ClinicalTrials.gg
RecruitingNCT06803823Updated Sep 25, 2026

A Study of ONO-2020 in Patients With Agitation Associated With Alzheimer's Disease Dementia

A Phase 2 interventional study of ONO-2020 and Placebo in Agitation Associated With Alzheimer's Disease Dementia, sponsored by Ono Pharmaceutical Co., Ltd.. Recruiting at 39 sites in Japan. Open to participants aged 55 Years to 90 Years. Per ClinicalTrials.gov, last updated 2026-09-25.

Sponsored by Ono Pharmaceutical Co., Ltd. · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started May 2025; still recruiting 1 year 6 months later.
Updated Sep 25, 2026Site recruiting status changed1 site addedGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
90
Allocation
Randomized
Ages
55 Years to 90 Years
Sex
All
01

Study summary

To evaluate the efficacy and safety of ONO-2020 in patients with agitation associated with Alzheimer's Disease dementia in Japan.

02

Conditions studied

  • Agitation Associated With Alzheimer's Disease Dementia
03

In context

Alzheimer Disease

3,965 studies on the registry are indexed under Alzheimer Disease; 926 are open to participants now.

This study's planned enrollment of 90 is above the median of 70 across 3,019 interventional studies indexed under Alzheimer Disease.

Browse Alzheimer Disease studies →

Lead sponsor

Ono Pharmaceutical Co., Ltd. is the lead sponsor of 49 studies on the registry; 18 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
55 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Diagnosis of probable AD according to the diagnostic criteria for AD dementia (NIA-AA 2011)
  • (MMSE) score ≥ 5 to ≤ 22 at the start of the treatment period
  • Symptoms of agitation defined by the IPA from at least 14 days before the start of the screening period
  • Neuropsychiatric Inventory-Nursing Home version (NPI-NH) Agitation/Aggression domain (NPI-NH-A/A) score ≥ 4 at the start of the treatment period.
  • Patients who can participate in the study under hospitalization from 21 days before the start of the treatment period to throughout the treatment period

Exclusion criteria

Exclusion Criteria:

  • Diagnosis of dementia not due to AD or any other disorder with memory impairment, such as mixed dementia, vascular dementia, Lewy body dementia, dementia associated with Parkinson's disease, frontotemporal dementia, drug-induced dementia, dementia associated with (HIV) infection, traumatic brain injury, normal pressure hydrocephalus, or other non-AD dementia
  • Any MRI or CT scan of the brain performed after the onset of dementia with findings consistent with CNS disease other than AD, such as vascular changes (eg, cortical cerebral infarction, multiple cerebral infarctions), space-occupying lesions (eg, tumors), or any other major structural brain disease
  • Delirium within 30 days before the start of the screening period or a history of delirium
  • At risk of suicide according to the Columbia-Suicide Severity Rating Scale (C-SSRS) (answers "yes" to Question 4 or 5 of the suicidal ideation section of the C-SSRS) or any suicide attempt within 6 months before the start of the screening period, or at serious risk of suicide in the opinion of the investigator or subinvestigator
  • Prior or current treatment with anti-amyloid beta antibodies
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
90 participants (estimated)

Study arms

  • Experimental
    ONO-2020

    Drug: ONO-2020

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • ONO-2020 group: Two ONO-2020 tablets will be orally administered once daily.

  • DrugPlacebo

    Two ONO-2020 placebo tablets will be orally administered once daily

06

What researchers measure

Primary outcomes

  1. Change in CMAI score from baseline

    To assess agitation symptoms

    Time frame: up to week 12

  2. Adverse events

    To Evaluate the Safety

    Time frame: up to week 16

  3. Body weight

    To Evaluate the Safety

    Time frame: up to week 16

  4. Body temperature

    To Evaluate the Safety

    Time frame: up to week 16

  5. Blood pressure

    To Evaluate the Safety

    Time frame: up to week 16

  6. Pulse rate

    To Evaluate the Safety

    Time frame: up to week 16

  7. Respiratory rate

    To Evaluate the Safety

    Time frame: up to week 16

  8. ECG RR interval

    To Evaluate the Safety

    Time frame: up to week 12

  9. ECG PR interval

    To Evaluate the Safety

    Time frame: up to week 12

  10. ECG QRS complex

    To Evaluate the Safety

    Time frame: up to week 12

  11. ECG QT interval

    To Evaluate the Safety

    Time frame: up to week 12

  12. ECG QTcF

    To Evaluate the Safety

    Time frame: up to week 12

  13. Number of participants with abnormal laboratory tests (hematology)

    Hematology (PT, RBC count, RBC indices, WBC count, Differential, Hemoglobin, Hematocrit)

