Continuation Pharmacotherapy for Agitation of Dementia
Colección de datos
Enfermedades del Sistema Nervioso Central+2
+ Demencia
+ Enfermedades del Cerebro
Estudio de Tratamiento
Resumen
Fecha de inicio: 1 de enero de 2000
Fecha en la que se inscribió al primer participante.Dementia-related behavioral disturbances have been associated with excess disability, increased caregiver burden, and premature institutionalization. Pharmacotherapy is often necessary to treat these disturbances. This study will use citalopram and risperidone to treat people with dementia-related behavior problems. Participants in this study will begin a psychotropic medication washout period for up to 3 days at study start. Participants will then be randomly assigned to receive either citalopram or risperidone for up to 12 weeks. Limited doses of the sedative lorazepam may be administered as needed throughout the study. During the first 2 weeks of the study, participants will be admitted to a hospital to have their dementia-related behavioral disturbances stabilized. Following hospital discharge, participants will move to a long-term care facility or a residential home and will continue medication treatment for up to 10 weeks. Side effects and improvements in behavioral status will be assessed every week until Week 6 and every 2 weeks thereafter. Experimental laboratory measures will be collected at study start, Week 1, Week 2, and every 2 weeks thereafter until Week 12. Upon study completion, patients may continue to receive citalopram or risperidone under the supervision of their current physicians. Three months after study completion, participants may be contacted for a follow-up report of their psychiatric and medical status.
Protocolo
Esta sección proporciona detalles del plan del estudio, incluyendo cómo está diseñado y qué se está evaluando.Se reclutarán 137 pacientes
Número total de participantes que el ensayo clínico espera reclutar.Estudio de Tratamiento
Elegibilidad
Los investigadores buscan pacientes que cumplan ciertos criterios, conocidos como criterios de elegibilidad: estado general de salud o tratamientos previos.Cualquier sexo
Sexo biológico de los participantes elegibles para inscribirse.A partir de 50 años
Rango de edades de los participantes que pueden unirse al estudio.Voluntarios sanos no permitidos
Indica si personas sanas, sin la condición que se estudia, pueden participar.Condiciones
Patología
Criterios
Inclusion Criteria: * Diagnosis of Alzheimer's type dementia and/or meet criteria for probable or possible Alzheimer's disease * Inpatient admittance to Western Psychiatric Institute and Clinic * Written informed consent from participant's legally authorized representative with the participant's assent * Psychosis or behavioral problems severe enough to be a danger to the participant's health, well-being, or safety * Score of 3 to 6 (moderate to severe) on at least one of the Neurobehavioral Rating Scale (NBRS) agitation or psychosis items * Ability to participate in study evaluation and ingest oral medication Exclusion Criteria: * Diagnosis of an unstable medical illness within the last 12 months * Kidney or liver dysfunction * Diagnosis of delirium, substance-induced persisting dementia, or vascular dementia * Score of 12 or higher on the Cornell Scale for Depression in Dementia, and a score greater than 3 on the depression item of the NBRS * Diagnosis of Parkinson's disease or any neurological illness which may affect cognitive function * History of schizophrenia, schizoaffective disorder, delusional disorder, psychotic disorders not otherwise specified, or bipolar affective disorder * Alcohol or substance abuse or dependence * Receiving monoamine oxidase inhibitors within 15 days of study * Display behaviors which could endanger the participant's life or the lives of others * Received fluoxetine within 4 weeks of screening
Centros del Estudio
Estos son los hospitales, clínicas o centros de investigación donde se lleva a cabo el estudio. Puedes encontrar la ubicación más cercana a ti y su estado de reclutamiento.Este estudio tiene una ubicación
University of Pittsburgh Medical Center/Western Psychiatric Institute and Clinic
Pittsburgh, United StatesVer ubicación