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STARBEAM

CompletedPhase 3Results posted

Idalopirdine in Patients With Mild-moderate Alzheimer's Disease Treated With Donepezil

Randomised, Double-blind, Parallel-group, Placebo-controlled, Fixed-dose Study of Idalopirdine in Patients With Mild-moderate Alzheimer's Disease Treated With Donepezil

Lead sponsor

H. Lundbeck A/S

Asset

Idalopirdine

Listed sites

162

Recruiting sites

-

Enrollment

858

actual

Study population

Alzheimer’s disease

Key I/E criteria

mild-to-moderate ADStudy partner/caregiver required

Primary endpoint

ADAS-Cog

Footprint

Where this trial recruits

Site locations as reported to ClinicalTrials.gov. Site count is not enrollment count; per-site enrollment is not available from source.

Identifiers

Registered as

Org study ID14862A
Eudract number2012-004764-22
NCT IDNCT02006641

Timeline

Milestones

Study first posted2013-12-10estimated
Study start2014-02 (month precision)
Primary completion2016-12actual (month precision)
Study completion2016-12actual (month precision)
Last update posted2018-02-20actual
Results first posted2018-02-20actual

Assets

Drug assets

Study populations

Who this study enrolls

Alzheimer’s disease

Eligibility

Who can enroll

Minimum age50 Years
SexAll
Healthy volunteersNot accepted

Inclusion criteria

The patient has a knowledgeable and reliable caregiver.
The patient is an outpatient.
The patient has probable AD.
The patient has mild to moderate AD.
Stable treatment with donepezil.
The patient, if a woman, must have had her last natural menstruation ≥24 months prior to baseline, OR be surgically sterile.
The patient, if a man, agrees to protocol-defined use of effective contraception if his female partner is of childbearing potential, OR must have been surgically sterilised prior to the screening visit

Exclusion criteria

The patient has evidence of any clinically significant neurodegenerative disease, or other serious neurological disorders other than AD.
The patient has a Diagnostic and Statistical Manual of Mental Disorders, 4th edition, Text Revision (DSM-IV-TR) Axis I disorder other than AD.
The patient has evidence of clinically significant disease.
The patient's donepezil therapy is likely to be interrupted or discontinued during the study.
The patient is currently receiving memantine or has taken memantine within 2 months prior to screening.

Other inclusion and exclusion criteria may apply.

Endpoints (22)

What's being measured

Protocol endpoints and posted registry outcome measures, grouped into outcome categories. Composite endpoints show their component event types. Standard codes (LOINC, SNOMED CT) are shown where available.

Coverage by outcome category

Behavior / neuropsychiatric
12
Global cognition
8
Function / daily living
2

Global cognition

8 endpoints
Primary/protocol endpoint

Change in Cognition

Time frame:Baseline and Week 24

ADAS-Cog

change from baseline, improvement

Primary/registry result

Change in Cognition

Time frame:Baseline and Week 24

ADAS-Cog

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), units on a scaleStandard error
Placebon=278 Participants0.640.39
Idalopirdine 10 mgn=282 Participants0.550.39
Idalopirdine 30 mgn=275 Participants1.270.39
Mean Difference (Final Values)-0.0995% CI-1.10 - 0.92p1.000Mixed Models Analysis
Mean Difference (Final Values)0.6395% CI-0.38 - 1.65p0.2223Mixed Models Analysis
Secondary/protocol endpoint

Number of Participants With Clinical Improvement

Time frame:Week 24

ADAS-Cog

change from baseline, improvement

Secondary/protocol endpoint

Number of Participants With Clinical Worsening

Time frame:Week 24

ADAS-Cog

change from baseline, improvement

Secondary/protocol endpoint

Change in Cognitive Aspects of Mental Function

Time frame:Baseline and Week 24

Mini-Mental State Examination (MMSE)

change from baseline, improvement

Secondary/registry result

Number of Participants With Clinical Improvement

Time frame:Week 24

ADAS-Cog

change from baseline, improvement

Posted result

GroupValue (count_of_participants), ParticipantsReported bounds
Placebon=255 Participants20-
Idalopirdine 10 mgn=257 Participants33-
Idalopirdine 30 mgn=249 Participants22-
Secondary/registry result

Number of Participants With Clinical Worsening

Time frame:Week 24

ADAS-Cog

change from baseline, improvement

Posted result

GroupValue (count_of_participants), ParticipantsReported bounds
Placebon=255 Participants27-
Idalopirdine 10 mgn=257 Participants28-
Idalopirdine 30 mgn=249 Participants27-
Secondary/registry result

Change in Cognitive Aspects of Mental Function

Time frame:Baseline and Week 24

Mini-Mental State Examination (MMSE)

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), units on a scaleStandard error
Placebon=258 Participants-0.240.21
Idalopirdine 10 mgn=257 Participants-0.450.21
Idalopirdine 30 mgn=248 Participants-0.340.21

Function / daily living

2 endpoints
Secondary/protocol endpoint

Change in Daily Functioning

Time frame:Baseline and Week 24

ADCS-Activities of Daily Living (ADCS-ADL)

change from baseline, improvement

Secondary/registry result

Change in Daily Functioning

Time frame:Baseline and Week 24

ADCS-Activities of Daily Living (ADCS-ADL)

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), units on a scaleStandard error
Placebon=278 Participants-1.390.49
Idalopirdine 10 mgn=282 Participants-1.220.49
Idalopirdine 30 mgn=275 Participants-1.360.49
Mean Difference (Net)0.1795% CI-1.11 - 1.46p1.000Mixed Models Analysis
Mean Difference (Final Values)0.0395% CI-1.27 - 1.33p1.000Mixed Models Analysis

