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Study AXS-05-AD-305 was terminated due to completion of overall program objectives.
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The primary objective of this open-label extension trial was to evaluate the long-term safety of AXS-05 for the treatment of Alzheimer's disease agitation in subjects that participated in ADVANCE-2 or ACCORD-2.
This was a multi-center, open-label extension trial to evaluate the long-term safety of AXS-05 in subjects with Alzheimer's disease (AD) agitation that continued to receive AXS-05 given completion of ADVANCE-2 (AXS-05-AD-304) or ACCORD-2 (AXS-05-AD-303).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Open-Label | Experimental | Experimental: AXS-05 (dextromethorphan-bupropion) up to 25 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AXS-05 (dextromethorphan-bupropion) | Drug | AXS-05 tablets, taken twice daily |
|
| Measure | Description | Time Frame |
|---|---|---|
| Long-Term Safety | Incidence of treatment-emergent adverse events following dosing with AXS-05 | Up to 25 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinical Research Site | Peoria | Arizona | 85381 | United States | ||
| Clinical Research Site |
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| Label | URL |
|---|---|
| Axsome Therapeutics Website | View source |
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| ID | Title | Description |
|---|---|---|
| FG000 | Open-Label | Experimental: AXS-05 (dextromethorphan-bupropion) up to 25 weeks AXS-05 (dextromethorphan-bupropion): AXS-05 tablets, taken twice daily |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Oct 18, 2024 |
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| Walnut Creek |
| California |
| 94596 |
| United States |
| Clinical Research Site | Bonita Springs | Florida | 34134 | United States |
| Clinical Research Site | Brandon | Florida | 33511 | United States |
| Clinical Research Site | Greenacres City | Florida | 33467 | United States |
| Clinical Research Site | Hialeah | Florida | 33012 | United States |
| Clinical Research Site | Miami | Florida | 33126 | United States |
| Clinical Research Site | Miami | Florida | 33145 | United States |
| Clinical Research Site | Miami | Florida | 33155 | United States |
| Clinical Research Site | Miami | Florida | 33165 | United States |
| Clinical Research Site | Miami | Florida | 33173 | United States |
| Clinical Research Site | Miami Gardens | Florida | 33014 | United States |
| Clinical Research Site | Miami Lakes | Florida | 33014 | United States |
| Clinical Research Site | Pembroke Pines | Florida | 33025 | United States |
| Clinical Research Site | Tampa | Florida | 33614 | United States |
| Clinical Research Site | Tampa | Florida | 33634 | United States |
| Clinical Research Site | Braintree | Massachusetts | 02184 | United States |
| Clinical Research Site | Brooklyn | New York | 11229 | United States |
| Clinical Research Site | Charlotte | North Carolina | 28211 | United States |
| Clinical Research Site | Mesquite | Texas | 75149 | United States |
| Clinical Research Site | Arlington | Virginia | 22205 | United States |
| Clinical Research Site | San Juan | 00918 | Puerto Rico |
| COMPLETED |
|
| NOT COMPLETED |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Open-Label | Experimental: AXS-05 (dextromethorphan-bupropion) up to 25 weeks AXS-05 (dextromethorphan-bupropion): AXS-05 tablets, taken twice daily |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| ||||||||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| |||||||||||||||||||||||
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| 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 | Long-Term Safety | Incidence of treatment-emergent adverse events following dosing with AXS-05 | Posted | Count of Participants | Participants | Up to 25 weeks |
|
|
|
Treatment emergent adverse events (TEAEs) were collected after administration of study drug through 7 days after the last dose (up to 25 weeks).
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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 | Open-Label | Experimental: AXS-05 (dextromethorphan-bupropion) up to 25 weeks AXS-05 (dextromethorphan-bupropion): AXS-05 tablets, taken twice daily | 0 | 139 | 0 | 139 | 16 | 139 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Diarrhoea | Gastrointestinal disorders | MedDRA Dictionary | Non-systematic Assessment |
| |
| Hyperkalaemia | Metabolism and nutrition disorders | MedDRA Dictionary | Non-systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA Dictionary | Non-systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA Dictionary | Non-systematic Assessment |
| |
| Somnolence | Nervous system disorders | MedDRA Dictionary | Non-systematic Assessment |
| |
| Tremor | Nervous system disorders | MedDRA Dictionary | Non-systematic Assessment |
|
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | Axsome Therapeutics | 212-332-5061 | cstreicher@axsome.com |
| May 29, 2026 |
| Prot_SAP_000.pdf |
| ID | Term |
|---|---|
| D000544 | Alzheimer Disease |
| D011595 | Psychomotor Agitation |
| 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 |
| D020820 | Dyskinesias |
| D009461 | Neurologic Manifestations |
| D011596 | Psychomotor Disorders |
| D019954 | Neurobehavioral Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D000096762 | Aberrant Motor Behavior in Dementia |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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| Other |
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| Subjects with TEAEs that led to drug withdrawal |
|
| Subjects with TEAEs that led to study discontinuation |
|
| Subjects with TEAEs that resulted in death |
|
| Subjects with no TEAEs |
|