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| ID | Type | Description | Link |
|---|---|---|---|
| 42847922ALZ2001 | Other Identifier | Janssen Research & Development, LLC |
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The purpose of this study is to investigate the effect of seltorexant versus placebo on the sum of Agitation and Aggression domain scores (A plus A) of the Neuropsychiatric Inventory-Clinician rating (NPI-C) in participants with probable Alzheimer's Disease (AD) with clinically significant agitation/aggression.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Seltorexant | Experimental | Participants will receive single oral dose of seltorexant 20 milligrams (mg) tablet once daily from Day 1 to Day 42. |
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| Placebo | Placebo Comparator | Participants will receive single oral dose of matching placebo tablet once daily from Day 1 to Day 42. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Seltorexant | Drug | Seltorexant 20 mg will be administered orally as a tablet. |
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| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Neuropsychiatric Inventory Clinician Version (NPI-C) Sum of Agitation and Aggression Domain Scores (NPI-C A+A) at Day 43: Analyzed Under Estimand 1 | The NPI-12, measure of psychobehavioral disturbances assessed frequency and severity of disturbances in 12 domains, based on a caregiver interview. Frequency for each domain was rated on a 4-point scale (from 1=rarely to 4=very often) and severity on a 3-point scale (from 1=mild to 3=severe), with the score for each domain being product of frequency and severity scores, such that each domain was scored from 1 to 12. The NPI-12 total score was the sum of 12 domain scores, ranging from 0 (best) to 144 (worst), higher score represented greater frequency and worst severity of the symptoms. NPI-C was an instrument developed on basis of original NPI that gives a score based on product of frequency and severity ratings of 12 symptom domains that were summed to a total score. NPI-C domains: agitation and aggression NPI-C A+A were scored based on both caregiver and participant interviews and score ranged from 0 (does not occur) to 63 (severe). Higher scores indicated more severity. | Baseline (Day 1) and Day 43 |
| Change From Baseline in NPI-C A+A at Day 43: Analyzed Under Estimand 2 | The NPI-12, measure of psychobehavioral disturbances assessed frequency and severity of disturbances in 12 domains, based on a caregiver interview. Frequency for each domain was rated on a 4-point scale (from 1=rarely to 4=very often) and severity on a 3-point scale (from 1=mild to 3=severe), with the score for each domain being product of frequency and severity scores, such that each domain was scored from 1 to 12. The NPI-12 total score was the sum of 12 domain scores, ranging from 0 (best) to 144 (worst), higher score represented greater frequency and worst severity of the symptoms. NPI-C was an instrument developed on the basis of original NPI that gives a score based on product of frequency and severity ratings of 12 symptom domains that were summed to a total score. NPI-C domains: agitation and aggression NPI-C A+A were scored based on both caregiver and participant interviews and score ranged from 0 (does not occur) to 63 (severe). Higher scores indicated more severity. | Baseline (Day 1) and Day 43 |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Cohen-Mansfield Agitation Inventory- Community Version (CMAI-C) Total Score at Day 43 | The CMAI-C, 37-item scale, measured the ability of a drug to reduce overall frequency of agitation symptoms, including aggressive behaviors. Individual items were rated by the clinician on a scale of 1 (never) to 7 (several times per hour) in which higher score represented the most frequent for each item assessed. CMAI-C total score was a sum of all categories that ranged from 37 (never) to 259 (several times), where higher score indicated greater severity. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Janssen Research and Development, LLC Clinical Trial | Janssen Research and Development LLC | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medical Advancement Center of Arizona | Tempe | Arizona | 85283 | United States | ||
| Sunwise Clinical Research |
The data sharing policy of the Janssen Pharmaceutical Companies of Johnson & Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu
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| ID | Title | Description |
|---|---|---|
| FG000 | DB: Placebo | Participants received placebo matching to seltorexant tablet orally once daily at bedtime from Day 1 to Day 42. |
