RecruitingPhase 2NCT06540833

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

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


Sponsor

Intra-Cellular Therapies, Inc.

Enrollment

370 participants

Start Date

Aug 15, 2024

Study Type

INTERVENTIONAL

Conditions

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.


Eligibility

Min Age: 55 Years

Inclusion Criteria9

  • 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;
  • Meets clinical criteria for AD based on 2011 NIA-AA criteria and either:
  • Has a high likelihood for amyloid pathology consistent with AD, as confirmed by blood-based biomarker at Screening; or
  • Has documented confirmation of AD by cerebrospinal fluid (CSF) biomarker or amyloid positron emission tomography (PET) brain scan;
  • Meets criteria for psychosis in accordance with the International Psychogeriatric Association (IPA) provisional consensus definition at Screening and Baseline;
  • 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;
  • CGI-S score ≥ 4 at Screening and Baseline;
  • 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;
  • Has a designated caregiver (eg, relative, housemate, close personal friend, or professional caregiver);

Exclusion Criteria10

  • 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:
  • Schizophrenia, schizoaffective disorder, or other psychotic disorder that is not related to Alzheimer's dementia;
  • Bipolar disorder;
  • 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;
  • 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,
  • The patient is hospitalized or receiving skilled nursing care for any medical condition other than dementia
  • The patient is bedridden or has any significant medical condition that is unstable and would either:
  • Place the patient at undue risk from study drug or undergoing study procedures; or
  • Interfere with the interpretation of safety or efficacy evaluations performed during the course of the study;
  • The patient is in hospice or end-of-life care;

Interventions

DRUGITI-1284

ITI-1284 10 mg or 20 mg rapidly disintegrating tablet, taken once daily, sublingual administration

DRUGPlacebo

Placebo rapidly disintegrating tablet, taken once daily, sublingual administration


Locations(65)

Clinical Site

Anaheim, California, United States

Clinical Site

Costa Mesa, California, United States

Clinical Site

Lafayette, California, United States

Clinical Site

Los Alamitos, California, United States

Clinical Site

Newport Beach, California, United States

Clinical Site

Orange, California, United States

Clinical Site

Bonita Springs, Florida, United States

Clinical Site

Brandon, Florida, United States

Clinical Site

Coral Springs, Florida, United States

Clinical Site

Delray Beach, Florida, United States

Clinical Site

Doral, Florida, United States

Clinical Site

Homestead, Florida, United States

Clinical Site

Maitland, Florida, United States

Clinical Site

Miami, Florida, United States

Clinical Site

Miami, Florida, United States

Clinical Site

Miami, Florida, United States

Clinical Site

Miami, Florida, United States

Clinical Site

Miami, Florida, United States

Clinical Site

Orlando, Florida, United States

Clinical Site

Sarasota, Florida, United States

Clinical Site

Tampa, Florida, United States

Clinical Site

Tampa, Florida, United States

Clinical Site

Toms River, New Jersey, United States

Clinical Site

Charlotte, North Carolina, United States

Clinical Site

Cypress, Texas, United States

Clinical Site

San Antonio, Texas, United States

Clinical Site

Bellevue, Washington, United States

Clinical Site

Blagoevgrad, Bulgaria

Clinical Site

Cherven Bryag, Bulgaria

Clinical Site

Sofia, Bulgaria

Clinical Site

Sofia, Bulgaria

Clinical Site

Sofia, Bulgaria

Clinical Site

Sofia, Bulgaria

Clinical Site

Stara Zagora, Bulgaria

Clinical Site

Vratsa, Bulgaria

Clinical Site_2

Zagreb, Croatia

Clinical Site

Zagreb, Croatia

Clinical Site

Zagreb, Croatia

Clinical Site

Brno, Czechia

Clinical Site

Brno, Czechia

Clinical Site

Hradec Králové, Czechia

Clinical Site

Prague, Czechia

Clinical Site

Bydgoszcz, Poland

Clinical Site

Ścinawa, Poland

Clinical Site

Bucharest, Romania

Clinical Site

Bucharest, Romania

Clinical Site

Bucharest, Romania

Clinical Site

Bucharest, Romania

Clinical Site

Galati, Romania

Clinical Site

Sibiu, Romania

Clinical Site

Belgrade, Serbia

Clinical Site

Kovin, Serbia

Clinical Site

Kragujevac, Serbia

Clinical Site

Niš, Serbia

Clinical Site

Novi Kneževac, Serbia

Clinical Site

Banská Bystrica, Slovakia

Clinical Site

Bratislava, Slovakia

Clinical Site

Košice, Slovakia

Clinical Site

Košice, Slovakia

Clinical Site

Krompachy, Slovakia

Clinical Site

Vranov nad Topľou, Slovakia

Clinical Site

Albacete, Spain

Clinical Site

Madrid, Spain

Clinical Site

Zamora, Spain

Clinical Site

Zaragoza, Spain

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NCT06540833


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