Clinical trial Recruiting at 32 sites Phase 2 Interventional Ages 55 to 90

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.

More Alzheimer Disease trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages55 Years to 90 Years
SexAll
Enrollment120 (estimated)
SponsorCelgene
Industry-sponsored
Locations77 sites (Homewood, Alabama and 76 other locations)
StatusRecruiting
StartedJune 9, 2025
Main results expectedNovember 26, 2027
Study endsJanuary 7, 2028
Registry record updatedOctober 6, 2026
Trial IDNCT06808984 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.