Actively Recruiting
A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety and Efficacy of KarXT KarX-EC for Agitation in Alzheimers Disease
Led by Bristol-Myers Squibb · Updated on 2026-06-03
352
Participants Needed
157
Research Sites
2 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating the safety and effectiveness of KarXT combined with KarX-EC in adults aged 55 to 90 who experience agitation linked to Alzheimers Disease. This phase 3 trial aims to understand how these treatments impact agitation symptoms in this population. The study is sponsored by Bristol-Myers Squibb and uses rigorous methods to compare the investigational drugs against a placebo. Participants will receive either the combination of XanomelineTrospium Chloride capsules KarXT KarX-EC or a placebo, with doses given on specified days. The study is randomized, double-blind, and placebo-controlled, ensuring objective assessment of treatment effects over a 14-week period. The trial includes a parallel group design where participants are assigned to either the experimental treatment group or placebo group. During the study, participants will be assessed for changes in agitation using the Cohen-Mansfield Agitation Inventory and other related scales at week 14. Researchers will monitor safety through adverse event reports, clinical labs, vital signs, ECGs, and specific rating scales up to week 18. Caregivers will assist by attending visits and reporting on participant status. Total participation involves regular visits and assessments over the course of the trial.
CONDITIONS
Brief Title
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)
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Diagnosed with Alzheimer's Disease confirmed by approved biomarker tests or PET imaging
- Mini-Mental State Examination score between 5 and 22 at screening
- Have a caregiver with at least 10 hours weekly contact willing to assist and report
- History of agitation meeting International Psychogeriatric Association criteria, starting at least two weeks before screening
- Agitation severity scores: NPI/NPI-NH agitation/aggression 24 4, CGI-S 24 4 at screening and baseline
- At least one defined level of aggressive behavior frequency from the Cohen-Mansfield Agitation Inventory-IPA at screening and baseline
You will not qualify if you...
- Agitation symptoms caused primarily by conditions other than Alzheimer's Disease
- History of bipolar disorder, schizophrenia, or schizoaffective disorder
- History or high risk for urinary retention, gastric retention, or narrow-angle glaucoma
- Risk of suicidal behavior as assessed by clinical evaluation or Columbia-Suicide Severity Rating Scale
- Recent use of monoamine oxidase inhibitors, anticonvulsants, mood stabilizers, or tricyclic antidepressants except certain allowed anxiolytics
- Unstable or changing doses of selective serotonin reuptake inhibitors or serotonin norepinephrine reuptake inhibitors
- Other protocol-specific inclusion or exclusion criteria apply
Research Team
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BMS Clinical Trials Contact Center www.BMSClinicalTrials.com
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