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donepezil

Phase 4FDA approved

Alzheimer's Disease | Small molecule | Neurology |AbbVie Inc.|Trials Updated: Mar 5, 2019

donepezil development status

FDA approval on record Dec 23, 2014 as Namzaric
Approval holderAbbvie
ApplicationNDA206439
Highest phase Phase 4 run by Pfizer (NCT00182845)
Phase scored for ABBVPhase 2
Registered trials 44 across 17 sponsors since Sep 2005

Label indication NAMZARIC is indicated for the treatment of moderate to severe dementia of the Alzheimer’s type in patients stabilized on 10 mg of donepezil hydrochloride once daily. NAMZARIC is a combination of memantine hydrochloride, an NMDA receptor antagonist, and donepezil hydrochloride, an acetylcholinesterase inhibitor, indicated for the treatment of moderate to severe dementia of the Alzheimer’s type in patients stabilized… FDA label

donepezil target and mechanism

Molecular targetACHE
Target classInhibitor
ModalitySmall molecule
ChEMBLCHEMBL502

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment466

FDA Designations

No designations recorded

donepezil clinical trials

donepezil · 2 trials · 2 indications

Phase 2 2
NCT02549196A Dose Titration Study of CPC-201 in Patients With Dementia of Alzheimer's TypeDementia of Alzheimer's Type
COMPLETED28 Analytics
NCT01527916Evaluate the Efficacy and Safety of ABT-126 in Subjects With Mild to Moderate Alzheimer's DiseaseAlzheimer's Disease
COMPLETED438 Analytics
PHASE2COMPLETED
A Dose Titration Study of CPC-201 in Patients With Dementia of Alzheimer's Type
Dementia of Alzheimer's TypeUnlock trial analytics
PHASE2COMPLETED
Evaluate the Efficacy and Safety of ABT-126 in Subjects With Mild to Moderate Alzheimer's Disease
Alzheimer's DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants Who Reached the Maximum Allowed Dose (MAD) in Their Respective Cohort
1-7 weeks

Of the four cohorts with different dosing schedules for CPC-201, the cohort with the greatest proportion of participants to reach the donepezil MAD was determined to be the optimal administration regimen.

Alzheimer's Disease Assessment Scale - cognitive subscale
Measurements up through 24 weeks

Secondary Endpoints

Number of Participants With TEAEs Leading to Study Drug Discontinuation
1-7 weeks
Alzheimer's Disease Cooperative Study - Activities of Daily Living (ADCS-ADL)
Measurements up through 24 weeks
Mini Mental Status Exam (MMSE)
Measurements up through 24 weeks
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingSINGLE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Cohort 1EXPERIMENTALDonepezil 20mg/day upward dose titration of 10mg at weekly intervals up to first intolerable dose (FID) or to maximum allowed dose (MAD) of 60mg/day with solifenacin 15 or 20mg/day.
Cohort 2EXPERIMENTALDonepezil 20mg/day upward dose titration of 20mg at weekly intervals up to first intolerable dose (FID) or to maximum allowed dose (MAD) of 60mg/day with solifenacin 15 or 20mg/day.
Cohort 1bEXPERIMENTALDonepezil 10mg/day upward dose titration of 10mg at weekly intervals up to first intolerable dose (FID) or to maximum allowed dose (MAD) of 60mg/day with solifenacin 15 or 20mg/day.
Cohort 3cEXPERIMENTALDonepezil 10mg/day upward dose titration of 5mg at weekly intervals up to first intolerable dose (FID) or to maximum allowed dose (MAD) of 40mg/day with solifenacin 15mg/day.
sugar pillPLACEBO_COMPARATOR -
donepezilACTIVE_COMPARATOR -
ABT-126 Low DoseEXPERIMENTALlow dose
ABT-126 Middle DoseEXPERIMENTALmiddle dose
ABT-126 high doseEXPERIMENTALhigh dose

Interventions

NameTypeDescription
DonepezilDRUGDonepezil dose increased at weekly intervals up to first intolerable dose (FID) or to maximum allowed dose (MAD) together with solifenacin.
SolifenacinDRUGDonepezil dose increased at weekly intervals up to first intolerable dose (FID) or to maximum allowed dose (MAD) together with solifenacin.
placeboDRUGPlacebo Comparator
ABT-126DRUGlow dose, middle dose, high dose
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Eligibility Criteria

Age Range50 Years to 89 Years
SexALL
Healthy VolunteersNo
Study Sites4

Inclusion Criteria: 1. Signed an Institutional Review Board (IRB) approved informed consent document 2. Aged 50 - 89 years inclusive. 3. Meeting the diagnosis of probable AD consistent with: * Revised National Institute on Aging-Alzheimer's Disease Association (NIA-ADA) criteria and * Diagno...

Countries:United StatesPolandRussiaSouth AfricaUkraineUnited Kingdom
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Frequently asked questions about donepezil

What is donepezil used for?

Donepezil is being studied for Alzheimer's Disease and Dementia of Alzheimer's Type. It is an investigational small molecule in Phase 2 clinical development, not an approved therapy. The research focuses on patients with mild to moderate Alzheimer's Disease and related dementia, with trials enrolling adults aged 50 and older.

What does donepezil target?

Donepezil targets acetylcholinesterase (ACHE) as an inhibitor. By inhibiting this enzyme, donepezil is designed to increase acetylcholine levels in the brain, which is the mechanism under investigation for treating Alzheimer's Disease and Dementia of Alzheimer's Type.

Who is developing donepezil?

Donepezil is being developed by AbbVie Inc., which trades under the ticker ABBV. AbbVie is the sponsor of the clinical trials evaluating this small molecule for Alzheimer's Disease and Dementia of Alzheimer's Type.

What phase is donepezil in?

Donepezil is in Phase 2 clinical development. It is an investigational therapy and has not been approved by the FDA for any indication. The Phase 2 program includes completed trials assessing the drug in patients with Alzheimer's Disease and Dementia of Alzheimer's Type.

What clinical trials is donepezil in?

Donepezil has been evaluated in two completed Phase 2 trials. NCT02549196 was a dose titration study of CPC-201 in patients with Dementia of Alzheimer's Type, enrolling 28 participants in the United States. NCT01527916 evaluated ABT-126 in 438 subjects with mild to moderate Alzheimer's Disease across the United States, Poland, Russia, South Africa, Ukraine, and the United Kingdom.