BMS-986368 for treating agitation in Alzheimer's disease
Official title: A Phase 2, Randomized, Double-blind, Three-Arm, Placebo-controlled, Multicenter Study Assessing the Efficacy, Safety and Tolerability of Orally Administered BMS-986368, a FAAH/MAGL Inhibitor, for the Treatment of Agitation in Participants With Alzheimer's Disease (BALANCE-AAD-1)
Run by Celgene · NCT06808984 · Data updated 2026-11-12
This will test whether BMS-986368 can reduce agitation in people with biomarker-confirmed Alzheimer's disease.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 55 Years to 90 Years |
| Sex | All |
| Enrollment | 120 (estimated) |
| Sponsor | Celgene Industry-sponsored |
| Locations | 77 sites (Homewood, Alabama and 76 other locations) |
| Status | Recruiting |
| Started | June 9, 2025 |
| Main results expected | November 26, 2027 |
| Study ends | January 7, 2028 |
| Registry record updated | October 6, 2026 |
| Trial ID | NCT06808984 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are people with biomarker-confirmed Alzheimer's disease who have IPA-defined agitation for at least four weeks, an MMSE score under 21, and an NPI-NH agitation/aggression subscore ≥4, who live in a stable setting and have a caregiver.
✕Probably not a fit
People whose agitation is primarily due to major psychiatric disorders (for example bipolar disorder or schizophrenia), those with severe psychosis requiring hospitalization, or those without biomarker confirmation of AD are unlikely to benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 2 interventional study compares the FAAH/MAGL inhibitor BMS-986368 to placebo for treating agitation in participants with Alzheimer's disease. Participants must have biomarker-confirmed AD, meet the IPA definition of agitation with symptoms for at least four weeks, an MMSE score below 21, and an NPI-NH agitation/aggression subscore of 4 or higher. The study enrolls people in stable living situations who have an identified caregiver and can travel to study visits, while excluding those with severe psychosis requiring hospitalization or major psychiatric disorders such as bipolar disorder or schizophrenia. Safety, tolerability, and changes in agitation symptoms will be measured over the treatment period using standard clinical scales.
Why it matters
Potential benefit: If successful, the drug could meaningfully reduce agitation, improving daily quality of life and potentially reducing use of antipsychotics or restraints.
How similar studies have gone: Targeting the endocannabinoid system with FAAH/MAGL inhibition for AD-related agitation is relatively novel, and prior clinical evidence for similar approaches is limited and mixed.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria * Participants with a diagnosis of Alzheimer's disease with biomarker confirmation meeting the 2024 Revised criteria for diagnosis and staging of AD: Alzheimer's Association Workgroup. * The diagnosis of agitation must meet the International Psychogeriatric Association (IPA) definition of agitation. * History of agitation with onset at least four weeks prior to Screening. * MMSE-1 score ≤24. * NPI-NH agitation/aggression sub-score ≥ 4. * Stable living environment for at least 6 weeks prior to Screening. Participants are eligible if they are in nursing homes, assisted living facilities, or living at home and have an identified study partner (caregiver). * Capable of self-locomotion (alone or with the aid of an assistive device); wheelchairs and other mobility aids are acceptable. Exclusion Criteria * Clinically significant delusions/hallucinations requiring hospitalization. * History of bipolar disorder, schizophrenia, or schizoaffective disorder. * History of major depressive episode with psychotic features during the 12 months prior to Screening. * History of delirium within 30 days of Screening. * Other protocol-defined Inclusion/Exclusion criteria apply.
Where it's running
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University of Alabama - Huntsville Regional Medical Campus
Huntsville, Alabama, United States Recruiting -
Inland Psychiatric Medical Group.
