Study for the Tolerability of Exelon Patch (Rivastigmine) for Alzheimer's Disease (AD) Patients

NCT ID: NCT01312363

Last Updated: 2016-05-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2009-06-30

Study Completion Date

2011-07-31

Brief Summary

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The investigators plan to see what factors can influence the durability of Exelon patch treatment in Korean patients with Alzheimer's disease.

Based on these results, the investigators will find the ways to maximize the effect and durability of Exelon patch on Korean patients with Alzheimer's disease.

After finishing this study, the investigators are going to present the study results at the international and national academic meetings or conferences.

Also the investigators expect that they can publish the result in a journal of in the field of neurology or dementia till the winter of 2010.

Detailed Description

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A once-daily Exelon patch has recently been developed to reduce the GI side effect of rivastigmine and make application easier by once a day.

Thinking the patch as the first-line drug, it should be proven as safe for a long time. The safety and clinical effect of Exelon patch was tested in many studies.

However, most of studies have been conducted on Western countries and the study period was not more than a year.

There are only few data on Exelon patch related to other ethnic such as Asian patients with Alzheimer's disease.

Especially, there are many different environmental factors between Western and Asia countries, such as habitual or climate factors, skin type and behavioral styles which may be influenced on patch durability.

The aim of this study was to evaluate the durability of Exelon patch in Korean patients with Alzheimer's disease and what are the factors influencing the durability.

Also evaluating the significance of factors gives us the way to increase the patch durability.

Thirty patients per investigational center will be enrolled during 6 months.

Probable mild to moderate AD patients will be included whether they have depression or other neurological symptoms or diseases.

The period of this study will be 6 months, and we will start the treatment starting from Exelon patch 5cm2.

After 4 weeks, dose titration will be attempted to Exelon patch 10cm2.

If a patient is reporting too much discomfort to stick on high dose patch, investigators will assess the severity of the side effects followed by adjusting dose or considering discontinuation.

Cognitive, functional, and global outcome measures are obtained at baseline and at the end of month 6. Environmental factors including caregiver condition, participant's habitat type, and participant's skin type, etc. are also evaluated from the first visit, and they will be assessed at every visit.

Participants and their caregivers will be asked of any possible concerns or problems associated with patch use at every visit. And if there is any visible problem or adverse event, it will be taken as a picture and be uploaded to investigation web site for this study.

Finally, for the primary endpoint, participants who discontinue prematurely are evaluated during every visit.

Signs of skin irritation at the site of patch application are assessed at every visit by the investigator using skin irritation rating scale.

Caregivers evaluate patch adhesion throughout the study with ratings provided in accordance with a patch adhesion scoring system.

To assess factors to influence skin irritation or any other adverse events, we will classify skin type of each participant using "skin type measuring paper" at the first visit time.

We will search for any personal or family history of allergy, and characteristics of participant's habitat using questionnaire.

The information about the caregiver including his/her condition based on the annual income, living status, and education level.

To see if there is any specific allergic factor for discontinuation, we will investigate participant's allergy history more completely and thoroughly.

Conditions

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Alzheimer's Disease

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Interventions

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Rivastigmine patch

Rivastigmine patch (5-10cm2, daily, 24hr)

Intervention Type DRUG

Other Intervention Names

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Exelon patch

Eligibility Criteria

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Inclusion Criteria

* Probable AD by NINCDS-ADRDA and DSM-IV
* Male and female aged from 51 to 85 years old
* Magnetic resonance imaging or computed tomographic scan within 12 months consistent with a diagnosis of probable AD
* Patients who approved to release of personal information

Exclusion Criteria

* Patient with any active pulmonary, gastrointestinal, renal, hepatic (severe hepatic function impaired patients), endocrine, or cardiovascular disease, clinically significant laboratory abnormalities, or any medical condition which would prohibit them from completing the study
* Any patients suspicious of drug addiction or alcohol addiction for the past 10 years
* Any other patients to be decided to be inappropriate for the study by the investigators
Minimum Eligible Age

51 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Seoul National University Bundang Hospital

OTHER

Sponsor Role collaborator

Seoul St. Mary's Hospital

OTHER

Sponsor Role collaborator

Korea University

OTHER

Sponsor Role collaborator

Bobath Memorial Hospital

OTHER

Sponsor Role collaborator

Chung-Ang University Hosptial, Chung-Ang University College of Medicine

OTHER

Sponsor Role collaborator

Hanyang University

OTHER

Sponsor Role collaborator

Kwandong University Myongji Hospital

UNKNOWN

Sponsor Role collaborator

Inha University Hospital

OTHER

Sponsor Role collaborator

SungAe General Hospital

UNKNOWN

Sponsor Role collaborator

Ewha Womans University

OTHER

Sponsor Role collaborator

Inje University

OTHER

Sponsor Role collaborator

Hanyang University Seoul Hospital

OTHER

Sponsor Role collaborator

Kyunghee University Medical Center

OTHER

Sponsor Role collaborator

Hallym University Medical Center

OTHER

Sponsor Role collaborator

Pusan National University Hospital

OTHER

Sponsor Role collaborator

Konyang University Hospital

OTHER

Sponsor Role collaborator

Wonkwang University Sanbon Medical Center

UNKNOWN

Sponsor Role collaborator

Yong-in Hyoja Geriatric Hospital

UNKNOWN

Sponsor Role collaborator

Jeju National University

OTHER

Sponsor Role collaborator

Dong-A University Hospital

OTHER

Sponsor Role collaborator

Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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SangYun Kim

