Clinical Trial on Agitation in Alzheimer's Dementia
Start Date
10/11/2022
Completion Date
8/1/2026
Summary
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
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.
Eligibility Criteria
Age Range: 60 years to No maximum
Interventions
IGC-AD1-Active
IGC-AD1-Placebo
Conditions
Locations
ClinCloud, LLC
Maitland, Florida 32751
United States
ClinCloud, LLC
Melbourne, Florida 32940
United States
Central Miami Medical Institute
Miami, Florida 33125
United States
Visionary Investigators Network
Miami, Florida 33133
United States
Miami Jewish Health
Miami, Florida 33137
United States
Neurostudies Inc.
Port Charlotte, Florida 33952
United States
BayCare Health System Inc.
St. Petersburg, Florida 33705
United States
University of South Florida Department of Psychiatry and Behavioral Neurosciences
Tampa, Florida 33613
United States
Tandem Clinical Research GI, LLC
Metairie, Louisiana 70006
United States
MedStar Franklin Square Medical Center Neurology
Baltimore, Maryland 21237
United States
Medstar Southern Maryland Hospital Center
Clinton, Maryland 20735
United States
Medstar Montgomery Medical Center
Olney, Maryland 20832
United States
Tekton Research LLC
St Louis, Missouri 63128
United States
Dent Neurologic Institute
Amherst, New York 02459
United States
Integrative Clinical Trials, LLC
Brooklyn, New York 11229
United States
Icahn School of Medicine at Mount Sinai
New York, New York 10029
United States
Ichor Research
Syracuse, New York 13210
United States
Lynn Health Science Institute (LHSI)
Oklahoma City, Oklahoma 73112
United States
Butler Hospital, Brown University
Providence, Rhode Island 02906
United States
Senior Adults Specialty Research
Austin, Texas 78757
United States
Baylor Scott and White Research Institute
Dallas, Texas 75231
United States
Kerwin Medical Center
Dallas, Texas 75231
United States
Dominion Medical Associates, Inc.
Richmond, Virginia 23219
United States
Island Health Authorities
Victoria, British Columbia V8R 1J8
Canada
Hamilton Health Sciences , Mcmaster University
Hamilton, Ontario L8M 1W9
Canada
Baycrest Academy for Research and Education , University of Toronto
Toronto, Ontario ON M6A 2E1
Canada
Douglas Hospital Research Center, McGill university
Montreal, Quebec H4H 1R3
Canada
Grupo de Neurociencias de Antioquia, Universidad de Antioquia
Medellín, Antioquia
Colombia
Instituto Sanacoop
Bayamón, Bayamón 00961
Puerto Rico
SCB Research Center Corp
Bayamón, 00961
Puerto Rico
The Alliance, Medical Sciences Campus University of Puerto Rico
Rio Piedras, 00935
Puerto Rico