Evidence map›Paper›PMID 40717666›Full record

Trial reportAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Brexpiprazole's impacts on patients and caregivers in agitation in Alzheimer's dementia.

Yu Nakamura, Jun Adachi, Naoki Hirota, Katsuhiro Iba, Cosmo Sasajima, Koichi Shimizu, Masami Nakai, Kaneyoshi Takahashi

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter StudyClinical Trial, Phase II
In one paragraph

Trial report in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03620981 (A Phase 2/3 Multicenter, Placebo-controlled, Randomized, Double-blind, Parallel-group Comparison Trial to Evaluate the Efficacy and Safety of Brexpiprazole), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT03620981 phase2 / phase3completednot on this map

A Phase 2/3 Multicenter, Placebo-controlled, Randomized, Double-blind, Parallel-group Comparison Trial to Evaluate the Efficacy and Safety of Brexpiprazole (OPC-34712) in the Treatment of Patients With Agitation Associated With Dementia of the Alzheimer's Type

TypeinterventionalSponsorOtsuka Pharmaceutical Co., Ltd.Ran2018 to 2023Enrolled410ConditionsAgitation Associated With Dementia of the Alzheimer's TypeArmsBrexpiprazole, Placebo
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Brexpiprazole's impacts on patients and caregivers in agitation in Alzheimer's dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Trial
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

8 authors.

Yu NakamuraFaculty of Medicine/Graduate School of Medicine, Kagawa University, Kagawa, Japan.
Jun AdachiHeadquarters of Clinical Development, Otsuka Pharmaceutical Co., Ltd, Tokyo, Japan.
Naoki HirotaHeadquarters of Clinical Development, Otsuka Pharmaceutical Co., Ltd, Tokyo, Japan.
Katsuhiro IbaHeadquarters of Clinical Development, Otsuka Pharmaceutical Co., Ltd, Osaka, Japan.
Cosmo SasajimaDepartment of Medical Affairs, Otsuka Pharmaceutical Co., Ltd, Tokyo, Japan.ORCID 0009-0007-2303-7964
Koichi ShimizuDepartment of Medical Affairs, Otsuka Pharmaceutical Co., Ltd, Tokyo, Japan.
Masami NakaiDepartment of Medical Affairs, Otsuka Pharmaceutical Co., Ltd, Osaka, Japan.
Kaneyoshi TakahashiDepartment of Medical Affairs, Otsuka Pharmaceutical Co., Ltd, Tokyo, Japan.

Funding

Otsuka Pharmaceutical Co., Ltd
6 · The paper itself

Abstract

introductionWe evaluated the impacts of brexpiprazole treatment on patient neuropsychiatric symptoms and caregiver distress in Japanese patients with agitation in Alzheimer's dementia (AAD).

methodsIn a phase 2/3 multicenter, double-blind study, patients were randomized to receive brexpiprazole 1 or 2 mg/day, or placebo (3:4:4) for 10 weeks. The Neuropsychiatric Inventory (NPI) was used for evaluation. The areas of patient symptoms and caregiver distress were defined as NPI and NPI-Distress, respectively.

resultsAt Week 10, the differences of brexpiprazole 1 and 2 mg versus placebo for NPI total score were -1.2 (p = 0.5891) and -8.4 (p < 0.0001), and those for NPI-Distress total score were -1.1 (p = 0.2292) and -3.9 (p < 0.0001), respectively. In brexpiprazole 2 mg versus placebo, NPI and NPI-Distress agitation/aggression score showed ≥ 2 and ≥ 1 point improvement, respectively. DISCUSSION: Brexpiprazole is suggested to improve patient symptoms and to reduce caregiver distress in the treatment of AAD in Japanese patients.

trial registrationClinicalTrials.gov Identifier NCT03620981 HIGHLIGHTS: Brexpiprazole improved symptoms of patients with agitation in Alzheimer's dementia. The improvements included not only agitation, but also various behavioral and psychological symptoms of dementia scores. The improvements of patient symptoms led to the reduction of caregiver distress. Our study suggests that brexpiprazole is beneficial for both patients and caregivers.

Indexed as

Alzheimer DiseaseCaregiversPsychomotor AgitationQuinolonesThiophenesAgedAged, 80 and overDouble-Blind MethodFemaleHumansJapanMaleMiddle AgedNeuropsychological TestsTreatment OutcomebrexpiprazoleQuinolonesThiophenesagitationAlzheimer's dementiabehavioral and psychological symptoms of dementiabrexpiprazolecaregiversJapanNeuropsychiatric Inventory

Identifiers

PMID40717666
PMCPMC12301695

What Socratic holds

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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 Socratic graph.