En studie for å vurdere effektiviteten og sikkerheten til ML-007C-MA for behandling av Alzheimers sykdomspsykose
En randomisert, dobbeltblind, placebokontrollert studie for å vurdere effektiviteten og sikkerheten til ML-007C-MA for behandling av hallusinasjoner og vrangforestillinger assosiert med Alzheimers sykdomspsykose
ML-007C-MA-221 is a Phase 2, randomized, double-blind, placebo-controlled study to evaluate the efficacy and safety of ML-007C-MA in male and female participants aged 55 to 90 years with hallucinations and delusions associated with Alzheimer's Disease Psychosis (ADP).
The primary objective is to evaluate the efficacy of ML-007C-MA compared with placebo for the treatment of hallucinations and delusions associated with ADP as measured by the Neuropsychiatric Inventory-Clinician (NPI-C): Hallucinations and Delusions (H+D) score.
Studieoversikt
Status
Status
Forhold
Forhold
Intervensjon / Behandling
Intervensjon / Behandling
Studietype
Studietype
Registrering (Antatt)
Registrering
Fase
Fase
- Fase 2
Kontakter og plasseringer
Studiekontakt
Studiekontakt
- Navn: Clinical Trials Contact Center
- Telefonnummer: +1 650 839 4380
- E-post: ML-007C-MA-ADP@maplightrx.com
Studiesteder
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Córdoba, Argentina, X5004AOA
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Buenos Aires
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La Plata, Buenos Aires, Argentina, B1900BOM
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Buenos Aires F.D.
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Caba, Buenos Aires F.D., Argentina, C1133AAH
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Córdoba Province
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Córdoba, Córdoba Province, Argentina, X5009BIN
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Pernik
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Pernik, Pernik, Bulgaria, 2304
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Sofia
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Sofia, Sofia, Bulgaria, 1408
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Ontario
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Brampton, Ontario, Canada, L6W 2Z8
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London, Ontario, Canada, N6A 5W9
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Toronto, Ontario, Canada, M4N 3M5
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Quebec
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Lévis, Quebec, Canada, G6V 0C9
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Santiago, Chile, 7500710
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Santiago, Chile, 7560359
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Antofagasta
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Antofagasta, Antofagasta, Chile, 1240000
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Arizona
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Phoenix, Arizona, Forente stater, 85004
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Scottsdale, Arizona, Forente stater, 85253
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Tucson, Arizona, Forente stater, 85704
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California
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Anaheim, California, Forente stater, 92805
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Long Beach, California, Forente stater, 90807
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Murrieta, California, Forente stater, 92562
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Orange, California, Forente stater, 92866
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Redlands, California, Forente stater, 92373
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San Diego, California, Forente stater, 92123
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Colorado
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Denver, Colorado, Forente stater, 80218
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Florida
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Boca Raton, Florida, Forente stater, 33428
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Deerfield Beach, Florida, Forente stater, 33442
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Doral, Florida, Forente stater, 33122
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Homestead, Florida, Forente stater, 33033
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Miami, Florida, Forente stater, 33122
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Miami, Florida, Forente stater, 33155
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Miami, Florida, Forente stater, 33186
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Miami, Florida, Forente stater, 33173
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- Clinical Site
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Miami Gardens, Florida, Forente stater, 33014
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Miami Gardens, Florida, Forente stater, 33104
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Naples, Florida, Forente stater, 34105
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- Clinical Site
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Orlando, Florida, Forente stater, 32807
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Tampa, Florida, Forente stater, 33629
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- Clinical Site
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West Palm Beach, Florida, Forente stater, 33407
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Georgia
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Augusta, Georgia, Forente stater, 30912
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Snellville, Georgia, Forente stater, 30078
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Louisiana
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Alexandria, Louisiana, Forente stater, 71301
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Nevada
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Las Vegas, Nevada, Forente stater, 89121
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New Jersey
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West Long Branch, New Jersey, Forente stater, 07764
