Clinical trial • Phase III • Neurology

ACP-204 TARTRATE for Dementia with Lewy bodies|Lewy body Dementia psychosis (LBDP)

Phase III trial of ACP-204 TARTRATE for Dementia with Lewy bodies|Lewy body Dementia psychosis (LBDP). open-label. 77 participants.

Overview

Trial Therapeutic Area
Neurology
Trial Disease
Dementia with Lewy bodies|Lewy body Dementia psychosis (LBDP)
Trial Stage
Phase III
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
14-07-2025
First CTIS Authorization Date
03-11-2025

Trial design

open-label Phase III trial in Czechia, France, Italy and others.

Open Label
Yes
Target Sample Size
77
Trial Duration For Participant
364

Eligibility

Recruits 77 Subjects have Lewy body dementia psychosis and may lack capacity. If a subject is judged not competent to provide informed consent, the subject’s legally authorised representative (LAR) or the study partner/caregiver (where local regulations allow) must provide written informed consent, and the subject must provide written assent if capable. Caregiver/study partner involvement is required (e.g., to complete visits). Vulnerable population justification documents are provided in the dossier..

Pregnancy Exclusion
If the subject is a female, she must be of nonchildbearing potential
Vulnerable Population
Subjects have Lewy body dementia psychosis and may lack capacity. If a subject is judged not competent to provide informed consent, the subject’s legally authorised representative (LAR) or the study partner/caregiver (where local regulations allow) must provide written informed consent, and the subject must provide written assent if capable. Caregiver/study partner involvement is required (e.g., to complete visits). Vulnerable population justification documents are provided in the dossier.

Inclusion criteria

  • {"criterion_text":"- The subject may benefit from long-term therapy with open-label ACP-204 treatment in the judgment of the Investigator\n- Subject has completed Visit 6 (EOT) of the antecedent ACP-204-012 study and did not have an early discontinuation from the antecedent study\n- Can complete all study visits with a study partner/caregiver\n- Can understand the nature of the study 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:         a. The subject’s LAR (or study partner/caregiver, if local regulations allow) must provide written informed consent.         b. The subject must provide written (if capable) informed assent per local regulations.\n- If the subject is a female, she must be of nonchildbearing potential\n- If the subject is male, he must agree to the following during the study intervention period and for at least 90 days after the last dose of study drug:         a. Refrain from donating sperm, AND         b. Either be abstinent from sexual intercourse where pregnancy can occur (abstinent on a long-term and persistent basis) and agree to remain abstinent OR Use a condom and subject's female partner (if of childbearing potential and not pregnant) must use an additional contraceptive method"}

Exclusion criteria

  • {"criterion_text":"- Is judged by the Investigator or the Medical Monitor to be inappropriate for the study for any reason\n- Is in hospice, is receiving end-of-life palliative care, or is bedridden\n- Has a heart rate <50 beats per minute, as measured by vital signs at Baseline (EOT visit of the antecedent study). If bradycardia is secondary to iatrogenic or treatable     causes and these causes are addressed, a heart rate assessment can be repeated.\n- Has a BMI <18.5 kg/m or known unintentional weight loss ≥7% of body weight over past 6 months\n- Has a clinically significant laboratory abnormality in the antecedent ACP-204-012 study, excepting at ACP-204-012 EOT, that in the judgment of the Investigator or Medical Monitor, will either:         a. jeopardize the safe participation of the subject in this study;         OR         b. interfere with the conduct or interpretation of safety or efficacy evaluations in the study\n- Is actively suicidal at Visit 1 (Baseline, EOT visit of the antecedent study)\n- Has a neurologic, cardiovascular, respiratory, gastrointestinal, renal, hepatic, hematologic, or other medical or mental disorder, including cancer or malignancies 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\n- Requires treatment with a medication or other substance that is prohibited by the protocol or will be used in a way that violates a use restriction"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Treatment-emergent adverse events (TEAEs)","definition_or_measurement_approach":""}

Recruitment

Planned Sample Size
77
Recruitment Window Months
26
Consent Approach
Participants capable of consent must provide written informed consent. If the subject is judged not competent to provide informed consent, the subject’s legally authorised representative (LAR) or study partner/caregiver (if local regulations allow) must provide written informed consent, and the subject must provide written (if capable) informed assent per local regulations. Study documents include Main ICF and caregiver ICFs and pregnant-partner ICFs; ICF translations/versions are provided for Czech, French, Italian, Bulgarian and English in the submitted documents.

