Depression in Alzheimer's Disease-2

NCT ID: NCT00086138

Last Updated: 2017-04-11

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

131 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-07-31

Study Completion Date

2009-07-31

Brief Summary

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The purpose of this study is to learn whether treating individuals with Alzheimer's disease and depression with the anti-depressant medication sertraline (Zoloft) is helpful to people with Alzheimer's disease and to their families and caregivers.

Detailed Description

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Participants are randomly assigned to treatment with sertraline (range 25-125 mg per day) or identical placebo for 24 weeks. There are 8 scheduled in-person visits in the 24 weeks. Visits include neuropsychological testing. Caregivers are asked to are the patient on a Daily Affect Diary for 6 weeks during the study period. Telephone followup is done at weeks 36 and 48. Both groups receive caregiver support/education.

Conditions

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Alzheimer's Disease Depression

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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1

Participants will receive sertraline at a target dose of 100mg daily.

Group Type EXPERIMENTAL

Sertraline (Zoloft)

Intervention Type DRUG

Sertraline: range of 25 to 125 mg per day for 24 weeks

2

Participants will receive placebo matched to sertraline

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo designed to mimic sertraline taken daily for 24 weeks

Interventions

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Sertraline (Zoloft)

Sertraline: range of 25 to 125 mg per day for 24 weeks

Intervention Type DRUG

Placebo

Placebo designed to mimic sertraline taken daily for 24 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Ability of the participant, caregiver or surrogate to provide written informed consent.
* Dementia due to Alzheimer's disease
* Stable treatment for Alzheimer's disease
* Ability for the participant's caregiver to accompany the participant to study visits and participate in the study.

Exclusion

* Presence of a brain disease that might otherwise explain the presence of dementia
* Clinically significant hallucinations or delusions
* Current treatment of antipsychotics, anticonvulsants, and other antidepressants, benzodiazepines, or other psychotropic medications
* Need for hospitalization or residence in a nursing facility
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Mental Health (NIMH)

NIH

Sponsor Role collaborator

Johns Hopkins University

OTHER

Sponsor Role lead

Responsible Party

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Constantine G. Lyketsos

Chairman, Bayview Psychiatry

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Constantine G. Lyketsos, MD, MHS

Role: STUDY_CHAIR

Johns Hopkins University

Locations

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University of Southern California

Los Angeles, California, United States

Site Status

Johns Hopkins Hospital

Baltimore, Maryland, United States

Site Status

University of Rochester

Rochester, New York, United States

Site Status

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Medical University of South Carolina

North Charleston, South Carolina, United States

Site Status

Countries

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United States

References

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Rosenberg PB, Drye LT, Martin BK, Frangakis C, Mintzer JE, Weintraub D, Porsteinsson AP, Schneider LS, Rabins PV, Munro CA, Meinert CL, Lyketsos CG; DIADS-2 Research Group. Sertraline for the treatment of depression in Alzheimer disease. Am J Geriatr Psychiatry. 2010 Feb;18(2):136-45. doi: 10.1097/JGP.0b013e3181c796eb.

Reference Type RESULT
PMID: 20087081 (View on PubMed)

Drye LT, Martin BK, Frangakis CE, Meinert CL, Mintzer JE, Munro CA, Porsteinsson AP, Rabins PV, Rosenberg PB, Schneider LS, Weintraub D, Lyketsos CG; DIADS-2 Research Group. Do treatment effects vary among differing baseline depression criteria in depression in Alzheimer's disease study +/- 2 (DIADS-2)? Int J Geriatr Psychiatry. 2011 Jun;26(6):573-83. doi: 10.1002/gps.2565.

Reference Type DERIVED
PMID: 20672243 (View on PubMed)

Martin BK, Frangakis CE, Rosenberg PB, Mintzer JE, Katz IR, Porsteinsson AP, Schneider LS, Rabins PV, Munro CA, Meinert CL, Niederehe G, Lyketsos CG. Design of Depression in Alzheimer's Disease Study-2. Am J Geriatr Psychiatry. 2006 Nov;14(11):920-30. doi: 10.1097/01.JGP.0000240977.71305.ee.

Reference Type DERIVED
PMID: 17068314 (View on PubMed)

Other Identifiers

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U01MH066136

Identifier Type: NIH

Identifier Source: secondary_id

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DATR A4-GPX

Identifier Type: -

Identifier Source: secondary_id

U01MH066136

Identifier Type: NIH

Identifier Source: org_study_id

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