A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, 26-Week, Phase 3 Study of Two Doses of EVP-6124 or Placebo in Subjects with Mild to Moderate Alzheimer*s Disease Currently or Previously Receiving an Acetylcholinesterase Inhibitor Medication

Inclusion criteria:
1. Informed consent form (ICF) signed by the subject or legally acceptable representative before any study specific procedures for the subject are performed and an ICF signed by the support person/caregiver before any study-specific procedures for the support person/caregiver are performed
2. Male or female subjects of any race, aged >=55 and <=85 years
3. Clinical diagnosis of dementia due to probable AD consistent with criteria established by a workgroup of the National Institute on Aging and the Alzheimer*s Disease Association
4. Clinical decline within 12 months before screening and onset of symptoms at least 12 months or longer before screening, which may include any documented cognition, functional, or other objective assessment or the clinical judgment of the investigator or the subject*s referring physician that the subject has experienced a clinical decline within the last 12 months
5. Magnetic resonance imaging (MRI) or computed tomography (CT) scan performed within 12 months before screening, with findings consistent with the diagnosis of dementia due to AD without any other clinically significant comorbid pathologies. If an MRI or CT scan is unavailable or occurred greater than 12 months before screening, this assessment should be completed and the findings confirmed before the subject enters the run-in period (Day -14) (copy of the report will be available at the study site)
6. Mini-Mental State Examination (MMSE) score >=14 and <=24 at screening and confirmed on Day 1 prior to randomization (fluctuations of ±2 points are acceptable on Day 1/baseline)
7. Clinical Dementia Rating Global score (CDR-GS) >=1 (at least mild dementia) at screening and confirmed on Day 1 prior to randomization
8. Modified Hachinski Ischemic Scale (mHIS) score *4 at screening
9. Fertile, sexually active subjects (men and women) must use an effective method of contraception during the study. Female subjects and the female partner of male subjects must be surgically sterile (hysterectomy or bilateral tubal ligation), postmenopausal for at least 1-year, or willing to practice adequate methods of contraception if of childbearing potential (defined as consistent use of combined effective methods of contraception [including at least 1 barrier method])
10. Reliable and capable support person/caregiver, who if not living in the same household, interacts with the subject approximately 4 times per week and will be available to attend clinic visits in person when possible
11. Subject living at home, senior residential setting, or an institutional setting without the need for continuous (ie, 24-hour) nursing care
12. General health status acceptable for participation in a 26-week study
13. Fluency (oral and written) in the language in which the standardized tests will be administered
14. Receiving a stable dose of an AChEI (donepezil, rivastigmine or galantamine) for at least 3 months (90 days) before screening and with continuous dosing for at least 6 months OR not presently receiving an AChEI (for at least 30 days before screening), but with a history of previous AChEI treatment (subjects receiving donepezil 23 mg currently or within 3 months before screening are ineligible)

Exclusion Criteria - General
1. Exposure to an experimental drug, experimental biologic or experimental medical device within 2 months (60 days) before screening
2. Prior participation in an amyloid vaccination clinical study at any time in the past or completion of a passive amyloid vaccination study within 6 months before screening
3. Inability to swallow a tablet
4. In the judgment of the investigator, inability of the subject or the support person/caregiver to complete a 26 week study
5. Inability to be >=75% compliant with single-blind study drug
6. Inability to adequately cooperate or complete the cognitive testing procedures or any study assessment
7. Residence in a skilled nursing facility
Exclusion Criteria - Medical
8. Untreated vitamin B12 or folate deficiency (if treated, must be stably treated for at least 6 months before screening)
9. Clinically significant (in the judgment of the investigator) abnormal serum electrolytes (sodium, potassium, magnesium) after repeat testing
10. Clinically significant untreated hypothyroidism (if treated, thyroid-stimulating hormone level and thyroid supplementation dose must be stable for at least 6 months before screening)
11. Insufficiently controlled diabetes mellitus (in the judgment of the investigator) or requiring insulin
12. Renal insufficiency (serum creatinine *2.0 mg/dL)
13. Malignant tumor within 3 years before screening (except squamous and basal cell carcinoma or cervical carcinoma in situ or localized prostate cancer)
14. Unstable medical condition that is clinically significant in the judgment of the investigator
15. Female subjects who are pregnant, nursing, or planning to become pregnant during the study
16. Alanine transaminase (ALT) or aspartate transaminase (AST) >2.5 times the upper limit of normal
Exclusion Criteria - Cardiovascular
17. History of myocardial infarction or unstable angina within 6 months before screening
18. History of more than 1 myocardial infarction within 5 years before screening
19. Clinically significant (in the judgment of the investigator) cardiac arrhythmia (including atrial fibrillation), cardiomyopathy, or cardiac conduction defect (subjects with a pacemaker are acceptable)
20. Symptomatic hypotension or hypertension (supine diastolic blood pressure >95 mmHg) (in the judgment of the investigator)
21. Clinically significant abnormality on screening or baseline electrocardiogram (ECG), including but not necessarily limited to a confirmed QTc value >=450 msec for males or >=470 msec for females. In subjects with a QRS value>120 msec, those with a QTc value<500msec may be eligible following discussion with the medical monitor.
