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Trial registered on ANZCTR
Registration number
ACTRN12624000747527
Ethics application status
Approved
Date submitted
30/05/2024
Date registered
17/06/2024
Date last updated
13/10/2024
Date data sharing statement initially provided
17/06/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Study to Examine the Safety, Tolerability, and Efficacy of KNX100 in the Treatment of Subjects with Agitation Associated with Dementia
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Scientific title
KTX-201: A Multi-centre, Phase 2a, Double-blind, Placebo-controlled, Randomised Study to Examine the Safety, Tolerability, and Efficacy of KNX100 in the Treatment of Subjects with Agitation Associated with Dementia
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Secondary ID [1]
312203
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Nil known
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Universal Trial Number (UTN)
U1111-1308-6732
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Trial acronym
CARES-X
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Agitation in dementia
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Condition category
Condition code
Mental Health
330635
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0
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Other mental health disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Investigational Product: Drug- KNX100
Investigational Product: Placebo
Experimental: KNX100 30mg/Placebo- administered orally twice daily for 4 weeks
Adherence will be measured by reviewing daily diary of participants and by drug accountability activities at the site.
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Intervention code [1]
328707
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Treatment: Drugs
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Comparator / control treatment
Placebo: Microcrystalline cellulose (Avicel®)
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Effect of BID dosing of KNX100, compared with placebo, on Agitation in subjects with dementia.
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Assessment method [1]
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Cohen-Mansfield Agitation Inventory
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Timepoint [1]
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Change in total score from Baseline to Week 4, measured at baseline and at W2 and at W4 post dose during the clinic visit. Week 4 being a primary timepoint.
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Secondary outcome [1]
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Effect of BID dosing of KNX100, compared with placebo, on behavioral changes in subjects with dementia.
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Assessment method [1]
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Neuropsychiatric Inventory (NPI-12)
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Timepoint [1]
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Mean change from Baseline to Week 4, measured at Baseline and at W4 post dose.
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Secondary outcome [2]
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Effect of BID dosing of KNX100, compared to placebo on caregiver burden.
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Assessment method [2]
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Caregiver Strain Index
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Timepoint [2]
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Mean change from Baseline to Week 4 measured at baseline and at W2 and W4 post dose.
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Secondary outcome [3]
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Safety and tolerability of BID dosing of KNX100
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Assessment method [3]
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Adverse Events seriousness, incidence, frequency and severity will be assessed as a composite secondary outcome, measured by results of vital signs, laboratory tests, ECG, physical and neurological examination
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Timepoint [3]
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Adverse Events/Serious Adverse Event reports up to End Of Treatment reviewed by daily diary and measured at every clinical visit (baseline, Week 2, Week 4 and Week 6 (End of Study/End of Treatment) as well as measured by change in physical/neurological parameters from Baseline to End Of Treatment visit.
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Eligibility
Key inclusion criteria
1. Mini-mental state examination (MMSE) score of 10 to 24 (inclusive) at the screening visit
2. Current diagnosis of dementia (Alzheimer’s disease, Frontotemporal dementia, Lewy body dementia, multi-infarct dementia or vascular dementia) according to the criteria of the DSM 5 TR.
3. Clinically significant agitation meeting the International Psychogeriatric Association Provisional Criteria for Agitation in Cognitive Impairment. Has clinically significant agitation/aggression as assessed using the NPI-12
4. Live at home and have a consenting caregiver/study partner
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Minimum age
50
Years
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Maximum age
90
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Have medical history of distressing psychotic symptoms (delusion and/or hallucinations) that required psychiatric hospitalisation
2. Have a clinically significant medical condition, psychiatric or neurological disease (other than the allowable study dementias), or other brain disorders
3. malignancy within the past 5 years, clinically significant systemic illness, infection or other significant abnormalities as determined by the investigator
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Central randomisation by Invoice Web Response System.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
30/08/2024
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Actual
19/08/2024
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Date of last participant enrolment
Anticipated
29/08/2025
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Actual
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Date of last data collection
Anticipated
31/10/2025
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Actual
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Sample size
Target
60
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Accrual to date
1
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Final
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Recruitment in Australia
Recruitment state(s)
QLD,VIC
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Kinoxis Therapeutics Pty Ltd
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Address [1]
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Country [1]
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
Kinoxis Therapeutics Pty Ltd
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Address
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
318759
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Bellberry Human Research Ethics Committee G
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Ethics committee address [1]
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https://bellberry.com.au/
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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01/05/2024
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Approval date [1]
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17/06/2024
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Ethics approval number [1]
315364
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Ethics committee name [2]
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Austin Health Human Research Ethics Committee
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Ethics committee address [2]
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https://www.austin.org.au/Office-for-Research/
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
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27/05/2024
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Approval date [2]
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19/08/2024
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Ethics approval number [2]
315417
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Summary
Brief summary
This is a Phase 2, randomised, double-blind, placebo-controlled study assessing the safety, tolerability, and efficacy of KNX100 in out-patients participants with clinically significant agitation/aggression associated with dementia. The primary objective is to evaluate the effect of twice daily oral dosing of KNX100 for 4 weeks, compared to placebo, on symptoms of agitation in subjects with dementia as measured by Cohen-Mansfield Agitation Inventory. The secondary objectives of the study include evaluation of the effects of KNX100 on NPI-12 and CGI(S/I) as well as evaluation of caregiver burden by CSI. Safety and tolerability of KNX100 will be also assessed. Upon meeting eligibility criteria participants will receive blinded treatment twice daily for 4 weeks followed up by 2 weeks of follow up.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Peter de Wet
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Address
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University of Sunshine Coast, Clinical Trials, Vitality Village, Tenancy 103, 5 Discovery Drive, Britnya QLD 4574
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Country
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Australia
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Phone
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+61 7 5456 3872
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Tiina Ahveninen
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Address
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Kinoxis Therapeutics, Suite 201, 697 Burke Road, Camberwell, VIC 3124
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Country
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Australia
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Phone
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+61 1800460409
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Tiina Ahveninen
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Address
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Kinoxis Therapeutics, Suite 201, 697 Burke Road, Camberwell, VIC 3124
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Country
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Australia
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Phone
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+61 1800460409
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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