Authorised Therapeutic confirmatory (Phase III) Agitation with Dementia of the Alzheimer's Type

Research study to assess the potential of masupirdine in patients with agitation symptoms associated with memory loss

EU CTIS ID: 2024-513835-25-00

What this study is testing

To evaluate the efficacy of masupirdine (50 mg and 100 mg compared to placebo for agitation as measured by the CMAI items score aligning to the IPA agitation criteria domains (physical aggression, excessive motor activity, and verbal aggression) after 12 weeks of treatment.

  • Therapeutic confirmatory (Phase III)

A plain-language read of the study's public EU CTIS listing. The study team confirms the details.

Who can take part

You may be able to join if

  • 1. Participant and/or the participant’s LAR/caregiver can understand the written informed consent, provide signed and witnessed written informed consent, and agree to comply with protocol requirements prior to beginning any study procedures. 2. Is ≥50 years of age at Visit 1 and has a diagnosis of dementia of the Alzheimer’s type according to the NIA-AA 2011 criteria. Biomarkers will not be considered for eligibility. 3. Has onset of agitation symptoms at least 2 weeks prior to Visit 1. 4. Has confirmed agitation using the IPA Consensus Provisional Definition of Agitation in Cognitive Disorders. 5. Has an MRI or CT scan performed after onset of Alzheimer's disease symptoms and prior to randomization with findings consistent with the diagnosis of dementia of the Protocol CTP3S1502HT6, Page 49 and without any other clinically significant comorbid pathologies. 6. Has a score between 5 and 26 (both inclusive) on MMSE at Visit 1. 7. Has a clinically significant agitation/aggression (score of ≥4) as measured by the NPI-12 A/A at Visits 1 and 2. 8. Must be receiving treatment with stable doses of either a cholinesterase inhibitor or memantine or both for ≥3 months prior to Visit 1 and likely to be maintained on his/her current dose for the duration of the study. 9. Has no change to medications targeting behavioral manifestations of AD within 4 weeks prior to Visit 2. Lorazepam can be administered in a dose ≤1.5 mg/day and not to exceed 3 days in a 7-day period. Concomitant use of lorazepam must be recorded during visits. 10. Is permitted to use low-dose trazodone (up to 100 mg/day), eszopiclone, zolpidem, zopiclone, or zaleplon for nighttime management of insomnia. Insomnia medications must not be administered within 8 hours prior to the efficacy and/or safety assessments. 11. Is permitted to use anxiolytic medications (including benzodiazepine), and antidepressants (with the exclusion of tricyclic antidepressants), provided they have been on a stable dose for ≥4 weeks prior to Visit 1.
  • 12. Is permitted to use supplements, medical foods, or pharmaceuticals specifically for the treatment of dementia, agitation, or sleep, containing omega-3 fatty acids, melatonin, vitamin B12, folate, or valerian root. However, the dose should be stable for ≥4 weeks prior to Visit 1 and must remain stable throughout the study. All stable supplements require review and approval by the medical monitor prior to randomization. 13. Has a person (ie, caregiver) who is qualified, willing, and able to provide accurate information regarding the participant's cognitive and functional abilities and will accompany the participant to study visits. The caregiver should have face-to-face contact with the participant for a minimum of approximately 8 hours per week spread over 3 to 5 days during the week. 14. Participants who are independent living, having in-home services, or living in assisted living or nursing homes. The participant can participate in this study if his/her caregiver ensures the administration of the study drug. 15. Has vision and hearing (corrected) sufficient to comply with the testing procedures. Both participant and caregiver must be able to read and understand the written information and have literacy skills to ensure compliance with the visit procedures. 16. Has no clinically significant abnormalities in general health, physical examination, neurological examination, ECG recording, or laboratory assessments. For ALT, AST, or TBL, clinically significant is defined as greater than 1.5 times the upper limit of normal. 17. Has a BMI >18.5 kg/m2 at Visit 1. 18. Is willing and able to participate in all aspects of study design including blood sampling (PK and laboratory tests). 19. Has ability to travel to the study site at the scheduled visit times (except participants living in nursing homes).

