A Safety Study of Pimavanserin in Adult and Elderly Subjects Experiencing Neuropsychiatric Symptoms Related to Neurodegenerative Disease
Neuropsychiatric Symptoms Related to Neurodegenerative Disease
About this trial
This is an interventional treatment trial for Neuropsychiatric Symptoms Related to Neurodegenerative Disease
Eligibility Criteria
Inclusion Criteria:
Can understand the nature of the trial and protocol requirements and provide written informed consent. If the subject is deemed not competent to provide informed consent, the following requirements for consent must be met:
- The subject's legally acceptable representative (LAR) (or study partner/caregiver, if local regulations allow) must provide written informed consent
- The subject must provide written (if capable) informed assent
Subject requires some or complete assistance with one or more of the following:
- Instrumental activities of daily living (communication, transportation, meal preparation, shopping, housework, managing medications, managing personal finances) OR
- Basic activities of daily living (personal hygiene, dressing, eating, maintaining continence or transferring)
Meets clinical criteria for at least one of the following disorders, with or without cerebrovascular disease (CVD):
- Parkinson's disease with or without dementia as defined by the Movement Disorder Society's Task Force
- Dementia with Lewy bodies (DLB)
- All-cause dementia, possible or probable Alzheimer's disease (AD)
- Frontotemporal degeneration spectrum disorders, including possible or probable:
i. Behavioral variant frontotemporal dementia
ii. Progressive supranuclear palsy
iii. Corticobasal degeneration
e. Vascular dementia, including post-stroke dementia multi-infarct dementia and/or subcortical ischemic vascular dementia (SIVD)
- Has a designated study partner/caregiver
- Can come to the clinic for study visits with a study partner/caregiver
- If the subject is female, she must not be pregnant or breastfeeding. She must also be of non-childbearing potential (defined as either surgically sterilized or at least 1 year postmenopausal) or must agree to use a clinically acceptable method of contraception or be abstinent.
- If the subject is taking an antipsychotic medication at the time of screening, the antipsychotic medication must be discontinued 2 weeks or 5 half-lives (whichever is longer)
Exclusion Criteria:
- Is in hospice, is receiving end-of-life palliative care, or is bedridden
- Has psychotic symptoms that are primarily attributable to delirium or substance abuse (i.e., neuropsychiatric symptoms not related to neurodegenerative disease)
- Has current evidence of an unstable neurological, cardiovascular, respiratory, gastrointestinal, renal, hepatic, hematologic, or other medical disorder, including cancer or malignancies that, in the judgment of the Investigator, would jeopardize the safe participation of the subject in the study or significantly interfere with the conduct or interpretation of the study
- Has a known personal or family history of long QT syndrome or family history of sudden cardiac death
Has a clinical significant CNS abnormality that is most likely contributing to the dementia or findings on MRI or CT including:
- intracranial mass lesion
- vascular malformation
- evidence of >4 hemosiderin deposits
- The urine drug screen result at Visit 1 (Screening) indicates the presence of amphetamine/methamphetamine, barbiturates, cocaine, or phencyclidine (PCP). Subjects who test positive for amphetamines and who have a valid prescription may be retested if they agree to abstain from the medication for the length of their participation in the study. The presence of benzodiazepines, marijuana (THC), or opiates does not necessarily exclude the subject from the study, as assessed by the Investigator in consultation with the Medical Monitor.
- Has previously been enrolled in any prior clinical study with pimavanserin or is currently taking pimavanserinIs judged by the Investigator or the Medical Monitor to be inappropriate for the study for any reason
Additional inclusion/exclusion criteria apply. Patients will be evaluated at screening to ensure that all criteria for study participation are met. Patients may be excluded from the study based on these assessments (and specifically, if it is determined that their baseline health and psychiatric condition do not meet all pre-specified entry criteria).
Sites / Locations
- Cognitive Clinical Trials
- ATP Clinical Research, Inc.
- Syrentis Clinical Research
- Indago Research & Health Center Inc
- Reliable Clinical Research, LLC
- Axcess Medical Research
- Premier Clinical Research Institute, Inc.
- Global Medical Institutes
- Future Care Solution, LLC
- MediClear Medical & Research Center, Inc.
- Novel Clinical Research LLC
- Laszlo J Mate, MD, PA
- University of South Florida
- Synexus Clinical Research US
- Boston Center Memory
- Cognitive Clinical Trials LLC
- The NeuroCognitive Institute
- UNC Hospital
- Insight Clinical Trials LLC
- Suburban Research Associates
- Central for Biomedical Research, LLC
- Centre for Mental Health Prof. Dr. Ivan Temkov, Lazur Compl., Park Ezero
- UMHAT Psych clin for gen psychiatry and addictions
- DCC Sv. Vrach and Sv. Sv. Kozma and Damyan
- Diagnostic Consultative Centre, 2, N. Vaptzarov Street
- Diagnostic Consultative Centre-Mladost-Psychiatry, 15, Republika Blvd
- Mental Health Center Vratza EOOD, 1 Belasitsa St
- E.S.E. Hospital Mental de Antioquia
- Centr Investigaciones y Proyectos en Neurociencias
- Psynapsis Salud Mental S.A.
