Clinical Trial on Agitation in Alzheimer's Dementia
CALMA
A Phase 2, Multicenter, Double-Blind, Randomized, Placebo-Controlled, Trial of the Safety and Efficacy of IGC-AD1 on Agitation in Participants With Dementia Due to Alzheimer's Disease
1 other identifier
interventional
164
4 countries
30
Brief Summary
The purpose of this study is to assess the efficacy of the oral medication IGC-AD1, a THC-based (Delta-9-Tetrahydrocannabinol) formulation administered twice a day on Agitation in patients with mild to severe dementia from Alzheimer's.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2 alzheimer-disease
Started Oct 2022
Typical duration for phase_2 alzheimer-disease
30 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 14, 2022
CompletedFirst Posted
Study publicly available on registry
September 16, 2022
CompletedStudy Start
First participant enrolled
October 11, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
August 1, 2026
April 14, 2026
April 1, 2026
3.8 years
September 14, 2022
April 13, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Agitation
Change in mean Cohen Mansfield Agitation Inventory (CMAI) score
Baseline to week six
Secondary Outcomes (1)
Acute Agitation
Baseline to week two
Other Outcomes (9)
Agitation at week four
Baseline to week four
Participant overall wellbeing
Baseline to weeks two and six
Participant executive functions
Baseline to week six
- +6 more other outcomes
Study Arms (2)
Active Comparator: IGC-AD1Active
ACTIVE COMPARATORIGC-AD1-Active, oral solution with two APIs (THC and melatonin).
Placebo Comparator: IGC-AD1 Placebo
PLACEBO COMPARATORIGC-AD1-Placebo, oral solution similar to Active in color, taste, and texture, with excipients but without APIs.
Interventions
A non-sterile solution for oral administration.
A non-sterile solution for oral administration similar in color and texture to the Active.
Eligibility Criteria
You may qualify if:
- Participant and/or Caregiver must provide a signed and dated ICF prior to any study procedures.
- Must have a Caregiver who is able and willing to comply with all required study procedures.
- The Caregiver must be known to the Participant and must be able to use electronic devices such as a cell phone, video conference over a laptop or cell phone, weighing scale, and be able to learn to take blood pressure, among others.
- Based on local practice, Participants that cannot consent may have Caregiver's consent provided the Caregiver has among others a) Power of Attorney, b) is a spouse, or c) a sibling or d) a child or e) a close relation. The practice of accepting consent must be consistent with established practice at the site and jurisdiction.
- Participants must consent to CYP450 and apolipoprotein E (ApoE) genotyping, and pharmacokinetics.
- Diagnosis of AD by NIA-AA criteria
- Clinically significant Agitation assessed by:
- NPI (Agitation) ≥ 4
- The presence of clinically significant, persistent Agitation based on the IPA definition (Appendix C) rather than those with recent onset and occasional symptoms, and
- Agitation not attributable to another psychiatric disorder, suboptimal care conditions, other underlining medical condition, or the physiological effects of a substance.
- Negative drug screen, except for benzodiazepines if Participant has been using them in stable doses for at least 3 months before screening.
- All medications used for behavioral symptoms should be consistent for at least 6 weeks before screening, with allowance for dose changes up to 25%.
- Women must be of no childbearing potential (postmenopausal, defined as cessation of menses for at least 12 months, without an alternative medical cause for amenorrhea) or surgically sterile (hysterectomy, bilateral oophorectomy, or bilateral tubal ligation)).
- An individual who meets any of the following criteria will be excluded from participation in this study:
You may not qualify if:
- Prior adverse reaction to cannabinoids or to any component of Study Drug (IGC-AD1 and placebo).
- Serious or unstable medical illness, including cardiovascular, hepatic, renal, respiratory, endocrine, neurologic, or hematologic disease, which might confound assessment of safety outcomes.
- History of seizures, schizophrenia, or bipolar disorder.
- Has participated in an investigational drug or device study within 30 days prior to study start.
- Urine drug screen positive for drug use, except for benzodiazepines if Participant was using them previously and their dose had remained stable for at least six weeks before screening.
- History of Alcohol and Drug use disorder, within one year prior to enrollment.
- Hypertension: Participants with a history of uncontrolled hypertension as determined by the PI and Participants with a hypertensive crisis in the six months prior to enrollment.
- Falls: Participants with a history of recurrent falls defined as more than two falls in the six-month period prior to enrollment and a history of falls resulting in injuries or associated with a new acute illness, loss of consciousness, fever, or abnormal blood pressure (Fuller et al., 2000).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- IGC Pharma, LLClead
Study Sites (30)
ClinCloud, LLC
Maitland, Florida, 32751, United States
ClinCloud, LLC
Melbourne, Florida, 32940, United States
Central Miami Medical Institute
Miami, Florida, 33125, United States
Visionary Investigators Network
Miami, Florida, 33133, United States
Miami Jewish Health
Miami, Florida, 33137, United States
Neurostudies Inc.
Port Charlotte, Florida, 33952, United States
BayCare Health System Inc.
St. Petersburg, Florida, 33705, United States
University of South Florida Department of Psychiatry and Behavioral Neurosciences
Tampa, Florida, 33613, United States
Tandem Clinical Research GI, LLC
Metaire, Louisiana, 70006, United States
MedStar Franklin Square Medical Center Neurology
Baltimore, Maryland, 21237, United States
Medstar Southern Maryland Hospital Center
Clinton, Maryland, 20735, United States
Medstar Montgomery Medical Center
Olney, Maryland, 20832, United States
Tekton Research LLC
St Louis, Missouri, 63128, United States
Dent Neurologic Institute
Amherst, New York, 02459, United States
Integrative Clinical Trials, LLC
Brooklyn, New York, 11229, United States
Ichor Research
Syracuse, New York, 13210, United States
Lynn Health Science Institute (LHSI)
Oklahoma City, Oklahoma, 73112, United States
Butler Hospital, Brown University
Providence, Rhode Island, 02906, United States
Senior Adults Specialty Research
Austin, Texas, 78757, United States
Baylor Scott and White Research Institute
Dallas, Texas, 75231, United States
Kerwin Medical Center
Dallas, Texas, 75231, United States
Dominion Medical Associates, Inc.
Richmond, Virginia, 23219, United States
Island Health Authorities
Victoria, British Columbia, V8R 1J8, Canada
Hamilton Health Sciences , Mcmaster University
Hamilton, Ontario, L8M 1W9, Canada
Baycrest Academy for Research and Education , University of Toronto
Toronto, Ontario, ON M6A 2E1, Canada
Douglas Hospital Research Center, McGill university
Montreal, Quebec, H4H 1R3, Canada
Grupo de Neurociencias de Antioquia, Universidad de Antioquia
Medellín, Antioquia, Colombia
Instituto Sanacoop
Bayamón, Bayamón, 00961, Puerto Rico
SCB Research Center Corp
Bayamón, Puerto Rico, 00961, Puerto Rico
The Alliance, Medical Sciences Campus University of Puerto Rico
Rio Piedras, Puerto Rico, 00935, Puerto Rico
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Masking Details
- Double-blind for study site and participants
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 14, 2022
First Posted
September 16, 2022
Study Start
October 11, 2022
Primary Completion (Estimated)
August 1, 2026
Study Completion (Estimated)
August 1, 2026
Last Updated
April 14, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share