Methods

  • Recruitment is limited to subjects who have completed Visit 6 (EOT) of the antecedent ACP-204-012 study and did not have an early discontinuation from the antecedent study (i.e., rollover/extension from prior trial).

Geography

Total Number Of Sites
29
Total Number Of Participants
49

Czechia

Earliest CTIS Part Ii Submission Date
03-10-2025
Latest Decision Or Authorization Date
03-11-2025
Processing Time Days
31
Number Of Sites
5
Number Of Participants
10

Sites

Site Name
Fakultni Nemocnice U Sv Anny V Brne
Department Name
I.Neurologická klinika
Contact Person Name
Lenka Krajcovicova
Contact Person Email
lenka.krajcovicova@fnusa.cz
Site Name
Neurohk s.r.o.
Department Name
---
Contact Person Name
Martin Valis
Contact Person Email
valismar@seznam.cz
Site Name
Neuropsychiatrie s.r.o.
Department Name
---
Contact Person Name
Jakub Hort
Contact Person Email
jakub.hort@gmail.com
Site Name
Vseobecna Fakultni Nemocnice V Praze
Department Name
Neurologická klinika
Contact Person Name
Hana Brozova
Contact Person Email
Hana.Brozova@lf1.cuni.cz
Site Name
Vestra Clinics s.r.o.
Department Name
----
Contact Person Name
Ladislav Pazdera
Contact Person Email
pazdera@vestraclinics.org

France

Earliest CTIS Part Ii Submission Date
24-09-2025
Latest Decision Or Authorization Date
10-11-2025
Processing Time Days
47
Number Of Sites
10
Number Of Participants
13

Sites

Site Name
Centre Hospitalier Universitaire De Toulouse
Department Name
Gerontopole
Contact Person Name
Julien DELRIEU
Contact Person Email
delrieu.j@chu-toulouse.fr
Site Name
Hospices Civils De Lyon
Department Name
Geriatrics
Contact Person Name
Sophie DAUTRICOURT
Contact Person Email
sophie.dautricourt@chu-lyon.fr
Site Name
Centre Hospitalier Universitaire De Lille
Department Name
CMRR
Contact Person Name
Thibaud LEBOUVIER
Contact Person Email
thibaud.lebouvier@chu-lille.fr
Site Name
Assistance Publique Hopitaux De Paris
Department Name
CMRR
Contact Person Name
Claire PAQUET
Contact Person Email
claire.paquet@aphp.fr
Site Name
CHRU De Nancy
Department Name
Geriatry
Contact Person Name
Laure JOLY
Contact Person Email
l.joly@chru-nancy.fr
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Geriatrics
Contact Person Name
Hermine LENOIR
Contact Person Email
hermine.lenoir@aphp.fr
Site Name
Les Hopitaux Universitaires De Strasbourg
Department Name
CMRR
Contact Person Name
Alix RAVIER
Contact Person Email
alix.ravier@chru-strasbourg.fr
Site Name
Hospices Civils De Lyon
Department Name
Neurology
Contact Person Name
Hélène MOLLION
Contact Person Email
helene.mollion@chu-lyon.fr
Site Name
Centre Hospitalier Regional Universitaire De Tours
Department Name
Memory Clinic
Contact Person Name
Thomas DESMIDT
Contact Person Email
t.desmidt@chu-tours.fr
Site Name
Centre Hospitalier Universitaire De Toulouse
Department Name
Neurology
Contact Person Name
Jeremie PARIENTE
Contact Person Email
jeremie.pariente@inserm.fr

Italy

Earliest CTIS Part Ii Submission Date
01-10-2025
Latest Decision Or Authorization Date
07-11-2025
Processing Time Days
37
Number Of Sites
7
Number Of Participants
11

