MedPath

A Study to Evaluate KarXT as a Treatment for Psychosis Associated With Alzheimer's Disease (ADEPT-4)

Phase 3
Recruiting
Conditions
Alzheimer Disease
Interventions
Drug: Placebo
Registration Number
NCT06585787
Lead Sponsor
Karuna Therapeutics
Brief Summary

The purpose of this study is to evaluate the safety and efficacy of KarXT in adult participants with mild to severe Alzheimer's Disease (AD) with moderate to severe psychosis related to AD.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
406
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
KarXTKarXT-
PlaceboPlacebo-
Primary Outcome Measures
NameTimeMethod
Change from baseline in Neuropsychiatric Inventory-Clinician: Hallucinations and Delusions (NPI-C: H+D) scoreUp to Week 14
Secondary Outcome Measures
NameTimeMethod
Change from baseline in Clinical Global Impressions-Severity (CGI-S) scaleUp to Week 14
Change from baseline in Neuropsychiatric Inventory-Clinician (NPI-C) Core score: Hallucination DomainUp to Week 14
Change from baseline in NPI-C Core score: Delusion DomainUp to Week 14
Change from baseline in NPI-C Core score: Agitation DomainUp to Week 14
Change from baseline in NPI-C Core score: Aggression DomainUp to Week 14
Change from baseline in NPI-C Agitation scoreUp to Week 14
Change from baseline in NPI-C Core score: Caregiver Distress ScaleUp to Week 14
Number of participants with a ≥ 40% improvement from Baseline in NPI-C: H+D scoreUp to Week 14
Change from baseline in Cohen- Mansfield Agitation Inventory-International Psychogeriatric Association (CMAI-IPA) total scoreUp to Week 14
Change from baseline in Cohen- Mansfield Agitation Inventory (CMAI) total scoreUp to Week 14
Number of participants with Adverse Events (AEs)Up to Week 14
Number of participants with Treatment-Emergent Adverse Events (TEAEs)Up to Week 14
Number of participants with Serious Adverse Events (SAEs)Up to Week 14
Number of participants with TEAEs leading to study withdrawalUp to Week 14
Number of participants with procholinergic symptomsUp to Week 14
Number of participants with anticholinergic symptomsUp to Week 14
Number of participants with AEs of Special Interest (AESIs)Up to Week 14
Barnes Akathisia Rating Scale (BARS) ScoreUp to Week 14
Abnormal Involuntary Movement Scale (AIMS) ScoreUp to Week 14
Body WeightUp to Week 14
Body Mass Index (BMI)Up to Week 14
Number of participants with vital sign abnormalitiesUp to Week 14
Number of participants with clinical laboratory abnormalitiesUp to Week 14
Number of participants with 12-lead electrocardiogram (ECG) abnormalitiesUp to Week 14
Number of participants with suicidal ideation as assessed by the Columbia Suicide Severity Rating Scale (C-SSRS)Up to Week 14
Cognition as assessed by the Mini-Mental State Examination (MMSE)Up to Week 14
Cognition as assessed by the Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog-13)Up to Week 14

Trial Locations

Locations (214)

Hanyang University Seoul Hospital

🇰🇷

Seoul, Korea, Republic of

JY Research Institute Inc

🇺🇸

Cutler Bay, Florida, United States

Chandler Clinical Trials, LLC

🇺🇸

Chandler, Arizona, United States

Banner Alzheimer's Institute

🇺🇸

Phoenix, Arizona, United States

Scottsdale Clinical Trials

🇺🇸

Scottsdale, Arizona, United States

Advanced Research Center, Inc.

