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Trial · NCT04408755

Assessment of the Efficacy, Safety, and Tolerability of AVP-786 for the Treatment of Agitation in Patients With Dementia of the Alzheimer's Type

NCT04408755, Phase 3, Terminated, Otsuka Pharmaceutical Development & Commercialization, Inc.; results first posted 2025-05-30

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Assessment of the Efficacy, Safety, and Tolerability of AVP-786 for the Treatment of Agitation in Patients With Dementia of the Alzheimer's Type. Trials, record NCT04408755. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04408755

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Trial

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

Title
Assessment of the Efficacy, Safety, and Tolerability of AVP-786 for the Treatment of Agitation in Patients With Dementia of the Alzheimer's Type
NCT number
NCT04408755
Status
Terminated
Phases
Phase 3
Enrollment
184 participants, actual
Lead sponsor
Otsuka Pharmaceutical Development & Commercialization, Inc.
Conditions
Agitation in Patients With Dementia of the Alzheimer's Type
Interventions
AVP-786, Placebo
First posted
2020-05-29
Last updated
2025-05-30
Other registries' IDs
eudract:2020-000798-26
Results first posted
2025-05-30
Limitations and caveats
The study was prematurely terminated due to discontinuation of development of the AVP-786 compound.

Source ClinicalTrials.gov

Registered outcomes3

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

ListOutcomeTime frameDescription
PrimaryChange From the End of Period A (Week 1) to Week 10 in the Cohen-Mansfield Agitation Inventory (CMAI) Composite ScoreWeek 1 to Week 10
The CMAI is used to assess the frequency of manifestations of agitated behaviors in elderly persons. It consists of 29 agitated behaviors that are further categorized into distinct agitation syndromes, also known as CMAI factors of agitation. These distinct agitation syndromes include aggressive behavior, physically nonaggressive behavior, and verbally agitated behavior. Each of the 29 items is rated on a 7-point scale of frequency (1 = never, 2 = less than once a week but still occurring, 3 = once or twice a week, 4 = several times a week, 5 = once or twice a day, 6 = several times a day, 7 = several times an hour). The ratings are based on the 2 weeks preceding assessment of the CMAI. Higher scores indicate higher frequency of agitated behaviours while lower scores indicate lower frequency of agitated behaviours.
PrimaryNumber of Participants With Treatment Emergent Adverse Events (TEAE) and Serious TEAEFrom randomization (Week 2) up to 30 days after last dose of study drug (Up to Week 16)
An adverse event (AE) is any untoward medical occurrence or unintended change (eg, physical, psychological, or behavioral), including inter-current illness, that does not necessarily have a causal relationship with the study treatment. A serious adverse event (SAE) is any AE occurring at any dose that results in death, life-threatening experience, persistent or significant disability/incapacity, in-patient hospitalization or prolongation of hospitalization or congenital anomaly/birth defect. TEAEs are all AEs (including serious and non-serious) which started after start of double-blind study drug treatment; 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.
SecondaryChange From the End of Period A (Week 1) to Week 10 in the Clinical Global Impression of Severity of Illness (CGIS) Score, as Related to AgitationWeek 1 to Week 10
The CGIS is an observer-rated scale that measures illness severity. The CGIS-Agitation is a 7-point (1-7) scale (1 = normal, not at all ill; 7 = among the most extremely ill patients) and assesses severity of agitation in this study. Higher scores indicate severe agitation while the lower scores indicate little or no agitation.

Outcomes3

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange From the End of Period A (Week 1) to Week 10 in the Cohen-Mansfield Agitation Inventory (CMAI) Composite ScoreWeek 1 to Week 10
Due to discontinuation of development of the AVP-786 compound, no data was collected and analyzed as planned for this pre-specified primary efficacy outcome measure as noted in the SAP. Only safety data was collected and analyzed.
PRIMARYNumber of Participants With Treatment Emergent Adverse Events (TEAE) and Serious TEAEFrom randomization (Week 2) up to 30 days after last dose of study drug (Up to Week 16)
Safety population included of all participants who were randomized in the double-blind period B of this study, and took at least one dose of double-blind, randomized study medication. As pre-specified in the Statistical Analysis Plan (SAP), safety data was planned to be collected only for the participants who were randomized in the double-blind period B of this study.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYChange From the End of Period A (Week 1) to Week 10 in the Clinical Global Impression of Severity of Illness (CGIS) Score, as Related to AgitationWeek 1 to Week 10
Due to discontinuation of development of the AVP-786 compound, no data was collected and analyzed as planned for this pre-specified secondary efficacy outcome measure as noted in the SAP. Only safety data was collected and analyzed.

Results by group6

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

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With Treatment Emergent Adverse Events (TEAE) and Serious TEAEPlaceboTEAEs20Participants
Number of Participants With Treatment Emergent Adverse Events (TEAE) and Serious TEAEAVP-786-18TEAEs15Participants
Number of Participants With Treatment Emergent Adverse Events (TEAE) and Serious TEAEAVP-786-42.63TEAEs17Participants
Number of Participants With Treatment Emergent Adverse Events (TEAE) and Serious TEAEPlaceboSerious TEAEs1Participants
Number of Participants With Treatment Emergent Adverse Events (TEAE) and Serious TEAEAVP-786-18Serious TEAEs3Participants
Number of Participants With Treatment Emergent Adverse Events (TEAE) and Serious TEAEAVP-786-42.63Serious TEAEs2Participants

Participant flow28

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

PeriodMilestoneGroupParticipantsUnits counted
Period A (Placebo lead-in)STARTEDAll Enrolled184
Period A (Placebo lead-in)STARTEDPlacebo0
Period A (Placebo lead-in)STARTEDAVP-786-180
Period A (Placebo lead-in)STARTEDAVP-786-42.630
Period A (Placebo lead-in)COMPLETEDAll Enrolled173
Period A (Placebo lead-in)COMPLETEDPlacebo0
Period A (Placebo lead-in)COMPLETEDAVP-786-180
Period A (Placebo lead-in)COMPLETEDAVP-786-42.630
Period A (Placebo lead-in)NOT COMPLETEDAll Enrolled11
Period A (Placebo lead-in)NOT COMPLETEDPlacebo0

Adverse events210

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherIdiopathic neutropeniaBlood and lymphatic system disordersPlacebo056
otherIdiopathic neutropeniaBlood and lymphatic system disordersAVP-786-18060
otherIdiopathic neutropeniaBlood and lymphatic system disordersAVP-786-42.63157
otherAtrial fibrillationCardiac disordersPlacebo256
otherAtrial fibrillationCardiac disordersAVP-786-18160
otherAtrial fibrillationCardiac disordersAVP-786-42.63057
otherAtrial flutterCardiac disordersPlacebo156
otherAtrial flutterCardiac disordersAVP-786-18060
otherAtrial flutterCardiac disordersAVP-786-42.63057
otherAtrioventricular blockCardiac disordersPlacebo156

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo056
Total, all-cause mortalityAVP-786-18160
Total, all-cause mortalityAVP-786-42.63057
Total, other adverse eventsPlacebo2056
Total, other adverse eventsAVP-786-181460
Total, other adverse eventsAVP-786-42.631757
Total, serious adverse eventsPlacebo156
Total, serious adverse eventsAVP-786-18360
Total, serious adverse eventsAVP-786-42.63257

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

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 comparisons0

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

None in this release.

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.

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

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