ClinicalTrials.gg
RecruitingNCT06887192Updated Sep 30, 2026

A Study to Assess the Efficacy and Safety of ML-007C-MA for the Treatment of Alzheimer's Disease Psychosis

A Phase 2 interventional study of ML-007C-MA and Placebo in Psychosis Associated With Alzheimer's Disease, sponsored by MapLight Therapeutics. Recruiting at 62 sites in 15 countries. Open to participants aged 55 Years to 90 Years. Per ClinicalTrials.gov, last updated 2026-09-30.

Sponsored by MapLight Therapeutics · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Aug 2025; still recruiting 1 year 2 months later.
Updated Sep 30, 2026First site in Chile7 sites addedGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
300
Allocation
Randomized
Ages
55 Years to 90 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 1,937 studies in Alzheimer Disease with a site in United States — 343 open to participants now, 444 under way, 39 of them phase 3. Alzheimer Disease · United States.

Planned enrollment
310th of 1,606
300 · median 73
Started
2025
with 98 others
Phase 2
360 of 1,937
50 open now
Primary completion
2027-12
later than 257 of 443 live
Registered
1,797th of 1,937
by date

Among the 1,937 studies in Alzheimer Disease with a site in United States, this one is the 310th largest by planned enrollment of the 1,606 interventional ones, is one of 99 that started in 2025, is one of 360 in phase 2, reaches primary completion later than 257 of the 443 other live ones, and was the 1,797th registered.

By phase

1,937 studies; the count open now beside each. This study's row is marked.

No phase607 · 129 open
Phase 2this study360 · 50 open
Observational310 · 86 open
Phase 1304 · 31 open
Phase 3188 · 19 open
Phase 1/267 · 17 open
Phase 460 · 7 open
Phase 2/341 · 4 open

By the year they started

First in 1981; this study’s year is marked. 99 started in 2025.

Size and results

Median enrollment 73 across the 1,606 interventional studies, 160 across the 309 observational. Of the 1,376 that completed or were terminated, 590 (43%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 1,937 studies in Alzheimer Disease with a site in United States, or all of them as a file.
02

Study summary

ML-007C-MA-221 is a Phase 2, randomized, double-blind, placebo-controlled study to evaluate the efficacy and safety of ML-007C-MA in male and female participants aged 55 to 90 years with hallucinations and delusions associated with Alzheimer's Disease Psychosis (ADP).

The primary objective is to evaluate the efficacy of ML-007C-MA compared with placebo for the treatment of hallucinations and delusions associated with ADP as measured by the Neuropsychiatric Inventory-Clinician (NPI-C): Hallucinations and Delusions (H+D) score.

03

Conditions studied

  • Psychosis Associated With Alzheimer's Disease

Keywords

  • Alzheimer Disease
  • Brain Diseases
  • Central Nervous System Diseases
  • Delusions
  • Dementia
  • Hallucinations
  • Mental Disorders
  • Nervous System Diseases
  • Neurocognitive Disorders
  • Neurodegenerative Diseases
  • Psychotic Disorders
  • Schizophrenia Spectrum and Other Psychotic Disorders
  • Tauopathies
  • Muscarinic Antagonists
  • Muscarinic Agonists
  • Cholinergic Agents
04

Who can participate

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

Eligibility criteria

Key Inclusion Criteria:

  1. Willing and able to provide written , or, if deemed lacking in the capacity to provide informed consent, the following requirements for consent must be met:

    1. The participant's LAR must provide written informed consent AND
    2. The participant will provide informed assent.
  2. Meets clinical criteria for Possible AD or Probable AD.
  3. Presence of psychotic symptoms (meeting International Psychogeriatric Association criteria) (Cummings 2020) for at least 2 months before Screening.
  4. Has resided at the same home, residential assisted living, or nursing home facility for a minimum of 6 weeks before Screening.
  5. Has a designated care partner who is in contact with the participant frequently enough to accurately report on the participant's symptoms and adherence to study drug.
  6. Has a NPI-C H+D score of ≥ 6 AND meet at least 1 of the following criteria:

    1. Moderate to severe delusions, defined as NPI-C Delusions domain score of ≥ 2 on at least 2 of the 8 items OR
    2. Moderate to severe hallucinations, defined as NPI-C Hallucinations domain score of ≥ 2 on at least 2 of the 7 items.
  7. Has a (CGI)-S hallucinations and delusions domain-specific score ≥4
  8. Has an (MMSE) score of 6 to 26, inclusive.

