Dexmedetomidine in the Treatment of Agitation Associated With Dementia (TRANQUILITY III)

A study to determine the safety and efficacy of BXCL501 dosing for episodes of agitation associated with dementia when they occur (given as needed [PRN]), for a maximum of 168 doses within a 12-week treatment period.

Inclusion Criteria:All subjects must have a diagnosis of probable Alzheimer's disease based on NIA-AA criteria (2018). If subject biomarker data are unavailable, per the 2018 NIA-AA diagnostic criteria, the clinical diagnosis of probable AD will be based on the 2011 NIA-AA criteriaEpisodes of psychomotor agitation (e.g., kick, bite, flailing)Subjects exhibit behaviors that are congruent with the International Psychogeriatric Association criterion for agitation representing a change from the subject's usual behaviorA score of 0 to 20 on the Mini-Mental State Exam (MMSE) and require moderate to full assistance with activities of daily livingSubjects who read, understand, and provide written informed consent, or who have a LAR to provide consent on their behalfSubjects who are deemed to be medically appropriate for study participation by the principal investigatorParticipants who agree to use a medically acceptable and effective birth control methodExclusion Criteria:Subjects with dementia or other memory impairment not due to probable AD.Clinical diagnosis of probable AD should not be applied when there is evidence of a cerebrovascular incident temporally related to the worsening of cognitive function.Subjects with agitation caused by acute intoxication.Subjects with significant risk of suicide or homicide per the investigator's assessment.Subjects who are medically unstable or in recovery. Note: Subjects with a remote (>5 years) history of stroke may be included, regardless of size/location.History of clinically significant syncope or syncopal attacks, orthostatic hypotension within the past 2 years, current evidence of hypovolemia, orthostatic hypotension, bradycardia.Subjects with laboratory or ECG abnormalities.Subjects who have received an investigational drug within 30 days prior to Screening.Subjects who are currently suffering from substance abuse.Subjects with a potential cause for delirium (relatively recent onset agitation and dementia)