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New York
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New York, New York, Forente stater, 10003
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Ohio
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Dayton, Ohio, Forente stater, 45459
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Independence, Ohio, Forente stater, 44131
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Oregon
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Tigard, Oregon, Forente stater, 97223
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South Carolina
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Port Royal, South Carolina, Forente stater, 29935
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Texas
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Austin, Texas, Forente stater, 78757
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McKinney, Texas, Forente stater, 75071
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Sugarland, Texas, Forente stater, 77478
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Washington
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Bellevue, Washington, Forente stater, 98007
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Toulouse, Frankrike, 31059
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Roma, Italia, 00128
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Tricase, Italia, 73039
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Plewiska, Polen, 62-064
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Warsaw, Polen, 02-699
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Lisbon District
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Torres Vedras, Lisbon District, Portugal, 2560-280
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Bucharest, Romania, 041914
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Ilfov
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Bragadiru, Ilfov, Romania, 077025
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Olt
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Caracal, Olt, Romania, 235200
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Kragujevac, Serbia, 34000
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Vranov nad Topľou, Slovakia, 093 01
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Daegu, Sør -Korea, 41404
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Incheon, Sør -Korea, 21565
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Choceň, Tsjekkia, 565 01
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- Clinical Site
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Pardubice, Tsjekkia, 530 02
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Prague, Tsjekkia, 150 00
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Pécs, Ungarn, 7623
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Pécs, Ungarn, 7633
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Deltakelseskriterier
Kvalifikasjonskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
Key Inclusion Criteria:
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Willing and able to provide written informed consent, or, if deemed lacking in the capacity to provide informed consent, the following requirements for consent must be met:
- The participant's LAR must provide written informed consent AND
- The participant will provide informed assent.
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Meets clinical criteria for Possible AD or Probable AD.
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Presence of psychotic symptoms (meeting International Psychogeriatric Association criteria) (Cummings 2020) for at least 2 months before Screening.
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Has resided at the same home, residential assisted living, or nursing home facility for a minimum of 6 weeks before Screening.
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Has a designated care partner who is in contact with the participant frequently enough to accurately report on the participant's symptoms and adherence to study drug.
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Has a NPI-C H+D score of ≥ 6 AND meet at least 1 of the following criteria:
- Moderate to severe delusions, defined as NPI-C Delusions domain score of ≥ 2 on at least 2 of the 8 items OR
- Moderate to severe hallucinations, defined as NPI-C Hallucinations domain score of ≥ 2 on at least 2 of the 7 items.
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Has a (CGI)-S hallucinations and delusions domain-specific score ≥4
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Has an Mini-mental State Examination (MMSE) score of 6 to 26, inclusive.
Key Exclusion Criteria:
- Under the care of hospice, bed-bound, or receiving end-of-life palliative care.
- Psychotic symptoms that are primarily attributable to substance abuse or a medical, neurological or psychiatric condition other than Alzheimer's disease.
- Evidence of a CNS disorder other than Alzheimer's disease that is the primary cause of, or a significant contributor to the participant's dementia.
- Moderate or severe major depressive episode within 3 months of Screening, according to DSM-5 criteria.
- Has an elevated risk of suicidal behavior
- Has had an amyloid PET brain scan or CSF Alzheimer's disease biomarker test in the past 3 years with results inconsistent with a diagnosis of AD.
- Evidence of a clinically significant and/or unstable medical condition that, in the opinion of the investigator or medical monitor, could substantially impair cognition, compromise participant safety, interfere with the participant's ability to comply with study procedures or substantially impair the evaluation of efficacy or safety assessments.
- Gastric retention, urinary retention or narrow-angle (angle-closure) glaucoma
- Meets or has met DSM-5 criteria for alcohol or substance use disorder within the past 12 months (excluding caffeine and nicotine).
- Has previously participated in any clinical study with ML-007 or ML-007C-MA.
- Has developed an allergy or other intolerance to ML-007C-MA, its active ingredients or their excipients.
- Received or may have received an investigational drug, biological product or device within 90 days before Baseline (or 6 months for investigational Alzheimer's disease-modifying therapies).
