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 |
Agitación asociada a la demencia de tipo Alzheimer (AAD) |
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E.1.1.1 | Medical condition in easily understood language |
Agitation in dementia due to Alzheimer's Disease |
Agitación en demencia debido a la enfermedad de 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 | 10012271 |
E.1.2 | Term | Dementia Alzheimer's type |
E.1.2 | System Organ Class | 10029205 - Nervous system 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 |
To assess the long-term safety and tolerability of oral brexpiprazole as treatment in adult subjects with Agitation in Alzheimer’s dementia (AAD). |
Evaluar la seguridad y tolerabilidad a largo plazo del brexpiprazol oral como tratamiento de sujetos adultos con AAD. |
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E.2.2 | Secondary objectives of the trial |
Exploratory:To assess the long-term efficacy of oral brexpiprazole as treatment in adult subjects with Agitation in Alzheimer’s dementia. |
Exploratorios: Evaluar la eficacia a largo plazo del brexpiprazol oral como tratamiento de adultos con AAD. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1.The investigator must assess the capacity of the subject to provide informed consent prior to enrollment. Once this determination is made by the investigator, the options for obtaining informed consent from or on behalf of the subject must be followed as provided in the protocol. 2.Subjects who completed 12 weeks of post-randomization treatment in Trial 331-14-213. 3.Institutionalized subjects with an identified caregiver who has sufficient contact (minimum of 2 hours per day for 4 days per week) to describe the subject’s symptoms and has direct observation of the subject’s behavior. The identified caregiver can be a staff member of the institutionalized setting or another individual (eg, family member, family friend, hired professional caregiver) who meets the caregiver requirements. Non-institutionalized subjects may not be living alone and must have an identified caregiver who has sufficient contact (minimum of 2 hours per day for 4 days per week) to describe the subject’s symptoms and has direct observation of the subject’s behavior. 4.Subjects who are able to satisfactorily comply with the protocol requirements. |
1. Los investigadores deben valorar la capacidad del sujeto para proporcionar el consentimiento informado antes del reclutamiento. Una vez que el investigador ha hecho esta determinación, las opciones para obtener el consentimiento informado de o en nombre del sujeto deben ser seguidas como se indica en el protocolo. 2. Sujetos que completaron 12 semanas de tratamiento después de la aleatorización en el estudio 331-14-213. 3. Sujetos que viven en una institución con un cuidador identificado que tenga un contacto suficiente (mínimo de 2 horas al día durante 4 días a la semana) para describir los síntomas del sujeto y tenga observación directa de la conducta del sujeto. El cuidador identificado puede ser un miembro del personal de la institución u otro individuo (p.ej. familiar, amigo de la familia, cuidador profesional contratado) que cumpla los requisitos de cuidador. 4. Sujetos que son capaces de cumplir satisfactoriamente con los requerimientos del protocolo. |
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E.4 | Principal exclusion criteria |
1.Subjects who, in the opinion of the investigator, medical monitor, or sponsor, should not participate in the trial. 2.Subjects with a substantial protocol violation during the course of their participation in the double-blind Trial 331-14-213. Lesser violations such as occasional visits outside of the acceptable window or a missing blood draw will not exclude a subject from participation in Trial 331-201-00182; however, continual lack of compliance with the visit schedule, trial assessments, or treatment regimen in the prior double-blind trial would be considered a substantial violation that would result in exclusion from Trial 331-201-00182. The medical monitor should be contacted if the investigator is unsure of a subject’s eligibility. |
1. Sujetos que, en opinión del investigador, monitor médico o promotor, no deban participar en el estudio clínico. 2. Sujetos que cometan un incumplimiento importante del protocolo durante su participación en el estudio doble ciego 331 14-213. Los incumplimientos menores, por ejemplo, visitas esporádicas fuera del margen de tiempo permitido o pérdida de una extracción de sangre, no excluirán al sujeto de la participación en el estudio 331-201-00182, si bien la falta continuada de cumplimiento con el calendario de visitas, con las evaluaciones del estudio o con la pauta de tratamiento en el estudio precedente doble ciego se considerará un incumplimiento importante del protocolo que sí daría lugar a la exclusión del estudio 331-201-00182. Si el investigador no está seguro de la idoneidad del sujeto, debe contactar con el monitor médico. |
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary outcome variable is the frequency and severity of adverse events (AEs; safety and tolerability of brexpiprazole). |
La variable principal de valoración es la frecuencia y gravedad de los acontecimientos adversos (AA; seguridad y tolerabilidad del brexpiprazol). |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
The primary safety analysis is the frequency and severity of AEs |
El análisis principal de seguridad es la frecuencia y gravedad de los AA |
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E.5.2 | Secondary end point(s) |
Exploratory efficacy endpoints are as follows: •Change from baseline CMAI total score at Week 6, Week 12, and last available visit •Change from baseline Clinical Global Impression Severity of Illness (CGI-S) score, as related to agitation, at Week 6, Week 12, and last available visit |
Los criterios exploratorios de valoración de la eficacia se definen a continuación: • Cambio de la puntuación total CMAI inicial en la semana 6, semana 12 y última visita disponible • Cambio de la puntuación CGI-S inicial, relacionado con la agitación, en la semana 6, semana 12 y última visita disponible |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
CMAI: Change from baseline CMAI total score at Week 6, Week 12, and last available visit CGI-S: Change from baseline CGI-S score at Week 6, Week 12, and last available visit |
CMAI: Cambio de la puntuación total CMAI inicial en la semana 6, semana 12 y última visita disponible CGI-S: Cambio de la puntuación CGI-S inicial, relacionado con la agitación, en la semana 6, semana 12 y última visita disponible |
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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 | No |
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 | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
Para preservar el ciego en el ensayo 331-14-213, las dosis en el estudio 331-201-00182 serán ciegas |
To preserve the blind in Trial 331-14-213, all doses in Trial 331-201-00182 will remain blinded. |
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E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
Para preservar el ciego en el ensayo 331-14-213, las dosis en el estudio 331-201-00182 serán ciegas |
To preserve the blind in Trial 331-14-213, all doses in Trial 331-201-00182 will remain blinded |
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E.8.2.4 | Number of treatment arms in the trial | 2 |
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 | 5 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 19 |
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 | No |
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 |
Bulgaria |
Hungary |
Serbia |
Spain |
Ukraine |
United States |
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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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The end of trial date is defined as the last date of contact or the date of final contact attempt from the post-treatment follow-up eSource page for the last subject completing or withdrawing from the trial. |
La fecha de fin del ensayo se define como la última fecha de contacto o la fecha del intento de contacto final en la página de seguimiento posterior al tratamiento para el ultimo sujeto completado y discontinuado del ensayo. |
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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 | 10 |
E.8.9.1 | In the Member State concerned days | |
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 | 10 |