E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Agitation Associated with Dementia of the Alzheimer's Type |
Agitazione associata alla demenza di tipo Alzheimer |
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E.1.1.1 | Medical condition in easily understood language |
Agitation behavior associated with Alzheimer's disease |
Comportamento agitato associato alla demenza di tipo Alzheimer |
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E.1.1.2 | Therapeutic area | Diseases [C] - Nervous System Diseases [C10] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10001497 |
E.1.2 | Term | Agitation |
E.1.2 | System Organ Class | 10037175 - Psychiatric disorders |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Evaluation of the long-term safety and maintenance of efficacy of AVP-786 for the treatment of agitation in patients with dementia of the Alzheimer's type. |
Valutare la sicurezza a lungo termine e il mantenimento dell'efficacia di AVP-786 per il trattamento dell'agitazione in pazienti affetti da demenza di tipo Alzheimer |
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E.2.2 | Secondary objectives of the trial |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Patient has successfully completed Studies 15-AVP-786 301, 15-AVP-786-302, 17-AVP-786-305, or 12-AVR-131 and is deemed eligible forenrollment by the investigator after review of theinclusion/exclusion criteria. 8. Patient has stable cardiac, pulmonary, hepatic, and renal function. 10. If female of childbearing potential, must have been practicing a medically-acceptable method of birth control and continue with the same method during the entire study duration (oral contraceptive tablets, hormonal implant device, hormone patch, intrauterine device, diaphragm and contraceptive cream or foam, condom with spermicide, or abstinence) or be surgically sterile or post-menopausal. 15. Patients from Study 12-AVR-131 must not show current and significant symptoms of a depressive disorder and must have a score <10 in the Cornell Scale for Depression in Dementia (CSDD) at Screening for. Patients rolling over from Studies 15-AVP-786-301, 15-AVP-786-302, and 17-AVP-786-305 with scores greater than 10 in the CSDD at baseline should be evaluated by the investigator for enrollment in the current study. 17. Caregiver must be willing and able to comply with study procedures, including not administering any prohibited medications during the course of the study. 18. Patient/caregiver must be willing to sign and receive a copy of patient/caregiver informed consentform (ICF) after the nature and risks of study participation have been fully explained. Patients who are not capable of signing the ICF but are able to provide assent, or the patient's authorized representative agrees to participation (for patients unable to provide assent) are allowed. |
1. Il paziente ha completato con successo gli studi 15-AVP-786 301, 15-AVP-786-302, 17-AVP-786-305 o 12-AVR-131 ed è considerato idoneo all'arruolamento da parte dello sperimentatore dopo la revisione dei criteri di inclusione/esclusione. 8. Il paziente ha una funzione cardiaca, polmonare, epatica e renale stabile. 10. Se donna, in età fertile, deve aver praticato un metodo di controllo delle nascite accettabile dal punto di vista medico e continuare con lo stesso metodo durante l'intera durata dello studio(compresse contraccettive orali, dispositivo di impianto ormonale, cerotto ormonale, dispositivo intrauterino, diaframma e crema o schiuma contraccettiva, preservativo con spermicida, o astinenza) o essere chirurgicamente sterile o post-menopausa. 15. I pazienti dello studio 12-AVR-131 non devono mostrare sintomi significativi e in corso di un disturbo depressivo e devono avere un punteggio <10 nella scala di Cornell per la depressione in demenza (CSDD) allo screening. I pazienti che passano dagli studi 15-AVP-786-301, 15-AVP-786-302 e 17-AVP-786-305 con punteggi superiori a 10 nella CSDD al basale dovrebbero essere valutati dallo sperimentatore per l' arruolamento allo studio . 17. Il caregiver deve essere disposto e in grado di rispettare le procedure di studio, incluso non somministrare farmaci vietati durante il corso dello studio. 18. Il paziente/caregiver deve essere disposto a firmare e ricevere una copia del consenso informato per il paziente/ caregiver (ICF) dopo che gli sono stati pienamente spiegati la natura e i rischi della partecipazione allo studio. Sono ammessi i pazienti che non sono in grado di firmare l'ICF ma sono in grado di fornire il loro assenso, o il rappresentante autorizzato del paziente che accetta la partecipazione (per i pazienti che non sono in grado di fornire il loro assenso) |
