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临床试验/DRKS00000103
DRKS00000103已完成3 期

A 12-week, multicenter, randomized, double-blind, placebo-controlled trial of Bupropion for the treatment of apathy in Alzheimer's Dementia - Apa-AD

Rheinische Friedrich-Wilhelms-Universität Bonn0 个研究点目标入组 140 人开始时间: 2010年1月22日最近更新:
适应症

试验速览

阶段
3 期
状态
已完成
入组人数
140

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional
分配方式
Randomized controlled study
盲法
Blinded (masking used)

入排标准

年龄范围
55 Years 至 90 Years(—)
性别
All

入选标准

  • Mild to moderate Alzheimer's dementia, male and female
  • (NINCDS/ADRDA criteria)
  • Presence of clinically relevant apathy defined by the Neuropsychiatric Inventory (NPI) apathy item (score of >/= 4 points) and the Marin/Starkstein criteria for apathy
  • MMSE: 10-25
  • Age: 55-90
  • Outpatient status, not institutionalized
  • Presence of reliable caregiver
  • Stable treatment with antidementia drugs for at least three month

排除标准

  • Other Dementia (e.g. vascular dementia, Lewy-body dementia, fronto-temporal dementia)
  • Presence of a clinically relevant depression defined by either the NPI depression item (score >/= 4 points) or DSM-IV criteria for major depressive episode (with depressed mood)
  • Alcoholism and Benzodiazepine addiction
  • Current treatment with antipsychotics and antidepressants (including St. John’s wart)
  • Current treatment with dopaminergic agents or Amantadin
  • Current treatment with benzodiazepines
  • Current treatment with MAO inhibitor (Bupropion contraindication)
  • Known sensibility to Bupropion treatment
  • Severe psychiatric disease (including hospitalization) in the last 6 months, suicide attempt, acute psychotic symptoms
  • Severe physical illness, that do not allow a participation in a 12-week period of treatment
  • Medical history with seizures
  • Medical history with tumors of the central nervous system
  • Severe craniocerebral injury and medical history with cerebral substance defect
  • Clinically relevant renal disease, liver insufficiency
  • Simultaneous treatment, which reduces the seizure threshold (e.g. antipsychotics, antidepressants, antimalarial agents, Tramadol, Theophyllin, systemic steroids in higher dose, Chinolone, sedative antihistamines)
  • Simultaneous treatment, which is metabolized through Cytochrom P450-Isoenzym 2D6 (e.g. these beta blockers: Metoprolol, Proanolol, Timolol, Carvediol, Nebivolol, Typ-1C-Antiarrhyhtmics for e.g. Propafenon, Flecinid) (except Donepezil and Galantamin)
  • Simultaneous treatment with drugs, which may interfere with the metabolization of Bupropion (e.g. Carbamazepin, Phenytoin, Valproat, Ritonavir, Lopinavir)
  • Diabetes mellitus, which is therapeutically poorly regulated and treated by medication
  • Treatment with stimulants and appetite depressants
  • Participation in other clinical trials with in the last 3 months
  • Suicidal tendency
  • Known lactose intolerance

研究者

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