Department of Neurology, Seoul National University College of Medicine, Seoul National University Bundang Hospital

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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SangYun Kim, MD, PhD

Role: STUDY_CHAIR

Seoul National University College of Medicine & Seoul National University Bundang Hospital

Dong Won Yang, MD, PhD

Role: STUDY_DIRECTOR

The Catholic University of Korea

Moon Ho Park, MD, PhD

Role: STUDY_DIRECTOR

Korea University College of Medicine & Korea University Ansan Hospital

Hae Ri Na, MD

Role: STUDY_DIRECTOR

Bobath Memorial Hospital

Young-Chul Yoon, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Chungang University College of Medicine & Chungang University Hospital

Seong-Ho Koh, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Hanyang University College of Medicine & Hanyang University Guri Hospital

Hyun Jeong Han, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Kwandong University College of Medicine & Myongji Hospital

Bon D. Ku, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Kwandong University College of Medicine & Myongji Hospital

Seong-Hye Choi, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Inha University College of Medicine & Inha University Hospital

Jung Seok Lee, MD

Role: PRINCIPAL_INVESTIGATOR

Jeju National University College of Medicine & Jeju National University Hospital

Jun-Seong Lim, MD

Role: PRINCIPAL_INVESTIGATOR

SungAe General Hospital

Jung Eun Kim, MD

Role: PRINCIPAL_INVESTIGATOR

Ewha Womans University School of Medicine & Ewha Womans University Mokdong Hospital

Jeong Yeon Kim, MD

Role: PRINCIPAL_INVESTIGATOR

Inje University College of Medicine & Sanggye Paik Hospital

Hee-Jin Kim, MD

Role: PRINCIPAL_INVESTIGATOR

Hanyang University College of Medicine & Hanyang University Seoul Hospital

Seung Hyun Kim, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Hanyang University College of Medicine & Hanyang University Seoul Hospital

Key Hung Park, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Kyung Hee University College of Medicine & Kyung Hee University Medical Center

Kyung Won Park, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Dong-A University College of Medicine & Dong-A University Medical Center

Hui Chul Choi, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Hallym University College of Medicine & Hallym University Chunchon Hospital

Eun-Joo Kim, MD

Role: PRINCIPAL_INVESTIGATOR

Pusan National University School of Medicine & Pusan National University Hospital

Bora Yoon, MD

Role: PRINCIPAL_INVESTIGATOR

Konyang University School of Medicine & Konyang University Hospital

Hyun Duk Yang, MD

Role: PRINCIPAL_INVESTIGATOR

Wonkwang University College of Medicine & Wonkwang University Sanbon Medical Center

Youngsoon Yang, MD

Role: PRINCIPAL_INVESTIGATOR

Yong-in Hyoja Geriatric Hospital

Hee-Jung Seo, MD

Role: PRINCIPAL_INVESTIGATOR

Yong-in Hyoja Geriatric Hospital

Locations

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Dong-A University Hospital

Busan, Busan, South Korea

Site Status

Pusan National University Hospital

Busan, Busan, South Korea

Site Status

Hallym University Chunchon Hospital

Chunchon, Chunchon, South Korea

Site Status

Konyang University Hospital

Daejeon, Daejeon, South Korea

Site Status

Korea University Ansan Hospital

Ansan, Gyeonggi-do, South Korea

Site Status

Myongji Hospital

Goyang-si, Gyeonggi-do, South Korea

Site Status

Wonkwang University Sanbon Medical Center

Gunpo, Gyeonggi-do, South Korea

Site Status

Hanyang University Guri Hospital

Guri-si, Gyeonggi-do, South Korea

Site Status

Bobath Memorial Hospital

Seongnam-si, Gyeonggi-do, South Korea

Site Status

Yong-in Hyoja Geriatric Hospital

Yongin-si, Gyeonggi-do, South Korea

Site Status

Inha University Hospital

Incheon, Incheon, South Korea

Site Status

Jeju National University Hospital

Jeju City, Jeju-do, South Korea

Site Status

Seoul St. Mary's Hospital

Seoul, Seoul, South Korea

Site Status

SungAe General Hospital

Seoul, Seoul, South Korea

Site Status

Chungang University Hospital

Seoul, Seoul, South Korea

Site Status

Ewha Womans University Hospital

Seoul, Seoul, South Korea

Site Status

Hanyang University Seoul Hospital

Seoul, Seoul, South Korea

Site Status

Kyung Hee University Medical Center

Seoul, Seoul, South Korea

Site Status

Sanggye Paik Hospital

Seoul, Seoul, South Korea

Site Status

Countries

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South Korea

Other Identifiers

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X-MEN

Identifier Type: -

Identifier Source: org_study_id

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