    Time frame: up to week 12

  14. Number of participants with abnormal laboratory tests (Clinical chemistry)

    Clinical chemistry (Blood urea nitrogen (BUN), Potassium, Creatinine, Sodium, Glucose (fasting or nonfasting), Calcium, Chloride, Total protein, Albumin, Aspartate aminotransferase (AST), Alanine aminotransferase (ALT), Alkaline phosphatase, Total and direct bilirubin, Lactate dehydrogenase (LDH), Phospholipid, γ-Glutamyl transferase (GGT)

    Time frame: up to week 12

  15. Number of participants with abnormal Blood coagulation profile (Activated partial thromboplastin time (APTT), Prothrombin time (PT), International normalized ratio (INR))

    Blood coagulation (Activated partial thromboplastin time (APTT), Prothrombin time (PT), International normalized ratio (INR))

    Time frame: up to week 12

  16. Number of participants with abnormal Urinalysis

    Urinalysis (pH, Glucose, Protein, Blood, Ketones)

    Time frame: up to week 12

  17. COLUMBIA-SUICIDE SEVERITY RATING SCALE(C-SSRS)

    To Evaluate the Safety

    Time frame: up to week 16

Secondary outcomes

  1. Cohen-Mansfield Agitation Inventory (CMAI) score at each visit and change from baseline

    To Evaluate the Efficacy The range of CMAI score is 29-203. Higher score means a worse outcome.

    Time frame: up to 12 week

  2. Clinical Global Impression-Severity (CGI-S) score at each visit and change from baseline

    To Evaluate the Efficacy The range of CGI-S score is 0-7. Higher score means a worse outcome.

    Time frame: up to 12 week

  3. Clinical Global Impression-Severity (CGI-S) score at each visit

    To Evaluate the Efficacy

    Time frame: up to 12 week

  4. Neuropsychiatric Inventory in Nursing Home Version(NPI-NH) score at each visit and change from baseline

    To Evaluate the Efficacy The range of NPI-NH score is 0-170. Higher score means a worse outcome.

    Time frame: up to 12 week

  5. Mini Mental State Exam(MMSE) score at baseline and Week 12, and change from baseline

    To Evaluate the Efficacy The range of MMSE score is 0-30. Higher score means a better outcome.

    Time frame: up to 12 week

  6. Alzheimer's Disease Cooperative Study-Activities of Daily Living (ADCS-ADL)score at baseline and Week 12, and change from baseline

    To Evaluate the Efficacy The range of ADCS-ADL score is 0-78. Higher score means a better outcome.

    Time frame: up to 12 week

  7. Duration of the investigational medicinal product administration

    To Evaluate the Efficacy

    Time frame: up to 12 week

  8. Pharmacokinetic assessments

    Plasma ONO-2020 concentrations

    Time frame: up to 12 week

07

Study locations

36 of 39 sites recruiting
  • Hotei Hospital
    Aichi, Japan
    Recruiting
  • Akita Prefectural Center For Rehabilitation and Psychiatric Medicine
    Akita, Japan
    Recruiting
  • Medical Corporation Keishinkai Kyowa Hospital
    Akita, Japan
    Recruiting
  • Aiseikai General Incorporated Foundation, Hirosaki Aiseikai Hospital
    Aomori, Japan
    Recruiting
  • Seinan Hospital
    Aomori, Japan
    Recruiting
  • Fukui Hospital
    Fukui, Japan
    Recruiting
  • Matsubara Hospital
    Fukui, Japan
    Recruiting
  • Aburayama Hospital
    Fukuoka, Japan
    Recruiting
  • Kuramitsu Hospital
    Fukuoka, Japan
    Recruiting
  • Kishikai Kishi Hospital
    Gunma, Japan
    Recruiting
  • Hayakawa Clinic
    Hiroshima, Japan
    Recruiting
  • Koseikai Cocoro Hospital Kusatsu
    Hiroshima, Japan
    Recruiting
  • Nakamura Hospital
    Hiroshima, Japan
    Recruiting
  • Keiseikai Hospital
    Hokkaido, Japan
    Recruiting
  • NHO Obihiro National Hospital
    Hokkaido, Japan
    Recruiting
  • Airanomori Hospital
    Kagoshima, Japan
    Recruiting
  • Ishiki Hospital
    Kagoshima, Japan
    Recruiting
  • Sansyu Hospital
    Kagoshima, Japan
    Recruiting
  • Taniyama Hospital
    Kagoshima, Japan
    Recruiting
  • Fujisawahospital
    Kanagawa, Japan
    Recruiting
  • Hatano Kousei Hospital
    Kanagawa, Japan
    Recruiting
  • Showa Medical University Northern Yokohama Hospital
    Kanagawa, Japan
    Recruiting
  • Hosogi Hospital
    Kochi, Japan
    Recruiting
  • Ichiyo Mental Hospital
    Kochi, Japan
    Terminated

