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CompletedPhase 3Results posted

Dexmedetomidine in the Treatment of Agitation Associated With Dementia (TRANQUILITY II)

A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Efficacy And Safety Study of PRN Dosing of BXCL501 Over A 12 Week Period In Subjects With Agitation Associated With Dementia

Asset

Dexmedetomidine

Listed sites

11

Recruiting sites

-

Enrollment

151

actual

Study population

Alzheimer’s disease

Key I/E criteria

Alzheimer's diseaseMMSE 15-23

Primary endpoint

Positive and Negative Syndrome Scale- Excited Component (PEC) Total Score

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 IDBXCL501-303
NCT IDNCT05271552

Timeline

Milestones

Study first posted2022-03-09actual
Study start2022-04-27actual
Primary completion2023-04-21actual
Study completion2023-04-21actual
Last update posted2025-12-31actual
Results first posted2025-12-31actual

Assets

Drug assets

Study populations

Who this study enrolls

Alzheimer’s disease

Eligibility

Who can enroll

Minimum age65 Years
SexAll
Healthy volunteersNot accepted

Inclusion criteria

1. All subjects must have a diagnosis of probable AD based on NIA-AA criteria (2018)

2. Episodes of psychomotor agitation (e.g., kick, bite, flailing)

3. Subjects exhibit behaviors that are congruent with the International Psychogeriatric Association criterion for agitation representing a change from the subject's usual behavior

4. A score of 15 to 23 on the Mini-Mental State Exam (MMSE)

5. Subjects who read, understand, and provide written informed consent, or who have a LAR to provide consent on their behalf

6. Subjects who are deemed to be medically appropriate for study participation by the principal investigator

7. Participants who agree to use a medically acceptable and effective birth control method

Exclusion criteria

1. Subjects with dementia or other memory impairment not due to probable AD.

2. Clinical diagnosis of probable AD should not be applied when there is evidence of a cerebrovascular incident temporally related to the worsening of cognitive function.

3. Subjects with agitation caused by acute intoxication.

4. Subjects with significant risk of suicide or homicide per the investigator's assessment.

5. Subjects who are medically unstable or in recovery. Note: Subjects with a remote (>5 years) history of stroke may be included, regardless of size/location.

6. History of clinically significant syncope or syncopal attacks, orthostatic hypotension within the past 2 years, current evidence of hypovolemia, orthostatic hypotension, bradycardia.

7. Subjects who had a total score of >13 (ie, high fall risk) on the John Hopkins Fall Risk Assessment Tool.

8. Subjects with laboratory or ECG abnormalities.

9. Subjects who have received an investigational drug within 30 days prior to Screening.

10. Subjects who are currently suffering from substance abuse. Patients with a potential cause for delirium (relatively recent onset agitation and dementia)

Endpoints (8)

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.

Behavior / neuropsychiatric

8 endpoints
Primary/protocol endpoint

Absolute Change From Baseline in Positive and Negative Syndrome Scale- Excited Component (PEC) Total Score for the First Episode of Agitation

Time frame:120 minutes

change from baseline, improvement

Primary/registry result

Absolute Change From Baseline in Positive and Negative Syndrome Scale- Excited Component (PEC) Total Score for the First Episode of Agitation

Time frame:120 minutes

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), score on a scaleStandard error
Cohort 1- 40 Microgramsn=48 Participants-5.70.6
Cohort 2- 60 Microgramsn=50 Participants-7.50.6
Placebon=51 Participants-5.40.6
Secondary/protocol endpoint

Absolute Change From Baseline in Positive and Negative Syndrome Scale- Excited for the First Episode of Agitation

Time frame:30 minutes

change from baseline, improvement

Secondary/protocol endpoint

Absolute Change From Baseline in Positive and Negative Syndrome Scale- Excited for the First Episode of Agitation

Time frame:60 minutes

change from baseline, improvement

Secondary/protocol endpoint

Absolute Change From Baseline in Positive and Negative Syndrome Scale- Excited for All Episodes of Agitation

Time frame:120 minutes

change from baseline, improvement

Secondary/registry result

Absolute Change From Baseline in Positive and Negative Syndrome Scale- Excited for the First Episode of Agitation

Time frame:30 minutes

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), score on a scaleStandard error
Cohort 1- 40 Microgramsn=48 Participants-2.50.5
Cohort 2- 60 Microgramsn=50 Participants-3.60.5
Placebon=51 Participants-3.40.5
Secondary/registry result

Absolute Change From Baseline in Positive and Negative Syndrome Scale- Excited for the First Episode of Agitation

Time frame:60 minutes

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), score on a scaleStandard error
Cohort 1- 40 Microgramsn=48 Participants-4.20.6
Cohort 2- 60 Microgramsn=50 Participants-6.20.6
Placebon=51 Participants-4.20.6
Secondary/registry result

Absolute Change From Baseline in Positive and Negative Syndrome Scale- Excited for All Episodes of Agitation

Time frame:120 minutes

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), score on a scaleStandard error
Cohort 1- 40 Microgramsn=48 Participants-5.80.5
Cohort 2- 60 Microgramsn=50 Participants-7.40.5
Placebon=51 Participants-5.20.5

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.