Trial Outcomes & Findings for The Use of Galantamine HBr (Reminyl) in Electroconvulsive Therapy: Impact on Mood and Cognitive Functioning (NCT NCT00566735)

NCT ID: NCT00566735

Last Updated: 2012-12-03

Results Overview

This measure refers to the number of reported side effects experienced by participants during the study. The side effects were nausea, headache, dizziness, diarrhea, and vomiting.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

39 participants

Primary outcome timeframe

Participants were followed for the duration of hospital stay, an average of 3 weeks

Results posted on

2012-12-03

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo
Patients with major depression, bipolar disorder (depressed type) or schizoaffective disorder (depressed type) received placebo (sugar pills) and treatment-as-usual electroconvulsive therapy.
Galantamine
Patients with major depression, bipolar disorder (depressed type) or schizoaffective disorder (depressed type) received galantamine tablets 4 milligrams twice daily (increased every three days until a target of 8 milligrams twice daily) and treatment-as-usual electroconvulsive therapy.
Overall Study
STARTED
20
19
Overall Study
Withdrew Before Baseline Measures
2
7
Overall Study
COMPLETED
18
12
Overall Study
NOT COMPLETED
2
7

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Patients with major depression, bipolar disorder (depressed type) or schizoaffective disorder (depressed type) received placebo (sugar pills) and treatment-as-usual electroconvulsive therapy.
Galantamine
Patients with major depression, bipolar disorder (depressed type) or schizoaffective disorder (depressed type) received galantamine tablets 4 milligrams twice daily (increased every three days until a target of 8 milligrams twice daily) and treatment-as-usual electroconvulsive therapy.
Overall Study
Withdrawal by Subject
0
1
Overall Study
Refused neuropsychological testing
2
5
Overall Study
Switched into a manic episode
0
1

Baseline Characteristics

The Use of Galantamine HBr (Reminyl) in Electroconvulsive Therapy: Impact on Mood and Cognitive Functioning

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=18 Participants
Patients with major depression, bipolar disorder (depressed type) or schizoaffective disorder (depressed type) received placebo (sugar pills) and treatment-as-usual electroconvulsive therapy.
Galantamine
n=12 Participants
Patients with major depression, bipolar disorder (depressed type) or schizoaffective disorder (depressed type) received galantamine tablets 4 milligrams twice daily (increased every three days until a target of 8 milligrams twice daily) and treatment-as-usual electroconvulsive therapy.
Total
n=30 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
14 Participants
n=5 Participants
9 Participants
n=7 Participants
23 Participants
n=5 Participants
Age, Categorical
>=65 years
4 Participants
n=5 Participants
3 Participants
n=7 Participants
7 Participants
n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
6 Participants
n=7 Participants
17 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
6 Participants
n=7 Participants
13 Participants
n=5 Participants
Wechsler Abbreviated Scale of Intelligence (WASI)
102.16 WASI Score
STANDARD_DEVIATION 18.21 • n=5 Participants
104.57 WASI Score
STANDARD_DEVIATION 12.35 • n=7 Participants
103.12 WASI Score
STANDARD_DEVIATION 15.87 • n=5 Participants
Hamilton Depression Rating Scale 17 (HAM-D-17)
27.33 HAM-D-17 Score
STANDARD_DEVIATION 4.33 • n=5 Participants
24.53 HAM-D-17 Score
STANDARD_DEVIATION 4.33 • n=7 Participants
26.21 HAM-D-17 Score
STANDARD_DEVIATION 4.33 • n=5 Participants
Subjective Mood
8.0 Subjective Mood Score
STANDARD_DEVIATION 1.54 • n=5 Participants
7.88 Subjective Mood Score
STANDARD_DEVIATION 1.93 • n=7 Participants
7.95 Subjective Mood Score
STANDARD_DEVIATION 1.70 • n=5 Participants
Clinical-Global Impressions - Severity (CGI-S)
4.75 CGI-S Score
STANDARD_DEVIATION 0.62 • n=5 Participants
4.41 CGI-S Score
STANDARD_DEVIATION 0.87 • n=7 Participants
4.61 CGI-S Score
STANDARD_DEVIATION .72 • n=5 Participants
Modified Mini Mental Status Exam (3MSE)
91.72 3MSE Score
STANDARD_DEVIATION 8.05 • n=5 Participants
90.41 3MSE Score
STANDARD_DEVIATION 5.48 • n=7 Participants
91.20 3MSE Score
STANDARD_DEVIATION 7.02 • n=5 Participants

PRIMARY outcome

Timeframe: Participants were followed for the duration of hospital stay, an average of 3 weeks

This measure refers to the number of reported side effects experienced by participants during the study. The side effects were nausea, headache, dizziness, diarrhea, and vomiting.

