A Randomised Controlled Trial of the effects of donepezil on cognitive, behavioural, and functional outcome in traumatic brain injury

ISRCTN ISRCTN16354639
DOI https://doi.org/10.1186/ISRCTN16354639
Secondary identifying numbers MCT-58345
Submission date
18/11/2005
Registration date
18/11/2005
Last edited
17/08/2009
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Injury, Occupational Diseases, Poisoning
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Robert Van Reekum
Scientific

Baycrest Centre for Geriatric Care
Department of Psychiatry
3560 Bathurst Street, Room 4W02
Toronto
M6A 2E1
Canada

Phone +1 416 785 2500 X2521
Email l.ostrander@sympatico.ca

Study information

Study designRandomised placebo controlled parallel group trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Scientific title
Study objectives1. To demonstrate if an acetylcholinesterase inhibitor, donepezil, will improve cognition, affect, behavioural, functional and quality of life outcomes in patients with a history of TBI
2. To identify predictors of positive response to acetylcholinesterase inhibitors in this population
3. To increase understanding of basic neuronal mechanisms underlying human cognition and behaviour
Ethics approval(s)The joint Baycrest Centre for Geriatric Care/University of Toronto Research Ethics and Scientific Review Committee, Toronto, ON, January 16, 2003
Health condition(s) or problem(s) studiedTraumatic Brain Injury (TBI)
InterventionAcetylcholinesterase inhibitor – donepezil versus placebo for six months

Trial details received 12 Sept 2005
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Donepezil
Primary outcome measureEpisodic verbal learning and memory measured at six months.
Secondary outcome measures1. Information processing speed at two and six months
2. Attention at two and six months
3. Problem solving at two and six months
4. Behaviour at two and six months
5. Affect at two and six months
6. Daily functioning at two and six months
7. Quality of life at two and six months
Overall study start date01/06/2004
Completion date30/06/2006

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants92
Key inclusion criteria1. History of head trauma resulting from contact forces or an acceleration/deceleration event
2. Aged 18 - 55 years, either sex
3. At least 6 months post injury
4. Cognitive complaints or cognitive impairment as assessed by the treating clinician
5. Objective evidence of cognitive impairment in the realm of attention, memory, or executive functioning
6. Outpatient status
7. Able to identify a caregiver
8. Consent granted by subjects NOT deemed incompetent to do so OR consent given by substitute decision maker to participate in the study
Key exclusion criteria1. History of other central nervous system injury or disease (e.g. Alzheimer’s disease)
2. Relative contradictions for donepezil (including uncontrolled diabetes, current peptic ulcer, glaucoma etc.)
3. History of ongoing alcohol or drug abuse
4. Current Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) axis I diagnosis of schizophrenia, bipolar disorder, or untreated depression
5. Physical or language impediments to completion of the measures
6. Concurrent of benzodiazepines, all antidepressants (with the exception of selective serotonin re-uptake inhibitors [SSRIs], which will be allowed), neuroleptics, and/or anticholinergic medications
7. Persistent post traumatic amnesia, as defined by a Galveston orientation and amnesia test (GOAT) score of 75 or less at the time of study
8. Age <18 or Age >55
9. Not in agreement to use acceptable contraception
10. Performance below 9 on the forced-choice component of the 21 item test
11. Performance of 85 or above (index score) in each construct of the RBANS test
Date of first enrolment01/06/2004
Date of final enrolment30/06/2006

Locations

Countries of recruitment

  • Canada

Study participating centre

Baycrest Centre for Geriatric Care
Toronto
M6A 2E1
Canada

Sponsor information

Baycrest Centre for Geriatric Care (Canada)
Hospital/treatment centre

3560 Bathurst St.
Toronto
M5N 2R4
Canada

Phone +1 416 785 2500
Email rvanreekum@baycrest.org
ROR logo "ROR" https://ror.org/03gp5b411

Funders

Funder type

Research organisation

Canadian Institutes of Health Research (CIHR) (Canada) - http://www.cihr-irsc.gc.ca (ref: MCT-58345)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan