ML-007C-MA: ML-007C-MA dosed as 105/1.5 mg BID, or 210/3 mg BID
Placebo: Placebo Tablets
Study summary
ML-007C-MA-221 is a Phase 2, randomized, double-blind, placebo-controlled study to evaluate the efficacy and safety of ML-007C-MA in male and female participants aged 55 to 90 years with hallucinations and delusions associated with Alzheimer's Disease Psychosis (ADP).
The primary objective is to evaluate the efficacy of ML-007C-MA compared with placebo for the treatment of hallucinations and delusions associated with ADP as measured by the Neuropsychiatric Inventory-Clinician (NPI-C): Hallucinations and Delusions (H+D) score.
Eligibility
Sex
ALL
Min age
55 Years
Max age
90 Years
Healthy volunteers
No
Key Inclusion Criteria:
1. Willing and able to provide written informed consent, or, if deemed lacking in the capacity to provide informed consent, the following requirements for consent must be met:
1. The participant's LAR must provide written informed consent AND
2. The participant will provide informed assent.
2. Meets clinical criteria for Possible AD or Probable AD.
3. Presence of psychotic symptoms (meeting International Psychogeriatric Association criteria) (Cummings 2020) for at least 2 months before Screening.
4. Has resided at the same home, residential assisted living, or nursing home facility for a minimum of 6 weeks before Screening.
5. Has a designated care partner who is in contact with the participant frequently enough to accurately report on the participant's symptoms and adherence to study drug.
6. Has a NPI-C H+D score of ≥ 6 AND meet at least 1 of the following criteria:
1. Moderate to severe delusions, defined as NPI-C Delusions domain score of ≥ 2 on at least 2 of the 8 items OR
2. Moderate to severe hallucinations, defined as NPI-C Hallucinations domain score of ≥ 2 on at least 2 of the 7 items.
7. Has a (CGI)-S hallucinations and delusions domain-specific score ≥4
8. Has an Mini-mental State Examination (MMSE) score of 6 to 26, inclusive.
Key Exclusion Criteria:
1. Under the care of hospice, bed-bound, or receiving end-of-life palliative care.
2. Psychotic symptoms that are primarily attributable to substance abuse or a medical, neurological or psychiatric condition other than Alzheimer's disease.
3. Evidence of a CNS disorder other than Alzheimer's disease that is the primary cause of, or a significant contributor to the participant's dementia.
4. Moderate or severe major depressive episode within 3 months of Screening, according to DSM-5 criteria.
5. Has an elevated risk of suicidal behavior
6. Has had an amyloid PET brain scan or CSF Alzheimer's disease biomarker test in the past 3 years with results inconsistent with a diagnosis of AD.
7. Evidence of a clinically significant and/or unstable medical condition that, in the opinion of the investigator or medical monitor, could substantially impair cognition, compromise participant safety, interfere with the participant's ability to comply with study procedures or substantially impair the evaluation of efficacy or safety assessments.
8. Gastric retention, urinary retention or narrow-angle (angle-closure) glaucoma
9. Meets or has met DSM-5 criteria for alcohol or substance use disorder within the past 12 months (excluding caffeine and nicotine).
10. Has previously participated in any clinical study with ML-007 or ML-007C-MA.
11. Has developed an allergy or other intolerance to ML-007C-MA, its active ingredients or their excipients.
12. Received or may have received an investigational drug, biological product or device within 90 days before Baseline (or 6 months for investigational Alzheimer's disease-modifying therapies).
Primary outcome measure(s)
Change from Baseline to End of Treatment in the Neuropsychiatric Inventory-Clinician: Hallucinations and Delusions (NPI-C H+D) score — Baseline and End of Treatment (7 weeks) NPI-C H+D scale includes 2 domains from the NPI-C scale, namely, hallucinations and delusions. These 2 domains include the following number of items to be rated by the clinician: Hallucinations, 7 items (maximum score = 21) and Delusions, 8 items (maximum score = 24). The maximum score for the NPI-C: H+D scale is 45. Higher scores on this scale indicate worse outcomes.
Trial sites (55)
Facility
City
Region
Status
Clinical Site
Phoenix
Arizona
Recruiting
Clinical Site
Scottsdale
Arizona
Recruiting
Clinical Site
Tucson
Arizona
Recruiting
Clinical Site
Anaheim
California
Recruiting
Clinical Site
Long Beach
California
Recruiting
Clinical Site
Murrieta
California
Recruiting
Clinical Site
Orange
California
Recruiting
Clinical Site
San Diego
California
Recruiting
Clinical Site
Denver
Colorado
Recruiting
Clinical Site
Boca Raton
Florida
Recruiting
Clinical Site
Deerfield Beach
Florida
Recruiting
Clinical Site
Doral
Florida
Recruiting
Clinical Site
Homestead
Florida
Recruiting
Clinical Site
Miami
Florida
Recruiting
Clinical Site
Miami
Florida
Recruiting
Clinical Site
Miami
Florida
Recruiting
Clinical Site
Miami
Florida
Recruiting
Clinical Site
Miami Gardens
Florida
Recruiting
Clinical Site
Miami Gardens
Florida
Recruiting
Clinical Site
Naples
Florida
Recruiting
Clinical Site
Orlando
Florida
Recruiting
Clinical Site
Tampa
Florida
Recruiting
Clinical Site
West Palm Beach
Florida
Recruiting
Clinical Site
Augusta
Georgia
Recruiting
Clinical Site
Snellville
Georgia
Recruiting
Clinical Site
Las Vegas
Nevada
Recruiting
Clinical Site
West Long Branch
New Jersey
Recruiting
Clinical Site
Dayton
Ohio
Recruiting
Clinical Site
Independence
Ohio
Recruiting
Clinical Site
Tigard
Oregon
Recruiting
Clinical Site
Austin
Texas
Recruiting
Clinical Site
McKinney
Texas
Recruiting
Clinical Site
Sugarland
Texas
Recruiting
Clinical Site
Bellevue
Washington
Recruiting
Clinical Site
Córdoba
Córdoba Province
Recruiting
Clinical Site
Córdoba
Argentina
Recruiting
Clinical Site
Pernik
Pernik
Recruiting
Clinical Site
Sofia
Sofia
Recruiting
Clinical Site
Brampton
Ontario
Not Yet Recruiting
Clinical Site
London
Ontario
Recruiting
+ 15 more sites — see the full list on the official registry below.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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