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Phase 3Recruiting

A Phase 3 Study to Evaluate the Safety and Efficacy of KarXT + KarX-EC for the Treatment of Agitation Associated With Alzheimer's Disease (ADAGIO-1)

Sponsored by Bristol-Myers Squibb

About this study

The purpose of this study is to evaluate the efficacy and safety of KarXT + KarX-EC in adult participants with agitation related to Alzheimer's Disease.

Where this study is enrolling (19)

  • Imaging Endpoints

    Scottsdale, Arizona

    I'm interested
  • Advanced Research Center (ARC) - Anaheim

    Anaheim, California

    Call 714-999-6688

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  • Sunwise Clinical Research

    Walnut Creek, California

    Call 925-298-5147

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  • Hope Research Network - Miami

    Miami, Florida

    Call 786-681-4959

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  • Flourish Research

    Merritt Island, Florida

    Call 321-305-5015

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Show all 19 locations
  • Progressive Medical Research

    Port Orange, Florida

    Call 386-304-7070

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  • Combined Research Orlando (CRO)

    Orlando, Florida

    Call 407-440-4493

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  • CBH Health

    Gaithersburg, Maryland

    Call 301-251-4702

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  • Boston Center for Memory

    Newton, Massachusetts

    Call 413-281-0577

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  • Mayflower Clinical Research

    South Dartmouth, Massachusetts

    Call 508-925-7403

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  • NeuroBehavioral Medicine Group

    Bloomfield Hills, Michigan

    Call 412-916-2425

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  • Oakland Medical Research

    Troy, Michigan

    Call 248-687-7412

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  • Redbird Research

    Las Vegas, Nevada

    Call 760-758-2222

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  • Mid Hudson Medical Research

    New Windsor, New York

    Call 845-674-9398

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  • Five Towns Neurology PC -Woodmere - 923 Broadway

    Woodmere, New York

    Call 516-239-1800

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  • Central States Research

    Tulsa, Oklahoma

    Call 918-645-5400

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  • Advanced Neurology Epilepsy and Sleep Center

    El Paso, Texas

    Call 505-903-1715

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  • Wasatch Clinical Research, LLC

    Salt Lake City, Utah

    Call 801-288-0607

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  • The Memory Clinic

    Bennington, Vermont

    Call 413-281-0575

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Who can participate

Inclusion criteria

  • ✓\- A diagnosis of Alzheimer's disease (AD) in accordance with the 2024 Alzheimer's Association criteria with one of the following confirmations of AD pathology: i) Historical evidence of AD diagnosis with amyloid positron emission tomography (PET), Aβ42/40 ratio in CSF, pTau181/Aβ42 ratio in CSF or pTau217/Aβ42 ratio in plasma using an Health Authority (HA)-authorized diagnostic assay.
  • ✓ii) If no historical evidence available: A. A plasma biomarker will be assessed for eligibility if allowed per regulatory requirements. The test cutoff(s) will be based on diagnostic use approval.
  • ✓B. If a plasma biomarker assay cannot be used or if the assay result is inconclusive, conduct one the following:
  • ✓Amyloid PET.
  • ✓Aβ42/40 ratio or pTau181/Aβ42 ratio in CSF using an HA-authorized diagnostic assay.
  • ✓Mini-Mental State Examination (MMSE) score of ≤ 24 at Screening (Visit 1).
  • ✓Have an identified caregiver who has sufficient contact (approximately 8 hours over a week) and is willing to:
  • ✓i) Attend all visits and report on participant's status. ii) Oversee participant compliance with medication and study procedures. iii) Participate in the study assessments and provide informed consent to participate in the study.
  • ✓History of agitation that meets the International Psychogeriatric Association (IPA) consensus definition for agitation in cognitive disorders with onset at least two weeks prior to Screening (Visit 1).
  • ✓AD participants are required to have NPI/NPI-NH Agitation/Aggression score ≥ 4 at Screening (Visit 1) and Baseline (Visit 2).
  • ✓CMAI-IPA Total Score ≥ 30 at Screening (Visit 1) and Baseline (Visit 2).

Exclusion criteria

  • ✕\- Medical Conditions: i) Agitation symptoms that are primarily attributable to a condition other than the AD causing the dementia.
  • ✕ii) History of bipolar disorder, schizophrenia, or schizoaffective disorder. iii) History of (or at high risk for) urinary retention, gastric retention, or narrow-angle glaucoma as evaluated by the Investigator.
  • ✕iv) Risk of suicidal behavior during the study as determined by the Investigator's clinical assessment and/or C-SSR.
  • ✕\- Prior/Concomitant Therapy: i) Recent history of receiving monoamine oxidase inhibitors, anticonvulsants (eg, lamotrigine, divalproex), mood stabilizers (eg, lithium), tricyclic antidepressants (eg, imipramine, desipramine), or any other psychoactive medications except for as needed anxiolytics (eg, lorazepam).
  • ✕A. Selective serotonin reuptake inhibitors and serotonin norepinephrine reuptake inhibitors taken at a stable dose for at least 8 weeks prior to Screening (Visit 1) may be permitted.
  • ✕B. Trazodone may be used as a hypnotic or for agitation if started at least 8 weeks prior to Screening (Visit 1).
  • ✕C. Mirtazapine may be used as a hypnotic if started at least 8 weeks prior to Screening (Visit 1).
  • ✕\- Other protocol-defined Inclusion/Exclusion criteria apply.

Only the research team can confirm whether you qualify. The intake questionnaire is the best way to find out.

Completing a questionnaire on Clinably does not enroll you in a clinical trial or confirm your eligibility. Only the research team can determine whether you qualify to participate. These results are based on the information you provide and are intended to help you start a conversation with the research team.

Trial data sourced from ClinicalTrials.gov.