Evidence map›Paper›PMID 41961243›Full record

Observational studyDrug safety2026

Short-Term and Long-Term Safety Analyses of Brexpiprazole for Agitation Associated with Dementia due to Alzheimer's Disease: Timing and Duration of Adverse Events.

Anton P Porsteinsson, Sanjeda R Chumki, David Wang, Pedro Such, Anton M Palma, Zhen Zhang, Alpesh Shah, Uwa Kalu, C Brendan Montano

4 registry-linked trialsAbstract readObservational Study
In one paragraph

Observational study in Drug safety, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 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
NCT03594123 phase3completednot on this map

A 12-week, Multicenter, Active-treatment Extension Trial to Evaluate the Safety and Tolerability of Brexpiprazole in the Treatment of Subjects With Agitation Associated With Dementia of the Alzheimer's Type

TypeinterventionalSponsorOtsuka Pharmaceutical Development & Commercialization, Inc.Ran2018 to 2022Enrolled259ConditionsAlzheimer's DiseaseArmsBrexpiprazole
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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.

Anton P PorsteinssonUniversity of Rochester Alzheimer's Disease Care, Research and Education Program (AD-CARE), Rochester, NY, USA.
Sanjeda R ChumkiOtsuka Pharmaceutical Development & Commercialization Inc., 508 Carnegie Center Drive, Princeton, NJ, 08540, USA. Sanjeda.Chumki@otsuka-us.com.ORCID http://orcid.org/0000-0002-5882-0920
David WangLundbeck LLC, Deerfield, IL, USA.
Pedro SuchH. Lundbeck A/S, Copenhagen, Denmark.
Anton M PalmaOtsuka Pharmaceutical Development & Commercialization Inc., 508 Carnegie Center Drive, Princeton, NJ, 08540, USA.
Zhen ZhangOtsuka Pharmaceutical Development & Commercialization Inc., 508 Carnegie Center Drive, Princeton, NJ, 08540, USA.
Alpesh ShahOtsuka Pharmaceutical Development & Commercialization Inc., 508 Carnegie Center Drive, Princeton, NJ, 08540, USA.
Uwa KaluLundbeck LLC, Deerfield, IL, USA.
C Brendan MontanoConnecticut Clinical Research, Cromwell, CT, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAgitation symptoms are a common and burdensome aspect of Alzheimer's dementia. Historically, agitation has been managed using off-label treatments such as atypical antipsychotics, but this approach is associated with safety concerns in older, more vulnerable patients. Brexpiprazole is an atypical antipsychotic that has been recently approved in several countries for the treatment of agitation associated with dementia due to Alzheimer's disease. Previous analyses show that brexpiprazole was efficacious and generally well tolerated for up to 24 weeks. Building upon previous work, this post hoc analysis aimed to evaluate the timing and duration of treatment-emergent adverse events (TEAEs) during brexpiprazole treatment.

methodsIn a 12-week analysis, data were pooled from three phase 3, randomized, double-blind, placebo-controlled trials of brexpiprazole in participants with agitation associated with dementia due to Alzheimer's disease. In a separate 24-week analysis, brexpiprazole data were combined from a 12-week randomized trial and a 12-week active-treatment extension trial. The median time from starting treatment to first reporting a TEAE and the median duration of all TEAEs were determined.

resultsA total of 1043 participants received at least one dose of trial medication. Over 12 weeks, brexpiprazole 2 or 3 mg/day (the approved therapeutic dosages in the United States, N = 366) compared to placebo (N = 388) had similar time to first TEAE (32 days and 28 days, respectively), similar duration of all TEAEs (6 days and 4 days), and longer time to discontinuation due to adverse events (47 days and 30 days). Over 24 weeks (N = 163), the time to first TEAE on brexpiprazole 2 or 3 mg/day was 52 days, and the duration of all TEAEs was 3 days. Among participants who did not report a TEAE in the 12-week parent trial, TEAEs were rare throughout the 12-week extension trial.

conclusionsThese exploratory analyses reinforce that brexpiprazole is generally well tolerated over 12 weeks, and also over 24 weeks among patients who tolerated the first 12 weeks of treatment. The results provide a practical clinical insight into the safety of brexpiprazole over time in patients with agitation associated with dementia due to Alzheimer's disease.

trial registrationPost hoc analysis of NCT01862640, NCT01922258, NCT03548584, NCT03594123 (ClinicalTrials.gov).

Indexed as

Alzheimer DiseaseAntipsychotic AgentsDementiaPsychomotor AgitationQuinolonesThiophenesAgedAged, 80 and overClinical Trials, Phase III as TopicDouble-Blind MethodFemaleHumansMaleRandomized Controlled Trials as TopicTime FactorsAntipsychotic AgentsbrexpiprazoleQuinolonesThiophenes

Identifiers

PMID41961243
PMCPMC13354622

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.