9M 2023 Financial Performance
9M 2023: R&D update
Highly productive R&D in the first nine months of 2023
Key R&D milestones
Rexulti AADAD approval & PTSD phase III HLR
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AADAD: JAMA Neurology published complete results of positive phase III
trial of Rexulti for AADAD
AADAD: Regulatory process ongoing in Canada, Singapore, Australia and
Switzerland
PTSD: Flexible dose trial met primary endpoint (p<0.05), whereas Fixed
dose trial missed primary endpoint (p>0.05)
Aripiprazole 2-month RTU advancement
9
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European MAA progresses. Approval expected Q1 2024
Research
JAMA Neurology | Original Investigation
Brexpiprazole for the Treatment of Agitation
in Alzheimer Dementia
A Randomized Clinical Trial
Daniel Lee, MD; Mary Slomkowski, PharmD; Nanco Hefting, MSc; Dalei Chen, PhD; Klaus Groes Larsen, PhD;
Eva Kohegyi, MD; Mary Hobart, PhD; Jeffrey L. Cummings, MD, SCD(HC); George T. Grossberg, MD
Submitted in Australia and Korea
Anti-PACAP PoC data presented at IHC 2023
•
Progressing to phase llb trial in migraine prevention to establish full dose
range and subcutaneous efficacy
IMPORTANCE Agitation is a prevalent, distressing, and burdensome manifestation of
Alzheimer dementia in need of an efficacious, safe, and well-tolerated treatment.
OBJECTIVE To confirm the efficacy, safety, and tolerability of brexpiprazole in patients
with agitation in Alzheimer dementia.
DESIGN, SETTING, AND PARTICIPANTS This randomized clinical trial was a 12-week,
double-blind, placebo-controlled, fixed-dose, parallel-arm trial that ran from May 2018 to
June 2022 at 123 clinical trial sites in Europe and the United States. Participants included
patients with agitation in Alzheimer dementia in a care facility or community-based setting.
Stable Alzheimer disease medications were permitted.
INTERVENTIONS In this 2-arm trial, patients were randomized to receive oral brexpiprazole
or placebo (2:1 ratio) for 12 weeks. Within the brexpiprazole arm, patients were further
randomized to receive fixed doses of 2 mg/d or 3 mg/d in a 1:2 ratio
MAIN OUTCOMES AND MEASURES The
Agitation Inva
AADAD: agitation associated with dementia due to Alzheimer's disease, PTSD: post-traumatic stress disorder, HLR: headline result, RTU: ready-to-use, MAA: Marketing Authorization Application.
PACAP: pituitary adenylate cyclase activating peptide, PoC: proof of concept, IHC: International Headache Congress
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