🇺🇸

Anaheim, California, United States

Long Beach Research Institute, LLC

🇺🇸

Long Beach, California, United States

Local Institution - 1226

🇺🇸

Los Angeles, California, United States

Local Institution - 1219

🇺🇸

Los Angeles, California, United States

ATP Clinical Research-302 W La Veta Ave

🇺🇸

Orange, California, United States

Arrow Clinical Trials

🇺🇸

Daytona Beach, Florida, United States

NRC Research Institute - Orange - PPDS

🇺🇸

Orange, California, United States

SC3 Research - Pasadena - 960 E. Green St

🇺🇸

Pasadena, California, United States

Prospective Research Innovations 8577 Haven Ave

🇺🇸

Rancho Cucamonga, California, United States

University of Connecticut Health Center

🇺🇸

Farmington, Connecticut, United States

Genesis Trust Research Group

🇺🇸

Atlantis, Florida, United States

Envision Trials LLC

🇺🇸

Bonita Springs, Florida, United States

Quantum Laboratories, Inc - West Palm Beach Office

🇺🇸

Deerfield Beach, Florida, United States

Integrity Clinical Research, LLC - 8000 NW 21st St

🇺🇸

Doral, Florida, United States

New Life Medical Research Center -3750 W 16th Ave

🇺🇸

Hialeah, Florida, United States

Research in Miami, Inc

🇺🇸

Hialeah, Florida, United States

Nexus Clinical Research Center- NRC

🇺🇸

Homestead, Florida, United States

K2 Medical Research - Lady Lake

🇺🇸

Lady Lake, Florida, United States

New Med Research

🇺🇸

Miami Gardens, Florida, United States

Panax Clinical Research

🇺🇸

Miami Lakes, Florida, United States

Angels Clinical Research Institute - Miami Lakes

🇺🇸

Miami Lakes, Florida, United States

Homestead Associates in Research Inc

🇺🇸

Miami, Florida, United States

Clinical Hospital Center Dragisa Misovic Dedinje

🇷🇸

Belgrade, Serbia

Premier Clinical Research Institute - Miami - ClinEdge - PPDS

🇺🇸

Miami, Florida, United States

Dade Research Center

🇺🇸

Miami, Florida, United States

Wellness Research Center Inc - Miami

🇺🇸

Miami, Florida, United States

A & D Doctor Center

🇺🇸

Miami, Florida, United States

Floridian Neuroscience Institute-1901 SW 1 St

🇺🇸

Miami, Florida, United States

Miami Jewish Health Systems

🇺🇸

Miami, Florida, United States

MedOne Clinical Research LLC

🇺🇸

Miami, Florida, United States

My Community Research Center, Inc - 7480 Bird Rd

🇺🇸

Miami, Florida, United States

Future Care Solution LLC

🇺🇸

Miami, Florida, United States

Reliant Medical Research

🇺🇸

Miami, Florida, United States

Novel Clinical Research Center, LLC.

🇺🇸

Miami, Florida, United States

US Associates in Research Inc

🇺🇸

Miami, Florida, United States

Serenity Research Center

🇺🇸

Miami, Florida, United States

IMIC LLC- 9380 SW 150th Str

🇺🇸

Miami, Florida, United States

New Gen Health

🇺🇸

Miami, Florida, United States

Floridian Research Institute-1021 Ives Dairy Rd

🇺🇸

Miami, Florida, United States

High Quality Research

🇺🇸

Miami, Florida, United States

Sensible HealthCare, LLC - ClinEdge - PPDS

🇺🇸

Ocoee, Florida, United States

Combined Research Orlando Phase I-IV

🇺🇸

Orlando, Florida, United States

Neurology Associates of Ormond Beach

🇺🇸

Ormond Beach, Florida, United States

Progressive Medical Research (Duplicate)