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E.4 | Principal exclusion criteria |
1. Patient is currently participating in, or has participated in other interventional (drug or device) clinical study since exiting Studies 15-AVP-786-301, 15-AVP-786-302, and 17-AVP-786-305, or within 30 days prior to baseline for patients from Study 12-AVR-131. 2. Caregiver is unwilling or unable, in the opinion of the investigator, to comply with study instructions. 3. Patients with co-existent clinically significant or unstable systemic diseases that could confound the interpretation of the safety results of the study (e.g., malignancy [except skin basal-cell carcinoma or untreated prostate cancer], poorly controlled diabetes, poorly controlled hypertension, unstable pulmonary, renal or hepatic disease, unstable ischemic cardiac disease, dilated cardiomyopathy, or unstable valvular heart disease). Certain other nonmetastatic cancer may be allowed. For patients from Study 12-AVR-131, each case to be evaluated individually with the Medical Monitor (MM). 4. Patients determined to have a high imminent risk of falls during the study based on a clinical evaluation by the investigator 6. Patients who are currently using or were on NUEDEXTA® in the 2 weeks preceding Baseline. 7. Patients with evidence of serious risk of suicide at Screening (patients from Study 12-AVR-131) and Baseline based on the Sheehan Suicidality Tracking Scale (S-STS), i.e., a score of 3 or 4 on any one question 2 through 6 or 11 or a score of 2 or higher on any one questions 1a, 7 through 10, or 12, or who, in the opinion of the investigator, present a serious risk of suicide. |
1. Il paziente sta attualmente partecipando o ha partecipato a un altro studio clinic interventistico (farmaco o dispositivo) dall'uscita dagli studi 15-AVP-786-301, 15-AVP-786-302, e 17-AVP-786-305, o entro I 30 giorni precedent il basale per i pazienti provenienti dallo studio 12-AVR-131. 2. Il caregiver non è disposto o èincapace, secondo il parere dello sperimentatore, a rispettare le istruzioni di studio. 3. Pazienti con malattie sistemiche coesistenti clinicamente significative o instabili che potrebbero confondere l'interpretazione dei risultati di sicurezza dello studio (ad es. tumore maligno [eccetto carcinoma basocellulare della pelle o carcinoma prostatico non trattato], diabete non adeguatamente controllato, ipertensione non adeguatamente controllata, malattia polmonare, renale o epatica instabile, cardiopatia ischemica instabile, cardiomiopatia dilatativa o cardiopatia valvolare instabile). Alcuni altri tumori non metastatici potrebbero essere permessi. Per i pazienti provenienti dallo studio 12-AVR-131, ogni caso deve essere valutato singolarmente con Medical Monitor (MM). 4. Pazienti determinati ad avere un imminente rischio elevato di cadute durante lo studio sulla base di una valutazione clinica da parte dello sperimentatore 6. Pazienti che attualmente stanno utilizzando o utilizzavano NUEDEXTA® nelle 2 settimane precedenti il basale. 7. Pazienti con evidenza di un grave rischio di suicidio allo Screening (pazienti provenienti dallo Studio 12-AVR-131) e al Basale sulla base della Sheehan Suicidality Tracking Scale(S-STS),ossia un punteggio di 3 o 4 su qualsiasi domanda dalla numero 2 alla numero 6 o al domanda 11 o un punteggio di 2 o superiore alla domanda 1a, o su qualsiasi domanda dalla numero 7 alla numero 10, o 12, o coloro I quali secondo il parere dello sperimentatore presentano un rischio grave di suicidio. |
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E.5 End points |
E.5.1 | Primary end point(s) |
