Extension Study of Pimavanserin in Adult Subjects With 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:
- Subject satisfied all entry criteria for the antecedent pimavanserin study
- Subject completed the antecedent study; or was participating in a pimavanserin study that the Sponsor ended early
Has a designated study partner/caregiver who meets the following requirements:
- In the Investigator's opinion, is in contact with the subject frequently enough to accurately report on the subject's symptoms and whether or not the subject is taking the study drug
- In the Investigator's opinion, is considered reliable in providing support to the subject to help ensure compliance with study treatment, study visits, and protocol procedures
- Is fluent in the local language in which study assessments will be administered
- Agrees to participate in study assessments, has the capacity to provide informed consent, and provides written consent to participate in the study
- Subject is willing and able to provide informed consent.
- 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 during the study and 1 month following completion of the study.
Exclusion Criteria:
- Subject is judged by the Investigator or the Medical Monitor to be inappropriate for the study, due to AEs, medical condition, or noncompliance with investigational product or study procedures in the antecedent study, or is judged to be a danger to self or others
- Is in hospice, is receiving end-of-life palliative care, or has become bedridden
Has any of the following ECG results at the EOT/ET visit of the antecedent study:
a. If the subject is not on citalopram, escitalopram, or venlafaxine:
i. QTcF >450 ms, if QRS duration <120 ms
ii. QTcF >470 ms, if QRS duration ≥120 ms
b. If the subject is on citalopram, escitalopram, or venlafaxine:
i. QTcF >425 ms, if QRS duration <120 ms
ii. QTcF >450 ms, if QRS duration ≥120 ms
- Has a heart rate <50 beats per minute. If bradycardia is secondary to iatrogenic or treatable causes and these causes are treated, a heart rate assessment can be repeated at the EOT/ET visit of the antecedent study.
Has clinically significant laboratory abnormalities in the antecedent study that, in the judgment of the Investigator or Medical Monitor, would either:
- jeopardize the safe participation of the subject in the study; OR
- would interfere with the conduct or interpretation of safety or efficacy evaluations in the study
- Is suicidal at Visit 1 (Baseline)
- Has developed a medical condition that in the judgment of the Investigator, would increase the risk associated with taking study medication or significantly interfere with the conduct or interpretation of the study
- Requires treatment with a medication or other substance that is prohibited by the protocol
- Has a significant sensitivity or allergic reaction to pimavanserin or its excipients
- Is an employee of ACADIA, or has a family member who is an employee of ACADIA
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).
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Sites / Locations
- Cognitive Clinical Trials
- ATP Clinical Research, Inc.
- Syrentis Clinical Research
- Indago Research & Health Center Inc
- Reliable Clinical Research, LLC
- 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
- Synexus Clinical Research US, Inc.
- 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
- A-shine s.r.o./ Lekarna Centrum
- Axon Clinical
- Neuropsychiatrie, s.r.o., Lekarna 6ka, Fajtlova 1
- AD71, s.r.o./Hostivarska lekarna
- 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
- Clinicos y Especialidades Medicas
- Christus Muguerza Hospital Sur
- MlynowaMed Sp Psych Dr. Joanna Lazarczyk
- Wlokienniecza Med Sp Prak Lekarska Dromasz Markowski
- Przychodnia Srodmiescie Sp. z.o.o.
- ISPL Wieslaw Jerzy Cubala
- NZOZ Syntonia Poradnia Zdrowia Psychicznego, ul. Cyprysowa 2F/ 9,10, Pruszcz
- Krakowska Ak Neuro Sp.- Centrum Neuro Klinicznej, ul. Arianska 7/3
- Centrum Medyczne HCP Sp. zo.o
- Neuro-Care Sp. zo.o. sp. Komandytowa
- Neuro-care
- RCMed Oddzial Sochaczew, ul. _eromskiego 41A
- 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
- 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
- Samara Psychiatric Hospital
- Saratov City Clinical Hospital V. I. Razumovsky
- Stavropol Regional Clin Spec Psych Hospital #1
- Clinic "Hundred Years"
- CHC Dr Dragisa Misovic- Dedinje
- Clinical Center of Serbia, Clinic for Psychiatry
- Clinical Center of Serbia,Clinic for Neurology
- 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
- Flexivest Fourteen Research Centre Potocnik F C V
- Dnipropetrovsk Regional Rehabilitation Hospital
- Dnir. Regional Clinical Hospital n.a. Mechnikov
- 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., Glevakha
- 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, Department of Psychiatry, Narcology and Psychotherapeutics
- Municipal Unst Zaporizhzhya Reg Clinical Hosp Neurology
Arms of the Study
Arm 1
Experimental
Drug - pimavanserin
Pimavanserin 34 mg is provided as 2×17 mg tablets as single dose, once daily by mouth. Dose adjustments of pimavanserin down to 20 mg (provided as 2×10 mg tablets as a single dose, once daily by mouth) and up to 34 mg are permitted based on Investigator assessment of clinical response.