    Not enrolling at this site — choose another above.

  • Maizuru Medical Center
    Kyoto, Japan
    Recruiting
  • Nishiyama Hospital
    Kyoto, Japan
    Recruiting
  • Iryohojin Shadan Shoshinkai Morinohosupitaru・Aoba
    Miyagi, Japan
    Recruiting
  • JA-Nagano North Alps Medical Center Azumi Hospital
    Nagano, Japan
    Recruiting
  • Jizenkai Ando Hospital
    Nagano, Japan
    Recruiting
  • Nara Medical University Hospital
    Nara, Japan
    Recruiting
  • Nagaokai Neyagawa Sanatorium
    Osaka, Japan
    Recruiting
  • Osaka Institute of Clinical Psychiatry Shin-Abuyama Hospital
    Osaka, Japan
    Recruiting
  • Osaka Psychiatric Medical Center
    Osaka, Japan
    Recruiting
  • Hizen Psychiatric Center
    Saga, Japan
    Recruiting
  • Rainbow & Sea Hospital
    Saga, Japan
    Recruiting
  • Saitama Konan Hospital
    Saitama, Japan
    Recruiting
  • Asuka Hospital
    Tokyo, Japan
    Terminated

    Not enrolling at this site — choose another above.

  • Nishigahara Hospital
    Tokyo, Japan
    Terminated

    Not enrolling at this site — choose another above.

  • Sanyokai Sanyo Hospital
    Yamagata, Japan
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started May 2025 (actual). Primary completion is estimated for Dec 2026, 19 months after the start.

Of 130 industry-sponsored phase 2 interventional studies under Alzheimer Disease, half reached primary completion within 26 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 39. This study's planned 19 months is below that.

Counting every sponsor, half of 257 studies reached it within 37 months; a quarter within 21 and three quarters within 58.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 27, 2025
First posted
Jan 31, 2025
StartActual
May 1, 2025
Primary completionEst.
Dec 31, 2026
CompletionEst.
Mar 31, 2027
Last update
Sep 25, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
1 site added. 3 sites changed recruiting status (3 now terminated)
Show 3 sites
  • Ichiyo Mental Hospital · Kochi, JapanRecruiting→Terminated
  • Asuka Hospital · Tokyo, JapanRecruiting→Terminated
  • Nishigahara Hospital · Tokyo, JapanRecruiting→Terminated
Show site
  • Osaka Psychiatric Medical Center · Osaka, Japan
Sep 25, 2026
Show all 1 update
  1. Sep 25, 2026
    1 site added. 3 sites changed recruiting status (3 now terminated)
    Show 3 sites
    • Ichiyo Mental Hospital · Kochi, JapanRecruiting→Terminated
    • Asuka Hospital · Tokyo, JapanRecruiting→Terminated
    • Nishigahara Hospital · Tokyo, JapanRecruiting→Terminated
    Show site
    • Osaka Psychiatric Medical Center · Osaka, Japan
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06803823
Responsible party
Sponsor
First posted
Jan 31, 2025
Start date
May 1, 2025
Primary completion
Dec 31, 2026 (estimated)
Completion
Mar 31, 2027 (estimated)
Last update
Sep 25, 2026

Study contacts

North America Clinical Trial Support Desk
Contact
clinical_trial@ono-pharma.com
+18665877745(Toll-Free)
International Clinical Trial Support Desk
Contact
clinical_trial@ono-pharma.com
+17162141777(Standard)
Project Leader
study director · Ono Pharmaceutical Co., Ltd.

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: ONO-2020

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