| FG001 | DB: Seltorexant | Participants received seltorexant 20 milligrams (mg) orally once daily at bedtime from Day 1 to Day 42. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Double-blind (DB) Phase (Day 1- Day 43): |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Apr 8, 2023 | Oct 29, 2024 |
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| Placebo | Drug | Matching placebo will be administered orally as a tablet. |
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| Baseline (Day 1) and Day 43 |
| Change From Baseline in Sleep Disorder Inventory (SDI) Average Total Score at Day 43 | SDI: based on caregiver (CG) interview and expanded version of item 11 (night-time behavioral disturbances) of NPI-12. It described frequency, severity and CG burden of sleep-disturbed behaviors for period prior to its administration. It consisted of 7 sub-questions from NPI-12 sleep disturbance item. Each sub-question was made into separate questions with frequency, severity, and CG distress rated with respect to participant. SDI score derived after CG rated frequency, severity of each of 7 separate sleep disturbance symptoms. CG distress ratings were not part of SDI total score, but distress was measured. Frequency scored on scale of 0 (not present) to 4 (once or more per day), severity scored on scale of 0 (not present) to 3 (occurrence of nighttime behaviors) and CG distress rated on scale of 0 (not at all) to 5 (extremely). SDI average total score=average frequency of item 1 to 7 multiplied with average severity of items 1 to 7; ranged from 0 to 12; higher score=greater severity. | Baseline and Day 43 |
| Observed Plasma Concentrations of Seltorexant and Its Metabolite (M12) | The pharmacokinetic (PK) sample collection was done based on the availability of the participants either on Day 15 or 43 and thus collected data were analyzed and summary data were reported in this outcome measure. Plasma samples were analyzed using liquid chromatography/mass spectrometry/mass spectrometry (LC-MS/MS) method. | Either Day 15 (8 and 14 hours post dose on night of Day 14) or Day 43 (8 and 14 hours post dose on night of Day 42) |
| Lafayette |
| California |
| 94549 |
| United States |
| Luminous Clinical Research | Homestead | Florida | 33030 | United States |
| Global Medical Institutes | Miami | Florida | 33125 | United States |
| Office of Emilio Mantero-Atienza, MD | Miami | Florida | 33135 | United States |
| Allied Biomedical Research Institute (ABRI), Inc | Miami | Florida | 33155-4630 | United States |
| Quantix Research | Miami | Florida | 33155 | United States |
| Entrust Clinical Research | Miami | Florida | 33156 | United States |
| Florida International Research Center (FIRC) | Miami | Florida | 33173 | United States |
| P&S Research, LLC | Miami | Florida | 33175 | United States |
| IMIC Inc | Miami | Florida | 33176 | United States |
| Biovision Medical | Miami | Florida | 33184 | United States |
| South Florida Research Center Inc. | Miami Springs | Florida | 33166 | United States |
| Intercoastal Medical Group | Sarasota | Florida | 34239 | United States |
| Accel Clinical Research | Seminole | Florida | 33777 | United States |
| Sonar Clinical Research | Atlanta | Georgia | 30315 | United States |
| NeuroTrials Research Inc | Atlanta | Georgia | 30328 | United States |
| Atlanta Center for Medical Research | Atlanta | Georgia | 30331 | United States |
| Ochsner Medical Center | New Orleans | Louisiana | 70121 | United States |
| Boston Clinical Trials | Boston | Massachusetts | 02131 | United States |
| Richmond Behavioral Associates | Staten Island | New York | 10312 | United States |
| Vanderbilt University Medical Center | Nashville | Tennessee | 37232 | United States |
| Gill Neuroscience | Cypress | Texas | 77429 | United States |
| Wasatch Clinical Research | Salt Lake City | Utah | 84107 | United States |
| Memory Clinic Inc | Bennington | Vermont | 05201 | United States |
| FG002 | Follow-up (FU): Placebo | After the completion of double-blind phase, participants entered the post-treatment follow up phase and were followed up until Day 57. |
| FG003 | FU: Seltorexant | After the completion of double-blind phase, participants entered the post-treatment follow up phase and were followed up until Day 57. |
| Treated |
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| COMPLETED |
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| NOT COMPLETED |
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| FU Phase (Day 43 to Day 57): |
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Full analysis set included all randomized participants who took at least 1 dose of study intervention.
