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
140
Research Sites
1 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating the safety and effectiveness of a combination treatment called KarXT and KarX-EC for adults aged 55 to 90 who have agitation linked to Alzheimers Disease. This Phase 3 study aims to understand how this treatment may help manage agitation symptoms in this population, with careful monitoring of side effects and overall safety. Participants will receive either the KarXT plus KarX-EC treatment or a placebo, with doses given on specified days as capsules. The study is randomized and double-blind, meaning neither participants nor researchers know who receives the active treatment or placebo. The treatment period lasts 14 weeks, during which participants are closely observed. During the study, participants will undergo various assessments including the Cohen-Mansfield Agitation Inventory-International Psychogeriatric Association CMAI-IPA score to measure agitation changes at week 14. Additional evaluations include clinical global impressions, neuropsychiatric inventories, safety monitoring through lab tests, vital signs, body measurements, and assessment of side effects up to week 18. Caregivers will also report on participants status, and safety will be closely followed throughout 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-2)
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Adults aged 55 to 90 years
- Diagnosed with Alzheimer's disease according to 2024 Alzheimer's Association criteria confirmed by approved biomarker tests
- Mini-Mental State Examination (MMSE) score between 5 and 22 at screening
- History of agitation meeting International Psychogeriatric Association criteria for at least two weeks prior to screening
- Neuropsychiatric Inventory (NPI/NPI-NH) Agitation/Aggression score of 4 or higher at screening and baseline
- Clinical Global Impressions-Severity (CGI-S) score of 4 or higher related to agitation at screening and baseline
- At least one caregiver with about 10 hours or more weekly contact willing to attend visits and assist with study procedures
You will not qualify if you...
- Agitation mainly caused by conditions other than Alzheimer's disease
- History of bipolar disorder, schizophrenia, or schizoaffective disorder
- History or high risk of urinary retention, gastric retention, or narrow-angle glaucoma
- Risk of suicidal behavior as assessed by clinical evaluation
- Recent use of monoamine oxidase inhibitors, anticonvulsants, mood stabilizers, tricyclic antidepressants, or other psychoactive medications except certain stable antidepressants and hypnotics
- Other protocol-defined exclusion criteria
Research Team
B
BMS Clinical Trials Contact Center www.BMSClinicalTrials.com
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First line of the email MUST contain NCT # and Site #.
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