You likely can't join if

  • 1.Female participants who are pregnant or breast feeding. 2.Sexually active females of childbearing potential and male participants are not practicing two different methods of birth control with their partner. 3.Has history of confirmed COVID-19 within 3 months prior to Visit 1. 4.Has a diagnosis of dementia due to other non-Alzheimer disorders. 5.Has a history of stroke, documented TIAs, and/or pulmonary embolism within the last 12 months. 6.Has a diagnosis of schizophrenia, bipolar disorder, or current untreated/uncontrolled MDD or participants whose C-SDD scores are suggestive of probable depression (ie, scores ≥12) at Visits 1 or 2. 7.Has symptoms of agitation that are not secondary to AD. 8.Has symptoms of delirium or history of delirium within 1 month prior to Visit 1. 9.Has used or will continue to use MAOIs, linezolid, tricyclic antidepressants, or intravenous methylene blue within 14 days prior to Visit 1. 10.Has uncontrolled cardiac disease or hypertension. 11.All antipsychotics are prohibited and should be discontinued as appropriate. 12.Centrally acting anticholinergic medications are prohibited. 13.CYP3A4 substrates with narrow therapeutic index are prohibited and should be discontinued as appropriate. 14.Use of any medications/supplements/foods with known inhibitoryinducer effects on CYP3A4 should be discontinued from screening through EOT visit. 15.Use of herbal and dietary supplements that cause liver injury. Participants on stable use for at least 4 months prior to Visit 1 are allowed; however, herbal and dietary supplement dose changes and new herbal and dietary supplements are not allowed during the study.
  • 16.Has a history or current evidence of QT prolongation syndrome, or Torsade de Pointes, as determined by ECG at Visits 1 or 2. 17.Has bradycardia (100 bpm) on the ECG at Visits 1 or 2. 18.Has uncontrolled type-1 or type-2 diabetes (defined as HbA1c >6.5% at Visit 1). 19.Has cancer, a malignant tumor, or has been treated for an active malignancy within the past 5 years. Participants with stable untreated prostate or cervical cancer, localized squamous cell cancer, or basal cell cancer are permitted. 20.Has clinically significant hepatic impairment. 21.Is treated or likely to require treatment during the study with any medications prohibited by the study protocol. 22.Is at imminent risk of self-harm, based on clinical interview and responses on the C-SSRS, or of harm to others in the opinion of the investigator at Visits 1 or 2. 23.History of significant head injury, seizures, or any other unexplained, recurrent loss of consciousness for more than 15 minutes within 12 months of Visit 1. 24.Poorly controlled psychosis and other psychiatric disorder that, in the opinion of the investigator, would interfere with the participant’s ability to be compliant with the study protocol. 25.Known history of substance use disorder within 1 year prior to first dose of study drug, not including caffeine and nicotine. 26.Current implantable intracranial stimulator or history of intracranial ablation surgery. 27.Repetitive transcranial magnetic stimulation within 3 months prior to Visit 1. 28.Participation in experimental interventional treatments, including immunotherapy, for any aspects of AD in the past 6 months or 5 half-lives of the experimental drug product (whichever is longer), prior to the first dose of study drug. If the participant was on placebo arm of disease-modifying treatments, participation in this study is allowed. 29.Has been previously treated with masupirdine. 30.Use of recreational or medical marijuana within 4 weeks prior to the first dose of study drug or any time during the study. 31.Positive screen for illicit drugs of abuse, including phencyclidine, barbiturates, benzodiazepines, opiates, methadone, cocaine, cannabinoids, and amphetamines. 32.Participant (or caregiver) is deemed otherwise ineligible for participation in this study in the investigator’s judgment.

The study team makes the final eligibility decision.

Where it's taking place

  • Serbia
  • United States

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 65+ years, 18-64 years. The study team makes the final eligibility decision.

Where is this trial taking place?

Study sites include Serbia; United States. Enter your location above to see the nearest site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from EU CTIS; the study team decides eligibility.