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| ID | Title | Description |
|---|---|---|
| BG000 | DB: Placebo | Participants received placebo matching to seltorexant tablet orally once daily at bedtime from Day 1 to Day 42. |
| BG001 | DB: Seltorexant | Participants received seltorexant 20 milligrams (mg) orally once daily at bedtime from Day 1 to Day 42. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
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| Age, Customized | Count of Participants | Participants |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Count of Participants | Participants |
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| Age Categorical | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change From Baseline in Neuropsychiatric Inventory Clinician Version (NPI-C) Sum of Agitation and Aggression Domain Scores (NPI-C A+A) at Day 43: Analyzed Under Estimand 1 | The NPI-12, measure of psychobehavioral disturbances assessed frequency and severity of disturbances in 12 domains, based on a caregiver interview. Frequency for each domain was rated on a 4-point scale (from 1=rarely to 4=very often) and severity on a 3-point scale (from 1=mild to 3=severe), with the score for each domain being product of frequency and severity scores, such that each domain was scored from 1 to 12. The NPI-12 total score was the sum of 12 domain scores, ranging from 0 (best) to 144 (worst), higher score represented greater frequency and worst severity of the symptoms. NPI-C was an instrument developed on basis of original NPI that gives a score based on product of frequency and severity ratings of 12 symptom domains that were summed to a total score. NPI-C domains: agitation and aggression NPI-C A+A were scored based on both caregiver and participant interviews and score ranged from 0 (does not occur) to 63 (severe). Higher scores indicated more severity. | Full analysis set (FAS) included all randomized participants who took at least 1 dose of study intervention. 'N' (number of participants analyzed): participants evaluable for this outcome measure. Estimand 1 used to analyze benefit from seltorexant 20 mg versus placebo in adults and elderly participants with probable Alzheimer's disease (AD) with clinically significant agitation/aggression who took study intervention as directed and regardless treatment discontinuation without treatment switch. | Posted | Mean | Standard Deviation | Score on a scale | Baseline (Day 1) and Day 43 |
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| Primary | Change From Baseline in NPI-C A+A at Day 43: Analyzed Under Estimand 2 | The NPI-12, measure of psychobehavioral disturbances assessed frequency and severity of disturbances in 12 domains, based on a caregiver interview. Frequency for each domain was rated on a 4-point scale (from 1=rarely to 4=very often) and severity on a 3-point scale (from 1=mild to 3=severe), with the score for each domain being product of frequency and severity scores, such that each domain was scored from 1 to 12. The NPI-12 total score was the sum of 12 domain scores, ranging from 0 (best) to 144 (worst), higher score represented greater frequency and worst severity of the symptoms. NPI-C was an instrument developed on the basis of original NPI that gives a score based on product of frequency and severity ratings of 12 symptom domains that were summed to a total score. NPI-C domains: agitation and aggression NPI-C A+A were scored based on both caregiver and participant interviews and score ranged from 0 (does not occur) to 63 (severe). Higher scores indicated more severity. | Full analysis set (FAS) included all randomized participants who took at least 1 dose of study intervention. 'N' (number of participants analyzed): participants evaluable for this outcome measure. Estimand 2 was used to analyze benefit from seltorexant 20 mg versus placebo in adults and elderly participants with probable AD with clinically significant agitation/aggression who took study intervention as directed and regardless of treatment discontinuation without treatment switch. | Posted | Mean | Standard Deviation | Score on a scale | Baseline (Day 1) and Day 43 |
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| Secondary | Change From Baseline in Cohen-Mansfield Agitation Inventory- Community Version (CMAI-C) Total Score at Day 43 | The CMAI-C, 37-item scale, measured the ability of a drug to reduce overall frequency of agitation symptoms, including aggressive behaviors. Individual items were rated by the clinician on a scale of 1 (never) to 7 (several times per hour) in which higher score represented the most frequent for each item assessed. CMAI-C total score was a sum of all categories that ranged from 37 (never) to 259 (several times), where higher score indicated greater severity. | FAS included all randomized participants who took at least 1 dose of study intervention. Here, 'N' (overall number of participants analyzed) signifies participants who were evaluable for this outcome measure. | Posted | Mean | Standard Deviation | Score on a scale | Baseline (Day 1) and Day 43 |
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| Secondary | Change From Baseline in Sleep Disorder Inventory (SDI) Average Total Score at Day 43 | SDI: based on caregiver (CG) interview and expanded version of item 11 (night-time behavioral disturbances) of NPI-12. It described frequency, severity and CG burden of sleep-disturbed behaviors for period prior to its administration. It consisted of 7 sub-questions from NPI-12 sleep disturbance item. Each sub-question was made into separate questions with frequency, severity, and CG distress rated with respect to participant. SDI score derived after CG rated frequency, severity of each of 7 separate sleep disturbance symptoms. CG distress ratings were not part of SDI total score, but distress was measured. Frequency scored on scale of 0 (not present) to 4 (once or more per day), severity scored on scale of 0 (not present) to 3 (occurrence of nighttime behaviors) and CG distress rated on scale of 0 (not at all) to 5 (extremely). SDI average total score=average frequency of item 1 to 7 multiplied with average severity of items 1 to 7; ranged from 0 to 12; higher score=greater severity. | FAS included all randomized participants who took at least 1 dose of study intervention. Here, 'N' (overall number of participants analyzed) signifies participants who were evaluable for this outcome measure. | Posted | Mean | Standard Deviation | Score on a scale | Baseline and Day 43 |
