Trial Outcomes & Findings for The Use of Galantamine (Reminyl ER) in Patients With MIXed Dementia: Effects on Cognition and Quality of Life (NCT NCT00814658)

NCT ID: NCT00814658

Last Updated: 2013-08-26

Results Overview

The Two-choice reaction time test is a computerized attention test in which the numbers one or five were presented in the center of the computer screen in a random order. The patient had to press the correspondent button in the response box as quickly as possible. The patient's right finger was put over the button five and the left finger over button one before the test begun. The reaction time, assessed 100 times per patient, was averaged at each time point for each patient e.g., at baseline, Week 8 and Week 24.This test is part of the Computerized Neuropsychological Test Battery (CNTB).

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

22 participants

Primary outcome timeframe

Baseline, Week 8, Week 24

Results posted on

2013-08-26

Participant Flow

22 patients were enrolled in the study, but one (1) patient was excluded from the study because the patient has died before study medication use. Therefore, the study was formed by 21 patients that used at least 1 study medication dose and had at least 1 evaluation after started use (Intention to Treat (ITT) population).

Participant milestones

Participant milestones
Measure
Galantamine + Nimodipine
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Overall Study
STARTED
9
12
Overall Study
COMPLETED
5
8
Overall Study
NOT COMPLETED
4
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Galantamine + Nimodipine
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Overall Study
Lost to Follow-up
0
1
Overall Study
Physician Decision
1
0
Overall Study
Adverse Event
3
3

Baseline Characteristics

The Use of Galantamine (Reminyl ER) in Patients With MIXed Dementia: Effects on Cognition and Quality of Life

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Galantamine + Nimodipine
n=9 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo
n=12 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Total
n=21 Participants
Total of all reporting groups
Age Continuous
78.1 years
STANDARD_DEVIATION 5.3 • n=5 Participants
74.3 years
STANDARD_DEVIATION 6.5 • n=7 Participants
76.0 years
STANDARD_DEVIATION 6.2 • n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
10 Participants
n=7 Participants
15 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
2 Participants
n=7 Participants
6 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, Week 8, Week 24

Population: Intent to Treat population, which consisted of all participants who used at least 1 study medication dose, had at least 1 evaluation after started use, and with evaluable data at each measurement time point.

The Simple Reaction Time is a computerized attention test that evaluates the patient's reaction time. The number one was presented in the center of the computer screen and the patient had to press this number in the response box as quickly as possible. The reaction time, assessed 100 times per patient, was averaged at each time point for each patient e.g., at baseline, Week 8 and Week 24. The patient's finger was put over button one before the test begun. This test is part of the Computerized Neuropsychological Test Battery (CNTB).

Outcome measures

Outcome measures
Measure
Galantamine + Nimodipine (Baseline)
n=9 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Baseline)
n=12 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 8)
n=5 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 8)
n=9 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 24)
n=5 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 24)
n=8 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 24)
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 24)
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Reaction Time for Simple Reaction Time Test at Baseline, Week 8, and Week 24
1024.06 milliseconds
Standard Deviation 1307.97
729.18 milliseconds
Standard Deviation 394.88
466.60 milliseconds
Standard Deviation 297.53
671.33 milliseconds
Standard Deviation 298.38
467.60 milliseconds
Standard Deviation 336.69
584.44 milliseconds
Standard Deviation 320.37

PRIMARY outcome

Timeframe: Baseline, Week 8, Week 24

Population: Intent to Treat population, which consisted of all participants who used at least 1 study medication dose, had at least 1 evaluation after started use, and with evaluable data at each measurement time point.

The Two-choice reaction time test is a computerized attention test in which the numbers one or five were presented in the center of the computer screen in a random order. The patient had to press the correspondent button in the response box as quickly as possible. The patient's right finger was put over the button five and the left finger over button one before the test begun. The reaction time, assessed 100 times per patient, was averaged at each time point for each patient e.g., at baseline, Week 8 and Week 24.This test is part of the Computerized Neuropsychological Test Battery (CNTB).

Outcome measures

Outcome measures
Measure
Galantamine + Nimodipine (Baseline)
n=9 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Baseline)
n=12 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 8)
n=5 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 8)
n=9 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 24)
n=5 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 24)
n=8 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 24)
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 24)
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Reaction Time for Two-choice Reaction Time Test at Baseline, Week 8, and Week 24
1919.72 milliseconds
Standard Deviation 1801.13
1096.75 milliseconds
Standard Deviation 617.45
852.70 milliseconds
Standard Deviation 480.79
1187.78 milliseconds
Standard Deviation 637.60
727.60 milliseconds
Standard Deviation 375.03
1116.25 milliseconds
Standard Deviation 540.91

PRIMARY outcome

Timeframe: Baseline, Week 8, Week 24

Population: Intent to Treat population, which consisted of all participants who used at least 1 study medication dose, had at least 1 evaluation after started use, and with evaluable data at each measurement time point.

