Amisulpride Treatment for BPSD in AD Patients
Amisulpride Versus Olanzapine Treatment for Behavioral and Psychological Symptoms in Patients With Dementia of the Alzheimer Type:A Randomized, Open-label, Prospective Study
1 other identifier
interventional
76
1 country
1
Brief Summary
Currently, olanzapine is the most widely used and studied drug for the treatment of behavioral and psychological symptoms in patients with Alzheimer's disease, but there are significant side effects. Amisulpride is a new antipsychotic that not only controls mental symptoms but also improves cognitive function. Therefore, the aim of this study was to evaluate the effectiveness and tolerability of both amisulpride and Olanzapine for treating the behavioral and psychological symptoms of dementia in patients with dementia of the Alzheimer type.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Dec 2019
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2019
CompletedFirst Submitted
Initial submission to the registry
December 27, 2019
CompletedFirst Posted
Study publicly available on registry
April 10, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2024
CompletedNovember 16, 2022
October 1, 2022
4 years
December 27, 2019
November 15, 2022
Conditions
Outcome Measures
Primary Outcomes (1)
Changes of neuropsychiatric inventory(NPI)scores
The change from baseline neuropsychiatric inventory (NPI) items at week 2,4,and 8. Assess the frequency and severity of psychiatric symptoms, including delusions, hallucinations, aggression attacks, depression, anxiety, elevated emotions, indifferent emotions, de-inhibition, agitation, abnormal behaviors, sleep / night behaviors, appetite / eating disorders,the maximum scores is 144.The higher score are considered the psychiatric symptoms more serious.
baseline, Week 2,4, and 8
Secondary Outcomes (7)
Changes of Clinical global impression-Severity of Illness (CGI-SI) score
baseline, Week 2,4, and 8
Changes of Clinical global impression- global improvement (CGI-GI)
baseline, Week 2,4, and 8
Changes of Mini-Mental State Examination(MMSE) scores.
baseline, Week 2,4, and 8
Changes of Caregiver Burden Inventory (CBI) scores
baseline, Week 2,4, and 8
Treatment Emergent Symptom Scale (TESS)
Week 2,4, and 8
- +2 more secondary outcomes
Study Arms (2)
Amisulpride group
EXPERIMENTALThe initial dose of amisulpride group is 50mg/d, and the maximum dose is 800mg/d.
Olanzapine group
ACTIVE COMPARATORThe initial dose of olanzapine is 2.5 mg/d, and the maximum dose is 20 mg/d.
Interventions
The initial dose of amisulpride group is 50mg/d, and the maximum dose is 800mg/d.
The initial dose of olanzapine is 2.5 mg/d, and the maximum dose is 20 mg/d.
Eligibility Criteria
You may qualify if:
- It conforms to the diagnostic standard of Alzheimer's disease in International Classification of Diseases 10th Revision (ICD-10)
- a total score of MMSE\<24
- The patients had active behavioral symptoms with a minimum score of 20 on the 12-point Neuropsychiatric Inventory (NPI)
- Participant or guardian has to sign informed consent. The patients' guardians will sign the informed consent on behalf of the participants when the capacity of participants to consent is compromised
You may not qualify if:
- People with vascular dementia, frontotemporal dementia, dementia with Lewy bodies or other neurocognitive disorders;
- Patients with severe brain organic diseases or brain trauma;
- Physical illnesses associated with severe respiratory, circulatory, immune, and endocrine systems;
- History of other mental disorders;
- Those who are allergic to amisulpride or olanzapine;
- Patients who are contraindicated with amisulpride and olanzapine: pheochromocytoma, prolactin-dependent tumors and narrow-angle glaucoma;
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Tianjin Anding Hospital
Tianjin, Tianjin Municipality, 300222, China
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 27, 2019
First Posted
April 10, 2020
Study Start
December 1, 2019
Primary Completion
December 1, 2023
Study Completion
May 1, 2024
Last Updated
November 16, 2022
Record last verified: 2022-10