.

Other Otsuka Pharmaceutical Development & Commercialization, Inc. trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03594123.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing