A Study to Evaluate KarXT as a Treatment for Psychosis Associated With Alzheimer's Disease (ADEPT-4)

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age55-90
SponsorKaruna Therapeutics, Inc., a Bristol Myers Squibb company

About this trial

The purpose of this study is to evaluate the safety and efficacy of KarXT in adult participants with mild to severe Alzheimer's Disease (AD) with moderate to severe psychosis related to AD.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients who are 55 to 90 years of age, inclusive, at the time of Screening (Visit 1).

Patients who are diagnosed with AD based on the 2024 revised criteria for diagnosis and staging of AD: Alzheimer's Association Workgroup.

Patient must have a magnetic resonance imaging (MRI) or computed tomography (CT) scan of the brain (completed within the past 5 years) taken during or subsequent to the onset of dementia to rule out other central nervous system (CNS) disease that could account for the dementia syndrome, eg, major stroke, neoplasm, subdural hematoma.

Patient must have a history of psychotic symptoms (meeting International Psychogeriatric Association criteria) for at least 2 months prior to Screening (Visit 1) (participants may or may not have symptoms of agitation).

Disqualifiers

None

Trial design

Design model

Parallel

Treatments tested in this trial

  • KarXT

    Drug

    Specified dose on specified days

  • Placebo

    Drug

    Specified dose on specified days

Treatment groups

406 Participants
are divided into 2 treatment groups
Group A: KarXTExperimental treatment 1 intervention
Group B: PlaceboExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Change from baseline in Neuropsychiatric Inventory-Clinician: Hallucinations and Delusions (NPI-C: H+D) score

Time frame
Up to Week 14

Secondary outcomes

1

Change from baseline in Clinical Global Impressions-Severity (CGI-S) scale

Time frame
Up to Week 14
2

Change from baseline in Neuropsychiatric Inventory-Clinician (NPI-C) Core score: Hallucination Domain

Time frame
Up to Week 14
3

Change from baseline in NPI-C Core score: Delusion Domain

Time frame
Up to Week 14
4

Change from baseline in NPI-C Core score: Agitation Domain

Time frame
Up to Week 14

Other outcomes

Sponsors and contacts

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