NCT00480220

Brief Summary

The main objective of this work is to assess the feasibility and efficacy of a specific Care and Assistance Plan for Alzheimer's disease (PLASA). The main outcome measure selected is incapacity in carrying out the basic activities of daily living, evaluated by the ADCS-ADL scale . The PLASA was developed by a working group appointed by the Direction Générale de la Santé as part of the government programme of action on Alzheimer's disease (October 2001, Ministère de l'Emploi et de la Solidarité).

Trial Health

87
On Track

Trial Health Score

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

Enrollment
1,200

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Aug 2003

Longer than P75 for not_applicable

Geographic Reach
1 country

40 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

August 1, 2003

Completed
3.8 years until next milestone

First Submitted

Initial submission to the registry

May 29, 2007

Completed
1 day until next milestone

First Posted

Study publicly available on registry

May 30, 2007

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2007

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2007

Completed
Last Updated

August 19, 2015

Status Verified

August 1, 2015

Enrollment Period

4 years

First QC Date

May 29, 2007

Last Update Submit

August 18, 2015

Conditions

Keywords

specific careassistance planAlzheimer's disease

Outcome Measures

Primary Outcomes (1)

  • Evaluate the efficacy of the specific care and assistance plan for Alzheimer's disease in a study randomised within each centre. The main aim of the care plan is to reduce loss of independence.

    2 years

Secondary Outcomes (1)

  • Impact of the care and assistance plan: - on the mode of the patient's admission to an institution - on utilization of assistance, support and healthcare services (RUD questionnaire) - and on overall clinical evaluation of change (ADCS-CGIC).

    2 years

Study Arms (2)

1

EXPERIMENTAL

Specific Intervention as Global care and support program

Procedure: Global care and support program

2

NO INTERVENTION

'No specific intervention'

Interventions

Eligibility Criteria

Age65 Years+
Sexall
Healthy VolunteersNo
Age GroupsOlder Adult (65+)

You may qualify if:

  • patient seen in consultation in one of the centres participating in the study
  • patient with probable or possible AD according to NINCDS-ADRDA criteria
  • patient with an MMSE score between 12 and 26 (mild to moderate disease)
  • patient capable of understanding and responding to the evaluations made
  • patient who is not confined to bed or chair
  • patient living at home with an informal caregiver
  • informed consent of the patient (or legal representative) and of the caregiver agreeing to take part in the study.

You may not qualify if:

  • patient with an MMSE score of less than 12 or over 26
  • patient incapable of understanding and responding to the evaluations made
  • patient confined to bed or chair
  • patient living at home without an informal carer or in an institution
  • patient with a concomitant disorder threatening the vital prognosis at two years
  • patient with a dementia other than AD
  • patient already included in another research programme.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (40)

