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NCT Number: NCT06803823

A Study of ONO-2020 in Patients With Agitation Associated With Alzheimer's Disease Dementia

To evaluate the efficacy and safety of ONO-2020 in patients with agitation associated with Alzheimer's Disease dementia in Japan.

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Key information

Age range

55 year–90 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Hotei Hospital, Aichi, Japan

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Diagnosis of probable AD according to the diagnostic criteria for AD dementia (NIA-AA 2011)
  • Mini-Mental State Examination (MMSE) score ≥ 5 to ≤ 22 at the start of the treatment period
  • Symptoms of agitation defined by the IPA from at least 14 days before the start of the screening period
  • Neuropsychiatric Inventory-Nursing Home version (NPI-NH) Agitation/Aggression domain (NPI-NH-A/A) score ≥ 4 at the start of the treatment period.
  • Patients who can participate in the study under hospitalization from 21 days before the start of the treatment period to throughout the treatment period

Exclusion criteria

  • Diagnosis of dementia not due to AD or any other disorder with memory impairment, such as mixed dementia, vascular dementia, Lewy body dementia, dementia associated with Parkinson's disease, frontotemporal dementia, drug-induced dementia, dementia associated with human immunodeficiency virus (HIV) infection, traumatic brain injury, normal pressure hydrocephalus, or other non-AD dementia
  • Any MRI or CT scan of the brain performed after the onset of dementia with findings consistent with clinically relevant CNS disease other than AD, such as vascular changes (eg, cortical cerebral infarction, multiple cerebral infarctions), space-occupying lesions (eg, tumors), or any other major structural brain disease
  • Delirium within 30 days before the start of the screening period or a history of delirium
  • At risk of suicide according to the Columbia-Suicide Severity Rating Scale (C-SSRS) (answers "yes" to Question 4 or 5 of the suicidal ideation section of the C-SSRS) or any suicide attempt within 6 months before the start of the screening period, or at serious risk of suicide in the opinion of the investigator or subinvestigator
  • Prior or current treatment with anti-amyloid beta antibodies

Treatment and study plan

ONO-2020

Drug

ONO-2020 group: Two ONO-2020 tablets will be orally administered once daily.

Placebo

Drug

Two ONO-2020 placebo tablets will be orally administered once daily

Primary outcomes

  1. Change in CMAI score from baseline

    Time frame: up to week 12

    To assess agitation symptoms

  2. Adverse events

    Time frame: up to week 16

    To Evaluate the Safety

  3. Body weight

    Time frame: up to week 16

    To Evaluate the Safety

  4. Body temperature

    Time frame: up to week 16

    To Evaluate the Safety

  5. Blood pressure

    Time frame: up to week 16

    To Evaluate the Safety

  6. Pulse rate

    Time frame: up to week 16

    To Evaluate the Safety

  7. Respiratory rate

    Time frame: up to week 16

    To Evaluate the Safety

  8. ECG RR interval

    Time frame: up to week 12

    To Evaluate the Safety

  9. ECG PR interval

    Time frame: up to week 12

    To Evaluate the Safety

  10. ECG QRS complex

    Time frame: up to week 12

    To Evaluate the Safety

  11. ECG QT interval

    Time frame: up to week 12

    To Evaluate the Safety

  12. ECG QTcF

    Time frame: up to week 12

    To Evaluate the Safety

  13. Number of participants with abnormal laboratory tests (hematology)

    Time frame: up to week 12

    Hematology (PT, RBC count, RBC indices, WBC count, Differential, Hemoglobin, Hematocrit)

  14. Number of participants with abnormal laboratory tests (Clinical chemistry)

    Time frame: up to week 12

    Clinical chemistry (Blood urea nitrogen (BUN), Potassium, Creatinine, Sodium, Glucose (fasting or nonfasting), Calcium, Chloride, Total protein, Albumin, Aspartate aminotransferase (AST), Alanine aminotransferase (ALT), Alkaline phosphatase, Total and direct bilirubin, Lactate dehydrogenase (LDH), Phospholipid, γ-Glutamyl transferase (GGT)

  15. Number of participants with abnormal Blood coagulation profile (Activated partial thromboplastin time (APTT), Prothrombin time (PT), International normalized ratio (INR))

    Time frame: up to week 12

    Blood coagulation (Activated partial thromboplastin time (APTT), Prothrombin time (PT), International normalized ratio (INR))

  16. Number of participants with abnormal Urinalysis

    Time frame: up to week 12

    Urinalysis (pH, Glucose, Protein, Blood, Ketones)

  17. COLUMBIA-SUICIDE SEVERITY RATING SCALE(C-SSRS)

    Time frame: up to week 16

    To Evaluate the Safety

Secondary outcomes

  1. Cohen-Mansfield Agitation Inventory (CMAI) score at each visit and change from baseline

    Time frame: up to 12 week

    To Evaluate the Efficacy The range of CMAI score is 29-203. Higher score means a worse outcome.

  2. Clinical Global Impression-Severity (CGI-S) score at each visit and change from baseline

    Time frame: up to 12 week

    To Evaluate the Efficacy The range of CGI-S score is 0-7. Higher score means a worse outcome.

  3. Clinical Global Impression-Severity (CGI-S) score at each visit

    Time frame: up to 12 week

    To Evaluate the Efficacy

  4. Neuropsychiatric Inventory in Nursing Home Version(NPI-NH) score at each visit and change from baseline

    Time frame: up to 12 week

    To Evaluate the Efficacy The range of NPI-NH score is 0-170. Higher score means a worse outcome.

  5. Mini Mental State Exam(MMSE) score at baseline and Week 12, and change from baseline

    Time frame: up to 12 week

    To Evaluate the Efficacy The range of MMSE score is 0-30. Higher score means a better outcome.

  6. Alzheimer's Disease Cooperative Study-Activities of Daily Living (ADCS-ADL)score at baseline and Week 12, and change from baseline

    Time frame: up to 12 week

    To Evaluate the Efficacy The range of ADCS-ADL score is 0-78. Higher score means a better outcome.

  7. Duration of the investigational medicinal product administration

    Time frame: up to 12 week

    To Evaluate the Efficacy

  8. Pharmacokinetic assessments

    Time frame: up to 12 week

    Plasma ONO-2020 concentrations

Study contacts

Contact information is provided by the study sponsor or research team.

International Clinical Trial Support Desk

CONTACT

[email protected]

+17162141777(Standard)

North America Clinical Trial Support Desk

CONTACT

[email protected]

+18665877745(Toll-Free)

Sponsors and collaborators

Lead sponsor

Ono Pharmaceutical Co., Ltd.

Industry

Registry information

Official study title

A Phase 2a, Multicenter, Placebo-controlled, Randomized, Double-blind, Parallel-group Study to Evaluate the Efficacy and Safety of ONO-2020 in Patients With Agitation Associated With Alzheimer's Disease Dementia

Important dates

Study start
2025
Primary completion
2026
Study completion
2027
First posted
Jan 31, 2025
Registry last updated
May 12, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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