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film containing Dexmedetomidine

Phase 1

Agitation,Psychomotor | Small molecule | Neurology |BioXcel Therapeutics, Inc.|Last Updated: Jun 3, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials1
Total Enrollment100
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04251910Sub-Lingual Dexmedetomidine in Agitation Associated With DementiaPHASE1 COMPLETED 100Dec 27, 2019Jan 24, 2022Jun 3, 20265 United States
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Study Endpoints
Primary Endpoints
Mean Change From Baseline in Positive and Negative Syndrome Scale-Excited Component (PEC) Total Score
Baseline and 2 hours post-dose

The change in PEC score was evaluated at 2 hours following the administration of the BXCL501 60 mcg, and BXCL501 30 mcg (for Part A) and BXCL501 40 mcg (for Part B) versus placebo. PEC is the sum of 5 subscales (poor impulse control, tension, hostility, uncooperativeness, and excitement, each subscale ranging from 1 to 7) and thus ranges from 5 to 35. Change from baseline (pre-dose) PEC total score, with negative values is in favor of improvement.

Number of Patients With Adverse Events
Day 7 post dose

The safety and tolerability of single doses of BXCL501 was determined in treatment of acute agitation associated with dementia.

Secondary Endpoints
Change in Pittsburgh Agitation Scale (PAS) Total Score From Baseline
Baseline and at 30 minutes, 1 hour, 2 hours, 4 hours, 8 hours, 24 hours, Day 3, Day 7 post-dose
Changes in Agitation-Calmness Evaluation Scale (ACES) Score From Baseline
Baseline and 1 hour, 2 hours, 4 hours, 8 hours post-dose
Changes in Positive and Negative Syndrome Scale (PANSS) Excited Component (PEC) Total Score From Baseline
Baseline and at 30 minutes, 1 hour, 4 hours, 8 hours, 24 hours, Day 3 and Day 7 post-dose
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Cohort 1- 30 MicrogramsACTIVE_COMPARATORCohort 1 consists of 10 patients out of whom 8 patients receive 30 Micrograms film and the remaining 2 patients receive a placebo
Cohort 2- 60 MicrogramsACTIVE_COMPARATORCohort 2 consists of 10 patients out of whom 8 patients receive 60 Micrograms film and the remaining 2 patients receive a placebo. Additional 20 subjects receive 60 Micrograms or placebo.
Cohort 3- 90 MicrogramsACTIVE_COMPARATORCohort 3 consists of 10 patients out of whom 8 patients receive 90 Micrograms film and the remaining 2 patients receive a placebo
Part B CohortACTIVE_COMPARATORPart B cohort consists 46 subjects receiving 40 Micrograms or placebo
Interventions
NameTypeDescription
Sublingual film containing DexmedetomidineDRUGSublingual film containing Dexmedetomidine
Sublingual Placebo FilmDRUGSublingual placebo film that matches BXCL501
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Eligibility Criteria
Age Range65 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: * Male and female patients 65 years and older. * Patients who have dementia and a history of acute agitation. * History of agitation that requires intervention or impairs social or daily activities * Patients who meet International Psychogeriatric Association (IPA) diagnostic cr...

Countries:United States
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