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Firemannsrom
Antall våpen
Våpen og intervensjoner
Deltakergruppe / ArmDeltakergruppe / Arm |
Intervensjon / BehandlingIntervensjon / Behandling |
|---|---|
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Placebo komparator: Placebo
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Placebo Tablets |
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Eksperimentell: ML-007C-MA
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ML-007C-MA dosed as 105/1.5 mg BID, or 210/3 mg BID |
Hva måler studien?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Change from Baseline to End of Treatment in the Neuropsychiatric Inventory-Clinician: Hallucinations and Delusions (NPI-C H+D) score
Tidsramme: Baseline and End of Treatment (7 weeks)
|
NPI-C H+D scale includes 2 domains from the NPI-C scale, namely, hallucinations and delusions. These 2 domains include the following number of items to be rated by the clinician: Hallucinations, 7 items (maximum score = 21) and Delusions, 8 items (maximum score = 24). The maximum score for the NPI-C: H+D scale is 45. Higher scores on this scale indicate worse outcomes. |
Baseline and End of Treatment (7 weeks)
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Change from Baseline to End of Treatment in the Clinical Global Impressions-Severity (CGI-S) hallucinations and delusions domain-specific score
Tidsramme: Baseline and End of Treatment (7 weeks)
|
The CGI-S scale is a clinician-rated, 7-point scale that is designed to rate the severity of the participant's hallucinations and delusions using the investigator's judgment and past experience with participants who have Alzheimer's disease psychosis. Higher scores on this scale indicate worse outcomes. |
Baseline and End of Treatment (7 weeks)
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Change from Baseline to End of Treatment in the Neuropsychiatric Inventory - Clinician Agitation and Aggression (NPI-C A+A) score in participants who have a CGI-S agitation/aggression domain-specific score of ≥4 at Baseline
Tidsramme: Baseline and End of Treatment (7 weeks)
|
NPI-C A+A scale includes 2 domains from the NPI-C scale, namely, agitation and aggression. These 2 domains include the following number of items to be rated by the clinician: Agitation, 13 items (maximum score = 39), and Aggression, 8 items (maximum score = 24). The maximum score for the NPI-C A+A scale is 63. Higher scores on this scale indicate more severe symptoms of agitation and aggression. |
Baseline and End of Treatment (7 weeks)
|
Samarbeidspartnere og etterforskere
Sponsor
Sponsor
Etterforskere
Etterforskere
- Studieleder: MapLight Therapeutics, MapLight Therapeutics
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Studiestart
Primær fullføring (Antatt)
Primær fullføring
Studiet fullført (Antatt)
Studiet fullført
Datoer for studieregistrering
Først innsendt
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Først lagt ut
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Sist oppdatering lagt ut
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
- Sykdommer i nervesystemet
- Demens
- Alzheimers sykdom
- Sykdommer i sentralnervesystemet
- Nevrodegenerative sykdommer
- Psykiske lidelser
- Psykotiske lidelser
- Vrangforestillinger
- Hjernesykdommer
- Hallusinasjoner
- Nevrokognitive lidelser
- Schizofrenispektrum og andre psykotiske lidelser
- Muskariniske antagonister
- Tauopatier
- Kolinerge midler
- Muskarinagonister
Ytterligere relevante MeSH-vilkår
- Nevrologiske manifestasjoner
- Atferdssymptomer
- Nevroatferdsmanifestasjoner
- Perseptuelle forstyrrelser
- Patologiske tilstander, tegn og symptomer
- Oppførsel
- Tegn og symptomer
- Psykotiske lidelser
- Alzheimers sykdom
- Psykiske lidelser
- Demens
- Hjernesykdommer
- Sykdommer i nervesystemet
- Nevrodegenerative sykdommer
- Sykdommer i sentralnervesystemet
- Nevrokognitive lidelser
- Hallusinasjoner
- Schizofrenispektrum og andre psykotiske lidelser
- Tauopatier
- Vrangforestillinger
Andre studie-ID-numre
Andre studie-ID-numre
- ML-007C-MA-221
- 2024-519820-26-00 (Ctis)
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
Legemiddel- og utstyrsinformasjon, studiedokumenter
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