Dementia agitation drug trial halted after just 5 patients
NCT ID NCT05276830
First seen Jun 27, 2026 · Last updated Aug 12, 2026 · Updated 2 times
Summary
This study tested a fast-dissolving film (BXCL501) placed under the tongue to quickly reduce severe agitation in older adults with dementia. The trial aimed to enroll many participants but was stopped early after only 5 people joined. Because it ended so soon, we cannot draw reliable conclusions about whether the drug works or is safe.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Dexmedetomidine (BXCL501) sublingual film
- What this could lead to
- If it worked, this could offer a fast-acting option to calm agitation in people with dementia, reducing distress for patients and caregivers.
- What could go wrong
- The trial was terminated early with only 5 participants, so results are very limited. It is unclear if the drug is safe or effective for this use.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
5 people
The number who actually took part.
- Started
-
Feb 2022
- Finished
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Apr 2022
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
65 years and older
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Individuals diagnosed with any form of dementia (i.e., probable Alzheimer's Disease; vascular dementia; mixed; frontotemporal dementia) 2. Subjects who have met DSM-5 criteria for dementia (major neurocognitive disorder) who have instances of acute psychomotor agitation. 3. History of psychomotor agitation (e.g., kick, bite, flailing) to the point that it impairs social activities, requires staffing, or medical intervention, or impairs ability for functional activities of daily living. 4. Subjects are expected to exhibit behaviors that are congruent with the International Psychogeriatric Association criterion for agitation representing a change from the subject's usual behavior. 5. Subjects who have a score of ≤16 on the Mini-Mental State Exam (MMSE). 6. Subjects with a remote (\>5 years) history of stroke may be included, regardless of size/location. 7. Subjects who read, understand, and provide written informed consent, or who have a legally authorized representative (LAR). 8. Subjects who are deemed to be medically appropriate for study participation by the principal investigator. 9. Subjects who are at their current location for at least 14 days before screening and plan to remain at the same location for the duration of the study. 10. Subjects who have the capability to participate in the study and self-administer the investigational product. 11. Subjects who are on a stable concomitant medications regimen for the treatment of any concurrent conditions for at least one month prior to the screening visit. Exclusion Criteria: 1. Subjects who have dementia associated with Parkinson's disease and/or Lewy Body Disease are excluded. 2. Subjects suffering from alcohol and/or substance abuse. 3. Subjects with agitation caused by acute intoxication must be excluded. 4. Subjects with significant risk of suicide or homicide per the investigator's assessment. 5. Subjects who have hydrocephalus, seizure disorder, or history of significant head trauma, subarachnoid bleeding, brain tumor, encephalopathy, meningitis, or focal neurological findings, with a recent (1 year) large (non-microvascular) stroke who may be considered medically unstable or in recovery must be excluded. 6. History of clinically significant syncope or syncopal attacks, orthostatic hypotension within the past 2 years. 7. Subjects with laboratory or ECG abnormalities. 8. Subjects with serious, unstable, or uncontrolled medical illnesses must be excluded. 9. Subjects who have received an investigational drug within 30 days prior to Screening must be excluded. 10. Subjects who are considered by the investigator, for any reason, to be an unsuitable candidate for receiving dexmedetomidine must be excluded. 11. Subjects whose agitation is attributed to pain or infection, delirium, concomitant medications, environmental conditions, or another psychiatric condition or medical condition as determined by the investigator.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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BioXcel Clinical Research Site
Toms River, New Jersey, 08755, United States
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Bioxcel Clinical Research Site
North Miami, Florida, 33161, United States
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Bioxcel Clinical Research Site
Springfield, Massachusetts, 01103, United States
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