NCT00015548

Brief Summary

The CATIE Alzheimer's Disease Trial is part of the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) Project. The study is for people with Alzheimer's disease who are having trouble with their thinking or behavior. In particular, this study is trying to find out the best treatment for people who have hallucinations (seeing or hearing things that aren't there), delusions (false beliefs), or agitation. The design of the trial helps to increase the chance that participants in the study receive a medication that helps them. The study uses three medications known as atypical antipsychotics (olanzapine, quetiapine, risperidone), which are the newest medications that are currently available for treating these problems. Participants may also receive an antidepressant (citalopram). The trial lasts for 36 weeks. Participants are given a thorough evaluation at no cost to ensure that this study is appropriate. In addition, the caregiver, family member, or friend who comes with the participant will be offered an educational program about Alzheimer's disease.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
450

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Mar 2001

Longer than P75 for not_applicable

Geographic Reach
1 country

34 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 2001

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

April 20, 2001

Completed
3 days until next milestone

First Posted

Study publicly available on registry

April 23, 2001

Completed
3.4 years until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2004

Completed
Last Updated

June 17, 2015

Status Verified

February 1, 2009

First QC Date

April 20, 2001

Last Update Submit

June 16, 2015

Conditions

Keywords

antipsychotic treatmentAlzheimer's diseaseagitationdementiapsychosisbehavioral symptomshallucinationsdelusions

Interventions

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Diagnosis of Dementia of the Alzheimer's Type
  • Ambulatory, Outpatients who have an informant living/visiting at least 8 hours/week over 3-4 days.
  • Presence of delusions, hallucinations, agitation impacting functioning and requiring medication treatment
  • Agitation or psychotic symptoms began after signs or symptoms of dementia
  • Be benefiting from psychotropic medication, antidepressants or anticonvulsants
  • Be diagnosed with schizophrenia, schizoaffective disorder, delusional disorder or mood disorder with psychotic features.
  • Have severe or unstable medical illness requiring active treatment
  • Have hypersensitivity or intolerance of any of the study medications

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (34)

Tuscaloosa VA Medical Center

Tuscaloosa, Alabama, 35404, United States

Location

University of California, Irvine Medical Center

Irvine, California, 92697, United States

Location

University of Southern California Dept of Psychiatry& Behavioral Sciences

Los Angeles, California, 90033, United States

Location

University of California, Los Angeles, VA Medical Center

Los Angeles, California, 90073, United States

Location

University of California-San Diego, VA Medical Center

San Diego, California, 92161, United States

Location

Stanford University School of Medicine

Stanford, California, 94305, United States

Location

Yale University School of Medicine

New Haven, Connecticut, 06510, United States

Location

Mental Health Advocates, Inc.

