跳至主要内容
临床试验/ISRCTN17411897
ISRCTN17411897已完成3 期

A pragmatic, multi-centre, double-blind, placebo controlled randomised trial to assess the safety, clinical and cost effectiveness of mirtazapine in patients with Alzheimer's Disease (AD) and agitated behaviours

niversity of Sussex0 个研究点目标入组 247 人开始时间: 2016年7月28日最近更新:

试验速览

阶段
3 期
状态
已完成
发起方
入组人数
247

研究概览

简要总结

2021 Results article in https://pubmed.ncbi.nlm.nih.gov/34688369/ (added 26/10/2021) 2023 Results article in https://pubmed.ncbi.nlm.nih.gov/37929672/ (added 06/11/2023)

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • 1. Aged 18 years and over
  • 2. Clinical diagnosis of probable or possible Alzheimer’s Disease using National Institute of Neurological and Communicative Disorders and Stroke and the Alzheimer’s Disease and Related Disorders Association (NINCDS/ADRDA) criteria
  • 3. A diagnosis of co-existing agitated behaviours
  • 4. Evidence that the agitated behaviours have not responded to management according to the AS/DH algorithm
  • 5. If receiving cholinesterase inhibitors or memantine, must be on a stable dose (defined as three months on current dose)
  • 6. A Cohen Mansfield Agitation Inventory score of 45 or greater
  • 7. Written informed consent to enter and be randomised into the trial or consultee agreement for those without capacity
  • 8. Availability of a suitable informant (consenting identifiable family carer or paid carer) to provide information on carer-completed outcome measures and who consents to take part in the trial

排除标准

  • Current exclusion criteria as of 28/01/2019:
  • 1. Current treatment with antidepressants (including monoamine oxidase inhibitors (MAOIs)), anticonvulsants, antipsychotics. Patients must have completed treatment with these medications at least two weeks before trial drug administration
  • 2. Contraindications to the administration of mirtazapine as per its current SmPCs
  • 3. Patients with atrioventricular block, a history of bone marrow depression or history of hepatic porphyrias
  • 4. Cases too critical for randomisation (ie where there is a suicide risk or where the patient presents a risk of harm to others)
  • 5. Female subjects under the age of 55 of childbearing potential, defined as follows: postmenopausal females who have not had at least 12 months of spontaneous amenorrhea or 6 months of spontaneous amenorrhoea with serum FSH>40mIU/ml or females who have not had a hysterectomy or bilateral oophorectomy at least 6 weeks prior to enrolment
  • Previous exclusion criteria:
  • 1. Current treatment with antidepressants (including monoamine oxidase inhibitors (MAOIs)), anticonvulsants, antipsychotics. Patients must have completed treatment with these medications at least two weeks before trial drug administration
  • 2. Contraindications to the administration of carbamazepine and mirtazapine as per their current SmPCs
  • 3. Patients with atrioventricular block, a history of bone marrow depression or history of hepatic porphyrias
  • 4. Cases too critical for randomisation (ie where there is a suicide risk or where the patient presents a risk of harm to others)
  • 5. Female subjects under the age of 55 of childbearing potential, defined as follows: postmenopausal females who have not had at least 12 months of spontaneous amenorrhea or 6 months of spontaneous amenorrhoea with serum FSH>40mIU/ml or females who have not had a hysterectomy or bilateral oophorectomy at least 6 weeks prior to enrolment

研究者

发起方
niversity of Sussex

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