Sites

Site Name
Azienda Ospedaliero-Universitaria Policlinico Umberto I
Department Name
Neurologia
Contact Person Name
Giuseppe Bruno
Contact Person Email
giuseppe.bruno@uniroma1.it
Site Name
Universita' Campus Bio-medico Di Roma
Department Name
Neurologia
Contact Person Name
Vincenzo Di Lazzaro
Site Name
Azienda Ospedaliera Universitaria San Giovanni Di Dio E Ruggi d'Aragona
Department Name
Neurologia
Contact Person Name
Paolo Barone
Contact Person Email
pbarone@unisa.it
Site Name
Azienda Ospedaliera Universitaria Universita' Degli Studi Della Campania Luigi Vanvitelli
Department Name
Neurologia
Contact Person Name
Alessandro Tessitore
Site Name
Azienda Socio Sanitaria Territoriale Degli Spedali Civili Di Brescia
Department Name
Neurologia
Contact Person Name
Alessandro Padovani
Contact Person Email
alessandro.padovani@unibs.it
Site Name
Pia Fondazione Di Culto E Religione Card G Panico
Department Name
Neurologia
Contact Person Name
Giancarlo Logroscino
Contact Person Email
giancarlo.logroscino@uniba.it
Site Name
Azienda Ospedaliera Universitaria Policlinico Umberto I (additional listed sites are part of this country block)

Bulgaria

Earliest CTIS Part Ii Submission Date
15-10-2025
Latest Decision Or Authorization Date
23-04-2026
Processing Time Days
190
Number Of Sites
7
Number Of Participants
15

Sites

Site Name
Alexandrovska University Hospital
Department Name
Department for Neurodegenerative and Immune inflammatory Diseases of CNS and neuroinfections
Contact Person Name
Latchezar Traykov
Contact Person Email
traykov_l@yahoo.fr
Site Name
University Multiprofile Hospital For Active Treatment Saint Georgi EAD
Department Name
Clinic of Psychiatry
Contact Person Name
Andriana Kakanakova
Site Name
Dr. Ivo Natsov Outpatient Clinic For Individual Practice For Specialized Medical Care In Psychiatry ET
Contact Person Name
Ivo Natsov
Contact Person Email
ivo_nacov@abv.bg
Site Name
Children's Health Medical Center EOOD
Contact Person Name
Lora Drianovska-Tzoneva
Contact Person Email
ltzoneva@abv.bg
Site Name
Diagnostics-Consultancy Center Mladost M Varna OOD
Contact Person Name
Hristo Kozhuharov
Contact Person Email
christokojuharov@abv.bg
Site Name
Medical Center Saint Naum EOOD
Contact Person Name
Assen Karadaliev
Contact Person Email
karadliev@hotmail.com
Site Name
Diagnostic And Consultation Centre St.Vrach And St.St. Kuzma And Damian OOD
Contact Person Name
Petya Dimitrova
Contact Person Email
drdimitrova@abv.bg

Sponsor

Primary sponsor

Full Name
Acadia Pharmaceuticals Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
IQVIA Limited
Responsibilities
sponsorDuties codes: 1,12,13,2,5,6,7
Name
Signant Health Global LLC
Responsibilities
eCOA, scales and rater training; 'Scales, Rater training, eCOA devices for scale administration, scale acquisition' (as provided)
Name
Primevigilance Limited
Responsibilities
sponsorDuties codes: 8
Name
Suvoda LLC
Responsibilities
sponsorDuties codes: 3

Third parties

  • {"country":"United Kingdom","full_name":"IQVIA Limited","duties_or_roles":"sponsorDuties codes: 1,12,13,2,5,6,7","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Signant Health Global LLC","duties_or_roles":"code 15: Scales, Rater training, eCOA devices for scale administration, scale acquisition","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Primevigilance Limited","duties_or_roles":"sponsorDuties codes: 8","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Suvoda LLC","duties_or_roles":"sponsorDuties codes: 3","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Belgium","full_name":"MEDPACE LABORATORIES","duties_or_roles":"sponsorDuties codes: 4","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"Germany","full_name":"Catalent Germany Schorndorf GmbH","duties_or_roles":"sponsorDuties codes: 14","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
ACP-204 (capsule) - formulation A
Active Substance
ACP-204 TARTRATE
Modality
Small molecule
Routes Of Administration
Oral
Route
ORAL USE
Dose Levels
30 mg (max daily dose 30 mg reported)
Maximum Dose
30 mg
Investigational Product Name
ACP-204 (capsule) - formulation B
Active Substance
ACP-204 TARTRATE
Modality
Small molecule
Routes Of Administration
Oral
Route
ORAL USE
Dose Levels
60 mg (max daily dose 60 mg reported)
Maximum Dose
60 mg

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