Comparative Efficacy, Safety, and Tolerability of Rivastigmine 10 and 15 cm^2 Patch in Patients With Alzheimer's Disease (AD) Showing Cognitive Decline

NCT ID: NCT00506415

Last Updated: 2012-09-19

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1584 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-06-30

Study Completion Date

2011-05-31

Brief Summary

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The purpose of this study was to support the optimal use of rivastigmine patch in long-term treatment of Alzheimer's Disease in patients demonstrating functional and cognitive decline at the target maintenance dose of rivastigmine patch 10 cm\^2.

Detailed Description

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Conditions

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Alzheimer Disease

Keywords

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Alzheimer's Patch Cognitive Decline

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Open label: Rivastigmine (5 cm^2 / 10 cm^2)

Rivastigmine 5 cm\^2 transdermal patch once a day during the first 4 weeks of open label treatment followed by rivastigmine 10 cm\^2 transdermal patch once a day from week 4 to week 24, 36 or 48.

Group Type EXPERIMENTAL

Rivastigmine 5 cm^2

Intervention Type DRUG

5 cm\^2 transdermal patch

Rivastigmine 10 cm^2

Intervention Type DRUG

10 cm\^2 transdermal patch.

Double blind: Rivastigmine (10 cm^2)

Rivastigmine transdermal patch 10 cm\^2 and placebo to rivastigmine 15 cm\^2 once daily for 48 weeks during the double blind period.

Group Type EXPERIMENTAL

Rivastigmine 10 cm^2

Intervention Type DRUG

10 cm\^2 transdermal patch.

Placebo to 15 cm^2 patch

Intervention Type DRUG

Placebo of rivastigmine transdermal patch 15 cm\^2.

Double blind: Rivastigmine (15 cm^2)

Rivastigmine transdermal patch 15 cm\^2 and placebo to rivastigmine 10 cm\^2 once daily for 48 weeks during double blind period.

Group Type EXPERIMENTAL

Rivastigmine 15 cm^2

Intervention Type DRUG

15 cm\^2 transdermal patch.

Placebo to 10 cm^2 patch

Intervention Type DRUG

Placebo of rivastigmine transdermal patch 10 cm\^2.

Extended open label Rivastigmine (10 cm^2)

Rivastigmine 10 cm\^2 transdermal patch once a day during 48 weeks open label treatment running in parallel to the double blind period.

Group Type EXPERIMENTAL

Rivastigmine 10 cm^2

Intervention Type DRUG

10 cm\^2 transdermal patch.

Interventions

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Rivastigmine 5 cm^2

5 cm\^2 transdermal patch

Intervention Type DRUG

Rivastigmine 10 cm^2

10 cm\^2 transdermal patch.

Intervention Type DRUG

Rivastigmine 15 cm^2

15 cm\^2 transdermal patch.

Intervention Type DRUG

Placebo to 15 cm^2 patch

Placebo of rivastigmine transdermal patch 15 cm\^2.

Intervention Type DRUG

Placebo to 10 cm^2 patch

Placebo of rivastigmine transdermal patch 10 cm\^2.

Intervention Type DRUG

Other Intervention Names

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Exelon® Exelon® Exelon®

Eligibility Criteria

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Inclusion Criteria

* Male or female patients between 50 and 85 years of age with a diagnosis of probable Alzheimers Disease,
* Baseline Mini-Mental State Examination (MMSE) score 10-24 inclusive,
* A primary caregiver willing to accept responsibility for supervising treatment, assessing the patient's condition throughout the study, and for providing input into efficacy assessments.
* For double blind only: Meet the decline criteria of functional (as assessed by the investigator) and cognitive (assessed by a 1 point reduction in Mini-Mental State Examination) score between visits or a 3 point reduction from baseline) decline at weeks 23, 36 or 48.

Exclusion Criteria

* Presence of an advanced, severe, progressive, or unstable disease of any type that could interfere with efficacy and safety assessments or put the patient at particular risk,
* Any medical or neurological condition other than Alzheimers Disease that could explain the patient's dementia,
* A diagnosis of probable or possible vascular dementia,
* A current diagnosis of unsuccessfully-treated depression, or any other mental disorder that may interfere with the evaluation of the patient's response to study medication,
* A history or current diagnosis of cerebrovascular disease (e.g. stroke),
* A current diagnosis of severe or unstable cardiovascular disease (e.g. unstable coronary artery disease).
Minimum Eligible Age

50 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Novartis investigative site

Birmingham, Alabama, United States

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Gilbert, Arizona, United States

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Phoenix, Arizona, United States

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Sun City, Arizona, United States

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Anaheim, California, United States

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Carson, California, United States

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Costa Mesa, California, United States

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Fullerton, California, United States

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La Habra, California, United States

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La Jolla, California, United States

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National City, California, United States

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Redlands, California, United States

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San Francisco, California, United States

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Fort Collins, Colorado, United States

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Longmont, Colorado, United States

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Boca Raton, Florida, United States

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Bradenton, Florida, United States

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Deerfield Beach, Florida, United States

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Delray Beach, Florida, United States

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Fort Lauderdale, Florida, United States

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Gainesville, Florida, United States

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Miami Beach, Florida, United States

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Pompano Beach, Florida, United States

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Port Charlotte, Florida, United States

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Sunrise, Florida, United States

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West Palm Beach, Florida, United States

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Atlanta, Georgia, United States

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Macon, Georgia, United States

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Honolulu, Hawaii, United States

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Chicago, Illinois, United States

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Springfield, Massachusetts, United States

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Flint, Michigan, United States

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Flushing, Michigan, United States

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Roseville, Michigan, United States

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Traverse City, Michigan, United States

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Hattiesburg, Mississippi, United States

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Ocean Springs, Mississippi, United States

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Columbia, Missouri, United States

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Nutley, New Jersey, United States

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Albany, New York, United States

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Syracuse, New York, United States

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Greensboro, North Carolina, United States

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Morganton, North Carolina, United States

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Winston-Salem, North Carolina, United States

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Charleston, West Virginia, United States

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Huntington, West Virginia, United States

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Bad Neustadt/Saale, , Germany

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Palma de Mallorca, , Spain

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Basel, , Switzerland

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Biel, , Switzerland

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Mendrisio, , Switzerland

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Countries

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United States Canada France Germany Italy Spain Switzerland

References

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Molinuevo JL, Frolich L, Grossberg GT, Galvin JE, Cummings JL, Krahnke T, Strohmaier C. Responder analysis of a randomized comparison of the 13.3 mg/24 h and 9.5 mg/24 h rivastigmine patch. Alzheimers Res Ther. 2015 Mar 8;7(1):9. doi: 10.1186/s13195-014-0088-8. eCollection 2015.

Reference Type DERIVED
PMID: 25755685 (View on PubMed)

Grossberg G, Cummings J, Frolich L, Bellelli G, Molinuevo JL, Krahnke T, Strohmaier C. Efficacy of higher dose 13.3 mg/24 h rivastigmine patch on instrumental activities of daily living in patients with mild-to-moderate Alzheimer's disease. Am J Alzheimers Dis Other Demen. 2013 Sep;28(6):583-91. doi: 10.1177/1533317513495104.

Reference Type DERIVED
PMID: 23982674 (View on PubMed)

Other Identifiers

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CENA713D2340

Identifier Type: -

Identifier Source: org_study_id