A Randomised Placebo Controlled Trial of a Cholinesterase Inhibitor in the Management of Agitation in Dementia that is Unresponsive to a Psychological Intervention

ISRCTN ISRCTN62185868
DOI https://doi.org/10.1186/ISRCTN62185868
ClinicalTrials.gov (NCT) NCT00142324
Protocol serial number G0100070
Sponsor King's College London (UK)
Funder Medical Research Council (MRC) (UK)
Submission date
21/09/2000
Registration date
21/09/2000
Last edited
07/09/2009
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

Dr Robert Howard
Scientific

Division of Psychological Medicine
Institute of Psychiatry
De Crespigny Park
London
SE5 8AF
United Kingdom

Study information

Primary study designInterventional
Study designRandomised controlled trial
Secondary study designRandomised controlled trial
Scientific title
Study acronymCALM-AD Trial
Study objectivesTo determine whether risperidone or donepezil are significantly better than placebo respectively in the management of agitation in AD that has not responded to, or is inappropriate for a standardized brief psychosocial treatment (BPST).
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedNeurosciences, psychiatry
InterventionRandomised to receive:
1. Risperidone 0.5-1.0 mg
2. Donepezil 5-10mg
3. Placebo
For 12 weeks.
Intervention typeDrug
PhaseNot Specified
Drug / device / biological / vaccine name(s)Donepezil
Primary outcome measure(s)

A reduction in score on the Cohen Mansfield Agitation Inventory.

Key secondary outcome measure(s)

Not provided at time of registration

Completion date30/04/2006

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexNot Specified
Target sample size at registration285
Key inclusion criteria1. Probable or possible Alzheimer's disease (AD)
2. Clinically significant agitation
3. Age >39 years
4. Resident in care facility or community resident with carer
5. Not receiving treatment with neuroleptics or chlornesterase inhibitors
6. Carer with capacity to consent.
Key exclusion criteria1. Known sensitivity to donepezil or resperidone
2. Severe, unstable or uncontrolled medical conditions apparent from history, physical examination or investigations
3. Current evidence of delirium
4. Patient meets criteria for Probable Dementia with Lewy Bodies (McKeith et al, 1996)
5. Low probability of treatment compliance
Date of first enrolment01/11/2003
Date of final enrolment30/04/2006

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

Division of Psychological Medicine
London
SE5 8AF
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 04/10/2007 Yes No