Delirium Clinical Trial
— confurivOfficial title:
A Randomized, Double-blind, Placebo-controlled Study of an Acetylcholinesterase Inhibitor in the Management of Delirium in Hospitalized Patients Aged 75 Years and Over
Verified date | July 2016 |
Source | Assistance Publique - Hôpitaux de Paris |
Contact | n/a |
Is FDA regulated | No |
Health authority | France: Ministry of Health |
Study type | Interventional |
The aim of this study is to evaluate the efficacy of an anticholinesterase treatment in
patients aged 75 and over, hospitalized with delirium.
Study type : Interventional Study design: randomized, double-blind, placebo-controlled study
during one month and a 11-month follow-up
Status | Completed |
Enrollment | 23 |
Est. completion date | February 2016 |
Est. primary completion date | August 2015 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 75 Years and older |
Eligibility |
Inclusion Criteria: - Patients aged 75 and over - Hospitalization for delirium not correlated to surgery for less than 48 hours - Patients with delirium requiring the presence of features 1 (acute onset and fluctuation course), 2 (inattention), 3 (disorganized thinking) and 4 (altered level of consciousness) of the Confusion Assessment Model and DRS R-98 > 10 - Absence of any contraindications to a cholinesterase inhibitor treatment - Health insurance affiliation - Having signed an informed consent form - Caregiver/informant to provide information on patient Exclusion Criteria: - Use of IAchE or memantine medication - Contraindication to IAchE medication - Frontotemporal dementia - Diseases involving the short-term survival - Digestive bleeding - Ischemic and hemorrhagic stroke related to actual onset (including hemorrhagic contusion) - Natremia =120 mmol/l at the time of hospitalization - Post epileptic confusion - Hepato-cellular failure - Cardiorespiratory impairment at risk of transfer to intensive care unit - Major sensory deficits that could interfere with cognitive assessment (visual and auditory) - Not fluent in French - Being under guardianship - Absence of caregiver/informant to sign informed consent form |
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
France | Pitié Salpetriere Hospital | Paris |
Lead Sponsor | Collaborator |
---|---|
Assistance Publique - Hôpitaux de Paris | Novartis Pharmaceuticals |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Hospital length of stay from randomization to declaration by investigator (MD) that patient can leave acute care | to a maximum of 12 months | No | |
Secondary | Percentage of patients with persistent delirium symptoms (DRS R-98 scale) | at day 14 | No | |
Secondary | Percentage of patients with persistent delirium symptoms (DRS R-98 scale) | at day 30 | No | |
Secondary | Percentage of patients with persistent delirium symptoms at day 30 (CAM scale) | at day 30 | No | |
Secondary | Percentage of patients with a dementia diagnosis at 12 months (according to the DSM IV criteria) | at 12 months | No |
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