Boca Raton, Florida, 33432, United States

Location

Berma Research Group

Hialeah, Florida, 33016, United States

Location

University of South Florida Suncoast Gerontology Center

Tampa, Florida, 33617, United States

Location

Palm Beach Neurology/Premiere Research Institute

West Palm Beach, Florida, 33407, United States

Location

Emory University - Wesley Woods Health Center

Atlanta, Georgia, 30329, United States

Location

University of Hawaii

Honolulu, Hawaii, 96813, United States

Location

Northwestern University Medical School

Chicago, Illinois, 60611, United States

Location

Southern Illinois School of Medicine

Springfield, Illinois, 62702, United States

Location

University of Iowa College of Medicine

Iowa City, Iowa, 52242, United States

Location

Louisiana State University Health Sciences Center

Shreveport, Louisiana, 71103, United States

Location

Johns Hopkins University

Baltimore, Maryland, 21287, United States

Location

Millennium Psychiatric Associates

St Louis, Missouri, 63044, United States

Location

University of Medicine and Dentistry of New Jersey

Piscataway, New Jersey, 08855-1382, United States

Location

University of Medicine and Dentistry of New Jersey-Stratford

Stratford, New Jersey, 08084, United States

Location

Mount Sinai School of Medicine

New York, New York, 10029, United States

Location

Columbia University

New York, New York, 10032, United States

Location

Global Research and Consulting

Olean, New York, 14760, United States

Location

Monroe Community Hospital

Rochester, New York, 14620, United States

Location

Staten Island University Hospital

Staten Island, New York, 10305, United States

Location

Duke University Medical Center

Durham, North Carolina, 27710, United States

Location

Wake Forest University School of Medicine

Winston-Salem, North Carolina, 27157, United States

Location

University Hospital Health Systems-Laurelwood Hospital

Willoughby, Ohio, 44904, United States

Location

VA Medical Center

Coatesville, Pennsylvania, 19320, United States

Location

Mental Illness Research Education and Clinical Center

Philadelphia, Pennsylvania, 19104, United States

Location

Medical University of South Carolina

North Charleston, South Carolina, 29406, United States

Location

University of Texas Southwestern Medical Center

Dallas, Texas, 75235-9070, United States

Location

Southwestern Vermont Medical Center- The Memory Clinic

Bennington, Vermont, 05201, United States

Location

Related Publications (11)

  • Schneider LS, Tariot PN, Lyketsos CG, Dagerman KS, Davis KL, Davis S, Hsiao JK, Jeste DV, Katz IR, Olin JT, Pollock BG, Rabins PV, Rosenheck RA, Small GW, Lebowitz B, Lieberman JA. National Institute of Mental Health Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE): Alzheimer disease trial methodology. Am J Geriatr Psychiatry. 2001 Fall;9(4):346-60.

    PMID: 11739062BACKGROUND
  • Schneider LS, Ismail MS, Dagerman K, Davis S, Olin J, McManus D, Pfeiffer E, Ryan JM, Sultzer DL, Tariot PN. Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE): Alzheimer's disease trial. Schizophr Bull. 2003;29(1):57-72. doi: 10.1093/oxfordjournals.schbul.a006991.

    PMID: 12908661BACKGROUND
  • Schneider LS, Tariot PN, Dagerman KS, Davis SM, Hsiao JK, Ismail MS, Lebowitz BD, Lyketsos CG, Ryan JM, Stroup TS, Sultzer DL, Weintraub D, Lieberman JA; CATIE-AD Study Group. Effectiveness of atypical antipsychotic drugs in patients with Alzheimer's disease. N Engl J Med. 2006 Oct 12;355(15):1525-38. doi: 10.1056/NEJMoa061240.

  • Reeves S, Bertrand J, Uchida H, Yoshida K, Otani Y, Ozer M, Liu KY, Bramon E, Bies R, Pollock BG, Howard R. Towards safer risperidone prescribing in Alzheimer's disease. Br J Psychiatry. 2021 May;218(5):268-275. doi: 10.1192/bjp.2020.225.

  • Nagata T, Shinagawa S, Yoshida K, Noda Y, Shigeta M, Mimura M, Nakajima S. Early Improvements of Individual Symptoms With Antipsychotics Predict Subsequent Treatment Response of Neuropsychiatric Symptoms in Alzheimer's Disease: A Re-Analysis of the CATIE-AD Study. J Clin Psychiatry. 2020 Feb 11;81(2):19m12961. doi: 10.4088/JCP.19m12961.

  • Ozawa C, Roberts R, Yoshida K, Suzuki T, Lebowitz B, Reeves S, Howard R, Abe T, Mimura M, Uchida H. Placebo Effects in the Treatment of Noncognitive Symptoms of Alzheimer's Disease: Analysis of the CATIE-AD Data. J Clin Psychiatry. 2017 Nov/Dec;78(9):e1204-e1210. doi: 10.4088/JCP.17m11461.

