REspectful CAring for the AGitated Elderly

NCT ID: NCT03507504

Last Updated: 2019-08-01

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

UNKNOWN

Total Enrollment

500 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-04-19

Study Completion Date

2021-12-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The treatment of Behavioural and Psychological Symptoms of Dementia (BPSD) continue to raise difficult problems. Both the pharmacologic and non-pharmacologic therapies often fail to achieve the expected results. The aim of this study is to assess the short- and long-term efficacy of an intervention, the Special Care Unit for patients with BPSD (SCU-B), already implemented in some countries but not validated so far, as well as its cost-effectiveness

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Two cohorts of 250 patients each will be recruited by six clinical centres endowed with a SCU-B (one cohort) and six centres lacking this structure. The follow-up will last 3 years, during which patients will be visited every 6 months and submitted to a battery exploring the severity of the BPSD and the quality of life. All adverse events will be registered, as well as some anticipated occurrences (admissions to the general hospital for intercurrent diseases, admissions to a SCU-B pertaining to the clinical participating centre and, if any, admissions to a SCU-B not pertaining to the Consortium member, nursing home placement).

At the same time the quality of life of the primary caregivers will be measured, as well as their attitude toward dementia.

A cost-effectiveness analysis will be performed comparing the cohorts. Finally the time to the nursing home placement will be recorded and compared between the two cohorts

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Dementia

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

care pathway with SCU-B

250 patients with dementia and behavioural and psychological symptoms of dementia (BPSD) followed up by six clinical centres with a Special Care Unit for BPSD (SCU-B)

SCU-B

Intervention Type OTHER

SCU-B is "a residential medical structure lying outside of a nursing home, in a general hospital or elsewhere, e.g. in a private hospital, where patients with BPSD are temporarily admitted when their behavioural disturbances are not amenable to control at home".

care pathway without SCU-B

250 patients with dementia and BPSD followed up by six clinical centres without SCU-B

No interventions assigned to this group

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

SCU-B

SCU-B is "a residential medical structure lying outside of a nursing home, in a general hospital or elsewhere, e.g. in a private hospital, where patients with BPSD are temporarily admitted when their behavioural disturbances are not amenable to control at home".

Intervention Type OTHER

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* diagnosis of primary dementia (DSM IV)
* MMSE score ≤ 24
* NPI global score ≥ 32/144
* a caregiver (informal/family member or formal caregiver) who commits her/himself to accompany the patient along the three-year course of the study
* living at home (nursing home residents are excluded).

Exclusion Criteria

* presence of uncontrolled medical disease potentially contributing to the cognitive decline and BPSD
* concomitant psychiatric disorders or chronic alcoholism
* concomitant diseases severe enough to reduce life expectancy \< 6 months
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Mediolanum Cardio Research

OTHER

Sponsor Role collaborator

Fondazione Europea di Ricerca Biomedica Ferb Onlus

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Carlo Alberto Defanti

Study Coordinator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Carlo A Defanti, M.D.

Role: STUDY_DIRECTOR

Fondazione Europea di Ricerca Biomedica

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Centre Hospitalier Universitaire St Pierre

Brussels, , Belgium

Site Status NOT_YET_RECRUITING

Assistance Publique - Hopitaux de Paris

Paris, , France

Site Status NOT_YET_RECRUITING

Zentralinstitut für Seelische Gesundheit

Mannheim, Baden-Wurttenberg, Germany

Site Status NOT_YET_RECRUITING

Charité - Universitätsmedizin Berlin

Berlin, , Germany

Site Status RECRUITING

Aristotelio Panepistimio Thessalonikis (Greece)

Thessaloniki, , Greece

Site Status RECRUITING

Cliniche Gavazzeni SpA

Bergamo, BG, Italy

Site Status NOT_YET_RECRUITING

Fondazione Europea di Ricerca Biomedica

Gazzaniga, BG, Italy

Site Status RECRUITING

Azienda Socio Sanitaria Territoriale di Mantova

Mantova, MN, Italy

Site Status RECRUITING

Azienda Unità Sanitaria Locale di Modena

Modena, MO, Italy

Site Status NOT_YET_RECRUITING

Università degli Studi di Perugia

Perugia, PG, Italy

Site Status NOT_YET_RECRUITING

Sykehuset Innlandet

Ottestad, , Norway

Site Status NOT_YET_RECRUITING

Université de Genève

Geneva, , Switzerland

Site Status NOT_YET_RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

Belgium France Germany Greece Italy Norway Switzerland

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Carla Finocchiaro, Ph.D.

Role: CONTACT

+390231083323

Sara Fascendini, M.D.

Role: CONTACT

+390353065206

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Jean P Praet, M.D.

Role: primary

+3225354118

Jacques Hugon, M.D.

Role: primary

+33149958484

Lutz Froelich, M.D.

Role: primary

+4962117033001

Oliver Peters, M.D.

Role: primary

+4930450517942

Magda Tsolaki, M.D.

Role: primary

Role: backup

+302310234239

Paola Merlo, M.D.

Role: primary

+390354204668

Sara Fascendini, M.D.

Role: primary

+390353065206

Federica Barocco, M.D.

Role: backup

+390353065206

Alfonso Ciccone, M.D.

Role: primary

+390376201543

Andrea Fabbo, M.D.

Role: primary

+39059435201

Patrizia Mecocci, M.D.

Role: primary

+390755783270

Sverre Bergh, M.D.

Role: primary

+4745679393

Giovanni B Frisoni, M.D.

Role: primary

+410223055762

References

Explore related publications, articles, or registry entries linked to this study.

Koskas P, Belqadi S, Mazouzi S, Daraux J, Drunat O. [Behavioral and psychological symptoms of dementia in a pilot psychogeriatric unit: management and outcomes]. Rev Neurol (Paris). 2011 Mar;167(3):254-9. doi: 10.1016/j.neurol.2010.07.030. Epub 2010 Oct 14. French.

Reference Type BACKGROUND
PMID: 20947112 (View on PubMed)

Delphin-Combe F, Roubaud C, Martin-Gaujard G, Fortin ME, Rouch I, Krolak-Salmon P. [Effectiveness of a cognitive-behavioral unit on behavioral and psychological symptoms of dementia]. Rev Neurol (Paris). 2013 Jun-Jul;169(6-7):490-4. doi: 10.1016/j.neurol.2012.10.017. Epub 2013 Mar 21. French.

Reference Type BACKGROUND
PMID: 23523558 (View on PubMed)

Bianchetti A, Benvenuti P, Ghisla KM, Frisoni GB, Trabucchi M. An Italian model of dementia special care unit: results of a pilot study. Alzheimer Dis Assoc Disord. 1997 Mar;11(1):53-6. doi: 10.1097/00002093-199703000-00009.

Reference Type BACKGROUND
PMID: 9071445 (View on PubMed)

Cesana BM, Bergh S, Ciccone A, Cognat E, Fabbo A, Fascendini S, Frisoni GB, Froelich L, Handels R, Jori MC, Mecocci P, Merlo P, Peters O, Tsolaki M, Defanti CA. Predictors of Nursing Home Placement in a Cohort of European People with Alzheimer's Disease and Other Dementia Cases Enrolled in SCU-B or Non SCU-B Centers: The RECage Study. J Alzheimers Dis. 2024;98(3):1043-1052. doi: 10.3233/JAD-230878.

Reference Type DERIVED
PMID: 38489173 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

H2020 Proposal, number: 779237

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

The Care for America's Aging Study
NCT06021704 NOT_YET_RECRUITING NA
Short-term Caregiver Psychotherapy
NCT02175953 COMPLETED PHASE2