Unique ID issued by UMIN | UMIN000010556 |
---|---|
Receipt number | R000012342 |
Scientific Title | The efficacy and response of switching from either donepezil or galantamine to rivastigmine transdermal patch in Alzheimer disease: multi-modal neuroimaging analysis (structural and functional neuroimaging) of open-label, clinical trial |
Date of disclosure of the study information | 2013/04/24 |
Last modified on | 2015/04/22 10:30:47 |
The efficacy and response of switching
from either donepezil or galantamine to rivastigmine transdermal patch in Alzheimer disease: multi-modal neuroimaging analysis (structural and functional neuroimaging) of open-label, clinical trial
Multi-modal neuroimaging analysis
of open-trial of switching from either donepezil or galantamine to rivastigmine
The efficacy and response of switching
from either donepezil or galantamine to rivastigmine transdermal patch in Alzheimer disease: multi-modal neuroimaging analysis (structural and functional neuroimaging) of open-label, clinical trial
Multi-modal neuroimaging analysis
of open-trial of switching from either donepezil or galantamine to rivastigmine
Japan |
Alzheimer disease
Psychiatry |
Others
NO
The aim of this study is to examine the treatment effect and response of switching from either donepezil or galantamine to rivastigmine in both mild and moderate severity of Alzheimer disease used by multi-modal neuroimaging analysis
(structural and functional neuroimaging)
Efficacy
Exploratory
Pragmatic
Not applicable
multi-modal neuroimaging analysis
1 Structural neuroimaging analysis
Brain MRI:
voxel-based morphometry (VBM)
diffusion tensor imaging (DTI)
2 Functional neuroimaging analysis
single photon emission computed tomography (SPECT)
near-infrared spectroscopy (NIRS)
1 Cognitive assessment
Mini-Mental State Examination (MMSE)
Clock drawing test
The Alzheimer Disease Assessment Scale cognitive subscale (ADAS-cog)
Frontal assessment battery (FAB)
2 Behavior assessment
Clinical assessment for spontaneity (CAS)
Neuropsychiatry Inventory Questionnaire (NPI-Q)
Quality of life-Alzheimer Disease (QOL-AD) Scale
Interventional
Single arm
Non-randomized
Open -but assessor(s) are blinded
Uncontrolled
1
Treatment
Medicine |
The open-label, 12-month study evaluated the treatment effect and response of rivastigmine transdermal patch in Alzheimer patients who had previously failed to benefit from the treatment with either donepezil or
galantamine. The patients began treatment with 4.5mg twice daily. The total daily dose was increased to a maximum of 18 mg day.
Not applicable |
Not applicable |
Male and Female
A diagnosis of probable AD according to the National Institute of Neurological and Communication Disorders and Stroke Alzheimer Disease and Related Disorders Association criteria, very mild to mild , moderate functional severity, reliable informed consent could be obtained from the patient and or his her relatives, the chief caregiver is the patients family ,the patients Mini Mental State Examination score was less than 11,poor response was defined as the score of MMSE or ADASJ cog over the half of a year during the
treatment with either donepezil or
galantamine
either previous history or now taking other choline inhibitors (rivastigmine) and memantine, taking antipsychotic or antidepressant medication
,there was a previous history of mental
illness or substance abuse,either an MRI or a CT scan had revealed focal brain lesions,routine blood tests (including evaluation of serum vitamin B12 and thyroid function) were abnormal findings
, the patient has pacemaker, other findings in terms with the aims of this study
41
1st name | |
Middle name | |
Last name | Shutaro Nakaaki |
Keio University School of Medicine
Department of Neuropsychiatry, Laboratory of Aging, Behavior and Cognition
35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582 Japan
03-3353-1211
hzi05510@nifty.com
1st name | |
Middle name | |
Last name | Shutaro Nakaaki |
Keio University School of Medicine
Department of Neuropsychiatry, Laboratory of Aging, Behavior and Cognition
35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582 Japan
03-3353-1211
hzi05510@nifty.com
Department of Neuropsychiatry, Keio University School of Medicine,
none
Self funding
none
none
NO
慶應義塾大学病院(東京都) Keio University School of Medicine (Tokyo)
2013 | Year | 04 | Month | 24 | Day |
Unpublished
Completed
2013 | Year | 04 | Month | 08 | Day |
2013 | Year | 04 | Month | 24 | Day |
2015 | Year | 01 | Month | 31 | Day |
2015 | Year | 03 | Month | 30 | Day |
2015 | Year | 03 | Month | 30 | Day |
2015 | Year | 03 | Month | 30 | Day |
2013 | Year | 04 | Month | 21 | Day |
2015 | Year | 04 | Month | 22 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000012342