Evidence map›Paper›PMID 41591746›Full record

ArticleClinical drug investigation2026

Efficacy of Brexpiprazole in Participants with Agitation Associated with Dementia Due to Alzheimer's Disease: Pooled Analysis of Randomized Controlled Trials.

Jeffrey L Cummings, Sanjeda R Chumki, Denise Chang, Zhen Zhang, Malaak Brubaker, Nanco Hefting, Pedro Such, David Wang, George T Grossberg

3 registry-linked trialsAbstract read
In one paragraph

Article in Clinical drug investigation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01862640 phase3completednot on this map

A Phase 3, 12-week, Multicenter, Randomized, Double-blind, Placebo-controlled Trial to Evaluate the Efficacy, Safety, and Tolerability of 2 Fixed Doses of Brexpiprazole (OPC-34712) in the Treatment of Subjects With Agitation Associated With Dementia of the Alzheimer's Type

TypeinterventionalSponsorOtsuka Pharmaceutical Development & Commercialization, Inc.Ran2013 to 2017Enrolled433ConditionsAgitation Associated With, Alzheimer's Disease, Alzheimer's Type, Mental DisorderArmsBrexpiprazole, OPC-34712, Placebo Oral Tablet
NCT01922258 phase3completednot on this map

A Phase 3, 12-week, Multicenter, Randomized, Double-blind, Placebo-controlled Trial to Evaluate the Efficacy, Safety, and Tolerability of Flexible Dosing of Brexpiprazole (OPC-34712) in the Treatment of Subjects With Agitation Associated With Dementia of the Alzheimer's Type

TypeinterventionalSponsorOtsuka Pharmaceutical Development & Commercialization, Inc.Ran2013 to 2017Enrolled270ConditionsAgitation Associated With, Alzheimer's Disease, Alzheimer's Type, Mental DisorderArmsBrexpiprazole, OPC-34712
NCT03548584 phase3completednot on this map

A Phase 3, 12-Week, Multicenter, Randomized, Double-blind, Placebo-controlled, 2-Arm, Fixed-dose Trial to Evaluate the Efficacy, Safety, and Tolerability of Brexpiprazole (OPC-34712) in the Treatment of Subjects With Agitation Associated With Dementia of the Alzheimer's Type

TypeinterventionalSponsorOtsuka Pharmaceutical Development & Commercialization, Inc.Ran2018 to 2022Enrolled345ConditionsAgitation Associated With Alzheimer's Dementia, Alzheimer DementiaArmsBrexpiprazole, Placebo
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Jeffrey L CummingsDepartment of Brain Health, Chambers-Grundy Center for Transformative Neuroscience, Kirk Kerkorian School of Medicine, University of Nevada, Las Vegas, NV, USA.
Sanjeda R ChumkiOtsuka Pharmaceutical Development & Commercialization Inc., Princeton, NJ, USA.
Denise ChangOtsuka Pharmaceutical Development & Commercialization Inc., Princeton, NJ, USA.
Zhen ZhangOtsuka Pharmaceutical Development & Commercialization Inc., Princeton, NJ, USA.
Malaak BrubakerOtsuka Pharmaceutical Development & Commercialization Inc., Princeton, NJ, USA.
Nanco HeftingH. Lundbeck A/S, Ottiliavej 9, 2500, Valby, Denmark.
Pedro SuchH. Lundbeck A/S, Ottiliavej 9, 2500, Valby, Denmark. PSU@lundbeck.com.ORCID http://orcid.org/0000-0003-1905-1142
David WangLundbeck LLC, Deerfield, IL, USA.
George T GrossbergDepartment of Psychiatry and Behavioral Neuroscience, Saint Louis University School of Medicine, St. Louis, MO, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis analysis aimed to evaluate the efficacy of brexpiprazole 2 or 3 mg/day for the treatment of agitation associated with dementia due to Alzheimer's disease, on the basis of pooled clinical trial data.

methodsData were pooled from two similarly designed, phase 3, 12-week, multicenter, randomized, double-blind, placebo-controlled trials of fixed-dose brexpiprazole in participants in care facilities or community-based settings who had agitation associated with dementia due to Alzheimer's disease. Efficacy outcomes included Cohen-Mansfield Agitation Inventory (CMAI) total score (which measures the frequency of 29 different agitation symptoms), Clinical Global Impression-Severity of illness (CGI-S) score, CMAI factor scores (aggressive behaviors, physically nonaggressive behaviors, and verbally agitated behaviors), and response rates. A sensitivity analysis included a third trial with flexible dosing.

resultsIn total, 621 participants were randomized (brexpiprazole, 368; placebo, 253), and completion rates were 320/368 (87.0%) and 225/253 (88.9%), respectively. Mean (SD) baseline CMAI total scores were: brexpiprazole 76.9 (17.2) points and placebo 75.5 (18.0) points. Over 12 weeks, CMAI total scores improved by least squares mean (SE) - 22.8 (0.8) points for brexpiprazole and - 18.3 (1.0) points for placebo, with a least squares mean difference between treatment arms of - 4.50 points (95% CI - 6.90 to - 2.10; p < 0.001; Cohen's d 0.30). CGI-S, CMAI factor, and response analyses also showed greater improvement with brexpiprazole versus placebo. The sensitivity analysis was supportive.

conclusionsBrexpiprazole 2 or 3 mg/day reduced agitation symptoms compared with placebo over 12 weeks in this large, pooled sample of participants with dementia due to Alzheimer's disease. STUDY REGISTRATION: ClinicalTrials.gov identifiers: NCT01862640, NCT03548584, and NCT01922258.

Indexed as

Aberrant Motor Behavior in DementiaAlzheimer DiseasePsychomotor AgitationQuinolonesThiophenesAgedAged, 80 and overDouble-Blind MethodFemaleHumansMaleRandomized Controlled Trials as TopicTreatment OutcomebrexpiprazoleQuinolonesThiophenes

Identifiers

PMID41591746
PMCPMC12950069

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.