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A 12-week Extension Trial to Evaluate the Safety and Tolerability of Brexpiprazole in the Treatment of Subjects With Agitation Associated With Dementia of the Alzheimer's Type

A 12-week, Multicenter, Active-treatment Extension Trial to Evaluate the Safety and Tolerability of Brexpiprazole in the Treatment of Subjects With Agitation Associated With Dementia of the Alzheimer's Type

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03594123
Enrollment
259
Registered
2018-07-20
Start date
2018-10-11
Completion date
2022-09-19
Last updated
2023-11-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Alzheimer's Disease

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

DRUGBrexpiprazole

2 or 3 mg tablet

Sponsors

H. Lundbeck A/S
CollaboratorINDUSTRY
Otsuka Pharmaceutical Development & Commercialization, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
55 Years to 91 Years
Healthy volunteers
No

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

MeasureTime frameDescription
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) by SeverityFrom 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

ArmCount
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
Total259

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event85
Overall StudyLack of Efficacy10
Overall StudyLost to Follow-up01
Overall StudyOther (Not Related to COVID-19)11
Overall StudySite Terminated by Sponsor41
Overall StudySubject Withdrew Consent to Participate71

Baseline characteristics

CharacteristicPrior BrexpiprazoleTotalPrior Placebo
Age, Continuous74.8 years
STANDARD_DEVIATION 7.9
74.3 years
STANDARD_DEVIATION 75
73.4 years
STANDARD_DEVIATION 73
Ethnicity (NIH/OMB)
Hispanic or Latino
52 Participants82 Participants30 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
111 Participants177 Participants66 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
2 Participants3 Participants1 Participants
Race (NIH/OMB)
Black or African American
7 Participants8 Participants1 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
154 Participants248 Participants94 Participants
Region of Enrollment
Bulgaria
15 Participants26 Participants11 Participants
Region of Enrollment
Hungary
3 Participants5 Participants2 Participants
Region of Enrollment
Serbia
9 Participants17 Participants8 Participants
Region of Enrollment
Slovakia
5 Participants8 Participants3 Participants
Region of Enrollment
Spain
5 Participants8 Participants3 Participants
Region of Enrollment
Ukraine
55 Participants86 Participants31 Participants
Region of Enrollment
United States
71 Participants109 Participants38 Participants
Sex: Female, Male
Female
99 Participants145 Participants46 Participants
Sex: Female, Male
Male
64 Participants114 Participants50 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 1630 / 96
other
Total, other adverse events
0 / 1635 / 96
serious
Total, serious adverse events
6 / 1630 / 96

Outcome results

Primary

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.

ArmMeasureGroupValue (NUMBER)
Prior BrexpiprazolePercentage of Participants With Treatment-emergent Adverse Events (TEAEs) by SeverityModerate9.2 percentage of participants
Prior BrexpiprazolePercentage of Participants With Treatment-emergent Adverse Events (TEAEs) by SeveritySevere3.1 percentage of participants
Prior BrexpiprazolePercentage of Participants With Treatment-emergent Adverse Events (TEAEs) by SeverityMild20.9 percentage of participants
Prior PlaceboPercentage of Participants With Treatment-emergent Adverse Events (TEAEs) by SeverityModerate19.8 percentage of participants
Prior PlaceboPercentage of Participants With Treatment-emergent Adverse Events (TEAEs) by SeveritySevere0 percentage of participants
Prior PlaceboPercentage of Participants With Treatment-emergent Adverse Events (TEAEs) by SeverityMild13.5 percentage of participants

Source: ClinicalTrials.gov · Data processed: Apr 11, 2026