The face recognition test is a computerized attention test in which ten unfamiliar faces were presented simultaneously on the computer screen for ten seconds to be remembered. After that, a single face was shown and the patient had to press the button one if he/she remembered or, otherwise, button five. It consisted of a random presentation of ten pre-exposed faces and ten new faces as distracters. The reaction time, assessed per patient, was averaged at each time point for each patient e.g., at baseline, Weeks 8 and 24. This test is part of the Computerized Neuropsychological Test Battery.

Outcome measures

Outcome measures
Measure
Galantamine + Nimodipine (Baseline)
n=9 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Baseline)
n=12 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 8)
n=5 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 8)
n=9 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 24)
n=5 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 24)
n=8 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 24)
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 24)
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Reaction Time for Face Recognition Test at Baseline, Week 8, and Week 24
3124.00 milliseconds
Standard Deviation 1461.46
2684.45 milliseconds
Standard Deviation 1315.44
2262.50 milliseconds
Standard Deviation 803.30
2734.25 milliseconds
Standard Deviation 1252.62
2357.80 milliseconds
Standard Deviation 1919.72
3099.38 milliseconds
Standard Deviation 1823.80

PRIMARY outcome

Timeframe: Baseline, Week 8, Week 24

Population: Intent to Treat population, which consisted of all participants who used at least 1 study medication dose, had at least 1 evaluation after started use, and with evaluable data at each measurement time point.

The reaction time for word recognition and learning test is a computerized attention test that evaluates the patient's reaction time. This test is similar to the Face Recognition test procedure using Words. The recognition procedure was repeated three times to evaluate a learning effect. The reaction time, assessed per patient, was averaged at each time point for each patient e.g., at baseline, Week 8 and Week 24. This test is part of the Computerized Neuropsychological Test Battery (CNTB).

Outcome measures

Outcome measures
Measure
Galantamine + Nimodipine (Baseline)
n=9 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Baseline)
n=12 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 8)
n=5 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 8)
n=9 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 24)
n=5 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 24)
n=8 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 24)
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 24)
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Reaction Time for Word Recognition and Learning Test at Baseline, Week 8, and Week 24
2022.17 milliseconds
Standard Deviation 672.08
2978.77 milliseconds
Standard Deviation 1867.62
1966.40 milliseconds
Standard Deviation 1252.10
2379.83 milliseconds
Standard Deviation 984.52
1722.00 milliseconds
Standard Deviation 1174.22
3038.81 milliseconds
Standard Deviation 1243.79

PRIMARY outcome

Timeframe: Baseline, Week 8, Week 24

Population: Intent to Treat population, which consisted of all participants who used at least 1 study medication dose, had at least 1 evaluation after started use, and with evaluable data at each measurement time point.

The Quality of Life assessment scale for caregivers of patients with Alzheimer's disease (QoL-AD) is a 13-item scale with four possible scores for each question (score 1: poor and score 4: excellent). It evaluates the caregivers own perceived quality of life. Total score ranges from 13 to 52. Higher scores represent a better outcome.

Outcome measures

Outcome measures
Measure
Galantamine + Nimodipine (Baseline)
n=9 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Baseline)
n=12 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 8)
n=5 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 8)
n=9 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 24)
n=5 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 24)
n=8 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 24)
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 24)
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
The Quality of Life Assessment for Caregivers of Patients With Alzheimer's Disease (QoL- AD) Total Scores at Baseline, Week 8, Week 24
34.00 scores on a scale
Standard Deviation 6.98
36.50 scores on a scale
Standard Deviation 7.40
32.00 scores on a scale
Standard Deviation 9.03
33.56 scores on a scale
Standard Deviation 6.84
36.60 scores on a scale
Standard Deviation 4.56
34.88 scores on a scale
Standard Deviation 6.83

PRIMARY outcome

Timeframe: Baseline, Week 8, Week 24

Population: Intent to Treat population, which consisted of all participants who used at least 1 study medication dose, had at least 1 evaluation after started use, and with evaluable data at each measurement time point.

