Clinical Trials

Multiple clinical trials sponsored primarily by Otsuka Pharmaceutical Development & Commercialization Inc. and Avanir Pharmaceuticals have evaluated deudextromethorphan (AVP-786) across Phase 1 and Phase 3 development. Completed early-stage Phase 1 studies in healthy volunteers established the compound's pharmacokinetics, drug-drug interaction profiles, safety, and tolerability. Advanced clinical development includes actively recruiting Phase 3 testing to evaluate the long-term safety and efficacy of AVP-786 in managing agitation in patients with dementia of the Alzheimer's type.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT02446132 Recruiting
Agitation in Patients With Dementia of the Alzheimer''s Type
Otsuka Pharmaceutical Development & Commercialization Inc.
2015-12 Phase 3
NCT02402595 Completed
Healthy
Avanir Pharmaceuticals
2015-03 Phase 1
NCT02336347 Completed
Healthy Volunteer
Avanir Pharmaceuticals
2014-05 Phase 1
NCT02174822 Completed
Drug-drug Interaction
Otsuka Pharmaceutical Development & Commercialization Inc.
2014-01 Phase 1
NCT02174835 Completed
Healthy
Avanir Pharmaceuticals
2013-09 Phase 1

(data from https://clinicaltrials.gov, updated on 2024-05-22)

Check the Deudextromethorphan (AVP-786) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Deudextromethorphan (AVP-786) acts as an antagonist of the N-methyl-D-aspartate receptor, binding to the receptor complex to block excessive glutamate-induced excitation and attenuate downstream intracellular calcium influx. This suppression of overactive glutamatergic signaling stabilizes hyperexcitable neural circuitry, providing the mechanistic basis for reducing central neurobehavioral disruption and mitigating agitation in patients with dementia of the Alzheimer's type.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.