The Effect of Anticholinergics on Cognitive Function in the Elderly
ACE
1 other identifier
interventional
59
1 country
1
Brief Summary
Anticholinergic medication is used to treat overactive bladder (OAB). A known side effect of this medication is cognitive dysfunction. OAB is more prevalent in the elderly population - a group that also has a higher baseline risk of cognitive dysfunction. Our objective is to evaluate the effect of an anticholinergic medication on cognitive function in elderly women.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4
Started Jun 2013
1 active site
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
June 1, 2013
CompletedFirst Submitted
Initial submission to the registry
August 9, 2013
CompletedFirst Posted
Study publicly available on registry
August 14, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2015
CompletedResults Posted
Study results publicly available
July 12, 2016
CompletedMarch 22, 2017
February 1, 2017
2 years
August 9, 2013
March 7, 2016
February 17, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Hopkins Verbal Learning Test - Revised
Assesses short term verbal learning and memory. Subscales include immediate recall (0-36) and delayed recall (0-12). Higher values indicate better outcomes.
Week 4
Hopkins Verbal Learning Test - Revised
Assesses short term verbal learning and memory. See below for the subscale delayed recognition (0-24). Percentages of total responses correct are reported for delayed recognition, higher values indicate better outcomes.
Week 4
Secondary Outcomes (2)
Mini-Mental State Examination
Week 4
Overactive Bladder Questionnaire
Week 4
Study Arms (2)
TROSPIUM CHLORIDE
ACTIVE COMPARATORThose with overactive bladder will be administered either a placebo or Sanctura XR extended release (Trospium chloride) for treatment (60 mg).
PLACEBO
PLACEBO COMPARATORSubjects may be administered a placebo rather than the Sanctura XR (Trospium Chloride).
Interventions
Subject will be administered either placebo or 60 mg dosage of Sanctura XR for treatment of overactive bladder. Subject will take Sanctura XR once every morning. Blood will be drawn for plasma extraction at each visit.
Eligibility Criteria
You may qualify if:
- Female 50 or older
- Diagnosis of OAB (ICS definition)
- English literacy
- Ability to swallow oral medication
- Cognitive ability to give consent
You may not qualify if:
- Dementia/Depression/Delirium
- Current anticholinergic use (requires 2 week washout period)
- Current cholinesterase
- Urinary or gastric retention
- Severe decreased gastrointestinal motility
- Uncontrolled narrow-angle glaucoma
- Myasthenia gravis
- Diagnosis fo renal impairment (creatinine clearance \<30 mL/min)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Unc Chapel Hill Urogynecology A2 Clinic
Chapel Hill, North Carolina, 27517, United States
Related Publications (2)
Stoniute A, Madhuvrata P, Still M, Barron-Millar E, Nabi G, Omar MI. Oral anticholinergic drugs versus placebo or no treatment for managing overactive bladder syndrome in adults. Cochrane Database Syst Rev. 2023 May 9;5(5):CD003781. doi: 10.1002/14651858.CD003781.pub3.
PMID: 37160401DERIVEDGeller EJ, Dumond JB, Bowling JM, Khandelwal CM, Wu JM, Busby-Whitehead J, Kaufer DI. Effect of Trospium Chloride on Cognitive Function in Women Aged 50 and Older: A Randomized Trial. Female Pelvic Med Reconstr Surg. 2017 Mar/Apr;23(2):118-123. doi: 10.1097/SPV.0000000000000374.
PMID: 28067745DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. Elizabeth Geller
- Organization
- UNC Chapel Hill
Study Officials
- PRINCIPAL INVESTIGATOR
Elizabeth Geller, MD
UNC CHAPEL HILL
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- BASIC SCIENCE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 9, 2013
First Posted
August 14, 2013
Study Start
June 1, 2013
Primary Completion
June 1, 2015
Study Completion
June 1, 2015
Last Updated
March 22, 2017
Results First Posted
July 12, 2016
Record last verified: 2017-02