Register a trial

The ANZCTR website will be unavailable from 1pm until 3pm (AEDT) on Wednesday the 30th of October for website maintenance. Please be sure to log out of the system in order to avoid any loss of data.

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this information for consumers
Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT03393520




Registration number
NCT03393520
Ethics application status
Date submitted
3/01/2018
Date registered
8/01/2018

Titles & IDs
Public title
Assessment of the Efficacy, Safety, and Tolerability of AVP-786 (Deudextromethorphan Hydrobromide [d6-DM]/Quinidine Sulfate [Q]) for the Treatment of Agitation in Patients With Dementia of the Alzheimer's Type
Scientific title
A Phase 3, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-design Study to Assess the Efficacy, Safety, and Tolerability of AVP-786 (Deudextromethorphan Hydrobromide [d6-DM]/Quinidine Sulfate [Q]) for the Treatment of Agitation in Patients With Dementia of the Alzheimer's Type
Secondary ID [1] 0 0
2017-001339-38
Secondary ID [2] 0 0
17-AVP-786-305
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Agitation in Patients With Dementia of the Alzheimer's Type 0 0
Condition category
Condition code
Neurological 0 0 0 0
Dementias
Neurological 0 0 0 0
Alzheimer's disease
Mental Health 0 0 0 0
Anxiety
Mental Health 0 0 0 0
Other mental health disorders

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Placebo
Treatment: Drugs - AVP-786

Placebo comparator: Placebo - Participants will be assigned to treatment with placebo capsules administered twice a day over a 12-week period.

Experimental: AVP-786; Dose 1 - Participants will receive AVP-786 (Dose 1) capsules administered twice a day over a 12-week period.

Experimental: AVP-786; Dose 2 - Participants will receive AVP-786 (Dose 2) capsules administered twice a day over a 12-week period.


Treatment: Drugs: Placebo
oral capsules

Treatment: Drugs: AVP-786
oral capsules
Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Change from Baseline to Week 12 in the Cohen-Mansfield Agitation Inventory (CMAI) Composite Score
Timepoint [1] 0 0
Baseline; Week 12
Secondary outcome [1] 0 0
Change from Baseline to Week 12 in the Clinical Global Impression of Severity (CGIS)-Agitation Domain Score
Timepoint [1] 0 0
Baseline; Week 12

Eligibility
Key inclusion criteria
* Diagnosis of probable Alzheimer's Disease (AD) according to the 2011 National Institute on Aging-Alzheimer's Association (NIA-AA) working groups criteria
* Participants with clinically significant, moderate/severe agitation at the time of screening and for at least 2 weeks prior to baseline that interferes with their daily routine and for which a prescription medication has been indicated, in the opinion of the investigator
* The diagnosis of agitation must meet the provisional consensus definition of agitation in participants with cognitive disorders developed by the International Psychogeriatric Association (IPA) Agitation Definition Work Group.
* A Clinical Global Impression of Severity of Illness scale for Agitation (CGIS-Agitation) score of = 4 (moderately ill) at screening and baseline
* Participants must have a reliable caregiver who is able and willing to comply with study procedures, including not administering any prohibited medications during the course of the study.
* Caregiver who is able and willing to comply with all required study procedures. In order to qualify as a reliable informant (i.e., caregiver) capable of assessing changes in participant's condition during the study, the individual must spend a minimum of 2 hours per day for 4 days per week with the participant.
Minimum age
50 Years
Maximum age
90 Years
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
* Participants with dementia predominantly of the non-Alzheimer's type (e.g., vascular dementia, frontotemporal dementia, Parkinson's disease, substance-induced dementia)
* Participants with symptoms of agitation that are not secondary to AD (e.g., secondary to pain, other psychiatric disorder, or delirium)
* 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 with myasthenia gravis

