Efficacy of donepezil in the posterior variant of Alzheimer's disease (posterior cortical atrophy) study

ISRCTN ISRCTN22636071
DOI https://doi.org/10.1186/ISRCTN22636071
Protocol serial number 4159
Sponsor University College London (UCL) (UK)
Funder Eisai Ltd (UK)
Submission date
19/05/2010
Registration date
19/05/2010
Last edited
17/01/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nervous System Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Miss Jane Douglas
Scientific

The Institute of Neurology
Queen Square
London
WC1N 3BG
United Kingdom

Study information

Primary study designInterventional
Study designSingle-centre randomised interventional treatment trial
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleEfficacy of DONepezil in the Posterior variant of Alzheimer's Disease (posterior cortical atrophy) study
Study acronymDONIPAD
Study objectivesThis is a single-centre, double-blind, placebo-controlled, cross-over study to assess the efficacy of donepezil in patients with the posterior variant of Alzheimer's disease.

This trial aims to identify the objective neuropsychological benefit of donepezil in patients with the posterior variant of Alzheimer's disease. There have been no previous studies to assess the effectiveness of donepezil in the posterior variant of Alzheimer's disease. Clinical observation suggests that this group may respond particularly well to cholinesterase inhibitors.
Ethics approval(s)MREC approved, ref: 03N025
Health condition(s) or problem(s) studiedTopic: Dementias and Neurodegenerative Diseases Research Network; Subtopic: Dementia; Disease: Dementia
InterventionPatients will have baseline mini-mental state examination and neuropsychological tests for specific occipito-parietal functions. Patients will be randomised to receive donepezil 5 mg or placebo once daily for 6 weeks.

They will then be reassessed before increasing the dose to 10 mg donepezil in the treatment arm for a further 6 weeks, or continuing placebo in the other arm. They will be assessed at the end of this period before discontinuing the study drug for a 2-week washout period.

Follow-up length: 6 months
Study entry: single randomisation only
Intervention typeDrug
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Donepezil
Primary outcome measure(s)

Mini Mental State Examination, measured at 0 weeks and 6 weeks

Key secondary outcome measure(s)

1. Digit span
2. Letter cancellation speed test
3. Simple calculation test
4. VOSP dot counting test
5. VOSP number location test

Completion date30/12/2011

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexAll
Target sample size at registration20
Key inclusion criteria1. Clinical diagnosis of posterior variant of Alzheimer's disease
2. Memory test score above the 5th percentile on neuropsychological assessment
3. Absence of other causes of cognitive impairment based on dementia screen investigations available
4. Male and female, lower age limit of 18 years
Key exclusion criteria1. Significant neurological or psychiatric disease other than Alzheimer's disease
2. Significant systemic disease
3. Medications with the potential to affect cognition unless maintained on a stable dose for at least 3 months
Date of first enrolment27/06/2003
Date of final enrolment30/12/2011

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

The Institute of Neurology
London
WC1N 3BG
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/05/2018 Yes No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes

Editorial Notes

17/01/2019: Publication reference added.
18/04/2017: No publications found, verifying study status with principal investigator.