Safety and Efficacy of EXV-802 and EXV-801 in the Treatment of Agitation in Alzheimer's Disease Dementia
SERENADA
Phase 2/3, Double-blind, Placebo-controlled Study to Evaluate the Safety and Efficacy of EXV-802 and EXV-801 in the Treatment of Agitation in Participants With Alzheimer's Disease Dementia
Planned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
February 2029
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
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.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
recruiting
Estimated enrollment
300 participants
Study completion date
February 2029
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Listed locations
9 countries · 49 sites
Trial Relationships
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Some registry-reported names shown below are not yet linked in this graph.
Related Scientific Literature
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
First Submitted
November 27, 2025
Actual (reported)
First Posted
December 16, 2025
Actual (reported)
Study Start
February 2, 2026
Actual (reported)
Primary Completion
January 2029
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
February 2029
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
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.
Interventions
EXV-802Drug
Specified dose twice daily
Also known as: Dextromethorphan + EXV-801
EXV-802
PlaceboDrug
Specified dose twice daily
Placebo
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.
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
Actual (reported)
Primary Completion
January 2029
Estimated
Drug: EXV-801
EXV-801Drug
Specified dose twice daily
Also known as: deramciclane
EXV-801
EXV-801Type not reported
EXV-802Type not reported
Matching PlaceboType not reported
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
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.
NOT_YET_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
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
RECRUITING
Ontario Shores Centre for Mental Health Sciences
Whitby, Ontario, L1N 5S9, Canada
NOT_YET_RECRUITING
Brain-Soultherapy s.r.o.
Kladno, Central Bohemia, 272 01, Czechia
RECRUITING
NeuropsychiatrieHK, sro
Hradec Králové, Hradec Králové Region, 500 02, Czechia
Banská Bystrica, Banská Bystrica Region, 974 04, Slovakia
NOT_YET_RECRUITING
Univerzitna nemocnica Bratislava
Bratislava, Bratislava Kraj, 813 69, Slovakia
NOT_YET_RECRUITING
EPAMED s r.o.
Košice, Košice Region, 040 11, Slovakia
NOT_YET_RECRUITING
Crystal Comfort S.R.O.
Vranov nad Topľou, Presov, 093 01, Slovakia
RECRUITING
Medicinske Centrum Konzilium, s.r.o.
Dubnica nad Váhom, Trenčín Region, 018 41, Slovakia
NOT_YET_RECRUITING
Hospital Universitario Virgen de la Macarena
Seville, Andalusia, 41009, Spain
RECRUITING
Hospital Universitario Rio Hortega
Valladolid, Castille and León, 47012, Spain
RECRUITING
Hospital Virgen de la Concha
Zamora, Castille and León, 49029, Spain
RECRUITING
Hospital Universitari Germans Trias i Pujol
Barcelona, Catalonia, 08916, Spain
NOT_YET_RECRUITING
Hospital Clinico San Carlos
Madrid, 28040, Spain
RECRUITING
Scottish Brain Sciences
Edinburgh, Midlothian, EH12 5PJ, United Kingdom
RECRUITING
Scottish Brain Sciences
Aberdeen, North East Scotland, AB25 2XE, United Kingdom
RECRUITING
Planned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
February 2029
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Last Updated
August 14, 2026
Record last verified: 2026-08
Source records
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Source: ClinicalTrials.gov.
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