NCT07284472

Brief Summary

The goal of this clinical trial is to evaluate the safety and efficacy of EXV-802 and EXV-801 in treatment of agitation in participants with Alzheimer's Disease dementia.

Trial Health

80
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
300

participants targeted

Target at P75+ for phase_2

Timeline
34mo left

Started Feb 2026

Typical duration for phase_2

Geographic Reach
3 countries

14 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress9%
Feb 2026Feb 2029

First Submitted

Initial submission to the registry

November 27, 2025

Completed
19 days until next milestone

First Posted

Study publicly available on registry

December 16, 2025

Completed
2 months until next milestone

Study Start

First participant enrolled

February 2, 2026

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2029

Expected
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2029

Last Updated

April 17, 2026

Status Verified

March 1, 2026

Enrollment Period

2.9 years

First QC Date

November 27, 2025

Last Update Submit

April 14, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Changes from baseline to endpoint (Week 6) in the Cohen-Mansfield Agitation Inventory - International Psychogeriatric Association (CMAI-IPA) score

    The CMAI is used to assess the frequency of manifestations of agitated behaviors in elderly persons. It consists of 29 agitated behaviors that are further categorized into distinct agitation syndromes, also known as CMAI factors of agitation. These distinct agitation syndromes include aggressive behavior, physically nonaggressive behavior, and verbally agitated behavior. Each of the 29 items is rated on a 7-point scale of frequency (1 = never, 2 = less than once a week but still occurring, 3 = once or twice a week, 4 = several times a week, 5 = once or twice a day, 6 = several times a day, 7 = several times an hour). The ratings are based on the 2 weeks preceding assessment of the CMAI. Higher scores indicate higher frequency of agitated behaviors while lower scores indicate lower frequency of agitated behaviors The CMAI-IPA includes 19 items that were mapped to IPA agitation domains. The total score ranges from 19 to 133 with higher scores indicating more severity.

    Baseline to Week 6

Secondary Outcomes (1)

  • Changes from baseline to endpoint (Week 6) in the Clinical Global Impression of Severity of Illness (CGI-S) score as related to symptoms of agitation

    Baseline to Week 6

Other Outcomes (3)

  • Changes from baseline to endpoint (Week 6) in the Neuropsychiatric Inventory - Clinician (NPI-C) Caregiver Distress score for Agitation and Aggression domains

    Baseline to Week 6

  • Changes from baseline to endpoint (Week 6) in the Neuropsychiatric Inventory - Clinician (NPI-C) Irritability/Liability Domain score

    Baseline to Week 6

  • Changes from baseline to endpoint (Week 6) in the Neuropsychiatric Inventory - Clinician (NPI-C) Sleep Disorders Domain score

    Baseline to Week 6

Study Arms (3)

EXV-802

EXPERIMENTAL

Participants will be assigned to treatment with EXV-802 capsules administered twice a day over a 6-week period.

Drug: EXV-802

Placebo

PLACEBO COMPARATOR

Participants will be assigned to treatment with placebo capsules administered twice a day over a 6-week period.

Drug: Placebo

EXV-801

EXPERIMENTAL

Participants will be assigned to treatment with EXV-801 capsules administered twice a day over a 6-week period.

Drug: EXV-801

Interventions

Specified dose twice daily

Also known as: Dextromethorphan + EXV-801
EXV-802

Specified dose twice daily

Placebo

Specified dose twice daily

Also known as: deramciclane
EXV-801

Eligibility Criteria

Age55 Years - 90 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • The participant is an adult male or female between the ages of 55 to 90 years inclusively, who can move around by themselves, with a walker or a wheelchair.
  • A previously established diagnosis of AD dementia.
  • The participant has clinically significant, moderate/severe agitation at the time of screening and for at least 2 weeks prior to randomization
  • The diagnosis of agitation must meet the International Psychogeriatric Association (IPA) provisional definition of agitation.
  • Caregiver who is able and willing to comply with all required study procedures and who is in contact with the participant at least on four individual days for at least two hours per day.

You may not qualify if:

  • The participant has a confirmed primary diagnosis of a dementia-related disease other than AD dementia.
  • The participant has symptoms of agitation that are not secondary to AD dementia
  • The participant has a history of uncontrolled seizures or a history of epilepsy.
  • The participant has a major medical illness or unstable medical condition

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (14)

Esperanza Clinical

Murrieta, California, 92562, United States

RECRUITING

Josephson Wallack Munshower Neurology PC

Indianapolis, Indiana, 46260, United States

RECRUITING

Precise Research Centers

Flowood, Mississippi, 39232, United States

RECRUITING

Integrative Clinical Trials

Brooklyn, New York, 11229, United States

RECRUITING

Manhattan Behavioral Medicine

New York, New York, 10036, United States

RECRUITING

Insight Clinical Trials

Independence, Ohio, 44131, United States

RECRUITING

Oregon Health & Science University

Portland, Oregon, 97239, United States

NOT YET RECRUITING

The Memory Clinic

Bennington, Vermont, 05201, United States

NOT YET RECRUITING

Sunnybrook Health Sciences Centre

North York, Ontario, M4N 3M5, Canada

NOT YET RECRUITING

Baycrest Centre for Geriatric Care

North York, Ontario, M6A 2E1, Canada

NOT YET RECRUITING

Kawartha Centre

Peterborough, Ontario, K9H 294, Canada

NOT YET RECRUITING

Ontario Shores Centre for Mental Health Sciences

Whitby, Ontario, L1N 5S9, Canada

NOT YET RECRUITING

Scottish Brain Sciences

Edinburgh, Midlothian, EH12 5PJ, United Kingdom

RECRUITING

Scottish Brain Sciences

Aberdeen, North East Scotland, AB25 2XE, United Kingdom

RECRUITING

MeSH Terms

Interventions

Dextromethorphanderamciclane

Intervention Hierarchy (Ancestors)

MorphinansOpiate AlkaloidsAlkaloidsHeterocyclic CompoundsHeterocyclic Compounds, Bridged-RingHeterocyclic Compounds, 4 or More RingsHeterocyclic Compounds, Fused-RingPhenanthrenesPolycyclic Aromatic HydrocarbonsPolycyclic Compounds

Central Study Contacts

Exciva Clinical Studies

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 27, 2025

First Posted

December 16, 2025

Study Start

February 2, 2026

Primary Completion (Estimated)

January 1, 2029

Study Completion (Estimated)

February 1, 2029

Last Updated

April 17, 2026

Record last verified: 2026-03

Locations