Outcome measures

Outcome measures
Measure
Placebo
n=18 Participants
Patients with major depression, bipolar disorder (depressed type) or schizoaffective disorder (depressed type) received placebo (sugar pills) and treatment-as-usual electroconvulsive therapy.
Galantamine
n=12 Participants
Patients with major depression, bipolar disorder (depressed type) or schizoaffective disorder (depressed type) received galantamine tablets 4 milligrams twice daily (increased every three days until a target of 8 milligrams twice daily) and treatment-as-usual electroconvulsive therapy.
Number of Side Effects
19 Number of reported side effects
13 Number of reported side effects

SECONDARY outcome

Timeframe: Participants were questioned at baseline and after their last electroconvulsive therapy treatment

This measure refers to participants' scores on the Delayed Memory Index (DMI) compared from baseline (before first ECT) to discharge (after last ECT). The score can range from 40 to 137. The higher the score, the better, in terms of cognitive functioning.

Outcome measures

Outcome measures
Measure
Placebo
n=18 Participants
Patients with major depression, bipolar disorder (depressed type) or schizoaffective disorder (depressed type) received placebo (sugar pills) and treatment-as-usual electroconvulsive therapy.
Galantamine
n=12 Participants
Patients with major depression, bipolar disorder (depressed type) or schizoaffective disorder (depressed type) received galantamine tablets 4 milligrams twice daily (increased every three days until a target of 8 milligrams twice daily) and treatment-as-usual electroconvulsive therapy.
Cognitive Functioning
Pre-ECT
80.33 Score on the DMI
Standard Deviation 17.87
88.75 Score on the DMI
Standard Deviation 15.64
Cognitive Functioning
Post-ECT
68.50 Score on the DMI
Standard Deviation 22.65
88.17 Score on the DMI
Standard Deviation 19.84

SECONDARY outcome

Timeframe: Participants were questioned at baseline

This measure refers to the Hamilton Rating Scale for Depression-17 scores (HAM-D-17) which can range from 0 to 50, with \<7 referring to mild-to-no depression, and \>23 referring to severe depression.

Outcome measures

Outcome measures
Measure
Placebo
n=18 Participants
Patients with major depression, bipolar disorder (depressed type) or schizoaffective disorder (depressed type) received placebo (sugar pills) and treatment-as-usual electroconvulsive therapy.
Galantamine
n=12 Participants
Patients with major depression, bipolar disorder (depressed type) or schizoaffective disorder (depressed type) received galantamine tablets 4 milligrams twice daily (increased every three days until a target of 8 milligrams twice daily) and treatment-as-usual electroconvulsive therapy.
Baseline Depressive Symptoms
24.53 Score on the HAM-D-17
Standard Deviation 4.33
27.33 Score on the HAM-D-17
Standard Deviation 4.33

Adverse Events

Placebo

Serious events: 0 serious events
Other events: 19 other events
Deaths: 0 deaths

Galantamine

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Placebo
n=19 participants at risk
Patients with major depression, bipolar disorder (depressed type) or schizoaffective disorder (depressed type) received placebo (sugar pills) and treatment-as-usual electroconvulsive therapy.
Galantamine
n=18 participants at risk
Patients with major depression, bipolar disorder (depressed type) or schizoaffective disorder (depressed type) received galantamine tablets 4 milligrams twice daily (increased every three days until a target of 8 milligrams twice daily) and treatment-as-usual electroconvulsive therapy.
General disorders
nausea
15.8%
3/19 • Number of events 3
11.1%
2/18 • Number of events 2
General disorders
headache
26.3%
5/19 • Number of events 5
16.7%
3/18 • Number of events 3
General disorders
dizziness
21.1%
4/19 • Number of events 4
16.7%
3/18 • Number of events 3
Gastrointestinal disorders
diarrhea
21.1%
4/19 • Number of events 4
11.1%
2/18 • Number of events 2
Gastrointestinal disorders
vomiting
15.8%
3/19 • Number of events 3
16.7%
3/18 • Number of events 3

Additional Information

Dr. John Matthews

Massachusetts General Hospital

Phone: 617-724-0847

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place