Clinical Trial on Agitation in Alzheimer's Dementia

NCT ID: NCT05543681

Last Updated: 2025-11-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

164 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-11

Study Completion Date

2026-03-30

Brief Summary

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The purpose of this study is to assess the efficacy of the oral medication IGC-AD1, a THC-based (Delta-9-Tetrahydrocannabinol) formulation administered twice a day on Agitation in patients with mild to severe dementia from Alzheimer's.

Detailed Description

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CALMA is a multi-center, double-blind, randomized, placebo-controlled clinical trial. The study targets participants aged 60 and older with mild to severe Alzheimer's dementia who have exhibited clinically significant agitation for at least two weeks prior to enrollment. Agitation caused by other conditions or transient symptoms must be ruled out. Eligibility is determined by a baseline Neuropsychiatric Inventory (NPI-12), Agitation subscale score of ≥4 and the International Psychogeriatric Association (IPA) criteria for agitation.

The investigational medication is an oral solution containing two active ingredients: delta-9 tetrahydrocannabinol (THC) and melatonin. The treatment is administered for 42 days, followed by a two-day taper period at the end of the study.

Safety oversight includes daily calls on days 2, 3, and 4, transitioning to calls every third day thereafter. These calls will review study partners logbook entries, changes in concomitant medications, and adverse events.

The primary objective of the study is to evaluate the efficacy of IGC-AD1 on agitation, measured by changes in the Cohen-Mansfield Agitation Inventory (CMAI) scores from baseline to the End of treatment (EOT). The secondary objective is to assess efficacy by examining CMAI score changes from baseline to week two. Additionally, exploratory objectives are outlined in separate documentation.

Blood samples will be collected during the trial for sparse pharmacokinetic (PK) analysis, blood-based CNS biomarker, and genotyping.

Conditions

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Alzheimer Disease Agitation,Psychomotor Care Giving Burden NPS Aggression

Keywords

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Cannabis Tetrahydrocannabinol THC Melatonin Alzheimer's Marijuana Hemp Agitation Dementia Depression Anxiety NPI CMAI Dronabinol

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Multi-site, Randomized, double-blind, placebo-controlled parallel-group trial in adults with mild to severe dementia from Alzheimer's and symptomatological Agitation.
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators
Double-blind for study site and participants

Study Groups

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Active Comparator: IGC-AD1Active

IGC-AD1-Active, oral solution with two APIs (THC and melatonin).

Group Type ACTIVE_COMPARATOR

IGC-AD1-Active

Intervention Type DRUG

A non-sterile solution for oral administration.

Placebo Comparator: IGC-AD1 Placebo

IGC-AD1-Placebo, oral solution similar to Active in color, taste, and texture, with excipients but without APIs.

Group Type PLACEBO_COMPARATOR

IGC-AD1-Placebo

Intervention Type DRUG

A non-sterile solution for oral administration similar in color and texture to the Active.

Interventions

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IGC-AD1-Active

A non-sterile solution for oral administration.

Intervention Type DRUG

IGC-AD1-Placebo

A non-sterile solution for oral administration similar in color and texture to the Active.

Intervention Type DRUG

Other Intervention Names

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Active Placebo

Eligibility Criteria

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Inclusion Criteria

1. Participant and/or Caregiver must provide a signed and dated ICF prior to any study procedures.
2. Must have a Caregiver who is able and willing to comply with all required study procedures.
3. The Caregiver must be known to the Participant and must be able to use electronic devices such as a cell phone, video conference over a laptop or cell phone, weighing scale, and be able to learn to take blood pressure, among others.
4. Based on local practice, Participants that cannot consent may have Caregiver's consent provided the Caregiver has among others a) Power of Attorney, b) is a spouse, or c) a sibling or d) a child or e) a close relation. The practice of accepting consent must be consistent with established practice at the site and jurisdiction.
5. Participants must consent to CYP450 and apolipoprotein E (ApoE) genotyping, and pharmacokinetics.
6. Diagnosis of AD by NIA-AA criteria
7. Clinically significant Agitation assessed by:

1. NPI (Agitation) ≥ 4
2. The presence of clinically significant, persistent Agitation based on the IPA definition (Appendix C) rather than those with recent onset and occasional symptoms, and
3. Agitation not attributable to another psychiatric disorder, suboptimal care conditions, other underlining medical condition, or the physiological effects of a substance.
8. Negative drug screen, except for benzodiazepines if Participant has been using them in stable doses for at least 3 months before screening.
9. All medications used for behavioral symptoms should be consistent for at least 3 months before screening, with allowance for dose changes up to 25%.
10. Women must be of no childbearing potential (postmenopausal, defined as cessation of menses for at least 12 months, without an alternative medical cause for amenorrhea) or surgically sterile (hysterectomy, bilateral oophorectomy, or bilateral tubal ligation)).