  • Yoshida K, Roberts R, Suzuki T, Lebowitz B, Reeves S, Howard R, Abe T, Mimura M, Uchida H. Lack of Early Improvement with Antipsychotics is a Marker for Subsequent Nonresponse in Behavioral and Psychological Symptoms of Dementia: Analysis of CATIE-AD Data. Am J Geriatr Psychiatry. 2017 Jul;25(7):708-716. doi: 10.1016/j.jagp.2017.01.016. Epub 2017 Jan 30.

  • Miller EA, Schneider LS, Rosenheck RA. Predictors of nursing home admission among Alzheimer's disease patients with psychosis and/or agitation. Int Psychogeriatr. 2011 Feb;23(1):44-53. doi: 10.1017/S1041610210000244. Epub 2010 Mar 10.

  • Zheng L, Mack WJ, Dagerman KS, Hsiao JK, Lebowitz BD, Lyketsos CG, Stroup TS, Sultzer DL, Tariot PN, Vigen C, Schneider LS. Metabolic changes associated with second-generation antipsychotic use in Alzheimer's disease patients: the CATIE-AD study. Am J Psychiatry. 2009 May;166(5):583-90. doi: 10.1176/appi.ajp.2008.08081218. Epub 2009 Apr 15.

  • Sultzer DL, Davis SM, Tariot PN, Dagerman KS, Lebowitz BD, Lyketsos CG, Rosenheck RA, Hsiao JK, Lieberman JA, Schneider LS; CATIE-AD Study Group. Clinical symptom responses to atypical antipsychotic medications in Alzheimer's disease: phase 1 outcomes from the CATIE-AD effectiveness trial. Am J Psychiatry. 2008 Jul;165(7):844-54. doi: 10.1176/appi.ajp.2008.07111779. Epub 2008 Jun 2.

  • Rosenheck RA, Leslie DL, Sindelar JL, Miller EA, Tariot PN, Dagerman KS, Davis SM, Lebowitz BD, Rabins P, Hsiao JK, Lieberman JA, Schneider LS; Clinical Antipsychotic Trial of Intervention Effectiveness-Alzheimer's Disease (CATIE-AD) investigators. Cost-benefit analysis of second-generation antipsychotics and placebo in a randomized trial of the treatment of psychosis and aggression in Alzheimer disease. Arch Gen Psychiatry. 2007 Nov;64(11):1259-68. doi: 10.1001/archpsyc.64.11.1259.

Related Links

MeSH Terms

Conditions

Alzheimer DiseasePsychomotor AgitationDementiaPsychotic DisordersBehavioral SymptomsHallucinationsDelusions

Interventions

OlanzapineQuetiapine FumarateRisperidoneCitalopram

Condition Hierarchy (Ancestors)

Brain DiseasesCentral Nervous System DiseasesNervous System DiseasesTauopathiesNeurodegenerative DiseasesNeurocognitive DisordersMental DisordersDyskinesiasNeurologic ManifestationsPsychomotor DisordersNeurobehavioral ManifestationsSigns and SymptomsPathological Conditions, Signs and SymptomsAberrant Motor Behavior in DementiaBehaviorSchizophrenia Spectrum and Other Psychotic DisordersPerceptual Disorders

Intervention Hierarchy (Ancestors)

BenzodiazepinesBenzazepinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsDibenzothiazepinesThiazepinesThiepinsSulfur CompoundsOrganic ChemicalsHeterocyclic Compounds, 3-RingPyrimidinonesPyrimidinesHeterocyclic Compounds, 1-RingPropylaminesAminesNitrilesBenzofurans

Study Officials

  • Lon Schneider, MD

    University of Southern California

    PRINCIPAL INVESTIGATOR
  • Pierre Tariot, MD

    University of Rochester

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
NIH

Study Record Dates

First Submitted

April 20, 2001

First Posted

April 23, 2001

Study Start

March 1, 2001

Study Completion

October 1, 2004

Last Updated

June 17, 2015

Record last verified: 2009-02

Locations