Hospital

Albi, 81, France

Location

Hospital Center

Alès, 30, France

Location

University Hospital

Angers, 49033, France

Location

Hospital

Annecy, 74, France

Location

Hospital Center

Bar-le-Duc, 55, France

Location

University Hospital

Brest, 29, France

Location

Hospital Center

Carcassonne, 11, France

Location

Service de Gérontologie

Carvin, 62, France

Location

Hospital

Chambéry, 73, France

Location

Georges Clémenceau Hospital

Champcueil, 91, France

Location

Hospital Center

Grasse, 06, France

Location

University Hospital

Grenoble, 38043, France

Location

Hôpital Charles Foix - La Triade

Ivry-sur-Seine, 94206, France

Location

Hospital Center

Lannemezan, 65, France

Location

Hospital Center

Lavaur, 81, France

Location

Hospital

Lens, 62, France

Location

University Hospital

Lille, 59, France

Location

Hospital Center

Louviers, 27, France

Location

University Hospital

Lyon, 69, France

Location

University Hospital Sainte Marguerite

Marseille, 13, France

Location

University Hospital

Montpellier, 34295, France

Location

University Hospital

Nice, 06003, France

Location

Hospital Center

Niort, 79, France

Location

University Hospital

Nîmes, 30, France

Location

Hospital Bichat - Claude Bernard

Paris, 75, France

Location

Hospital Center Notre Dame du Bon Secours

Paris, 75, France

Location

University Hospital BROCA - La Rochefoucauld

Paris, 75, France

Location

University Hospital Pitié-Salpétrière

Paris, 75, France

Location

University Hospital Sainte Perrine

Paris, 75, France

Location

Hospital center

Plaisir, 78, France

Location

University Hospital

Reims, 51092, France

Location

Hospital Center

Roubaix, 59, France

Location

University Hospital

Rouen, 76, France

Location

Hospital Center

Saint-Dizier, 52, France

Location

Hospital Center

Sézanne, 51, France

Location

University Hospital, Hôpital Xavier Arnozan

Toulouse, 31, France

Location

University Hospital

Toulouse, 31, France

Location

Hospital

Valenciennes, 59, France

Location

Hospital Center

Villejuif, 94800, France

Location

Hospital

Wasquehal, 59, France

Location

Related Publications (6)

  • Callahan CM, Boustani MA, Unverzagt FW, Austrom MG, Damush TM, Perkins AJ, Fultz BA, Hui SL, Counsell SR, Hendrie HC. Effectiveness of collaborative care for older adults with Alzheimer disease in primary care: a randomized controlled trial. JAMA. 2006 May 10;295(18):2148-57. doi: 10.1001/jama.295.18.2148.

    PMID: 16684985BACKGROUND
  • Teri L, Gibbons LE, McCurry SM, Logsdon RG, Buchner DM, Barlow WE, Kukull WA, LaCroix AZ, McCormick W, Larson EB. Exercise plus behavioral management in patients with Alzheimer disease: a randomized controlled trial. JAMA. 2003 Oct 15;290(15):2015-22. doi: 10.1001/jama.290.15.2015.

    PMID: 14559955BACKGROUND
  • Teri L, Logsdon RG, McCurry SM. Nonpharmacologic treatment of behavioral disturbance in dementia. Med Clin North Am. 2002 May;86(3):641-56, viii. doi: 10.1016/s0025-7125(02)00006-8.

    PMID: 12168563BACKGROUND
  • Vickrey BG, Mittman BS, Connor KI, Pearson ML, Della Penna RD, Ganiats TG, Demonte RW Jr, Chodosh J, Cui X, Vassar S, Duan N, Lee M. The effect of a disease management intervention on quality and outcomes of dementia care: a randomized, controlled trial. Ann Intern Med. 2006 Nov 21;145(10):713-26. doi: 10.7326/0003-4819-145-10-200611210-00004.

    PMID: 17116916BACKGROUND
  • Nourhashemi F, Andrieu S, Gillette-Guyonnet S, Giraudeau B, Cantet C, Coley N, Vellas B; PLASA Group. Effectiveness of a specific care plan in patients with Alzheimer's disease: cluster randomised trial (PLASA study). BMJ. 2010 Jun 3;340:c2466. doi: 10.1136/bmj.c2466.

  • Nourhashemi F, Gillette-Guyonnet S, Andrieu S, Rolland Y, Ousset PJ, Vellas B; PLASA group. A randomized trial of the impact of a specific care plan in 1120 Alzheimer's patients (PLASA Study) over a two-year period: design and baseline data. J Nutr Health Aging. 2008 Apr;12(4):263-71. doi: 10.1007/BF02982632.

MeSH Terms

Conditions

Alzheimer Disease

Condition Hierarchy (Ancestors)

DementiaBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesTauopathiesNeurodegenerative DiseasesNeurocognitive DisordersMental Disorders

Study Officials

  • VELLAS Bruno, PD PhD

    University Hospital, Toulouse

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 29, 2007

First Posted

May 30, 2007

Study Start

August 1, 2003

Primary Completion

August 1, 2007

Study Completion

August 1, 2007

Last Updated

August 19, 2015

Record last verified: 2015-08

Locations