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| Secondary | Observed Plasma Concentrations of Seltorexant and Its Metabolite (M12) | The pharmacokinetic (PK) sample collection was done based on the availability of the participants either on Day 15 or 43 and thus collected data were analyzed and summary data were reported in this outcome measure. Plasma samples were analyzed using liquid chromatography/mass spectrometry/mass spectrometry (LC-MS/MS) method. | The PK analysis set included all randomized participants to the seltorexant treatment group and with at least one PK sample taken. Here, 'N' (overall number of participants analyzed) signifies participants who were evaluable for this outcome measure. | Posted | Mean | Standard Deviation | nanograms per milliliter (ng/mL) | Either Day 15 (8 and 14 hours post dose on night of Day 14) or Day 43 (8 and 14 hours post dose on night of Day 42) |
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Double-blind (DB) Phase: From Day 1 up to Day 43; Follow up Phase: From Day 44 to Day 57
All-cause mortality was anlyzed on all randomized participants. Serious adverse events and other adverse events were analyzed on safety analysis set which included all randomized participants who took at least 1 dose of study intervention.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | DB: Placebo | Participants received placebo matching to seltorexant tablet orally once daily at bedtime from Day 1 to Day 42. | 0 | 44 | 0 | 42 | 4 | 42 |
| EG001 | DB: Seltorexant | Participants received seltorexant 20 milligrams (mg) orally once daily at bedtime from Day 1 to Day 42. | 0 | 44 | 1 | 43 | 6 | 43 |
| EG002 | Follow-up (FU): Placebo | After the completion of double-blind phase, participants entered the post-treatment follow up phase and were followed up until Day 57. | 0 | 39 | 0 | 39 | 0 | 39 |
| EG003 | FU: Seltorexant | After the completion of double-blind phase, participants entered the post-treatment follow up phase and were followed up until Day 57. | 0 | 38 | 1 | 38 | 2 | 38 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Pancreatic Neuroendocrine Tumour | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA Version 26.0 | Non-systematic Assessment |
| |
| Ischaemic Stroke | Nervous system disorders | MedDRA Version 26.0 | Non-systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Atrial Fibrillation | Cardiac disorders | MedDRA Version 26.0 | Non-systematic Assessment |
| |
| Supraventricular Extrasystoles | Cardiac disorders | MedDRA Version 26.0 | Non-systematic Assessment |
| |
| Haemorrhoids | Gastrointestinal disorders | MedDRA Version 26.0 | Non-systematic Assessment |
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| Malignant Biliary Obstruction | Hepatobiliary disorders | MedDRA Version 26.0 | Non-systematic Assessment |
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| Bronchitis | Infections and infestations | MedDRA Version 26.0 | Non-systematic Assessment |
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| Nasopharyngitis | Infections and infestations | MedDRA Version 26.0 | Non-systematic Assessment |
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| Orchitis | Infections and infestations | MedDRA Version 26.0 | Non-systematic Assessment |
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| Contusion | Injury, poisoning and procedural complications | MedDRA Version 26.0 | Non-systematic Assessment |
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| Injury | Injury, poisoning and procedural complications | MedDRA Version 26.0 | Non-systematic Assessment |
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| Neck Pain | Musculoskeletal and connective tissue disorders | MedDRA Version 26.0 | Non-systematic Assessment |
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| Headache | Nervous system disorders | MedDRA Version 26.0 | Non-systematic Assessment |
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| Tension Headache | Nervous system disorders | MedDRA Version 26.0 | Non-systematic Assessment |
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| Abnormal Dreams | Psychiatric disorders | MedDRA Version 26.0 | Non-systematic Assessment |
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| Confusional Arousal | Psychiatric disorders | MedDRA Version 26.0 | Non-systematic Assessment |
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| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA Version 26.0 | Non-systematic Assessment |
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| Dysphonia | Respiratory, thoracic and mediastinal disorders | MedDRA Version 26.0 | Non-systematic Assessment |
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| Pruritus | Skin and subcutaneous tissue disorders | MedDRA Version 26.0 | Non-systematic Assessment |
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If an investigator wishes to publish information from the study, a copy of the manuscript must be provided to the sponsor for review at least 60 days before submission for publication or presentation. If requested by the sponsor in writing, the investigator will withhold such publication for up to an additional 60 days to allow for filing of a patent application.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | Janssen Research & Development, LLC | 844-434-4210 | ClinicalTrialDisclosure@its.jnj.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Nov 16, 2023 | Oct 29, 2024 | SAP_001.pdf |
| ID | Term |
|---|---|
| D000544 | Alzheimer Disease |
| ID | Term |
|---|---|
| D003704 | Dementia |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D024801 | Tauopathies |
| D019636 | Neurodegenerative Diseases |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| C000655226 | seltorexant |
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| Protocol Violation |
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| From 65 to 84 years |
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| 85 years and over |
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| Male |
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| Not Hispanic or Latino |
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| Unknown or Not Reported |
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| Asian |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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| From 65 to 84 years |
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| 85 years and over |
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| OG001 | DB: Seltorexant | Participants received seltorexant 20 milligrams (mg) orally once daily at bedtime from Day 1 to Day 42. |
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| Participants |
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Participants received seltorexant 20 milligrams (mg) orally once daily at bedtime from Day 1 to Day 42. |
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