Key Exclusion Criteria:

  1. Under the care of hospice, bed-bound, or receiving end-of-life palliative care.
  2. Psychotic symptoms that are primarily attributable to substance abuse or a medical, neurological or psychiatric condition other than Alzheimer's disease.
  3. Evidence of a CNS disorder other than Alzheimer's disease that is the primary cause of, or a significant contributor to the participant's dementia.
  4. Moderate or severe major depressive episode within 3 months of Screening, according to criteria.
  5. Has an elevated risk of suicidal behavior
  6. Has had an amyloid PET brain scan or CSF Alzheimer's disease biomarker test in the past 3 years with results inconsistent with a diagnosis of AD.
  7. Evidence of a and/or unstable medical condition that, in the opinion of the investigator or medical monitor, could substantially impair cognition, compromise participant safety, interfere with the participant's ability to comply with study procedures or substantially impair the evaluation of efficacy or safety assessments.
  8. Gastric retention, urinary retention or narrow-angle (angle-closure) glaucoma
  9. Meets or has met DSM-5 criteria for alcohol or substance use disorder within the past 12 months (excluding caffeine and nicotine).
  10. Has previously participated in any clinical study with ML-007 or ML-007C-MA.
  11. Has developed an allergy or other intolerance to ML-007C-MA, its active ingredients or their .
  12. Received or may have received an drug, biological product or device within 90 days before Baseline (or 6 months for investigational Alzheimer's disease-modifying therapies).
Terms in these criteria, in plain language(6)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

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.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

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

Study arms

  • Experimental
    ML-007C-MA

    Drug: ML-007C-MA

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • ML-007C-MA dosed as 105/1.5 mg BID, or 210/3 mg BID

  • DrugPlacebo

    Placebo Tablets

06

What researchers measure

Primary outcomes

  1. Change from Baseline to End of Treatment in the Neuropsychiatric Inventory-Clinician: Hallucinations and Delusions (NPI-C H+D) score

    NPI-C H+D scale includes 2 domains from the NPI-C scale, namely, hallucinations and delusions. These 2 domains include the following number of items to be rated by the clinician: Hallucinations, 7 items (maximum score = 21) and Delusions, 8 items (maximum score = 24). The maximum score for the NPI-C: H+D scale is 45. Higher scores on this scale indicate worse outcomes.

    Time frame: Baseline and End of Treatment (7 weeks)

Secondary outcomes

  1. Change from Baseline to End of Treatment in the Clinical Global Impressions-Severity (CGI-S) hallucinations and delusions domain-specific score

    The CGI-S scale is a clinician-rated, 7-point scale that is designed to rate the severity of the participant's hallucinations and delusions using the investigator's judgment and past experience with participants who have Alzheimer's disease psychosis. Higher scores on this scale indicate worse outcomes.

    Time frame: Baseline and End of Treatment (7 weeks)

  2. Change from Baseline to End of Treatment in the Neuropsychiatric Inventory - Clinician Agitation and Aggression (NPI-C A+A) score in participants who have a CGI-S agitation/aggression domain-specific score of ≥4 at Baseline

    NPI-C A+A scale includes 2 domains from the NPI-C scale, namely, agitation and aggression. These 2 domains include the following number of items to be rated by the clinician: Agitation, 13 items (maximum score = 39), and Aggression, 8 items (maximum score = 24). The maximum score for the NPI-C A+A scale is 63. Higher scores on this scale indicate more severe symptoms of agitation and aggression.

    Time frame: Baseline and End of Treatment (7 weeks)

