NCT02374567

Brief Summary

The purpose of this multicenter-study is to investigate safety of psychopharmacological treatment and rates of adverse drug reactions in gerontopsychiatric inpatients. Elderly people are at higher risk for developing side effects under pharmacological treatment due to an altered metabolic situation, higher comorbidity rates and often polypharmacy. Furthermore gerontopsychiatric patients can often not articulate their symptoms clearly, for example due to pronounced cognitive impairment. The aim of the study is to gain valid data of possible adverse drug reaction rates, their potential risk factors and outcome, as well as medical prescription practises. To assess these outcomes an intensive pharmacovigilance-monitoring will be conducted at the five participating study sites. At Baseline demographic data, previous and present disorders, use of drugs, previous and present medication, quality of life, cognitive function, physical examination results, laboratory results and ECG will be assessed. Afterwards patients are visited weekly and screened for possible adverse drug reactions. All adverse drug reactions will be coded in the MedDRA-system. In case of a possible serious adverse drug reaction serum levels of all psychotropic substances applicated will be assessed. Drug combinations will be analysed using an established advanced bioinformatic tool (mediQ). Diagnosis, medication intake and possible adverse drug reactions are documented continually. 2 weeks after discharge from the ward, patients will be contacted by phone to assess catamnestic data.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
407

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Jan 2015

Geographic Reach
1 country

5 active sites

Status
terminated

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

January 1, 2015

Completed
4 days until next milestone

First Submitted

Initial submission to the registry

January 5, 2015

Completed
2 months until next milestone

First Posted

Study publicly available on registry

March 2, 2015

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 28, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 28, 2017

Completed
Last Updated

February 28, 2018

Status Verified

February 1, 2018

Enrollment Period

2.5 years

First QC Date

January 5, 2015

Last Update Submit

February 27, 2018

Conditions

Keywords

geriatric psychiatrypharmacovigilance

Outcome Measures

Primary Outcomes (1)

  • Assessment of frequency and severity of adverse events

    Participants will be followed for the duration of hospital stay and the follow-up-visit, an expected average of 6 weeks

Secondary Outcomes (6)

  • Assessment of cognitive functioning

    At baseline visit and at the final visit (expected average of hospital stay: 4 weeks)

  • Quality of life

    At baseline visit and at the final visit (expected average of hospital stay: 4 weeks)

  • Adverse drug reactions

    Continuously during hospital stay (expected average of hospital stay: 4 weeks) and at follow-up two weeks after discharge

  • Serum level of substances

    1 day at occurrence of SAR

  • Electrocardiogram

    At baseline visit, at occurrence of SAR and at the final visit (expected average of hospital stay: 4 weeks)

  • +1 more secondary outcomes

Study Arms (1)

Psychiatric drugs

EXPERIMENTAL
Drug: PhenobarbitalDrug: PhenytoinDrug: CarbamazepineDrug: OxcarbazepineDrug: Valproic AcidDrug: LamotrigineDrug: TopiramateDrug: GabapentinDrug: LevetiracetamDrug: PregabalinDrug: LacosamideDrug: ClonazepamDrug: BiperidenDrug: LevomepromazineDrug: FluphenazineDrug: PerphenazineDrug: PerazineDrug: ThioridazineDrug: HaloperidolDrug: MelperoneDrug: PipamperoneDrug: BromperidolDrug: BenperidolDrug: SertindoleDrug: ZiprasidoneDrug: FlupentixolDrug: ChlorprothixeneDrug: ZuclopenthixolDrug: FluspirileneDrug: PimozideDrug: ClozapineDrug: OlanzapineDrug: QuetiapineDrug: SulpirideDrug: TiaprideDrug: AmisulprideDrug: ProthipendylDrug: RisperidoneDrug: AripiprazoleDrug: PaliperidoneDrug: DiazepamDrug: OxazepamDrug: LorazepamDrug: BromazepamDrug: ClobazamDrug: AlprazolamDrug: HydroxyzineDrug: BuspironeDrug: Chloral HydrateDrug: FlurazepamDrug: NitrazepamDrug: TriazolamDrug: LormetazepamDrug: TemazepamDrug: MidazolamDrug: BrotizolamDrug: ZopicloneDrug: ZolpidemDrug: ZaleplonDrug: MelatoninDrug: ClomethiazoleDrug: DiphenhydramineDrug: PromethazineDrug: ImipramineDrug: ClomipramineDrug: OpipramolDrug: TrimipramineDrug: AmitriptylineDrug: NortriptylineDrug: DoxepinDrug: MaprotilineDrug: Amitriptyline oxideDrug: FluoxetineDrug: CitalopramDrug: ParoxetineDrug: SertralineDrug: FluvoxamineDrug: EscitalopramDrug: TranylcypromineDrug: MoclobemideDrug: MianserinDrug: TrazodoneDrug: MirtazapineDrug: BupropionDrug: VenlafaxineDrug: ReboxetineDrug: DuloxetineDrug: AgomelatineDrug: PyritinolDrug: PiracetamDrug: DonepezilDrug: RivastigmineDrug: GalantamineDrug: MemantineDrug: NicergolineDrug: AcamprosateDrug: Lithium

Interventions

Psychiatric drugs
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Eligibility Criteria

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

You may qualify if:

  • Age 65+ years old
  • Inpatients treated at one of the geriatric psychiatry study sites.
  • Signed consent form ( Patient and/or legally authorized custodian)

