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NCT06887192PHASE2Recruiting

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

MapLight Therapeutics

Start Date

8/15/2025

Completion Date

12/1/2027

Summary

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.

Eligibility Criteria

Age Range: 55 years to 90 years

Key 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 must provide written informed consent AND 2. The participant will provide informed assent. 2. Meets clinical criteria for Possible AD or Probable AD. 3. Presence of psychotic symptoms (meeting International Psychogeriatric Association criteria) (Cummings 2020) for at least 2 months before Screening. 4. Has resided at the same home, residential assisted living, or nursing home facility for a minimum of 6 weeks before Screening. 5. 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. 6. 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. 7. Has a (CGI)-S hallucinations and delusions domain-specific score ≥4 8. Has an Mini-mental State Examination (MMSE) score of 6 to 26, inclusive. Key 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 an elevated risk of suicidal behavior 6. Has had an amyloid PET brain scan or CSF Alzheimer's disease biomarker test in the past 3 years with results inconsistent with a diagnosis of AD. 7. 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. 8. Gastric retention, urinary retention or narrow-angle (angle-closure) glaucoma 9. Meets or has met DSM-5 criteria for alcohol or substance use disorder within the past 12 months (excluding caffeine and nicotine). 10. Has previously participated in any clinical study with ML-007 or ML-007C-MA. 11. Has developed an allergy or other intolerance to ML-007C-MA, its active ingredients or their excipients. 12. 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).

Interventions

DRUG

ML-007C-MA

DRUG

Placebo

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Conditions

Psychosis Associated With Alzheimer's Disease

Locations

Clinical Site

Phoenix, Arizona 85004

United States

Clinical Site

Scottsdale, Arizona 85253

United States

Clinical Site

Tucson, Arizona 85704

United States

Clinical Site

Anaheim, California 92805

United States

Clinical Site

Murrieta, California 92562

United States

Clinical Site

Orange, California 92866

United States

Clinical Site

San Diego, California 92123

United States

Clinical Site

Denver, Colorado 80218

United States

Clinical Site

Boca Raton, Florida 33428

United States

Clinical Site

Deerfield Beach, Florida 33442

United States

Clinical Site

Doral, Florida 33122

United States

Clinical Site

Homestead, Florida 33033

United States

Clinical Site

Miami, Florida 33122

United States

Clinical Site

Miami, Florida 33155

United States

Clinical Site

Miami, Florida 33173

United States

Clinical Site

Miami, Florida 33186

United States

Clinical Site

Miami Gardens, Florida 33014

United States

Clinical Site

Miami Gardens, Florida 33104

United States

Clinical Site

Naples, Florida 34105

United States

Clinical Site

Orlando, Florida 32807

United States

Clinical Site

Tampa, Florida 33629

United States

Clinical Site

West Palm Beach, Florida 33407

United States

Clinical Site

Augusta, Georgia 30912

United States

Clinical Site

Snellville, Georgia 30078

United States

Clinical Site

Las Vegas, Nevada 89121

United States

Clinical Site

West Long Branch, New Jersey 07764

United States

Clinical Site

Dayton, Ohio 45459

United States

Clinical Site

Independence, Ohio 44131

United States

Clinical Site

McKinney, Texas 75071

United States

Clinical Site

Sugarland, Texas 77478

United States

Clinical Site

Bellevue, Washington 98007

United States

Clinical Site

Córdoba, Córdoba Province X5009BIN

Argentina

Clinical Site

Córdoba, X5004AOA

Argentina

Clinical Site

Pernik, Pernik 2304

Bulgaria

Clinical Site

Sofia, Sofia 1408

Bulgaria

Clinical Site

Brampton, Ontario L6W 2Z8

Canada

Clinical Site

London, Ontario N6A 5W9

Canada

Clinical Site

Toronto, Ontario M4N 3M5

Canada

Clinical Site

Lévis, Quebec G6V 0C9

Canada

Clinical Site

Choceň, 565 01

Czechia

Clinical Site

Prague, 150 00

Czechia

Clinical Site

Toulouse, 31059

France

Clinical Site

Pécs, 7623

Hungary

Clinical Site

Pécs, 7633

Hungary

Clinical Site

Roma, 00128

Italy

Clinical Site

Plewiska, 62-064

Poland

Clinical Site

Torres Vedras, Lisbon District 2560-280

Portugal

Clinical Site

Bucharest, 041914

Romania

Clinical Site

Kragujevac, 34000

Serbia

Clinical Site

Vranov nad Topľou, 093 01

Slovakia

Clinical Site

Daegu, 41404

South Korea

Clinical Site

Incheon, 21565

South Korea