🇺🇸

Port Orange, Florida, United States

Cordova Research Institute- Sweetwater

🇺🇸

Sweetwater, Florida, United States

Angels Clinical Research Institute Tampa

🇺🇸

Tampa, Florida, United States

Interventional Psychiatry of Tampa Bay

🇺🇸

Tampa, Florida, United States

Local Institution - 1233

🇺🇸

Wellington, Florida, United States

Premiere Research Institute at Palm Beach Neurology, PA

🇺🇸

West Palm Beach, Florida, United States

Agile Clinical Research Trials, LLC

🇺🇸

Atlanta, Georgia, United States

McLean Hospital

🇺🇸

Belmont, Massachusetts, United States

Local Institution - 1239

🇺🇸

Springfield, Massachusetts, United States

Precise Research Centers - ClinEdge - PPDS

🇺🇸

Flowood, Mississippi, United States

Advanced Memory Research Institute - CenExel - PPDS

🇺🇸

Toms River, New Jersey, United States

Bio Behavioral Health

🇺🇸

Toms River, New Jersey, United States

Local Institution - 1231

🇺🇸

Syracuse, New York, United States

Five Towns Neurology, PC

🇺🇸

Woodmere, New York, United States

Triad Clinical Trials

🇺🇸

Greensboro, North Carolina, United States

AMC Research, LLC - Flourish - PPDS

🇺🇸

Matthews, North Carolina, United States

Local Institution - 5005

🇦🇷

Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina

West Clinical Research

🇺🇸

Morehead City, North Carolina, United States

Ohio State University

🇺🇸

Columbus, Ohio, United States

Alzheimer's Disease and Memory Disorders Center at Rhode Island Hospital

🇺🇸

Providence, Rhode Island, United States

Local Institution - 1211

🇺🇸

Nashville, Tennessee, United States

Epic Medical Research LLC - DeSoto

🇺🇸

DeSoto, Texas, United States

Advanced Neuro Research Center - El Paso

🇺🇸

El Paso, Texas, United States

Local Institution - 1238

🇺🇸

Plano, Texas, United States

Glenn Biggs Institute for Alzheimer's & Neurodegenerative Diseases

🇺🇸

San Antonio, Texas, United States

R & H Clinical Research-3727 Greenbriar Dr

🇺🇸

Stafford, Texas, United States

Local Institution - 5004

🇦🇷

Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina

Local Institution - 5001

🇦🇷

Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina

Local Institution - 5006

🇦🇷

Buenos Aires, Argentina

Local Institution - 5002

🇦🇷

Ciudad Autonoma de Buenos Aires, Argentina

Local Institution - 5003

🇦🇷

Cordoba, Argentina

Local Institution - 5007

🇦🇷

San Rafael, Argentina

Local Institution - 2806

🇧🇪

Jette, Brussels, Belgium

AZ Delta- Campus Rumbeke

🇧🇪

Roeselare, West-Vlaanderen, Belgium

ANIMA Research Center - PPDS

🇧🇪

Alken, Belgium

Local Institution - 2807

🇧🇪

Brugge, Belgium

Local Institution - 2805

🇧🇪

Kortrijk, Belgium

Local Institution - 6201

🇧🇷

Brasília, Distrito Federal, Brazil

Local Institution - 6202

🇧🇷

São Paulo, SAO Paulo, Brazil

Local Institution - 6206

🇧🇷

São Paulo, SAO Paulo, Brazil

Local Institution - 6205

🇧🇷

São Paulo, SAO Paulo, Brazil

Local Institution - 6203

🇧🇷

São Paulo, SAO Paulo, Brazil

Local Institution - 6204

🇧🇷

Rio de Janeiro, Brazil

Local Institution - 4506

🇧🇬

Sofia, Sofia-Grad, Bulgaria

Local Institution - 4508

🇧🇬

Plovdiv, Bulgaria

Local Institution - 4507

🇧🇬

Ruse, Bulgaria

Local Institution - 4509

🇧🇬

Sofia, Bulgaria

Local Institution - 4105

🇭🇷

Zagreb, GRAD Zagreb, Croatia

Polyclinic Neuron

🇭🇷

Zagreb, Grad Zagreb, Croatia

Klinika za psihijatriju Vrapce

🇭🇷

Zagreb, Grad Zagreb, Croatia

Psychiatric Clinic Sveti Ivan

🇭🇷

Zagreb, Grad Zagreb, Croatia

Tsurumi Nishii Hospital

🇯🇵

Yokohama, Kanagawa, Japan

Local Institution - 2510

🇫🇷

Nice, Alpes-Maritimes, France

Local Institution - 2511

🇫🇷

Tours, Indre-et-Loire, France

Local Institution - 2512

🇫🇷

Toulouse, France

CHU de Toulouse- Gerontopole

🇫🇷

Toulouse, France

Local Institution - 2407

🇩🇪

Böblingen, Baden-Württemberg, Germany

NeuroCentrum Odenwald

🇩🇪

Erbach, Hessen, Germany

Universitatsklinikum des Saarlandes

🇩🇪

Homburg, Saarland, Germany

Local Institution - 2406

🇩🇪

Berlin, Germany

Local Institution - 2405

🇩🇪

Frankfurt am Main, Germany

Henry Dunant Hospital Center

🇬🇷

Athina, Attiki, Greece

Local Institution - 4802

🇬🇷

Chaidari, Athens, Attiki, Greece

Local Institution - 4810

🇬🇷

Kalyftaki-N. Kifissia, Attiki, Greece

Local Institution - 4801

🇬🇷

Heraklion, Irakleio, Greece

Local Institution - 4811

🇬🇷

Thessaloniki, Greece

Psychotech Kft.