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
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
Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
13/10/2017
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
14/12/2023
Sample size
Target
Accrual to date
Final
601
Recruitment in Australia
Recruitment state(s)
Recruitment hospital [1] 0 0
Australian Alzheimer's Research Foundation - Nedlands
Recruitment hospital [2] 0 0
Neuro Trials Victoria Pty Ltd - Noble Park
Recruitment hospital [3] 0 0
The Alfred Hospital - Parkville
Recruitment postcode(s) [1] 0 0
- Nedlands
Recruitment postcode(s) [2] 0 0
- Noble Park
Recruitment postcode(s) [3] 0 0
- Parkville
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Arizona
Country [2] 0 0
United States of America
State/province [2] 0 0
Arkansas
Country [3] 0 0
United States of America
State/province [3] 0 0
California
Country [4] 0 0
United States of America
State/province [4] 0 0
Florida
Country [5] 0 0
United States of America
State/province [5] 0 0
Georgia
Country [6] 0 0
United States of America
State/province [6] 0 0
Hawaii
Country [7] 0 0
United States of America
State/province [7] 0 0
Louisiana
Country [8] 0 0
United States of America
State/province [8] 0 0
Massachusetts
Country [9] 0 0
United States of America
State/province [9] 0 0
Michigan
Country [10] 0 0
United States of America
State/province [10] 0 0
Mississippi
Country [11] 0 0
United States of America
State/province [11] 0 0
Missouri
Country [12] 0 0
United States of America
State/province [12] 0 0
New Jersey
Country [13] 0 0
United States of America
State/province [13] 0 0
New York
Country [14] 0 0
United States of America
State/province [14] 0 0
North Carolina
Country [15] 0 0
United States of America
State/province [15] 0 0
Ohio
Country [16] 0 0
United States of America
State/province [16] 0 0
Oklahoma
Country [17] 0 0
United States of America
State/province [17] 0 0
Pennsylvania
Country [18] 0 0
United States of America
State/province [18] 0 0
Texas
Country [19] 0 0
United States of America
State/province [19] 0 0
Utah
Country [20] 0 0
United States of America
State/province [20] 0 0
Washington
Country [21] 0 0
United States of America
State/province [21] 0 0
Wisconsin
Country [22] 0 0
Bulgaria
State/province [22] 0 0
Pleven
Country [23] 0 0
Bulgaria
State/province [23] 0 0
Plovdiv
Country [24] 0 0
Bulgaria
State/province [24] 0 0
Ruse
Country [25] 0 0
Bulgaria
State/province [25] 0 0
Sofia
Country [26] 0 0
Bulgaria
State/province [26] 0 0
Varna
Country [27] 0 0
Bulgaria
State/province [27] 0 0
Veliko Tarnovo
Country [28] 0 0
Bulgaria
State/province [28] 0 0
Vratsa
Country [29] 0 0
Czechia
State/province [29] 0 0
Brno
Country [30] 0 0
Czechia
State/province [30] 0 0
Hostivice
Country [31] 0 0
Czechia
State/province [31] 0 0
Hradec Kralové
Country [32] 0 0
Czechia
State/province [32] 0 0
Hradec Králové
Country [33] 0 0
Czechia
State/province [33] 0 0
Kladno
Country [34] 0 0
Czechia
State/province [34] 0 0
Kutná Hora
Country [35] 0 0
Czechia
State/province [35] 0 0
Plzen
Country [36] 0 0
Czechia
State/province [36] 0 0
Praha
Country [37] 0 0
Czechia
State/province [37] 0 0
Rychnov nad Knežnou
Country [38] 0 0
France
State/province [38] 0 0
Caen cedex 9
Country [39] 0 0
France
State/province [39] 0 0
Calais
Country [40] 0 0
France
State/province [40] 0 0
Dijon Cedex
Country [41] 0 0
France
State/province [41] 0 0
Nantes Cedex
Country [42] 0 0
France
State/province [42] 0 0
Poitiers
Country [43] 0 0
France
State/province [43] 0 0
Saint-Etienne
Country [44] 0 0
France
State/province [44] 0 0
Toulouse
Country [45] 0 0
France
State/province [45] 0 0
Vandoeuvre les Nancy
Country [46] 0 0
Hungary
State/province [46] 0 0
Balassagyarmat
Country [47] 0 0
Hungary
State/province [47] 0 0
Budapest
Country [48] 0 0
Hungary
State/province [48] 0 0
Debrecen
Country [49] 0 0
Hungary
State/province [49] 0 0
Esztergom
Country [50] 0 0
Hungary
State/province [50] 0 0
Gyor
Country [51] 0 0
Hungary
State/province [51] 0 0
Kalocsa
Country [52] 0 0
Hungary
State/province [52] 0 0
Miskolc
Country [53] 0 0
Hungary
State/province [53] 0 0
Nyiregyhaza
Country [54] 0 0
Hungary
State/province [54] 0 0
Pecs
Country [55] 0 0
Hungary
State/province [55] 0 0
Szeged
Country [56] 0 0
Hungary
State/province [56] 0 0
Székesfehérvár
Country [57] 0 0
Italy
State/province [57] 0 0
Brescia
Country [58] 0 0
Italy
State/province [58] 0 0