- Centro de Investigaciones del Sistema Nervioso
- BRAIN-SOULTHERAPY s.r.o., , Lekarna Jalta, Namesti Jana Masaryka 3113
- Fakultni nemocnice Olomouc
- A-shine s.r.o./ Lekarna Centrum
- AD71, s.r.o.,/Hostivarska Iekarna
- Axon Clinical
- Neuropsychiatrie, s.r.o., Lekarna 6ka, Fajtlova 1
- AD71, s.r.o., /,Lekarna DPS Recruiting
- Petre Sarajishvili Institute of Neurology LLC
- Pineo Medical Ecosystem LTD
- Tbilisi Heart and Vascular Clinic LTD
- Health Institute LLC
- S. Khechinashvili University Hospital LLC
- Hospital Universitario Saltillo
- Instituto Nacional de Neurologia y Neurocirugia
- Centro Regional para Adulto Mayor, Hsp Univ, JEG
- Clinicos y Especialidades Medicas
- Christus Muguerza Hospital Sur
- Neurologi ZOZ Cntr Leczenia SM Badan Klinicznych
- MlynowaMed SP Psych Dr. Joanna Lazarcyck
- Wlokiennicza Me Sp Prak Lekarska Dromasz Markowski
- Przychodnia Srodmiescie Sp. z.o.o.
- ISPL Wieslaw Jerzy Cubala
- NZOZ Wielospecjalistyczna Poradnia Lekarska Synap
- Silmedic Sp. z.o.o.
- Krakowska Ak Neuro Sp.- Centrum Neuro Klinicznej, ul. Arianska 7/3
- Centrum Medyczne HCP Sp. z.o.o.
- NZOZ Syntonia Poradnia Zdrowia Psychicznego, ul. Cyprysowa 2F/ 9,10, Pruszcz
- Neuro-Care Sp. z.o.o. sp. Komandytowa
- Neuro-care
- RCMed Oddzial Sochaczew, ul. _eromskiego 41A
- Spitalul Clinic Judetean de Urgenta Cluj-Napoca
- Spitalul clinic CF Constanta, Sectia Neurologie
- Med Anima SRL, Clinica de psihiatrie
- S.C. Carpe Diem SRL
- Regional Specialized Psychiatric Hospital #2
- Federal Siberian Sci Clinical Center of Med and Bio
- Clinic "Hundred Years"
- Mental Health Research Center
- City Clinical Hospital #34
- Leningrad Regional Psychoneurological Dispensary
- St. Nicholas the Wonder Worker Psychiatric Hospital
- FSBI NMRC PN n.a. V.M. Bekhterev
- City Psychiatric Hospital #3
- Samara Psychiatric Hospital
- Saratov City Clinical Hospital V. I. Razumovsky
- Smolensk State Medical University
- Stavropol Regional Clin Spec Psych Hospital #1
- CHC Dr Dragisa Misovic- Dedinje
- Clinical Center of Serbia, Clinic for Psychiatry
- Military Medical Academy
- Clinic for Psychiatric Diseases Dr. Laza Lazarevic
- Klinicki Centar Srbije (KCS)- Klinika za nerurologiju
- Special Hospital for Psychiatric Diseases "Kovin"
- Clinical Center Kragujevac, Clinic for Neurology
- Clinical Center Kragujevac, Clinic of Psychiatry
- Clinical Center Nis, Clinic for Psychiatry
- General Hospital Valjevo, Department for Neurology
- Neurology Practice
- Dr. Stanley Lipshitz Clinic Inc.
- Flexivest Fourteen Research Centre Potocnik F C V
- Dnipr Regional Clinical Hospital n.a. Mechnikov
- I.I. Mechnykov Dnipropetrovsk Regional Clinical Hospital
- Dnipropetrovsk Regional Rehabilitation Hospital
- Ivano-Frankivsk Nat Med Uni Dep Psychiatry, Regional Hospital
- Institute of Neruology, Nat Acad of Med Sci of UKR
- Institute of Neurology
- Municipal Non-Commercial Institution of Kharkiv Regional Council "Kharkiv Regional Clinical Psychiatric Hospital # 3" 46, Ac. Pavlova str
- Kyiv Regional Medical Incorp. Psychiatria, Center
- Kyiv Regional Psychiatric and Narcological Medical Association 8, Vokzalna str
- Ternopil Regional Communal Clinical Psychoneurological Hospital 14, Troleibusna str.
- Municipal Institution "Vinnytsya Regional Psychoneurological Hospital n.a. Acad. O.I.Yushchenko", Male Department #7, Female Department #10, Vinnytsya, National Medical University n.a. M.I.Pyrogov, 109 Pyrogova str.
- Municipal Unst Zaporizhzhya Reg Clinical Hosp Neurology
- Zaporizhzhya Reg. Hospital, Neurology Dpt
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Drug - Pimavanserin
Placebo