Chino, California, United States Recruiting -
Kaizen Brain Center
La Jolla, California, United States Recruiting -
Shreenath Clinical Service - Lakewood
Lakewood, California, United States Recruiting -
Next Level Clinical Trials
West Covina, California, United States Recruiting -
University of Colorado Anschutz Medical Campus
Aurora, Colorado, United States Recruiting
Show 44 more locations
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Georgetown University
Washington D.C., District of Columbia, United States Recruiting -
Arrow Clinical Trials
Daytona Beach, Florida, United States Recruiting -
ClinCloud
Maitland, Florida, United States Recruiting -
University of South Florida, Department of Psychiatry and Behavioral Neurosciences
Tampa, Florida, United States Recruiting -
Charter Research - Lady Lake
The Villages, Florida, United States Recruiting -
CenExel iResearch, LLC
Decatur, Georgia, United States Recruiting -
CenExel iResearch, LLC
Savannah, Georgia, United States Recruiting -
K2 Medical Research
Foxborough, Massachusetts, United States Recruiting -
Be Well Clinical Studies - Omaha
Omaha, Nebraska, United States Recruiting -
Ocean Medical Research
Toms River, New Jersey, United States Recruiting -
University at Buffalo - UBMD Neurology
Buffalo, New York, United States Recruiting -
The Feinstein Institute for Medical Research
Manhasset, New York, United States Recruiting -
Mid Hudson Medical Research
New Windsor, New York, United States Recruiting -
Research Central LLC (DBA Ichor Research)
Syracuse, New York, United States Recruiting -
New Hope Clinical Research
Charlotte, North Carolina, United States Recruiting -
UNC Health REX Hospital
Raleigh, North Carolina, United States Recruiting -
Cleveland Clinic
Cleveland, Ohio, United States Recruiting -
Thomas Jefferson University - Vickie & Jack Farber Institute for Neuroscience
Philadelphia, Pennsylvania, United States Recruiting -
Neurology Clinic, P.C.
Cordova, Tennessee, United States Recruiting -
Vanderbilt University Medical Center- Village
Nashville, Tennessee, United States Recruiting -
Pinnacle Clinical Research
Austin, Texas, United States Recruiting -
Horizon Clinical Research Center - Houston
Cypress, Texas, United States Recruiting -
ANESC Research
El Paso, Texas, United States Recruiting -
Stryde Research - Plano
Plano, Texas, United States Recruiting -
Be Well Clinical Studies
Round Rock, Texas, United States Recruiting -
Boeson Research - Provo
Provo, Utah, United States Recruiting -
Local Institution - 0046
Homewood, Alabama, United States Not yet recruiting -
Local Institution - 0048
Phoenix, Arizona, United States Completed -
Local Institution - 0040
Scottsdale, Arizona, United States Not yet recruiting -
Local Institution - 0017
Anaheim, California, United States Not yet recruiting -
Local Institution - 0052
La Jolla, California, United States Completed -
Local Institution - 0043
Sherman Oaks, California, United States Completed -
Local Institution - 0028
West Hills, California, United States Completed -
Local Institution - 0053
Washington D.C., District of Columbia, United States Withdrawn -
Local Institution - 0007
Maitland, Florida, United States Not yet recruiting -
Local Institution - 0022
Miami, Florida, United States Withdrawn -
Local Institution - 0010
Miami, Florida, United States Completed -
Local Institution - 0001
Tampa, Florida, United States Not yet recruiting -
Local Institution - 0026
Atlanta, Georgia, United States Completed -
Local Institution - 0004
Honolulu, Hawaii, United States Completed -
Local Institution - 0086
Elgin, Illinois, United States Withdrawn -
Local Institution - 0011
Marrero, Louisiana, United States Not yet recruiting -
Local Institution - 0051
South Dartmouth, Massachusetts, United States Not yet recruiting -
Local Institution - 0088
Sterling Heights, Michigan, United States Not yet recruiting
+27 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: BMS Clinical Trials Contact Center www.BMSClinicalTrials.com
- Email: Clinical.Trials@bms.com
- Phone: 855-907-3286
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.