The Quality of Life assessment scale for patients with Alzheimer's disease (QoL-AD) is a 13-item scale with four possible scores for each question (score 1: poor and score 4: excellent). Total score ranges from 13 to 52. Higher scores represent a better outcome.

Outcome measures

Outcome measures
Measure
Galantamine + Nimodipine (Baseline)
n=9 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Baseline)
n=12 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 8)
n=5 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 8)
n=9 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 24)
n=5 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 24)
n=7 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 24)
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 24)
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
The Quality of Life Assessment for Patients With Alzheimer's Disease (QoL- AD) Total Scores at Baseline, Week 8, Week 24
33.56 scores on a scale
Standard Deviation 5.59
32.67 scores on a scale
Standard Deviation 7.02
35.60 scores on a scale
Standard Deviation 3.71
33.11 scores on a scale
Standard Deviation 4.68
36.60 scores on a scale
Standard Deviation 6.23
33.86 scores on a scale
Standard Deviation 5.27

PRIMARY outcome

Timeframe: Baseline, Week 8, Week 24

Population: Intent to Treat population, which consisted of all participants who used at least 1 study medication dose, had at least 1 evaluation after started use, and with evaluable data at each measurement time point.

The Quality of Life assessment scale for patients with Alzheimer's disease (QoL-AD), according to the opinion of the caregiver is a 13-item scale with four possible scores for each question (score 1: poor and score 4: excellent). It evaluates the opinion of the caregiver about the patient's quality of life. Total score ranges from 13 to 52. Higher scores represent a better outcome.

Outcome measures

Outcome measures
Measure
Galantamine + Nimodipine (Baseline)
n=9 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Baseline)
n=12 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 8)
n=5 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 8)
n=9 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 24)
n=5 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 24)
n=8 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 24)
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 24)
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
The Quality of Life Assessment for Patients With Alzheimer's Disease (QoL- AD) Total Scores, Based on the Caregiver's Opinion, at Baseline, Week 8, Week 24
28.33 scores on a scale
Standard Deviation 8.62
29.33 scores on a scale
Standard Deviation 8.08
27.80 scores on a scale
Standard Deviation 5.36
29.78 scores on a scale
Standard Deviation 6.69
29.80 scores on a scale
Standard Deviation 5.76
29.13 scores on a scale
Standard Deviation 7.00

SECONDARY outcome

Timeframe: Baseline, Week 8, Week 24

Population: Intent to Treat population, which consisted of all participants who used at least 1 study medication dose, had at least 1 evaluation after started use, and with evaluable data at each measurement time point.

The ADAS-Cog is a psychometric instrument that evaluates memory, attention, reasoning, language, orientation and praxis using an 11-point Assessment Scale. It has a minimum score of 0 and a maximum severity score of 70, and a higher score indicates more impairment.

Outcome measures

Outcome measures
Measure
Galantamine + Nimodipine (Baseline)
n=9 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Baseline)
n=11 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 8)
n=5 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 8)
n=9 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 24)
n=5 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 24)
n=8 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 24)
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 24)
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
The Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog) at Baseline, Week 8, and Week 24
30.40 scores on a scale
Standard Deviation 13.81
28.20 scores on a scale
Standard Deviation 11.06
25.10 scores on a scale
Standard Deviation 9.21
31.03 scores on a scale
Standard Deviation 11.45
25.02 scores on a scale
Standard Deviation 9.75
27.70 scores on a scale
Standard Deviation 12.16

SECONDARY outcome

Timeframe: Week 4, Week 8, Week 16, Week 24

Population: Intent to Treat population, which consisted of all participants who used at least 1 study medication dose, had at least 1 evaluation after started use, and with evaluable data at each measurement time point.

The Clinical Global Impression (CGI) is a scale to assess treatment response in patients with mental disorders. The Clinical Global Impression Improvement scale (CGI-I) requires the clinician to rate how much the patient's illness has improved or worsened relative to a baseline state. A patient's illness is compared to change over time and rated as: very much improved, much improved, minimally improved, no change, minimally worse, much worse, or very much worse.

