UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000009470
Receipt number R000011124
Scientific Title The efficacy and response of switching from donepezil to galantamine in Alzheimer disease: multi-modal neuroimaging analysis (structural and functional neuroimaging) of open-label, clinical trial
Date of disclosure of the study information 2012/12/24
Last modified on 2014/12/03 11:31:52

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Basic information

Public title

The efficacy and response of switching
from donepezil to galantamine in
Alzheimer disease: multi-modal neuroimaging analysis
(structural and functional neuroimaging) of open-label, clinical trial

Acronym

Multi-modal neuroimaging analysis
of open-trial of switching from donepezil to galantamine

Scientific Title

The efficacy and response of switching
from donepezil to galantamine in
Alzheimer disease: multi-modal neuroimaging analysis
(structural and functional neuroimaging) of open-label, clinical trial

Scientific Title:Acronym

Multi-modal neuroimaging analysis
of open-trial of switching from donepezil to galantamine

Region

Japan


Condition

Condition

Alzheimer disease

Classification by specialty

Psychiatry

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is to examine the treatment effect and response of switching from donepezil to galantamine in both mild and moderate severity of Alzheimer disease used by multi-modal neuroimaging analysis
(structural and functional neuroimaging)

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

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)

Key secondary outcomes

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's Disease (QOL-AD) Scale


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -but assessor(s) are blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

The open-label, 12-month study evaluated the treatment effect and response of galantamine in Alzheimers patients who had previously failed to benefit from the treatment with donepezil. The patients began treatment with galantamine 4mg twice daily. The total daily dose was increased by 16 mg day to a maximum of 24 mg day.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

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 donepezil.

Key exclusion criteria

either previous history or now taking other choline inhibitors (galantamine, 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, 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

Target sample size

38


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Shutaro Nakaaki

Organization

Keio University School of Medicine

Division name

Department of Neuropsychiatry, Laboratory of Aging, Behavior and Cognition

Zip code


Address

35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582 Japan

TEL

03-3353-1211

Email

hzi05510@nifty.com


Public contact

Name of contact person

1st name
Middle name
Last name Shutaro Nakaaki

Organization

Keio University School of Medicine

Division name

Department of Neuropsychiatry, Laboratory of Aging, Behavior and Cognition

Zip code


Address

35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582 Japan

TEL

03-3353-1211

Homepage URL


Email

hzi05510@nifty.com


Sponsor or person

Institute

Department of Neuropsychiatry, Keio University School of Medicine,

Institute

Department

Personal name



Funding Source

Organization

source funded by The National Center of Neurology and Psychiatry (NCNP)

Organization

Division

Category of Funding Organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

慶應義塾大学病院(東京都)   Keio University School of Medicine (Tokyo)


Other administrative information

Date of disclosure of the study information

2012 Year 12 Month 24 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2012 Year 10 Month 23 Day

Date of IRB


Anticipated trial start date

2012 Year 12 Month 10 Day

Last follow-up date

2015 Year 01 Month 31 Day

Date of closure to data entry

2015 Year 03 Month 31 Day

Date trial data considered complete

2015 Year 03 Month 31 Day

Date analysis concluded

2015 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2012 Year 12 Month 03 Day

Last modified on

2014 Year 12 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000011124


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name