Efficacy, Safety and Tolerability Study of AVP-923 (Dextromethorphan/Quinidine) for Treatment of Symptoms of Agitation in Participants With Alzheimer's Disease

NCT ID: NCT01584440

Last Updated: 2021-11-26

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

220 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-08-13

Study Completion Date

2014-07-30

Brief Summary

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The objectives of the study are to evaluate the safety, tolerability and efficacy of AVP-923 compared to placebo, for the treatment of symptoms of agitation in participants with Alzheimer's Disease (AD).

Detailed Description

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Eligible participants for this study must have a diagnosis of probable AD and must have clinically meaningful agitation secondary to AD.

This is a multicenter, randomized, double-dummy, double-blind, placebo-controlled study, consisting of 10 weeks of treatment.

Up to 200 participants will be enrolled at approximately 30-40 centers in the US.

Study medication will be administered orally twice-daily from Day 1 through Day 70. Screening must occur within within approximately 4 weeks prior to randomization. Following screening procedures for assessment of inclusion and exclusion criteria, eligible participants will be randomized into the study.

Conditions

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Agitation Alzheimer's Disease

Keywords

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AVP-923-20 AVP-923-30 AVP-923 Dextromethorphan Quinidine Neuropsychiatric Inventory Aggression Efficacy Safety

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo

Participants will receive placebo during Stage 1 and Stage 2 of the study.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo capsule

AVP-923

Participants will receive AVP-923-20 and AVP-923-30 in a sequential manner during Stage 1 and Stage 2 of the study.

Group Type EXPERIMENTAL

AVP-923-20

Intervention Type DRUG

AVP-923-20: 20 mg of dextromethorphan and 10 mg of quinidine

AVP-923-30

Intervention Type DRUG

AVP-923-30: 30 mg of dextromethorphan and 10 mg of quinidine

Placebo then AVP-923

Participants will receive placebo in Stage 1 followed by AVP-923 in Stage 2.

Group Type EXPERIMENTAL

AVP-923-20

Intervention Type DRUG

AVP-923-20: 20 mg of dextromethorphan and 10 mg of quinidine

Placebo

Intervention Type DRUG

Placebo capsule

AVP-923-30

Intervention Type DRUG

AVP-923-30: 30 mg of dextromethorphan and 10 mg of quinidine

Interventions

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AVP-923-20

AVP-923-20: 20 mg of dextromethorphan and 10 mg of quinidine

Intervention Type DRUG

Placebo

Placebo capsule

Intervention Type DRUG

AVP-923-30

AVP-923-30: 30 mg of dextromethorphan and 10 mg of quinidine

Intervention Type DRUG

Other Intervention Names

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Nuedexta

Eligibility Criteria

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Inclusion Criteria

Diagnosis of probable Alzheimer's disease (AD).

The participant has clinically significant symptoms of agitation secondary to AD, that interfere with daily routine and for which a prescription medication is deemed indicated, in the opinion of the investigator.

Either out-patients or residents of an assisted-living facility or a skilled nursing home.

CGI-S score is ≥ 4 (moderately ill) at screening and baseline.

Mini Mental State Examination (MMSE) score at screening between 8 and 28 (inclusive).

Caregiver who is able and willing to comply with all required study procedures, ensuring that the participant attends all study visits and takes the study medication as instructed. In order to qualify as a caregiver for this study, the individual should spend time with the participant for a minimum of 4 hours on 4 separate days per week.

Exclusion Criteria

Participant has other type of dementia (e.g., vascular dementia, frontotemporal dementia, Parkinson's disease, substance-induced dementia).

Participant 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, certain cardiac conduction abnormalities including QTc prolongation, or unstable valvular heart disease).

Participant with myasthenia gravis.
Minimum Eligible Age

50 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Avanir Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Phoenix, Arizona, United States

Site Status

Sun City, Arizona, United States

Site Status

Fresno, California, United States

Site Status

Fullerton, California, United States

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Los Angeles, California, United States

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Los Angeles, California, United States

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San Diego, California, United States

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San Francisco, California, United States

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Sherman Oaks, California, United States

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Temecula, California, United States

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Boynton Beach, Florida, United States

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Deerfield Beach, Florida, United States

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Hialeah, Florida, United States

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Miami, Florida, United States

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Miami, Florida, United States

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Miami, Florida, United States

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Ocala, Florida, United States

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Orlando, Florida, United States

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Sunrise, Florida, United States

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Tampa, Florida, United States

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West Palm Beach, Florida, United States

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West Palm Beach, Florida, United States

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Weston, Florida, United States

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Elk Grove Village, Illinois, United States

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Las Vegas, Nevada, United States

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Las Vegas, Nevada, United States

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Summit, New Jersey, United States

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Toms River, New Jersey, United States

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Orangeburg, New York, United States

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Rochester, New York, United States

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White Plains, New York, United States

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Centerville, Ohio, United States

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Cincinnati, Ohio, United States

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Cleveland, Ohio, United States

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Columbus, Ohio, United States

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Lakewood, Ohio, United States

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Allentown, Pennsylvania, United States

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Reading, Pennsylvania, United States

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Charleston, South Carolina, United States

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Houston, Texas, United States

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San Antonio, Texas, United States

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Salt Lake City, Utah, United States

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Bennington, Vermont, United States

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Spokane, Washington, United States

Site Status

Countries

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United States

References

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Cummings JL, Lyketsos CG, Peskind ER, Porsteinsson AP, Mintzer JE, Scharre DW, De La Gandara JE, Agronin M, Davis CS, Nguyen U, Shin P, Tariot PN, Siffert J. Effect of Dextromethorphan-Quinidine on Agitation in Patients With Alzheimer Disease Dementia: A Randomized Clinical Trial. JAMA. 2015 Sep 22-29;314(12):1242-54. doi: 10.1001/jama.2015.10214.

Reference Type BACKGROUND
PMID: 26393847 (View on PubMed)

Other Identifiers

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12-AVR-131

Identifier Type: -

Identifier Source: org_study_id