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A Study to Assess the Efficacy and Safety of ITI-1284 in the Treatment of Psychosis Associated With Alzheimer's Disease

NCT06540833 · Intra-Cellular Therapies, Inc.
In plain English

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Official title
A Multicenter, Randomized, Double-blind, Placebo-controlled, Flexible-dose Study to Assess the Efficacy, Safety, and Tolerability of ITI-1284 in Patients With Psychosis Associated With Alzheimer's Disease
About this study
The study will be conducted in 3 periods: * Screening Period (up to 4 weeks) during which patient eligibility will be assessed; * Double-blind Treatment Period (6 weeks) during which all patients will be randomized in a 1:1 ratio to receive either ITI-1284 or placebo; * Safety Follow-up Period (30 days) during which all patients will return for a safety follow-up visit approximately 30 days after the last dose of study drug.
Eligibility criteria
Inclusion Criteria: 1. Can understand the nature of the trial and protocol requirements and provide signed informed consent, if in the judgement of the Investigator is deemed competent to provide consent or if patient is deemed not competent to provide informed consent, with the patient's assent (if capable), consent may be provided by an appropriate person (eg, patient's Legally Authorized Representative \[LAR\]) before the initiation of any study-specific procedures in accordance with local regulations; 2. Meets clinical criteria for AD based on 2011 NIA-AA criteria and either: 1. Has a high likelihood for amyloid pathology consistent with AD, as confirmed by blood-based biomarker at Screening; or 2. Has documented confirmation of AD by cerebrospinal fluid (CSF) biomarker or amyloid positron emission tomography (PET) brain scan; 3. Meets criteria for psychosis in accordance with the International Psychogeriatric Association (IPA) provisional consensus definition at Screening and Baseline; 4. Scoring ≥ 2 on any item of the BEHAVE-AD Part A. Paranoid and Delusional Ideation item and/or Part B. Hallucinations item (ie, psychosis subscale) at Screening and Baseline; 5. CGI-S score ≥ 4 at Screening and Baseline; 6. Mini-Mental State Examination, 2nd Edition™: Standard Version (MMSE-2®:SV) score of 6 to 24 (inclusive) at Screening with sufficient verbal ability to understand and answer questions and comply with procedures; 7. Has a designated caregiver (eg, relative, housemate, close personal friend, or professional caregiver); Exclusion Criteria: 1. Psychotic symptoms that are primarily attributable to delirium, substance abuse, or another general-medical condition (eg, hypothyroidism) or has been diagnosed with one or more of the following psychiatric conditions: 1. Schizophrenia, schizoaffective disorder, or other psychotic disorder that is not related to Alzheimer's dementia; 2. Bipolar disorder; 2. Risk for suicidal behavior during the course of their participation in the study or is considered to be an imminent danger to themselves or others, in the opinion of the investigator, and/or as assessed by C-SSRS; or the patient has had 1 or more suicide attempts within 2 years prior to Screening; 3. The patient is unable or unwilling to discontinue other drugs with known psychotropic properties or any non-psychotropic drugs with known or potentially significant central nervous system effects, as reviewed by the Sponsor or designee, 4. The patient is hospitalized or receiving skilled nursing care for any medical condition other than dementia 5. The patient is bedridden or has any significant medical condition that is unstable and would either: 1. Place the patient at undue risk from study drug or undergoing study procedures; or 2. Interfere with the interpretation of safety or efficacy evaluations performed during the course of the study; 6. The patient is in hospice or end-of-life care;
Study design
Enrollment target: 370 participants
Allocation: randomized
Masking: quadruple
Age groups: adult, older_adult
Timeline
Starts: 2024-08-15
Estimated completion: 2028-12-29
Last updated: 2026-07-06
Interventions
Drug: ITI-1284Drug: Placebo
Primary outcomes
  • BEHAVE-AD psychosis subscale score (Week 6)
Sponsor
Intra-Cellular Therapies, Inc. · industry
Contacts & investigators
ContactITI Clinical Trials · contact · ITCIClinicalTrials@itci-inc.com · 6464409333
All locations (65)
Advanced Research Center, IncRecruiting
Anaheim, California, United States
Pharmacology Research InstituteTerminated