Exclusion Criteria - Psychiatric
22. Diagnosis of severe major depressive disorder with psychotic features, delusions or hallucinations, which is either recurrent (Diagnostic and Statistical Manual of Mental Disorders 4th Edition Text Revision [DSM-IV-TR] 296.34) or single episode (DSM-IV-TR 296.24) within 5 years before screening
23. Geriatric Depression Scale (GDS) score (15-item scale) *5 at screening or baseline
24. History or current diagnosis of psychosis
25. History within 2 years before screening or current evidence of substance abuse as defined by DSM-IV-TR
26. Significant suicide risk as defined by 1) suicidal ideation as endorsed on items 4 or 5 on the Columbia Suicide Severity Rating Scale (C-SSRS) within the past year, at screening or baseline; 2) suicidal behaviors within 1-year before screening
Exclusion Criteria - Neurological
27. Stroke within 18 months before screening, or history of a stroke concomitant with onset of dementia
28. History of brain tumor, subdural hematoma, or other clinically significant (in the judgment of the investigator) space-occupying lesion on CT or MRI
29. Head trauma with clinically significant (in the judgment of the investigator) loss of consciousness within 12 month before screening or concurrent with the onset of dementia
30. Onset of dementia secondary (in the judgment of the investigator) to cardiac arrest, surgery with general anesthesia, or resuscitation
31. Specific degenerative central nervous system (CNS) disease diagnosis other than AD (eg, Huntington*s disease, Creutzfeld-Jacob disease, Down*s syndrome, Fronto-Temporal Dementia, Parkinson*s disease)
32. Wernicke*s encephalopathy
33. Active acute or chronic CNS infection
Exclusion Criteria - Prohibited Prior and Concurrent Medications
34. Subjects with no history of prior treatment with an AChEI (donepezil, rivastigmine, or galantamine)
35. Memantine currently or within 30 days before screening
36. Antipsychotics; low doses (in the judgment of the investigator, except clozapine) are allowed only if given for sleep disturbances, agitation and/or aggression, and only if the subject has received a stable dose for at least 3 months before screening (but not within 8 hours before any cognitive test)
37. Tricyclic antidepressants and monoamine oxidase inhibitors; all others antidepressants are allowed only if the subject has received a stable dose for at least 3 months before screening
38. Anxiolytics or sedative-hypnotics, including barbiturates (unless given in low doses for benign tremor); low doses of benzodiazepines and zolpidem (in the judgment of the investigator) are allowed only if given for insomnia/sleep disturbance, and only if the subject has received a stable dose for at least 3 months before screening (but not within 8 hours before any cognitive assessment)
39. Peripherally acting drugs with effects on cholinergic transmission
40. Immunosuppressants, including systemic corticosteroids, if taken in clinically immunosuppressive doses in the judgment of the investigator (Note: steroid use for allergy or other inflammation is permitted)
41. DELIBERATELY LEFT BLANK
42. Antiepileptic medications if taken for control of seizures
43. Chronic intake of opioid-containing analgesics
44. Sedating H1 antihistamines
45. Nicotine therapy (including the patch), varenicline (Chantix), or similar therapeutic agent within 30 days before screening
46. Clinically significant urine drug screen or serum alcohol test result in the judgment of the investigator
Exclusion criteria- Gastrointestinal:
47. History of ischemic colitis or ischemic enterocolitis