07

Study locations

61 of 62 sites recruiting
  • Clinical Site
    Phoenix, Arizona 85004, United States
    Recruiting
  • Clinical Site
    Scottsdale, Arizona 85253, United States
    Recruiting
  • Clinical Site
    Tucson, Arizona 85704, United States
    Recruiting
  • Clinical Site
    Anaheim, California 92805, United States
    Recruiting
  • Clinical Site
    Long Beach, California 90807, United States
    Recruiting
  • Clinical Site
    Murrieta, California 92562, United States
    Recruiting
  • Clinical Site
    Orange, California 92866, United States
    Recruiting
  • Clinical Site
    San Diego, California 92123, United States
    Recruiting
  • Clinical Site
    Denver, Colorado 80218, United States
    Recruiting
  • Clinical Site
    Boca Raton, Florida 33428, United States
    Recruiting
  • Clinical Site
    Deerfield Beach, Florida 33442, United States
    Recruiting
  • Clinical Site
    Doral, Florida 33122, United States
    Recruiting
  • Clinical Site
    Homestead, Florida 33033, United States
    Recruiting
  • Clinical Site
    Miami, Florida 33122, United States
    Recruiting
  • Clinical Site
    Miami, Florida 33155, United States
    Recruiting
  • Clinical Site
    Miami, Florida 33173, United States
    Recruiting
  • Clinical Site
    Miami, Florida 33186, United States
    Recruiting
  • Clinical Site
    Miami Gardens, Florida 33014, United States
    Recruiting
  • Clinical Site
    Miami Gardens, Florida 33104, United States
    Recruiting
  • Clinical Site
    Naples, Florida 34105, United States
    Recruiting
  • Clinical Site
    Orlando, Florida 32807, United States
    Recruiting
  • Clinical Site
    Tampa, Florida 33629, United States
    Recruiting
  • Clinical Site
    West Palm Beach, Florida 33407, United States
    Recruiting
  • Clinical Site
    Augusta, Georgia 30912, United States
    Recruiting
  • Clinical Site
    Snellville, Georgia 30078, United States
    Recruiting
  • Clinical Site
    Alexandria, Louisiana 71301, United States
    Recruiting
  • Clinical Site
    Las Vegas, Nevada 89121, United States
    Recruiting
  • Clinical Site
    West Long Branch, New Jersey 07764, United States
    Recruiting
  • Clinical Site
    New York, New York 10003, United States
    Recruiting
  • Clinical Site
    Dayton, Ohio 45459, United States
    Recruiting
  • Clinical Site
    Independence, Ohio 44131, United States
    Recruiting
  • Clinical Site
    Tigard, Oregon 97223, United States
    Recruiting
  • Clinical Site
    Port Royal, South Carolina 29935, United States
    Recruiting
  • Clinical Site
    Austin, Texas 78757, United States
    Recruiting
  • Clinical Site
    McKinney, Texas 75071, United States
    Recruiting
  • Clinical Site
    Sugarland, Texas 77478, United States
    Recruiting
  • Clinical Site
    Bellevue, Washington 98007, United States
    Recruiting
  • Clinical Site
    Caba, Buenos Aires F.D. C1133AAH, Argentina
    Recruiting
  • Clinical Site
    Córdoba, Córdoba Province X5009BIN, Argentina
    Recruiting
  • Clinical Site
    Córdoba, X5004AOA, Argentina
    Recruiting
  • Clinical Site
    Pernik, Pernik 2304, Bulgaria
    Recruiting
  • Clinical Site
    Sofia, Sofia 1408, Bulgaria
    Recruiting
  • Clinical Site
    Brampton, Ontario L6W 2Z8, Canada
    Not yet recruiting
  • Clinical Site
    London, Ontario N6A 5W9, Canada
    Recruiting
  • Clinical Site
    Toronto, Ontario M4N 3M5, Canada
    Recruiting
  • Clinical Site
    Lévis, Quebec G6V 0C9, Canada
    Recruiting
  • Clinical Site
    Antofagasta, Antofagasta 1240000, Chile
    Recruiting
  • Clinical Site
    Santiago, 7500710, Chile
    Recruiting
  • Clinical Site
    Santiago, 7560359, Chile
    Recruiting
  • Clinical Site
    Choceň, 565 01, Czechia
    Recruiting
  • Clinical Site
    Prague, 150 00, Czechia
    Recruiting
  • Clinical Site
    Toulouse, 31059, France
    Recruiting
  • Clinical Site
    Pécs, 7623, Hungary
    Recruiting
  • Clinical Site
    Pécs, 7633, Hungary
    Recruiting
  • Clinical Site
    Roma, 00128, Italy
    Recruiting
  • Clinical Site
    Plewiska, 62-064, Poland
    Recruiting
  • Clinical Site
    Torres Vedras, Lisbon District 2560-280, Portugal
    Recruiting
  • Clinical Site
    Bucharest, 041914, Romania
    Recruiting
  • Clinical Site
    Kragujevac, 34000, Serbia
    Recruiting
  • Clinical Site
    Vranov nad Topľou, 093 01, Slovakia
    Recruiting
  • Clinical Site
    Daegu, 41404, South Korea
    Recruiting
  • Clinical Site
    Incheon, 21565, South Korea
    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 Aug 2025 (actual). Primary completion is estimated for Dec 2027, 28 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 28 months is close to 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
Mar 14, 2025
First posted
Mar 20, 2025
StartActual
Aug 15, 2025
Primary completionEst.
Dec 2027
CompletionEst.
Dec 2027
Last update
Sep 30, 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
7 sites added — first site in Chile
Show 7 added (3 United States, 3 Chile, 1 Argentina)
  • Clinical Site · Alexandria, United States
  • Clinical Site · New York, United States
  • Clinical Site · Port Royal, United States
  • Clinical Site · Caba, Argentina
  • Clinical Site · Antofagasta, Chile
  • Clinical Site · Santiago, Chile
  • Clinical Site · Santiago, Chile
Sep 30, 2026
Show all 1 update
  1. Sep 30, 2026
    7 sites added — first site in Chile
    Show 7 added (3 United States, 3 Chile, 1 Argentina)
    • Clinical Site · Alexandria, United States
    • Clinical Site · New York, United States
    • Clinical Site · Port Royal, United States
    • Clinical Site · Caba, Argentina
    • Clinical Site · Antofagasta, Chile
    • Clinical Site · Santiago, Chile
    • Clinical Site · Santiago, Chile

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
NCT06887192
Lead sponsor
MapLight Therapeutics
Responsible party
Sponsor
First posted
Mar 20, 2025
Start date
Aug 15, 2025
Primary completion
Dec 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
Sep 30, 2026

Study contacts

Clinical Trials Contact Center
Contact
ML-007C-MA-ADP@maplightrx.com
+1 650 839 4380
MapLight Therapeutics
study director · MapLight Therapeutics

Oversight

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

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Studies of the drug tested here: ML-007C

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