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NCT06540833PHASE2Recruiting

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

Intra-Cellular Therapies, Inc.

Start Date

8/15/2024

Completion Date

12/29/2028

Summary

This is a multicenter, randomized, double-blind, parallel-group, placebo-controlled, flexible-dose study evaluating the efficacy, safety, and tolerability of ITI-1284 compared with placebo in the treatment of psychosis in patients with AD.

Detailed Description

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

Age Range: 55 years to No maximum

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;

Interventions

DRUG

ITI-1284

DRUG

Placebo

Interested in This Trial?

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Conditions

Psychosis Associated With Alzheimer's Disease

Locations

Advanced Research Center, Inc

Anaheim, California 92805

United States

Pharmacology Research Institute

Los Alamitos, California 90720

United States

Wr Pri Llc

Newport Beach, California 92660

United States

ATP Clinical Research

Orange, California 92866

United States

Sunwise Clinical Research

Walnut Creek, California 94596

United States

Envision Trials LLC

Bonita Springs, Florida 34134

United States

Clinical Research of Brandon

Brandon, Florida 33511

United States

Healthcare Innovations Institute Inc

Coral Springs, Florida 33067

United States

Brain Matters Research

Delray Beach, Florida 33445

United States

Science Connections LLC

Doral, Florida 33178

United States

Homestead Associates in Research Inc

Homestead, Florida 33033

United States

K2 Medical Research

Maitland, Florida 32751

United States

Wellness Research Center

Miami, Florida 33135

United States

Ocean Blue Medical Research Center Inc.

Miami, Florida 33144

United States

Allied Biomedical Research Institute (ABRI), Inc

Miami, Florida 33155-4630

United States

South Florida Research Phase I-IV

Miami, Florida 33166

United States

Sunshine Medical Solution

Miami, Florida 33186

United States

Combined Research Orlando

Orlando, Florida 32803

United States

Intercoastal Medical Group

Sarasota, Florida 34239

United States

University of South Florida

Tampa, Florida 33613

United States

Psych Me Medical Research Inc

Tampa, Florida 33614

United States

Bio Behavioral Health

Toms River, New Jersey 08755

United States

New Hope Clinical Research

Charlotte, North Carolina 28211

United States

Horizon Clinical Research Group

Cypress, Texas 77065

United States

University of Texas Health Science Center at San Antonio

San Antonio, Texas 78229-3900

United States

Northwest Clinical Research Center

Bellevue, Washington 98007

United States

Medical Center Sv Dimitar Blagoevgrad

Blagoevgrad, 2700

Bulgaria

Ambulatory for Individual Practice for Specialized Medical Care in Psychiatry Dr. Ivo Natsov ET

Cherven Bryag, 5980

Bulgaria

Mental Health Centre Prof. N Shipkovenski EOOD

Sofia, 1377

Bulgaria

DCC 'Sv. Vrach and Sv. Sv. Kuzma and Damyan', OOD

Sofia, 1408

Bulgaria

Medical Center Hera EOOD

Sofia, 1510

Bulgaria

Medical Center Intermedica, OOD

Sofia, 1680

Bulgaria

UMHAT Prof. Dr. St. Kirkovich AD

Stara Zagora, 6003

Bulgaria

Mental Health Center - Vratsa EOOD

Vratsa, 3000

Bulgaria

Polyclinic Neuron

Zagreb, 10000

Croatia

University Hospital Centre Zagreb 1

Zagreb, 10000

Croatia

University Hospital Centre Zagreb

Zagreb, 10000

Croatia

Psychiatric Clinic "VRAPCE"

Zagreb, 10090

Croatia

Fakultni nemocnice u sv. Anny v Brne

Brno, 60200

Czechia

Neuro Health Centrum s r o

Brno, 62800

Czechia

NEUROHK s r o

Hradec Králové, 50002

Czechia

INEP medical s.r.o.

Prague, 18600

Czechia

Przychodnia Srodmiescie SP. z o.o.

Bydgoszcz, 85 080

Poland

Neuro Care

Katowice, 40-749

Poland

Osrodek Badawczo Naukowo Dydaktyczny Chorob Otepiennych UM im Piastow Slaskich we Wroclawiu

Ścinawa, 59-330

Poland

Spitalul Universitar de Urgenta Militar Central 'Dr. Carol Davila'

Bucharest, 010825

Romania

Spitalul Clinic de Psihiatrie Prof Dr Alexandru Obregia 1

Bucharest, 040874

Romania

Spitalul Clinic de Psihiatrie Prof Dr Alexandru Obregia

Bucharest, 041914

Romania

Centrul de Evaluarea si Tratament al Toxicodependentelor pentru Tineri Sf. Stelian

Bucharest, 60222

Romania

Spitalul De Psihiatrie Elisabeta Doamna Galaţi

Galati, 800179

Romania

SC Carpe Diem SRL

Sibiu, 550281

Romania

Clinical Center Dr Dragisa Misovic Dedinje

Belgrade, 11000

Serbia

Special Hospital for Psychiatric Diseases Kovin

Kovin, 26220

Serbia

University Clinical Center Kragujevac

Kragujevac, 34000

Serbia

University Clinical Center NIS

Niš, 18000

Serbia

Special Hospital for Psychiatric Diseases Sveti Vracevi

Novi Kneževac, 23330

Serbia

Neurologicka ambulancia MUDr.Dupejova s.r.o.

Banská Bystrica, 97404

Slovakia

Univerzitna nemocnica Bratislava

Bratislava, 81369

Slovakia

Univerzitna nemocnica L. Pasteura Kosice

Košice, 04190

Slovakia

Epamed sro

Košice, 4001

Slovakia

NEURES s r o

Krompachy, 05342

Slovakia

Crystal Comfort s.r.o.

Vranov nad Topľou, 09301

Slovakia

Hosp. Gral. de Albacete

Albacete, 02006

Spain

Hosp. Prov. de Zamora

Zamora, 49021

Spain

Hosp. Viamed Montecanal

Zaragoza, 50012

Spain