🇭🇺

Pécs, Baranya, Hungary

Local Institution - 4610

🇭🇺

Szeged, Csongrád, Hungary

Local Institution - 4611

🇭🇺

Gyöngyös, Heves, Hungary

Semmelweis Egyetem Pszichiátriai és Pszichoterápiás Klinika

🇭🇺

Budapest, Hungary

Local Institution - 4612

🇭🇺

Budapest, Hungary

Local Institution - 7403

🇮🇳

Hyderabad, Andhra Pradesh, India

Local Institution - 7401

🇮🇳

Nagpur, Maharashtra, India

Local Institution - 7404

🇮🇳

Kolkata, West Bengal, India

Local Institution - 7402

🇮🇳

Varanasi, India

The Barzilai University Medical Center

🇮🇱

Ashkelon, Tel-Aviv, Israel

Hadassah Medical Center- Ein Kerem - PPDS

🇮🇱

Jerusalem, Yerushalayim, Israel

Rabin Medical Center - PPDS

🇮🇱

Petah Tikva, Israel

The Chaim Sheba Medical Center - PPDS

🇮🇱

Ramat -Gan, Israel

Local Institution - 2322

🇮🇹

Roma, Lazio, Italy

IRCCS San Raffaele- Via di Val Cannuta 250

🇮🇹

Roma, Lazio, Italy

Local Institution - 2324

🇮🇹

Brescia, Lombardia, Italy

Local Institution - 2323

🇮🇹

Milano, Lombardia, Italy

Local Institution - 2307

🇮🇹

Ponderano (Biella), Piemonte, Italy

Local Institution - 2321

🇮🇹

Rome, Roma, Italy

Local Institution - 2309

🇮🇹

Roma, Italy

Iizuka Memorial Hospital

🇯🇵

Iizuka, Fukuoka, Japan

Local Institution - 7525

🇯🇵

Koriyama, Fukushima, Japan

Teine Keijinkai Hospital

🇯🇵

Sapporo, Hokkaido, Japan

Hyogo Prefectural Harima-Himeji General Medical Center

🇯🇵

Himeji-Shi, Hyogo, Japan

Memory Clinic Toride

🇯🇵

Toride-shi, Ibaraki, Japan

Kagawa Prefectural Central Hospital

🇯🇵

Takamatsu-Shi, Kagawa, Japan

Hatano Kousei Hospital

🇯🇵

Hadano, Kanagawa, Japan

Koukan Clinic

🇯🇵

Kawasaki-Shi, Kanagawa, Japan

Yokohama City Minato Red Cross Hospital

🇯🇵

Yokohama-Shi, Kanagawa, Japan

Yokohama City University Hospital

🇯🇵

Yokohama, Kanagawa, Japan

National Hospital Organization Utano National Hospital

🇯🇵

Kyoto-Shi, Kyoto, Japan

National Hospital Organization Miechuo Medical Center

🇯🇵

Tsu-Shi, MIE, Japan

Asakayama General Hospital

🇯🇵

Sakai, Osaka, Japan

Shin-Abuyama Hospital

🇯🇵

Takatsuki, Osaka, Japan

Local Institution - 7510

🇯🇵

Kanzaki-Gun Yoshinogari-Cho, Saga, Japan

Local Institution - 7504

🇯🇵

Wako-Shi, Saitama, Japan

NHO Tokushima Medical Center West

🇯🇵

Yoshinogawa, Tokushima, Japan

Tokyo Angel Hospital

🇯🇵

Hachioji, Tokyo, Japan

Sangenjaya Nakamura Mental Clinic

🇯🇵

Setagaya-Ku, Tokyo, Japan

Kurumi Clinic

🇯🇵

Setagaya-Ku, Tokyo, Japan

Local Institution - 7515

🇯🇵

Fukuoka, Japan

Funairi nou clinic

🇯🇵

Hiroshima, Japan

Yuge Neuropsychiatric Hospital

🇯🇵

Kumamoto, Japan

Tsutsujimental Hospital

🇯🇵

Tatebayashi, Japan

Local Institution - 7214

🇰🇷

Ansan-si, Gyeonggido, Korea, Republic of

Local Institution - 7217

🇰🇷

Seoul, Seoul Teugbyeolsi, Korea, Republic of

Local Institution - 7213

🇰🇷

Seoul, Seoul Teugbyeolsi, Korea, Republic of

Samsung Medical Center

🇰🇷

Seoul, Seoul Teugbyeolsi, Korea, Republic of

Local Institution - 7215

🇰🇷

Seoul, Seoul Teugbyeolsi, Korea, Republic of

Local Institution - 7212

🇰🇷

Yeongdeungpo-Gu, Seoul Teugbyeolsi, Korea, Republic of

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

