Alzheimer's Disease
Conditions
Keywords
Agitation
Brief summary
Active treatment extension study of the 331-14-213 trial, to assess the long-term safety and tolerability of oral brexpiprazole as treatment in adult participants with agitation associated with dementia of the Alzheimer's type (AAD).
Interventions
2 or 3 mg tablet
Sponsors
Study design
Eligibility
Inclusion criteria
* Participants must have participated in the 331-14-213 study. * Participants must have an identified caregiver who has contact, at a minimum of 2 hours per day, 4 days per week to describe the participant's symptoms and can observe participant behavior.
Exclusion criteria
* Participants with a substantial protocol violation during the course of their participation in the double-blind trial 331-14-213.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) by Severity | From first dose through 30 days after last dose of study drug (Up to approximately Week 16) | An adverse event (AE) was defined as any untoward medical occurrence in a patient or clinical trial participant administered a medicinal product and which does not necessarily have a causal relationship with this treatment. TEAEs were defined as AEs with an onset date on or after the first dose of brexpiprazole. They are all adverse events that started after start of brexpiprazole; or if the event was continuous from baseline and was worsening, serious, study drug-related, or resulted in death, discontinuation, interruption, or reduction of study therapy. Adverse events were graded on a 3-point scale. The intensity of an adverse experience was defined as follows: 1 = Mild: Discomfort noticed, but no disruption to daily activity, 2 = Moderate: Discomfort sufficient to reduce or affect normal daily activity, and 3 = Severe: Inability to work or perform normal daily activity. |
Countries
United States
Participant flow
Recruitment details
This study was conducted at 66 sites from 11 October 2018 to 19 September 2022 in the following countries: Bulgaria, Hungary, Serbia, Slovakia, Spain, Ukraine, and the United States.
Pre-assignment details
Of the 259 participants,163 participants received brexpiprazole and 96 participants received placebo in the parent study 331-14-213. All 259 participants received brexpiprazole in this study. As prespecified in the SAP,data was analyzed based on the treatments (Brexpiprazole or Placebo) received in parent study 331-14-213. Participants received brexpiprazole 2 or 3 mg or placebo in the parent study, data for this study was analyzed and reported in a combined way for brexpiprazole 2 and 3 mg.
Participants by arm
| Arm | Count |
|---|---|
| Prior Brexpiprazole Participants who received brexpiprazole in a previous double-blind phase 3 study (Trial 331-14-213 {NCT03548584}), received the same dose of brexpiprazole (2 or 3 mg), QD, orally, as they received during the previous study, for up to 12 weeks with dose adjustment. | 163 |
| Prior Placebo Participants who received placebo in a previous double-blind phase 3 study (Trial 331-14-213 {NCT03548584}), received brexpiprazole following a titration schedule, to gradually increase their dose from 0.5 mg QD, in the starting to 2 or 3 mg QD, orally, for up to 12 weeks with dose adjustment. | 96 |
| Total | 259 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Adverse Event | 8 | 5 |
| Overall Study | Lack of Efficacy | 1 | 0 |
| Overall Study | Lost to Follow-up | 0 | 1 |
| Overall Study | Other (Not Related to COVID-19) | 1 | 1 |
| Overall Study | Site Terminated by Sponsor | 4 | 1 |
| Overall Study | Subject Withdrew Consent to Participate | 7 | 1 |
Baseline characteristics
| Characteristic | Prior Brexpiprazole | Total | Prior Placebo |
|---|---|---|---|
| Age, Continuous | 74.8 years STANDARD_DEVIATION 7.9 | 74.3 years STANDARD_DEVIATION 75 | 73.4 years STANDARD_DEVIATION 73 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 52 Participants | 82 Participants | 30 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 111 Participants | 177 Participants | 66 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 2 Participants | 3 Participants | 1 Participants |
| Race (NIH/OMB) Black or African American | 7 Participants | 8 Participants | 1 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 154 Participants | 248 Participants | 94 Participants |
| Region of Enrollment Bulgaria | 15 Participants | 26 Participants | 11 Participants |
| Region of Enrollment Hungary | 3 Participants | 5 Participants | 2 Participants |
| Region of Enrollment Serbia | 9 Participants | 17 Participants | 8 Participants |
| Region of Enrollment Slovakia | 5 Participants | 8 Participants | 3 Participants |
| Region of Enrollment Spain | 5 Participants | 8 Participants | 3 Participants |
| Region of Enrollment Ukraine | 55 Participants | 86 Participants | 31 Participants |
| Region of Enrollment United States | 71 Participants | 109 Participants | 38 Participants |
| Sex: Female, Male Female | 99 Participants | 145 Participants | 46 Participants |
| Sex: Female, Male Male | 64 Participants | 114 Participants | 50 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 163 | 0 / 96 |
| other Total, other adverse events | 0 / 163 | 5 / 96 |
| serious Total, serious adverse events | 6 / 163 | 0 / 96 |
Outcome results
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) by Severity
An adverse event (AE) was defined as any untoward medical occurrence in a patient or clinical trial participant administered a medicinal product and which does not necessarily have a causal relationship with this treatment. TEAEs were defined as AEs with an onset date on or after the first dose of brexpiprazole. They are all adverse events that started after start of brexpiprazole; or if the event was continuous from baseline and was worsening, serious, study drug-related, or resulted in death, discontinuation, interruption, or reduction of study therapy. Adverse events were graded on a 3-point scale. The intensity of an adverse experience was defined as follows: 1 = Mild: Discomfort noticed, but no disruption to daily activity, 2 = Moderate: Discomfort sufficient to reduce or affect normal daily activity, and 3 = Severe: Inability to work or perform normal daily activity.
Time frame: From first dose through 30 days after last dose of study drug (Up to approximately Week 16)
Population: Safety Sample comprised of those participants who signed an informed consent form (ICF) for the trial and received at least one dose of brexpiprazole in Trial 331-201-00182. As prespecified in the SAP, data was analyzed based on the treatments (Brexpiprazole or Placebo) received in parent study 331-14-213. Participants received brexpiprazole 2 or 3 mg or placebo in the parent study, data for this study was analyzed and reported in a combined way for brexpiprazole 2 and 3 mg.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Prior Brexpiprazole | Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) by Severity | Moderate | 9.2 percentage of participants |
| Prior Brexpiprazole | Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) by Severity | Severe | 3.1 percentage of participants |
| Prior Brexpiprazole | Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) by Severity | Mild | 20.9 percentage of participants |
| Prior Placebo | Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) by Severity | Moderate | 19.8 percentage of participants |
| Prior Placebo | Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) by Severity | Severe | 0 percentage of participants |
| Prior Placebo | Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) by Severity | Mild | 13.5 percentage of participants |