Los Alamitos, California, United States
Wr Pri LlcCompleted
Newport Beach, California, United States
ATP Clinical ResearchSuspended
Orange, California, United States
Sunwise Clinical ResearchRecruiting
Walnut Creek, California, United States
Envision Trials LLCRecruiting
Bonita Springs, Florida, United States
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Brandon, Florida, United States
Healthcare Innovations Institute IncCompleted
Coral Springs, Florida, United States
Brain Matters ResearchCompleted
Delray Beach, Florida, United States
Science Connections LLCRecruiting
Doral, Florida, United States
Homestead Associates in Research IncSuspended
Homestead, Florida, United States
K2 Medical ResearchRecruiting
Maitland, Florida, United States
Wellness Research CenterRecruiting
Miami, Florida, United States
Ocean Blue Medical Research Center Inc.Suspended
Miami, Florida, United States
Allied Biomedical Research Institute (ABRI), IncRecruiting
Miami, Florida, United States
South Florida Research Phase I-IVRecruiting
Miami, Florida, United States
Sunshine Medical SolutionRecruiting
Miami, Florida, United States
Combined Research OrlandoCompleted
Orlando, Florida, United States
Intercoastal Medical GroupRecruiting
Sarasota, Florida, United States
University of South FloridaRecruiting
Tampa, Florida, United States
Psych Me Medical Research IncSuspended
Tampa, Florida, United States
Bio Behavioral HealthRecruiting
Toms River, New Jersey, United States
New Hope Clinical ResearchRecruiting
Charlotte, North Carolina, United States
Horizon Clinical Research GroupRecruiting
Cypress, Texas, United States
University of Texas Health Science Center at San AntonioRecruiting
San Antonio, Texas, United States
Northwest Clinical Research CenterSuspended
Bellevue, Washington, United States
Medical Center Sv Dimitar BlagoevgradRecruiting
Blagoevgrad, Bulgaria
Ambulatory for Individual Practice for Specialized Medical Care in Psychiatry Dr. Ivo Natsov ETRecruiting
Cherven Bryag, Bulgaria
Mental Health Centre Prof. N Shipkovenski EOODRecruiting
Sofia, Bulgaria
DCC 'Sv. Vrach and Sv. Sv. Kuzma and Damyan', OODRecruiting
Sofia, Bulgaria
Medical Center Hera EOODRecruiting
Sofia, Bulgaria
Medical Center Intermedica, OODRecruiting
Sofia, Bulgaria
UMHAT Prof. Dr. St. Kirkovich ADRecruiting
Stara Zagora, Bulgaria
Mental Health Center - Vratsa EOODCompleted
Vratsa, Bulgaria
Polyclinic NeuronRecruiting
Zagreb, Croatia
University Hospital Centre Zagreb 1Completed
Zagreb, Croatia
University Hospital Centre ZagrebSuspended
Zagreb, Croatia
Psychiatric Clinic "VRAPCE"Recruiting
Zagreb, Croatia
Fakultni nemocnice u sv. Anny v BrneRecruiting
Brno, Czechia
Neuro Health Centrum s r oRecruiting
Brno, Czechia
NEUROHK s r oRecruiting
Hradec Králové, Czechia
INEP medical s.r.o.Completed
Prague, Czechia
Przychodnia Srodmiescie SP. z o.o.Completed
Bydgoszcz, Poland
Neuro CareCompleted
Katowice, Poland
Osrodek Badawczo Naukowo Dydaktyczny Chorob Otepiennych UM im Piastow Slaskich we WroclawiuRecruiting
Ścinawa, Poland
Spitalul Universitar de Urgenta Militar Central 'Dr. Carol Davila'Recruiting
Bucharest, Romania
Spitalul Clinic de Psihiatrie Prof Dr Alexandru Obregia 1Recruiting
Bucharest, Romania
Spitalul Clinic de Psihiatrie Prof Dr Alexandru ObregiaRecruiting
Bucharest, Romania
Centrul de Evaluarea si Tratament al Toxicodependentelor pentru Tineri Sf. StelianSuspended
Bucharest, Romania
Spitalul De Psihiatrie Elisabeta Doamna GalaţiRecruiting
Galati, Romania
SC Carpe Diem SRLRecruiting
Sibiu, Romania
Clinical Center Dr Dragisa Misovic DedinjeRecruiting
Belgrade, Serbia
Special Hospital for Psychiatric Diseases KovinRecruiting
Kovin, Serbia
University Clinical Center KragujevacRecruiting
Kragujevac, Serbia
University Clinical Center NISRecruiting
Niš, Serbia
Special Hospital for Psychiatric Diseases Sveti VraceviRecruiting
Novi Kneževac, Serbia
Neurologicka ambulancia MUDr.Dupejova s.r.o.Completed
Banská Bystrica, Slovakia
Univerzitna nemocnica BratislavaSuspended
Bratislava, Slovakia
Univerzitna nemocnica L. Pasteura KosiceRecruiting
Košice, Slovakia
Epamed sroRecruiting
Košice, Slovakia
NEURES s r oRecruiting
Krompachy, Slovakia
Crystal Comfort s.r.o.Recruiting
Vranov nad Topľou, Slovakia
Hosp. Gral. de AlbaceteRecruiting
Albacete, Spain
Hosp. Prov. de ZamoraRecruiting
Zamora, Spain
Hosp. Viamed MontecanalSuspended
Zaragoza, Spain
A Study to Assess the Efficacy and Safety of ITI-1284 in the Treatment of Psychosis Associated With Alzheimer's Disease · TrialPath