Behavior / neuropsychiatric

12 endpoints
Secondary/protocol endpoint

Change in Global Impression

Time frame:Baseline and Week 24

change from baseline, improvement

Secondary/protocol endpoint

Change in Behavioural Disturbance

Time frame:Baseline and Week 24

Neuropsychiatric Inventory (NPI)

change from baseline, improvement

Secondary/protocol endpoint

Change in Individual Behavioural Disturbance Items

Time frame:Baseline and Week 24

Neuropsychiatric Inventory (NPI)

change from baseline, improvement

Secondary/protocol endpoint

Change in NPI Anxiety Item Score in Patients With an NPI Anxiety Item Score of at Least 2 at Baseline

Time frame:Baseline and Week 24

Neuropsychiatric Inventory (NPI)

change from baseline, improvement

Secondary/protocol endpoint

Change in Health-related Quality of Life (EQ-5D) Utility Score

Time frame:Baseline and Week 24

change from baseline, improvement

Secondary/protocol endpoint

Change in Health-related Quality of Life (EQ-5D VAS)

Time frame:Baseline and Week 24

change from baseline, improvement

Secondary/registry result

Change in Global Impression

Time frame:Baseline and Week 24

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), units on a scaleStandard error
Placebon=277 Participants4.300.06
Idalopirdine 10 mgn=282 Participants4.240.06
Idalopirdine 30 mgn=275 Participants4.350.06
Mean Difference (Final Values)-0.0795% CI-0.23 - 0.10p1.000Mixed Models Analysis
Mean Difference (Final Values)0.0595% CI-0.12 - 0.21p1.000Mixed Models Analysis
Secondary/registry result

Change in Behavioural Disturbance

Time frame:Baseline and Week 24

Neuropsychiatric Inventory (NPI)

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), units on a scaleStandard error
Placebon=278 Participants-0.310.59
Idalopirdine 10 mgn=282 Participants-0.940.59
Idalopirdine 30 mgn=275 Participants-0.540.60
Secondary/registry result

Change in Individual Behavioural Disturbance Items

Time frame:Baseline and Week 24

Neuropsychiatric Inventory (NPI)

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), units on a scaleStandard error
PlaceboDelusionsn=278 Participants0.010.08
Hallucinationsn=278 Participants0.000.04
Agitation/aggressionn=278 Participants0.020.11
Depression/dysphorian=278 Participants-0.200.10
Anxietyn=278 Participants-0.050.11
Elation/euphorian=278 Participants0.010.04
Apathy/indifferencen=278 Participants0.000.17
Disinhibitionn=278 Participants0.080.09
Irritability/labilityn=278 Participants0.030.12
Aberrant motor behaviourn=278 Participants-0.030.14
Sleepn=278 Participants-0.040.12
Appetite/eating disordern=278 Participants-0.140.14
Idalopirdine 10 mgDelusionsn=282 Participants-0.180.08
Hallucinationsn=282 Participants-0.060.04
Agitation/aggressionn=282 Participants-0.060.11
Depression/dysphorian=282 Participants-0.080.10
Anxietyn=282 Participants-0.060.11
Elation/euphorian=282 Participants-0.050.04
Apathy/indifferencen=282 Participants-0.190.17
Disinhibitionn=282 Participants-0.040.09
Irritability/labilityn=282 Participants-0.050.12
Aberrant motor behaviourn=282 Participants0.060.14
Sleepn=282 Participants-0.070.12
Appetite/eating disordern=282 Participants-0.300.14
Idalopirdine 30 mgDelusionsn=275 Participants0.000.08
Hallucinationsn=275 Participants-0.030.04
Agitation/aggressionn=275 Participants-0.060.11
Depression/dysphorian=275 Participants-0.140.10
Anxietyn=275 Participants-0.020.11
Elation/euphorian=275 Participants-0.020.04
Apathy/indifferencen=275 Participants-0.240.17
Disinhibitionn=275 Participants0.020.09
Irritability/labilityn=275 Participants-0.170.12
Aberrant motor behaviourn=275 Participants0.120.14
Sleepn=275 Participants0.120.12
Appetite/eating disordern=275 Participants-0.070.14
Secondary/registry result

Change in NPI Anxiety Item Score in Patients With an NPI Anxiety Item Score of at Least 2 at Baseline

Time frame:Baseline and Week 24

Neuropsychiatric Inventory (NPI)

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), units on a scaleStandard error
Placebon=71 Participants-1.480.38
Idalopirdine 10 mgn=56 Participants-1.820.40
Idalopirdine 30 mgn=61 Participants-1.690.40
Secondary/registry result

Change in Health-related Quality of Life (EQ-5D) Utility Score

Time frame:Baseline and Week 24

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), units on a scaleStandard error
Placebon=274 Participants0.030.01
Idalopirdine 10 mgn=275 Participants0.020.01
Idalopirdine 30 mgn=266 Participants0.010.01
Secondary/registry result

Change in Health-related Quality of Life (EQ-5D VAS)

Time frame:Baseline and Week 24

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), units on a scaleStandard error
Placebon=274 Participants1.350.99
Idalopirdine 10 mgn=274 Participants1.870.99
Idalopirdine 30 mgn=266 Participants1.001.01

Publications (3)

Bibliography

Records linked to this trial through ClinicalTrials.gov references, PubMed NCT search, and curated study seeds. 'Canonical' marks design/result papers; others are registry references or candidates.

Provenance

Sources

Trial identity, design, statusClinicalTrials.gov API v2
Snapshot dateJuly 21, 2026
Endpoint classificationDelfa ADRD endpoint taxonomy
Results tableClinicalTrials.gov results section

Trial facts come from public ClinicalTrials.gov records. Endpoint categories are Delfa's classification of those records, not a ClinicalTrials.gov field. All figures reflect the July 21, 2026 snapshot.