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Trial · NCT01922258

Safety and Tolerability Study of Flexible Dosing of Brexpiprazole in the Treatment of Subjects With Agitation Associated With Dementia of the Alzheimer's Type

NCT01922258, Phase 3, Completed, Otsuka Pharmaceutical Development & Commercialization, Inc.; results first posted 2020-07-07

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Safety and Tolerability Study of Flexible Dosing of Brexpiprazole in the Treatment of Subjects With Agitation Associated With Dementia of the Alzheimer's Type. Trials, record NCT01922258. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01922258

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Safety and Tolerability Study of Flexible Dosing of Brexpiprazole in the Treatment of Subjects With Agitation Associated With Dementia of the Alzheimer's Type
NCT number
NCT01922258
Status
Completed
Phases
Phase 3
Enrollment
270 participants, actual
Lead sponsor
Otsuka Pharmaceutical Development & Commercialization, Inc.
Conditions
Agitation Associated With, Alzheimer's Disease, Alzheimer's Type, Mental Disorder, Nervous System Diseases
Interventions
Brexpiprazole, OPC-34712
First posted
2013-08-14
Last updated
2020-11-20
Results first posted
2020-07-07

Source ClinicalTrials.gov

Registered outcomes2

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange From Baseline to Week 12/Early Termination in the Cohen-Mansfield Agitation Inventory (CMAI) Total ScoreFrom screening to week 12/early termination
The CMAI is widely used in clinical research for evaluation of agitation associated with Alzheimer's dementia, with reliability and validity in both institutionalized and noninstitutionalized participants. It consists of 29 items, all rated on a 1 to 7 scale (1=Never and 7=Several times in an hour), with 1 being the "best" rating and 7 being the "worst" rating. The total score is the sum of ratings for all 29 items. The possible total scores range from 29 to 203. The total score will be unevaluable if less than 24 of the 29 items are recorded. If 24 to 28 of the 29 items are recorded, the total score will be the mean of the recorded items multiplied by 29 and rounded to the first decimal place. The mean change from baseline (Day 0) to week 12 in the CMAI total score is reported. Statistical comparison of interest was brexpiprazole flexible dose versus placebo, analyzed using a mixed-effect model repeated measure approach. A decrease in score indicates improvement in symptoms.
SecondaryChange in the Clinical Global Impression Severity of Illness (CGI-S) Score, as Related to Symptoms of AgitationFrom screening to week 12/early termination
The severity of agitation for each participant was rated using the CGI-S. The investigator (or designee) answered the following question: "Considering your total clinical experience with this particular population, how mentally ill (as related to agitation) was the participant at the observation period?" Response choices were 0 = not assessed; 1 = normal, not at all ill; 2 = borderline mentally ill; 3 = mildly ill; 4 = moderately ill; 5 = markedly ill; 6 = severely ill; and 7 = among the most extremely ill participants. The score 0 (= not assessed) was set to missing. The CGI-S was therefore a 7-point scale (1-7). The primary analysis used a mixed-effect model repeated measure approach.

Outcomes2

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange From Baseline to Week 12/Early Termination in the Cohen-Mansfield Agitation Inventory (CMAI) Total ScoreFrom screening to week 12/early termination
The intent-to-treat (ITT) population consisted of all participants in the randomized sample, who took at least 1 dose of the investigational medicinal product (IMP) and had a baseline and at least one postbaseline evaluation for the CMAI total score.
units on a scaleLEAST_SQUARES_MEAN
SECONDARYChange in the Clinical Global Impression Severity of Illness (CGI-S) Score, as Related to Symptoms of AgitationFrom screening to week 12/early termination
The intent-to-treat (ITT) population consisted of all participants in the randomized sample, who took at least 1 dose of the IMP and had a baseline and at least one postbaseline evaluation for the CMAI total score.
units on a scaleMEAN