Outcome measures

Outcome measures
Measure
Galantamine + Nimodipine (Baseline)
n=7 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Baseline)
n=10 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 8)
n=5 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 8)
n=9 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 24)
n=5 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 24)
n=8 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 24)
n=5 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 24)
n=8 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
The Clinical Global Impression (CGI) at Week 4, Week 8, Week 16, and Week 24
Very much improved
0 participants
0 participants
0 participants
0 participants
0 participants
0 participants
0 participants
0 participants
The Clinical Global Impression (CGI) at Week 4, Week 8, Week 16, and Week 24
Much improved
1 participants
1 participants
0 participants
1 participants
1 participants
0 participants
1 participants
2 participants
The Clinical Global Impression (CGI) at Week 4, Week 8, Week 16, and Week 24
Minimally improved
1 participants
5 participants
2 participants
6 participants
2 participants
3 participants
3 participants
4 participants
The Clinical Global Impression (CGI) at Week 4, Week 8, Week 16, and Week 24
No change
4 participants
4 participants
2 participants
2 participants
1 participants
5 participants
1 participants
1 participants
The Clinical Global Impression (CGI) at Week 4, Week 8, Week 16, and Week 24
Minimally worse
1 participants
0 participants
1 participants
0 participants
1 participants
0 participants
0 participants
1 participants
The Clinical Global Impression (CGI) at Week 4, Week 8, Week 16, and Week 24
Much worse
0 participants
0 participants
0 participants
0 participants
0 participants
0 participants
0 participants
0 participants
The Clinical Global Impression (CGI) at Week 4, Week 8, Week 16, and Week 24
Very much worse
0 participants
0 participants
0 participants
0 participants
0 participants
0 participants
0 participants
0 participants

SECONDARY outcome

Timeframe: Baseline, Week 8, Week 24

Population: Intent to Treat population, which consisted of all participants who used at least 1 study medication dose, had at least 1 evaluation after started use, and with evaluable data at each measurement time point.

The NPI evaluates 12 neuropsychiatric domains: delusions, hallucinations, dysphoria, anxiety, aggression, euphoria, dis-inhibition, irritability/lability, apathy, aberrant motor activity, eating disorders, and night-time behavior disturbances. For present domains, the severity and frequency of the behavior are determined. Frequency is rated 1 (rarely) to 4 (very often) and Severity is scored 1 (mild) to 3 (severe). The product scores vary from 1 (mild and rarely) to 12 (very often and severe). Total scores vary from 0 (no present domain) to 144 (all domains are present, are often and severe).

Outcome measures

Outcome measures
Measure
Galantamine + Nimodipine (Baseline)
n=9 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Baseline)
n=12 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 8)
n=5 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 8)
n=12 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 24)
n=5 Participants
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 24)
n=8 Participants
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Galantamine + Nimodipine (Week 24)
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo (Week 24)
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
The Neuropsychiatric Inventory (NPI) at Baseline, Week 8, and Week 24
24.0 scores on a scale
Standard Deviation 14.72
26.92 scores on a scale
Standard Deviation 20.66
20.20 scores on a scale
Standard Deviation 8.67
22.11 scores on a scale
Standard Deviation 17.93
15.00 scores on a scale
Standard Deviation 11.55
19.75 scores on a scale
Standard Deviation 16.58

Adverse Events

Galantamine + Nimodipine

Serious events: 1 serious events
Other events: 8 other events
Deaths: 0 deaths

Galantamine + Placebo

Serious events: 1 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Galantamine + Nimodipine
n=9 participants at risk
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo
n=12 participants at risk
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Injury, poisoning and procedural complications
Fall
11.1%
1/9 • 24 weeks
0.00%
0/12 • 24 weeks
Respiratory, thoracic and mediastinal disorders
Respiratory distress
0.00%
0/9 • 24 weeks
8.3%
1/12 • 24 weeks

