Study to Examine the Safety and Efficacy of Pimavanserin for the Treatment of Agitation and Aggression in Alzheimer's Disease (SERENE)

NCT ID: NCT02992132

Last Updated: 2019-03-28

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

111 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-11-30

Study Completion Date

2018-02-16

Brief Summary

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To evaluate the efficacy of pimavanserin compared with placebo in treatment of agitation and aggression after 12 weeks of treatment

Detailed Description

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Conditions

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Agitation and Aggression in Alzheimer's Disease

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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Pimavanserin 34 mg

Drug- pimavanserin tartrate, 34 mg, taken as two 17 mg tablets, once daily by mouth

Group Type EXPERIMENTAL

Pimavanserin 34 mg

Intervention Type DRUG

Pimavanserin 34 mg, tablet, taken as two 17 mg tablets, once daily by mouth

Pimavanserin 20 mg

Drug- pimavanserin tartrate, 20 mg, taken as two 10 mg tablets, once daily by mouth

Group Type EXPERIMENTAL

Pimavanserin 20 mg

Intervention Type DRUG

Pimavanserin 20 mg, tablet, taken as two 10 mg tablets, once daily by mouth

Placebo

Placebo, taken as two tablets, once daily by mouth

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo, taken as two tablets, once daily by mouth

Interventions

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Pimavanserin 34 mg

Pimavanserin 34 mg, tablet, taken as two 17 mg tablets, once daily by mouth

Intervention Type DRUG

Pimavanserin 20 mg

Pimavanserin 20 mg, tablet, taken as two 10 mg tablets, once daily by mouth

Intervention Type DRUG

Placebo

Placebo, taken as two tablets, once daily by mouth

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Male or female, 50 years of age or older
2. Can understand the nature of the trial and protocol requirements and provide signed informed consent

* from patient, if deemed competent to provide consent
* from an appropriate person (e.g. patient's Legally Authorized Representative (LAR) with the patient's assent) if patient is deemed not competent to provide informed consent.
3. Has a diagnosis of probable AD according to the National Institute on Aging-Alzheimer's Association (NIA-AA) guidelines
4. Meets criteria for agitation according to the International Psychogeriatric Association (IPA) guidelines
5. Lives at home or in an assisted living or care facility (but has the capacity to visit the clinic as an outpatient). Subjects must have been at their current location for at least 3 weeks prior to Screening and plan to remain at the same location for the duration of the trial.
6. Has a designated study partner/caregiver who is in contact with the patient at least 3 times a week on 3 separate days
7. Female patients must be of non-childbearing potential or must agree to use an acceptable method of contraception or abstinence , for at least 1 month prior to randomization, during the study, and 1 month following completion of the study
8. The patient and caregiver are willing and able to participate in all schedule evaluations and complete all required tests

Exclusion Criteria

1. The agitation/aggression is attributable to concomitant medications, environmental conditions, substance abuse, or active medical or psychiatric condition
2. Patient is receiving skilled nursing care for any medical condition other than dementia
3. Treatment with an antipsychotic medication within 2 weeks of Baseline visit or 5 half lives, whichever is longer
4. Patient or study partner/caregiver has a medical condition (e.g., hearing, vision impairments) that would impair the ability to perform the study assessments.
5. Has had a myocardial infarction within the last six months
6. Has a history or symptoms of long QT syndrome
7. Has a history of a significant psychotic disorder before or during the diagnosis of probable Alzheimer's disease (including, but not limited to schizophrenia or bipolar disorder)
8. Patient is bedridden or has any significant medical condition that is unstable and would place the patient at undue risk from study drug or study procedures 9. Has a sensitivity to pimavanserin or its excipients

10\. Has previously participated in a clinical study with pimavanserin

11\. Has a Global Clinician Assessment of Suicidality (GCAS) score of 3 or 4 based on Investigator's assessment of behavior within the last 3 months at Screening or since last visit at Baseline
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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ACADIA Pharmaceuticals Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Costa Mesa, California, 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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Pasadena, California, United States

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San Diego, California, United States

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Danbury, Connecticut, United States

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Washington D.C., District of Columbia, United States

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Boca Raton, Florida, United States

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Deerfield Beach, Florida, United States

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Miami, Florida, United States

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Naples, Florida, United States

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Atlanta, Georgia, United States

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Bangor, Maine, United States

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Quincy, Massachusetts, United States

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Clinton Township, Michigan, United States

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Flowood, Mississippi, United States

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Jackson, Mississippi, United States

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Eatontown, New Jersey, United States

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Marlton, New Jersey, United States

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Toms River, New Jersey, United States

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Albuquerque, New Mexico, United States

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Charlotte, North Carolina, United States

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Oklahoma City, Oklahoma, United States

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Medford, Oregon, United States

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Jenkintown, Pennsylvania, United States

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Norristown, Pennsylvania, United States

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Willow Grove, Pennsylvania, United States

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Charleston, South Carolina, United States

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Nashville, Tennessee, United States

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DeSoto, Texas, United States

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Salt Lake City, Utah, United States

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Spokane, Washington, United States

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Valdivia, Los Ríos Region, Chile

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Antofagasta, , Chile

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Santiago, , Chile

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Santiago, , Chile

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Toulouse, Cedex 9, France

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Paris, , France

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Saint-Herblain, , France

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Strasbourg, , France

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Villeurbanne, , France

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Algorta, Vizcaya, Spain

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Córdoba, , Spain

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Elche, , Spain

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Madrid, , Spain

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Palma de Mallorca, , Spain

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Pamplona, , Spain

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Santa Coloma de Gramenet, , Spain

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Terrassa, , Spain

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Zaragoza, , Spain

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Swindon, Wiltshire, United Kingdom

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Bath, , United Kingdom

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Isleworth, , United Kingdom

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Manchester, , United Kingdom

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Northampton, , United Kingdom

Site Status

Countries

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United States Chile France Spain United Kingdom

Provided Documents

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Document Type: Statistical Analysis Plan

View Document

Document Type: Study Protocol

View Document

Other Identifiers

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2016-001127-32

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

ACP-103-032

Identifier Type: -

Identifier Source: org_study_id

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