Last reviewed · How we verify

NCT04464564

Study to Assess the Efficacy, Safety, and Tolerability of AVP-786 for the Treatment of Agitation in Patients With Dementia of the Alzheimer's Type

Terminated Phase 3 Results posted Last updated 30 May 2025
What this trial tests

Phase 3 trial testing AVP-786 in Agitation in Patients With Dementia of the Alzheimer's Type in 241 participants. Terminated before completion.

Timeline
11 September 2020
Primary endpoint
28 June 2024
28 June 2024

Quick facts

Lead sponsorOtsuka Pharmaceutical Development & Commercialization, Inc.
PhasePhase 3
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment241
Start date11 September 2020
Primary completion28 June 2024
Estimated completion28 June 2024
Sites106 locations across Colombia, Netherlands, Slovakia, Belgium, Chile, Ireland, Hungary, Mexico

Drugs / interventions tested

Conditions studied

Sponsor

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

Who can join

Adults 50 to 90, any sex, with Agitation in Patients With Dementia of the Alzheimer's Type. 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.

Number of Participants With Treatment Emergent Adverse Events (TEAE) and Serious TEAE Primary · From randomization (Week 2) up to 30 days after last dose of study drug (Up to Week 16)

An adverse event (AE) is any untoward medical occurrence or unintended change (eg, physical, psychological, or behavioral), including inter-current illness, that does not necessarily have a causal relationship with the study treatment. A serious adverse event (SAE) is any AE occurring at any dose that results in death, life-threatening experience, persistent or significant disability/incapacity, in-patient hospitalization or prolongation of hospitalization or congenital anomaly/birth defect. TEAEs are all AEs (including serious and non-serious) which started after start of double-blind study d

TEAEs
GroupValue95% CI
Placebo25
AVP-786-1838
AVP-786-42.6334
Serious TEAEs
GroupValue95% CI
Placebo4
AVP-786-185
AVP-786-42.635

Adverse events — posted to ClinicalTrials.gov

Time frame: From randomization (Week 2) up to 30 days after last dose of study drug (Up to Week 16). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 4/76 (5%)
Deaths: 1/76
AVP-786-18
Serious: 5/83 (6%)
Deaths: 0/83
AVP-786-42.63
Serious: 5/77 (6%)
Deaths: 1/77

Serious adverse events (19 terms)

ReactionSystemPlaceboAVP-786-18AVP-786-42.63
Acute myocardial infarctionCardiac disorders
Oesophageal achalasiaGastrointestinal disorders
Upper gastrointestinal haemorrhageGastrointestinal disorders
VomitingGastrointestinal disorders
DeathGeneral disorders
COVID-19Infections and infestations
PneumoniaInfections and infestations
Upper respiratory tract infectionInfections and infestations
Urinary tract infectionInfections and infestations
Accidental exposure to productInjury, poisoning and procedural complications
Cervical vertebral fractureInjury, poisoning and procedural complications
FallInjury, poisoning and procedural complications
Hand fractureInjury, poisoning and procedural complications
Hip fractureInjury, poisoning and procedural complications
Radius fractureInjury, poisoning and procedural complications
DehydrationMetabolism and nutrition disorders
DizzinessNervous system disorders
Psychomotor hyperactivityNervous system disorders
DeliriumPsychiatric disorders
Other adverse events (115 terms — click to expand)

ReactionSystemPlaceboAVP-786-18AVP-786-42.63
FallInjury, poisoning and procedural complications
Urinary tract infectionInfections and infestations
DizzinessNervous system disorders
FatigueGeneral disorders
SomnolenceNervous system disorders
Gait disturbanceGeneral disorders
HypertensionVascular disorders
Asymptomatic bacteriuriaInfections and infestations
COVID-19Infections and infestations
InfluenzaInfections and infestations
NasopharyngitisInfections and infestations
DyslipidaemiaMetabolism and nutrition disorders
HeadacheNervous system disorders
InsomniaPsychiatric disorders
AnaemiaBlood and lymphatic system disorders
LymphopeniaBlood and lymphatic system disorders
NeutropeniaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
Atrioventricular block first degreeCardiac disorders
BradycardiaCardiac disorders
PalpitationsCardiac disorders
Sinus bradycardiaCardiac disorders
VertigoEar and labyrinth disorders
HyperthyroidismEndocrine disorders
Dry eyeEye disorders
Abdominal painGastrointestinal disorders
ConstipationGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Duodenal ulcerGastrointestinal disorders
EnterocolitisGastrointestinal disorders
Gastritis erosiveGastrointestinal disorders
HaemorrhoidsGastrointestinal disorders
NauseaGastrointestinal disorders
ToothacheGastrointestinal disorders
VomitingGastrointestinal disorders
OedemaGeneral disorders
Unevaluable eventGeneral disorders
Biliary cystHepatobiliary disorders
CholelithiasisHepatobiliary disorders
BacteriuriaInfections and infestations

Most-reported serious reactions: Acute myocardial infarction, Oesophageal achalasia, Upper gastrointestinal haemorrhage, Vomiting, Death, COVID-19, Pneumonia, Upper respiratory tract infection.

Data from ClinicalTrials.gov NCT04464564 adverse events section.

Sponsor's own description

This study was conducted to evaluate the efficacy, safety, and tolerability of AVP-786 (deudextromethorphan hydrobromide \[d6-DM\]/quinidine sulfate \[Q\]) compared to placebo for the treatment of agitation in participants with dementia of the Alzheimer's type.

Publications & conference data

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

  1. 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
  2. Alzheimer's disease drug development pipeline: 2023.
    Cummings J, Zhou Y, Lee G, Zhong K, et al · · 2023 · cited 326× · PMID 37251912 · DOI 10.1002/trc2.12385
  3. 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
  4. Pathological mechanisms and therapeutic strategies for Alzheimer's disease.
    Ju Y, Tam KY. · · 2022 · cited 260× · PMID 34380884 · DOI 10.4103/1673-5374.320970
  5. Deuterium in drug discovery: progress, opportunities and challenges.
    Di Martino RMC, Maxwell BD, Pirali T. · · 2023 · cited 228× · PMID 37277503 · DOI 10.1038/s41573-023-00703-8
  6. Alzheimer's disease drug development pipeline: 2024.
    Cummings J, Zhou Y, Lee G, Zhong K, et al · · 2024 · cited 209× · PMID 38659717 · DOI 10.1002/trc2.12465
  7. Modulation of Brain Hyperexcitability: Potential New Therapeutic Approaches in Alzheimer's Disease.
    Toniolo S, Sen A, Husain M. · · 2020 · cited 74× · PMID 33297460 · DOI 10.3390/ijms21239318
  8. Diagnosis and Treatment of Alzheimer's Disease:: An Update.
    Bomasang-Layno E, Bronsther R. · · 2021 · cited 25× · PMID 34604768 · DOI 10.32481/djph.2021.09.009

Verify or expand the search:

Other trials of AVP-786

Trials testing the same drug.

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/NCT04464564.

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