Local Institution - 7216

🇰🇷

Yongin-si, Korea, Republic of

4 Wojskowy Szpital Kliniczny z Poliklinika SP ZOZ

🇵🇱

Wroclaw, Dolnoslaskie, Poland

Uniwersyteckie Centrum Kliniczne w Gdansku - Smoluchowskiego 17

🇵🇱

Gdansk, Pomorskie, Poland

Local Institution - 4213

🇵🇱

Kielce, Poland

Pro Salus Sp. z o.o.sp. k

🇵🇱

Lodz, Poland

NZOZ NEUROMED M. I M. Nastaj Spolka Partnerska -Lublin

🇵🇱

Lublin, Poland

Centrum Medyczne HCP Szpital im. Jana Pawla II

🇵🇱

Poznan, Poland

ULS do Alto Ave, EPE - Hospital da Senhora da Oliveira Guimarães

🇵🇹

Guimarães, Braga, Portugal

Local Institution - 2704

🇵🇹

Lisbon, Lisboa, Portugal

Campus Neurológico Sénior

🇵🇹

Torres Vedras, Lisboa, Portugal

ULS de Matosinhos, EPE - Hospital Pedro Hispano

🇵🇹

Matosinhos, Porto, Portugal

ULS de Santa Maria,EPE - Hospital de Santa Maria - PPDS

🇵🇹

Lisboa, Portugal

Local Institution - 2706

🇵🇹

Lisboa, Portugal

Santa Cruz Behavioral PSC

🇵🇷

Bayamon, Puerto Rico

CDT Grupo Medico San Pablo Inc.

🇵🇷

Bayamon, Puerto Rico

Instituto De Neurologia Dra. Ivonne Fraga,Psc

🇵🇷

San Juan, Puerto Rico

Barbara Diaz Hernandez MD Research Inc

🇵🇷

San Juan, Puerto Rico

Local Institution - 1305

🇵🇷

San Juan, Puerto Rico

CMI Dr. Buhas Ramocea Elena Daniela - Cabinet Medical de Psihiarie

🇷🇴

Oradea, Bihor, Romania

Local Institution - 4906

🇷🇴

Bucuresti, Romania

Local Institution - 4902

🇷🇴

Constanta, Romania

Local Institution - 4903

🇷🇴

Craiova, Romania

Local Institution - 4905

🇷🇴

Iasi, Romania

S.C. Carpe Diem SRL

🇷🇴

Sibiu, Romania

University Clinical Center of Serbia - Dr Subotica 6 - PPDS

🇷🇸

Beograd, Belgrade, Serbia

Local Institution - 4308

🇷🇸

Belgrade, Serbia

Local Institution - 4314

🇷🇸

Belgrade, Serbia

Special Hospital for Psychiatric Diseases Gornja Toponica

🇷🇸

Gornja Toponica, Serbia

Special Hospital for Psychiatric Diseases Kovin

🇷🇸

Kovin, Serbia

University Clinical Center Kragujevac

🇷🇸

Kragujevac, Serbia

Local Institution - 4309

🇷🇸

Novi Sad, Serbia

Univerzitna nemocnica L Pasteura Kosice-Rastislavova 43

🇸🇰

Kosice, Košický Kraj, Slovakia

MUDr. Beata Dupejova - Neurologicka Ambulancia s.r.o

🇸🇰

Banska Bystrica, Slovakia

KONZILIUM s.r.o

🇸🇰

Dubnica nad Váhom, Slovakia

EPAMED s.r.o

🇸🇰

Košice, Slovakia

Psychiatrická nemocnica Philippa Pinela Pezinok

🇸🇰

Pezinok, Slovakia

Crystal Comfort, s.r.o.

🇸🇰

Vranov nad Topľou, Slovakia

Hospital Universitario Puerta de Hierro - Majadahonda

🇪🇸

Majadahonda, Madrid, Spain

Hospital Universitari Santa Maria

🇪🇸

Lleida, Spain

Hospital Clinico San Carlos

🇪🇸

Madrid, Spain

Hospital Universitario De Salamanca

🇪🇸

Salamanca, Spain

Hospital Victoria Eugenia

🇪🇸

Sevilla, Spain

Hospital Universitario Rio Hortega

🇪🇸

Valladolid, Spain

Local Institution - 4702

🇹🇷

Atakum, Samsun, Turkey

Local Institution - 4706

🇹🇷

Ankara, Turkey

Local Institution - 4701

🇹🇷

Eskisehir, Turkey

Local Institution - 4704

🇹🇷

Istanbul, Turkey

Local Institution - 4705

🇹🇷

Izmir, Turkey

Local Institution - 4703

🇹🇷

Izmir, Turkey

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