An individual who meets any of the following criteria will be excluded from participation in this study:

Exclusion Criteria

1. Prior adverse reaction to cannabinoids or to any component of Study Drug (IGC-AD1 and placebo): THC, melatonin, honey, curcumin, ethyl alcohol, vitamin-E TPGS, ascorbic acid, water, tween-80, and rutin.
2. Serious or unstable medical illness, including cardiovascular, hepatic, renal, respiratory, endocrine, neurologic, or hematologic disease, which might confound assessment of safety outcomes.
3. History of seizures, schizophrenia, or bipolar disorder.
4. Has participated in an investigational drug or device study within 30 days prior to study start.
5. Urine drug screen positive for drug use, except for benzodiazepines if Participant was using them previously and their dose had remained stable for at least 3 months before screening.
6. History of Alcohol and Drug use disorder, within one year prior to enrollment.
7. Hypertension: Participants with a history of uncontrolled hypertension as determined by the PI and Participants with a hypertensive crisis in the six months prior to enrollment.
8. Falls: Participants with a history of recurrent falls defined as more than two falls in the six-month period prior to enrollment and a history of falls resulting in injuries or associated with a new acute illness, loss of consciousness, fever, or abnormal blood pressure (Fuller et al., 2000).
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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IGC Pharma, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dr. Saadia Shahnawaz, MD

Role: STUDY_DIRECTOR

IGC Pharma, LLC

Locations

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ClinCloud, LLC

Maitland, Florida, United States

Site Status ACTIVE_NOT_RECRUITING

ClinCloud, LLC

Melbourne, Florida, United States

Site Status RECRUITING

Global Medical Institutes Florida, LLC

Miami, Florida, United States

Site Status RECRUITING

Miami Jewish Health

Miami, Florida, United States

Site Status RECRUITING

Neurostudies Inc.

Port Charlotte, Florida, United States

Site Status RECRUITING

BayCare Health System Inc.

St. Petersburg, Florida, United States

Site Status RECRUITING

University of South Florida Department of Psychiatry and Behavioral Neurosciences

Tampa, Florida, United States

Site Status RECRUITING

Tandem Intermediate, LLC

Metairie, Louisiana, United States

Site Status RECRUITING

MedStar Franklin Square Medical Center Neurology

Baltimore, Maryland, United States

Site Status RECRUITING

Medstar Georgetown University Hospital Neurology

Clinton, Maryland, United States

Site Status RECRUITING

Medstar Montgomery Medical Center

Olney, Maryland, United States

Site Status RECRUITING

Tekton Research LLC

St Louis, Missouri, United States

Site Status RECRUITING

Dent Neurosciences Research Center

Amherst, New York, United States

Site Status RECRUITING

Integrative Clinical Trials, LLC

Brooklyn, New York, United States

Site Status NOT_YET_RECRUITING

Ichor Research

Syracuse, New York, United States

Site Status RECRUITING

Lynn Health Science Institute (LHSI)

Oklahoma City, Oklahoma, United States

Site Status RECRUITING

Butler Hospital, Brown University

Providence, Rhode Island, United States

Site Status RECRUITING

Senior Adults Specialty Research

Austin, Texas, United States

Site Status RECRUITING

Dominion Medical Associates, Inc.

Richmond, Virginia, United States

Site Status RECRUITING

Island Health Authorities

Victoria, British Columbia, Canada

Site Status RECRUITING

Hamilton Health Sciences , Mcmaster University

Hamilton, Ontario, Canada

Site Status RECRUITING

Baycrest Academy, University of Toronto

Toronto, Ontario, Canada

Site Status RECRUITING

Douglas Hospital Research Center, McGill university

Montreal, Quebec, Canada

Site Status RECRUITING

Grupo de Neurociencias de Antioquia, Universidad de Antioquia

Medellín, Antioquia, Colombia

Site Status ACTIVE_NOT_RECRUITING

Instituto Sanacoop

Bayamón, Bayamón, Puerto Rico

Site Status COMPLETED

SCB Research Center

Bayamón, , Puerto Rico

Site Status RECRUITING

University of Puerto Rico

Rio Piedras, , Puerto Rico

Site Status RECRUITING

Countries

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United States Canada Colombia Puerto Rico

Central Contacts

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Evelyn Gutiérrez

Role: CONTACT

Phone: +13013394270

Email: [email protected]

Margarita Venegas

Role: CONTACT

Email: [email protected]

Other Identifiers

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IGC-AD1-P2 BIDAG

Identifier Type: -

Identifier Source: org_study_id