SAFETY: Safety and tolerability of AVP-786 will be assessed by reported adverse events (AEs), physical and neurological examinations, vital signs, clinical laboratory assessments, resting 12-lead electrocardiograms (ECGs), Sheehan Suicidality Tracking Scale (S-STS), Mini Mental State Examination (MMSE), and the Epworth Sleepiness Scale (ESS). Pregnancy tests will be conducted for females of childbearing potential. |
SICUREZZA: la sicurezza e la tollerabilità di AVP-786 saranno valutate attraverso gli eventi avversi segnalati (AE), esami fisici e neurologici, I segni vitali, le valutazioni di laboratorio cliniche, l' elettrocardiogramma (ECG) a riposo a 12 derivazioni, la Sheehan Suicidality Tracking Scale (S-STS), la Mini Mental State Examination (MMSE) e la Epworth Sleepiness Scala (ESS). Verranno condotti test di gravidanza per le donne potenzialmente fertili. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
AE (every visit), PE (Baseline and V8), VS (every visit minus f/u), CLA (Baseline, V2, V3, V4, V5, V6, V7, V8), ECG (Baseline, V2, V3, V4, V5, V6, V7, V8), S-STS (All visits), MMSE (Baseline, V5 and V8), ESS (Baseline, V5 and V8), Pregnancy (Baseline, V2, V3, V4, V5, V6, V7, V8). |
AE (ogni visita), PE (Basale e V8), VS (ogni visita eccetto quella di follow up), CLA (Basale, V2, V3, V4, V5, V6, V7, V8), ECG (Basale, V2, V3, V4, V5, V6, V7, V8), S-STS (tutte le visite), MMSE (Basale, V5 and V8), ESS (Baseline, V5 and V8), Gravidanza (Basale, V2, V3, V4, V5, V6, V7, V8). |
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E.5.2 | Secondary end point(s) |
EFFICACY: Efficacy will be assessed using the Cohen-Mansfield Agitation Inventory (CMAI), Neuropsychiatric Inventory (NPI) agitation/aggression, irritability/lability, and aberrant motor behavior domains, modified Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change-Agitation (mADCS-CGICAgitation), Clinical Global Impression of Severity of Illness scale-Agitation (CGIS-Agitation), Patient Global Impression of Change (PGIC-rated by caregiver),Dementia Quality of Life (DEMQOL), Resource Utilization in Dementia (RUD) and EuroQol 5-Dimension 5-Level (EQ-5D-5L). |
EFFICACIA: l'efficacia sarà valutata usando il Cohen-Mansfield Agitation Inventory (CMAI), i domini agitazione / aggressività, irritabilità / instabilità e comportamento motorio aberrante secondo l'Inventario Neuropsichiatrico (NPI), l' Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change-Agitation (mADCS-CGICAgitation) modificato, Clinical Global Impression of Severity of Illness scale-Agitation (CGIS-Agitation), Patient Global Impression of Change (PGIC-valutato dal caregiver), Dementia Quality of Life (DEMQOL), Resource Utilization in Dementia (RUD) and EuroQol 5-Dimension 5-Level (EQ-5D-5L). |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
CMAI (Baseline, V4, V5, V6, V8, F/U V1&2), NPI agitation/aggression (Baseline, V4, V5, V6, V8), NPI irritability/lability and aberrant motor behavior domains (Baseline, V5, V8), mADCS-CGICAgitation (Baseline, V5, V8, F/U V1&2), CGIS-Agitation (Baseline, V4, V5, V6, V8), PGICrated by caregiver (Baseline, V4, V5, V6, V8), DEMQOL (Baseline, V5, V8), RUD (Baseline, V5, V8) and EQ-5D-5L (Baseline, V5, V8). |
CMAI (Basale, V4, V5, V6, V8, F/U V1&2), NPI agitazione / aggressività (Basale, V4, V5, V6, V8), domini NPI di irritabilità / instabilità e comportamento motorio aberrante (Basale, V5, V8), mADCS-CGICAgitation (Basale, V5, V8, F/U V1&2), CGIS-Agitation (Basale, V4, V5, V6, V8), PGIC valutato dal caregiver (Basale, V4, V5, V6, V8), DEMQOL (Basale, V5, V8), RUD (Basale, V5, V8) and EQ-5D-5L (Basale, V5, V8). |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | Yes |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 3 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 6 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 100 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Australia |
Canada |
South Africa |
United States |
Belgium |
Bulgaria |
Czechia |
France |
Hungary |
Italy |
Poland |
Romania |
Spain |
United Kingdom |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 11 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 11 |
E.8.9.2 | In all countries concerned by the trial days | 0 |