You may not qualify if:

  • Patients that are incapable to give their informed consent and are not under legally authorized custodianship.
  • Parallel participation in another clinical trial.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (5)

Bezirkskrankenhaus Augsburg

Augsburg, Germany

Location

Krankenhaus Hedwigshöhe

Berlin, Germany

Location

Hannover Medical School

Hanover, 30625, Germany

Location

Asklepios Fachklinikum Lübben

Lubin, Germany

Location

Asklepios Fachklinikum Teupitz

Teupitz, Germany

Location

MeSH Terms

Conditions

DementiaDepressionSchizophreniaPsychophysiologic DisordersAnxiety Disorders

Interventions

PhenobarbitalPhenytoinCarbamazepineOxcarbazepineValproic AcidLamotrigineTopiramateGabapentinLevetiracetamPregabalinLacosamideClonazepamBiperidenMethotrimeprazineFluphenazinePerphenazinePerazineThioridazineHaloperidolmetylperonpipamperonebromperidolBenperidolsertindoleziprasidoneFlupenthixolChlorprothixeneClopenthixolFluspirilenePimozideClozapineOlanzapineQuetiapine FumarateSulpirideTiapride HydrochlorideAmisulprideprothipendylRisperidoneAripiprazolePaliperidone PalmitateDiazepamOxazepamLorazepamBromazepamClobazamAlprazolamHydroxyzineBuspironeChloral HydrateFlurazepamNitrazepamTriazolamlormetazepamTemazepamMidazolambrotizolamzopicloneZolpidemzaleplonMelatoninChlormethiazoleDiphenhydraminePromethazineImipramineClomipramineOpipramolTrimipramineAmitriptylineNortriptylineDoxepinMaprotilineamitriptyline N-oxideFluoxetineCitalopramParoxetineSertralineFluvoxamineEscitalopramTranylcypromineMoclobemideMianserinTrazodoneMirtazapineBupropionVenlafaxine HydrochlorideReboxetineDuloxetine HydrochlorideagomelatinePyrithioxinPiracetamDonepezilRivastigmineGalantamineMemantineNicergolineAcamprosateLithium

Condition Hierarchy (Ancestors)

Brain DiseasesCentral Nervous System DiseasesNervous System DiseasesNeurocognitive DisordersMental DisordersBehavioral SymptomsBehaviorSchizophrenia Spectrum and Other Psychotic DisordersNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

BarbituratesPyrimidinonesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsHydantoinsImidazolidinesImidazolesAzolesDibenzazepinesHeterocyclic Compounds, 3-RingHeterocyclic Compounds, Fused-RingPentanoic AcidsValeratesAcids, AcyclicCarboxylic AcidsOrganic ChemicalsFatty Acids, VolatileFatty AcidsLipidsTriazinesFructoseHexosesMonosaccharidesSugarsCarbohydratesKetosesAminesgamma-Aminobutyric AcidAminobutyratesButyratesCyclohexanecarboxylic AcidsAcids, CarbocyclicCyclohexanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsAmino AcidsAmino Acids, Peptides, and ProteinsAcetamidesAmidesAcetatesPyrrolidinonesPyrrolidinesBenzodiazepinonesBenzodiazepinesBenzazepinesHeterocyclic Compounds, 2-RingBridged Bicyclo CompoundsBridged-Ring CompoundsPiperidinesAzabicyclo CompoundsBridged Bicyclo Compounds, HeterocyclicHeterocyclic Compounds, Bridged-RingPhenothiazinesSulfur CompoundsButyrophenonesKetonesThioxanthenesPiperazinesXanthenesSpiro CompoundsPolycyclic CompoundsBenzimidazolesDibenzothiazepinesThiazepinesThiepinsBenzamidesBenzoatesBenzene DerivativesHydrocarbons, AromaticEthylaminesQuinolonesQuinolinesIsoxazolesEthylene GlycolsGlycolsAlcoholsPyridinesTryptaminesIndolesHormonesHormones, Hormone Substitutes, and Hormone AntagonistsThiazolesBenzhydryl CompoundsPropylaminesDibenzocycloheptenesBenzocycloheptenesPolycyclic Aromatic HydrocarbonsOxepinsEthers, CyclicEthersDibenzoxepinsAnthracenesNitrilesBenzofurans1-NaphthylamineNaphthalenesOximesHydroxylaminesChlorobenzoatesPyridonesPropiophenonesCyclohexanolsHexanolsFatty AlcoholsPhenethylaminesMorpholinesOxazinesThiophenesIndansIndenesPhenylcarbamatesCarbamatesAmaryllidaceae AlkaloidsAlkaloidsAmantadineAdamantaneErgolinesErgot AlkaloidsHeterocyclic Compounds, 4 or More RingsTaurineAlkanesulfonic AcidsAlkanesHydrocarbons, AcyclicSulfonic AcidsSulfur AcidsMetals, AlkaliElementsInorganic ChemicalsMetals, LightMetals

Study Officials

  • Helge Frieling, Prof., MD

    Hannover Medical School

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 5, 2015

First Posted

March 2, 2015

Study Start

January 1, 2015

Primary Completion

June 28, 2017

Study Completion

June 28, 2017

Last Updated

February 28, 2018

Record last verified: 2018-02

Data Sharing

IPD Sharing
Will not share

Locations