Chieti
Country [59] 0 0
Italy
State/province [59] 0 0
Firenze
Country [60] 0 0
Italy
State/province [60] 0 0
Milano
Country [61] 0 0
Italy
State/province [61] 0 0
Monza
Country [62] 0 0
Italy
State/province [62] 0 0
Ponderano
Country [63] 0 0
Italy
State/province [63] 0 0
Roma
Country [64] 0 0
Poland
State/province [64] 0 0
Bydgoszcz
Country [65] 0 0
Poland
State/province [65] 0 0
Chorzów
Country [66] 0 0
Poland
State/province [66] 0 0
Katowice
Country [67] 0 0
Poland
State/province [67] 0 0
Kraków
Country [68] 0 0
Poland
State/province [68] 0 0
Lodz
Country [69] 0 0
Poland
State/province [69] 0 0
Nowa Sól
Country [70] 0 0
Poland
State/province [70] 0 0
Plewiska
Country [71] 0 0
Poland
State/province [71] 0 0
Poznan
Country [72] 0 0
Poland
State/province [72] 0 0
Sochaczew
Country [73] 0 0
Poland
State/province [73] 0 0
Suchy Las
Country [74] 0 0
Poland
State/province [74] 0 0
Szczecin
Country [75] 0 0
Poland
State/province [75] 0 0
Warszawa
Country [76] 0 0
Poland
State/province [76] 0 0
Zabrze
Country [77] 0 0
Poland
State/province [77] 0 0
Scinawa
Country [78] 0 0
South Africa
State/province [78] 0 0
Cape Town
Country [79] 0 0
South Africa
State/province [79] 0 0
Johannesburg
Country [80] 0 0
South Africa
State/province [80] 0 0
Rosebank
Country [81] 0 0
South Africa
State/province [81] 0 0
Umhlanga
Country [82] 0 0
Spain
State/province [82] 0 0
Aocobendas
Country [83] 0 0
Spain
State/province [83] 0 0
Barcelona
Country [84] 0 0
Spain
State/province [84] 0 0
Córdoba
Country [85] 0 0
Spain
State/province [85] 0 0
Elche
Country [86] 0 0
Spain
State/province [86] 0 0
Lleida
Country [87] 0 0
Spain
State/province [87] 0 0
Madrid
Country [88] 0 0
Spain
State/province [88] 0 0
Majadahonda
Country [89] 0 0
Spain
State/province [89] 0 0
Pamplona
Country [90] 0 0
Spain
State/province [90] 0 0
Salamanca
Country [91] 0 0
Spain
State/province [91] 0 0
Santander
Country [92] 0 0
Spain
State/province [92] 0 0
Sevilla
Country [93] 0 0
Spain
State/province [93] 0 0
Valencia
Country [94] 0 0
Spain
State/province [94] 0 0
Zamora
Country [95] 0 0
Spain
State/province [95] 0 0
Zaragoza
Country [96] 0 0
United Kingdom
State/province [96] 0 0
Barnsley
Country [97] 0 0
United Kingdom
State/province [97] 0 0
Bath
Country [98] 0 0
United Kingdom
State/province [98] 0 0
Belfast
Country [99] 0 0
United Kingdom
State/province [99] 0 0
Blackpool
Country [100] 0 0
United Kingdom
State/province [100] 0 0
Cannock
Country [101] 0 0
United Kingdom
State/province [101] 0 0
Leeds
Country [102] 0 0
United Kingdom
State/province [102] 0 0
London
Country [103] 0 0
United Kingdom
State/province [103] 0 0
Manchester
Country [104] 0 0
United Kingdom
State/province [104] 0 0
Northampton
Country [105] 0 0
United Kingdom
State/province [105] 0 0
Prescot
Country [106] 0 0
United Kingdom
State/province [106] 0 0
Southampton
Country [107] 0 0
United Kingdom
State/province [107] 0 0
Swindon
Country [108] 0 0
United Kingdom
State/province [108] 0 0
Warrington

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
Otsuka Pharmaceutical Development & Commercialization, Inc.
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries

Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
What data in particular will be shared?
Anonymized Individual participant data (IPD) that underlie the results of this study will be shared with researchers to achieve aims pre-specified in a methodologically sound research proposal. Small studies with less than 25 participants are excluded from data sharing.

Supporting document/s available: Study protocol, Statistical analysis plan (SAP), Clinical study report (CSR)
When will data be available (start and end dates)?
Data will be available after marketing approval in global markets or beginning 1-3 years following article publication. There is no end date to the availability of the data.
Available to whom?
Otsuka will share data on the Vivli data sharing platform which can be found here: https://vivli.org/ourmember/Otsuka/
Available for what types of analyses?
How or where can data be obtained?
IPD available at link: https://clinical-trials.otsuka.com


What supporting documents are/will be available?

No Supporting Document Provided



Results publications and other study-related documents

No documents have been uploaded by study researchers.


Results not provided in https://clinicaltrials.gov/study/NCT03393520