Other adverse events

Other adverse events
Measure
Galantamine + Nimodipine
n=9 participants at risk
Galantamine 8 mg/day for one month + nimodipine 30 mg 3 times a day (tid), followed by 4 weeks of galantamine 16 mg/day + nimodipine 30 mg tid. If necessary and well tolerated, dosage of galantamine will be increased to 24 mg/day + nimodipine 30 mg tid.
Galantamine + Placebo
n=12 participants at risk
Galantamine 8 mg/day and placebo three times a day (tid) for 4 weeks, followed by 4 weeks of galantamine 16 mg/day and placebo tid. If necessary and well tolerated, galantamine dosage may be increased to 24 mg/day, together with placebo tid.
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/9 • 24 weeks
8.3%
1/12 • 24 weeks
Injury, poisoning and procedural complications
Contusion
0.00%
0/9 • 24 weeks
8.3%
1/12 • 24 weeks
Metabolism and nutrition disorders
Decreased appetite
0.00%
0/9 • 24 weeks
33.3%
4/12 • 24 weeks
Metabolism and nutrition disorders
Cachexia
11.1%
1/9 • 24 weeks
0.00%
0/12 • 24 weeks
Nervous system disorders
Tinnitus
0.00%
0/9 • 24 weeks
8.3%
1/12 • 24 weeks
Nervous system disorders
Headache
11.1%
1/9 • 24 weeks
16.7%
2/12 • 24 weeks
Nervous system disorders
Sleepiness
0.00%
0/9 • 24 weeks
8.3%
1/12 • 24 weeks
Nervous system disorders
Dizziness
0.00%
0/9 • 24 weeks
16.7%
2/12 • 24 weeks
Nervous system disorders
Vertigo
0.00%
0/9 • 24 weeks
8.3%
1/12 • 24 weeks
Gastrointestinal disorders
Gastrointestinal anomaly
11.1%
1/9 • 24 weeks
0.00%
0/12 • 24 weeks
Gastrointestinal disorders
Diarrhea
11.1%
1/9 • 24 weeks
25.0%
3/12 • 24 weeks
Gastrointestinal disorders
Dyspepsia
11.1%
1/9 • 24 weeks
0.00%
0/12 • 24 weeks
Gastrointestinal disorders
Hemorrhoids
0.00%
0/9 • 24 weeks
8.3%
1/12 • 24 weeks
Gastrointestinal disorders
Dry lips
0.00%
0/9 • 24 weeks
8.3%
1/12 • 24 weeks
Gastrointestinal disorders
Abdominal discomfort
0.00%
0/9 • 24 weeks
8.3%
1/12 • 24 weeks
Gastrointestinal disorders
Nausea
11.1%
1/9 • 24 weeks
25.0%
3/12 • 24 weeks
Gastrointestinal disorders
Vomiting
22.2%
2/9 • 24 weeks
25.0%
3/12 • 24 weeks
Investigations
Blood glucose floating
11.1%
1/9 • 24 weeks
0.00%
0/12 • 24 weeks
Investigations
Loss weight
11.1%
1/9 • 24 weeks
0.00%
0/12 • 24 weeks
Investigations
Murmur
11.1%
1/9 • 24 weeks
0.00%
0/12 • 24 weeks
Infections and infestations
Respiratory airways bacterial infection
11.1%
1/9 • 24 weeks
0.00%
0/12 • 24 weeks
Infections and infestations
Upper respiratory airways viral infection
11.1%
1/9 • 24 weeks
0.00%
0/12 • 24 weeks
Psychiatric disorders
Agitation
11.1%
1/9 • 24 weeks
8.3%
1/12 • 24 weeks
Psychiatric disorders
Aggressiveness
33.3%
3/9 • 24 weeks
0.00%
0/12 • 24 weeks
Psychiatric disorders
Visual hallucination
11.1%
1/9 • 24 weeks
0.00%
0/12 • 24 weeks
Psychiatric disorders
Anxiety
0.00%
0/9 • 24 weeks
8.3%
1/12 • 24 weeks
Psychiatric disorders
Depression
11.1%
1/9 • 24 weeks
0.00%
0/12 • 24 weeks
Psychiatric disorders
Confusional state
11.1%
1/9 • 24 weeks
0.00%
0/12 • 24 weeks
Psychiatric disorders
Impatience
0.00%
0/9 • 24 weeks
8.3%
1/12 • 24 weeks
Psychiatric disorders
Irritability
0.00%
0/9 • 24 weeks
8.3%
1/12 • 24 weeks
General disorders
Asthenia
11.1%
1/9 • 24 weeks
0.00%
0/12 • 24 weeks
General disorders
Flu symptoms
11.1%
1/9 • 24 weeks
8.3%
1/12 • 24 weeks
General disorders
Fatigue
11.1%
1/9 • 24 weeks
0.00%
0/12 • 24 weeks
General disorders
Malaise
11.1%
1/9 • 24 weeks
8.3%
1/12 • 24 weeks
General disorders
Nervousness
0.00%
0/9 • 24 weeks
8.3%
1/12 • 24 weeks
Vascular disorders
Hypertensive crisis
0.00%
0/9 • 24 weeks
8.3%
1/12 • 24 weeks

Additional Information

Medical Group Manager

Jan-Cil Brazil

Phone: 55 11 3030-2770

Results disclosure agreements

  • Principal investigator is a sponsor employee The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days from the time submitted to the sponsor for review. The sponsor can require changes to the communication and can extend the embargo.
  • Publication restrictions are in place

Restriction type: OTHER