A Study to Assess the Efficacy and Safety of ML-007C-MA for the Treatment of Alzheimer's Disease Psychosis

NCT ID: NCT06887192

Last Updated: 2025-12-23

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

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-08-15

Study Completion Date

2027-02-28

Brief Summary

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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.

Detailed Description

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Conditions

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Psychosis Associated With Alzheimer's Disease

Keywords

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Alzheimer Disease Brain Diseases Central Nervous System Diseases Delusions Dementia Hallucinations Mental Disorders Nervous System Diseases Neurocognitive Disorders Neurodegenerative Diseases Psychotic Disorders Schizophrenia Spectrum and Other Psychotic Disorders Tauopathies

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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ML-007C-MA

Group Type EXPERIMENTAL

ML-007C-MA

Intervention Type DRUG

ML-007C-MA dosed as 105/1.5 mg (one tablet of 105/1.5 mg ML-007C-MA), or 210/3 mg (two tablets of 105/1.5 mg ML-007C-MA )

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo Tablets

Interventions

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ML-007C-MA

ML-007C-MA dosed as 105/1.5 mg (one tablet of 105/1.5 mg ML-007C-MA), or 210/3 mg (two tablets of 105/1.5 mg ML-007C-MA )

Intervention Type DRUG

Placebo

Placebo Tablets

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. 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:

1. The participant's LAR (or care partner, if local regulations allow) must provide written informed consent AND
2. The participant will provide written (if capable) informed assent.
2. Aged 55 to 90 years, inclusive, at time of informed consent.
3. Meets clinical criteria for Possible AD or Probable AD.
4. Presence of psychotic symptoms (meeting International Psychogeriatric Association criteria) (Cummings 2020) for at least 2 months before Screening.
5. Has resided at the same home, residential assisted living, or nursing home facility for a minimum of 6 weeks before Screening.
6. 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.
7. Has a NPI-C H+D score of ≥ 6 AND meet at least 1 of the following criteria:

1. Moderate to severe delusions, defined as NPI-C Delusions domain score of ≥ 2 on at least 2 of the 8 items OR
2. Moderate to severe hallucinations, defined as NPI-C Hallucinations domain score of ≥ 2 on at least 2 of the 7 items.
8. Has a (CGI)-S hallucinations and delusions domain-specific score ≥4
9. Has an Mini-mental State Examination (MMSE) score of 6 to 26, inclusive.

Exclusion Criteria

1. Under the care of hospice, bed-bound, or receiving end-of-life palliative care.
2. Psychotic symptoms that are primarily attributable to substance abuse or a medical, neurological or psychiatric condition other than Alzheimer's disease.
3. 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.
4. Moderate or severe major depressive episode within 3 months of Screening, according to DSM-5 criteria.
5. Has had an amyloid positron emission tomography (PET) brain scan or cerebrospinal fluid (CSF) Alzheimer's disease biomarker test in the past 3 years with results inconsistent with a diagnosis of AD.
6. 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.
7. Gastric retention, urinary retention or narrow-angle (angle-closure) glaucoma
8. Meets or has met DSM-5 criteria for alcohol or substance use disorder within the past 12 months (excluding caffeine and nicotine).
9. Has previously participated in any clinical study with ML-007 or ML-007C-MA.
10. 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).
Minimum Eligible Age

55 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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MapLight Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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MapLight Therapeutics

Role: STUDY_DIRECTOR

MapLight Therapeutics

Locations

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Clinical Site

Scottsdale, Arizona, United States

Site Status RECRUITING

Clinical Site

Tucson, Arizona, United States

Site Status RECRUITING

Clinical Site

Anaheim, California, United States

Site Status RECRUITING

Clinical Site

Orange, California, United States

Site Status RECRUITING

Clinical Site

Boca Raton, Florida, United States

Site Status RECRUITING

Clinical Site

Deerfield Beach, Florida, United States

Site Status RECRUITING

Clinical Site

Doral, Florida, United States

Site Status RECRUITING

Clinical Site

Homestead, Florida, United States

Site Status RECRUITING

Clinical Site

Miami, Florida, United States

Site Status RECRUITING

Clinical Site

Miami, Florida, United States

Site Status RECRUITING

Clinical Site

Miami, Florida, United States

Site Status RECRUITING

Clinical Site

Miami, Florida, United States

Site Status RECRUITING

Clinical Site

Miami Gardens, Florida, United States

Site Status RECRUITING

Clinical Site

Miami Gardens, Florida, United States

Site Status RECRUITING

Clinical Site

Naples, Florida, United States

Site Status RECRUITING

Clinical Site

Orlando, Florida, United States

Site Status RECRUITING

Clinical Site

West Palm Beach, Florida, United States

Site Status RECRUITING

Clinical Site

Independence, Ohio, United States

Site Status RECRUITING

Clinical Site

Brampton, Ontario, Canada

Site Status NOT_YET_RECRUITING

Clinical Site

London, Ontario, Canada

Site Status RECRUITING

Clinical Site

Toronto, Ontario, Canada

Site Status RECRUITING

Clinical Site

Lévis, Quebec, Canada

Site Status RECRUITING

Countries

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United States Canada

Central Contacts

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Clinical Trials Contact Center

Role: CONTACT

Phone: +1 650 839 4380

Email: [email protected]

Other Identifiers

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2024-519820-26-00

Identifier Type: CTIS

Identifier Source: secondary_id

ML-007C-MA-221

Identifier Type: -

Identifier Source: org_study_id