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An Open-Label Study to Assess the Long-term Safety of AXS-05 in Subjects With Dementia of the Alzheimer's Type, ADVANCE-2 and ACCORD-2 Extension Study

An Open-Label Study to Assess the Long-term Safety of AXS-05 in Subjects With Dementia of the Alzheimer's Type, ADVANCE-2 and ACCORD-2 Extension Study

Status
Terminated
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06736509
Enrollment
139
Registered
2024-12-16
Start date
2024-11-21
Completion date
2025-04-25
Last updated
2026-06-25

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

Conditions

Agitation in Patients With Dementia of the Alzheimer's Type, Agitation, Psychomotor, Alzheimer Disease

Keywords

AD Agitation, AXS-05, NMDA receptor antagonist, dextromethorphan, bupropion, Axsome

Brief summary

The primary objective of this open-label extension trial was to evaluate the long-term safety of AXS-05 for the treatment of Alzheimer's disease agitation in subjects that participated in ADVANCE-2 or ACCORD-2.

Detailed description

This was a multi-center, open-label extension trial to evaluate the long-term safety of AXS-05 in subjects with Alzheimer's disease (AD) agitation that continued to receive AXS-05 given completion of ADVANCE-2 (AXS-05-AD-304) or ACCORD-2 (AXS-05-AD-303).

Interventions

AXS-05 tablets, taken twice daily

Sponsors

Axsome Therapeutics, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
65 Years to 90 Years
Healthy volunteers
No

Inclusion criteria

* Completed the treatment period in Study AXS-05-AD-304 or exited from Study AXS-05-AD-303 due to study completion. * Caregiver is willing to communicate with site personnel, comply with all required study procedures, and oversee administration and compliance with the subject's study treatment.

Exclusion criteria

* Caregiver is unwilling or unable, in the opinion of the Investigator, to comply with study instructions. * Subject is hospitalized in a mental health facility (e.g., psychiatric hospital or ward), living in a nursing home, or living alone. * Any concurrent medical condition that might interfere with the conduct of the study, confound the interpretation of study results, or endanger the subject's well-being. * Initiation of a new medication since enrolling in AXS-05-AD-304 and/or AXS-05-AD-303 which may pose a safety risk when taken concurrently with AXS-05.

Design outcomes

Primary

MeasureTime frameDescription
Long-Term SafetyUp to 25 weeksIncidence of treatment-emergent adverse events following dosing with AXS-05

Countries

Puerto Rico, United States

Baseline characteristics

Characteristic
Age, Continuous74.3 years
STANDARD_DEVIATION 5.31
Race/Ethnicity, Customized
Black or African American
14 Participants
Race/Ethnicity, Customized
Other
1 Participants
Race/Ethnicity, Customized
White
124 Participants
Sex: Female, Male
Female
95 Participants
Sex: Female, Male
Male
44 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 139
other
Total, other adverse events
16 / 139
serious
Total, serious adverse events
0 / 139

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jun 26, 2026