Results by group4

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Change From Baseline to Week 12/Early Termination in the Cohen-Mansfield Agitation Inventory (CMAI) Total ScoreBrexpiprazole (Flexible Dose Range 0.5 to 2 mg/Day)-18.9Standard Error 1.17units on a scale
Change From Baseline to Week 12/Early Termination in the Cohen-Mansfield Agitation Inventory (CMAI) Total ScorePlacebo (Flexible Dose Range 0.5 to 2 mg/Day)-16.5Standard Error 1.13units on a scale
Change in the Clinical Global Impression Severity of Illness (CGI-S) Score, as Related to Symptoms of AgitationBrexpiprazole (Flexible Dose Range 0.5 to 2 mg/Day)4.54Standard Deviation 0.77units on a scale
Change in the Clinical Global Impression Severity of Illness (CGI-S) Score, as Related to Symptoms of AgitationPlacebo (Flexible Dose Range 0.5 to 2 mg/Day)4.51Standard Deviation 0.74units on a scale

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDBrexpiprazole (Flexible Dose Range 0.5 to 2 mg/Day)133
Overall StudySTARTEDPlacebo (Flexible Dose Range 0.5 to 2 mg/Day)137
Overall StudyCOMPLETEDBrexpiprazole (Flexible Dose Range 0.5 to 2 mg/Day)117
Overall StudyCOMPLETEDPlacebo (Flexible Dose Range 0.5 to 2 mg/Day)121
Overall StudyNOT COMPLETEDBrexpiprazole (Flexible Dose Range 0.5 to 2 mg/Day)16
Overall StudyNOT COMPLETEDPlacebo (Flexible Dose Range 0.5 to 2 mg/Day)16

Adverse events34

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherSomnolenceNervous system disordersBrexpiprazole (Flexible Dose Range 0.5 to 2 mg/Day)8132
otherSomnolenceNervous system disordersPlacebo (Flexible Dose Range 0.5 to 2 mg/Day)5137
otherDizzinessNervous system disordersBrexpiprazole (Flexible Dose Range 0.5 to 2 mg/Day)6132
otherDizzinessNervous system disordersPlacebo (Flexible Dose Range 0.5 to 2 mg/Day)7137
otherHeadacheNervous system disordersBrexpiprazole (Flexible Dose Range 0.5 to 2 mg/Day)10132
otherHeadacheNervous system disordersPlacebo (Flexible Dose Range 0.5 to 2 mg/Day)17137
seriousGastrointestinal haemorrhageGastrointestinal disordersBrexpiprazole (Flexible Dose Range 0.5 to 2 mg/Day)0132
seriousGastrointestinal haemorrhageGastrointestinal disordersPlacebo (Flexible Dose Range 0.5 to 2 mg/Day)1137
seriousNon-Cardiac Chest PainGeneral disordersBrexpiprazole (Flexible Dose Range 0.5 to 2 mg/Day)1132
seriousNon-Cardiac Chest PainGeneral disordersPlacebo (Flexible Dose Range 0.5 to 2 mg/Day)0137

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityBrexpiprazole (Flexible Dose Range 0.5 to 2 mg/Day)0132
Total, all-cause mortalityPlacebo (Flexible Dose Range 0.5 to 2 mg/Day)1137
Total, other adverse eventsBrexpiprazole (Flexible Dose Range 0.5 to 2 mg/Day)24132
Total, other adverse eventsPlacebo (Flexible Dose Range 0.5 to 2 mg/Day)29137
Total, serious adverse eventsBrexpiprazole (Flexible Dose Range 0.5 to 2 mg/Day)7132
Total, serious adverse eventsPlacebo (Flexible Dose Range 0.5 to 2 mg/Day)6137

Papers6

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
31708380DERIVEDPubMed
39108660DERIVEDPubMed
40681915DERIVEDPubMed
41533472DERIVEDPubMed
41591746DERIVEDPubMed
41961243DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Brexpiprazole (Flexible Dose Range 0.5 to 2 mg/Day) vs Placebo (Flexible Dose Range 0.5 to 2 mg/Day): deaths from any causeTrial comparisons
Brexpiprazole (Flexible Dose Range 0.5 to 2 mg/Day) vs Placebo (Flexible Dose Range 0.5 to 2 mg/Day): serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT01922258

GET https://conductscience.org/api/trials/v1/NCT01922258/events?page=2