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A Randomised Placebo Controlled Trial of a Cholinesterase Inhibitor in the Management of Agitation in Dementia that is Unresponsive to a Psychological Intervention
ISRCTN ISRCTN62185868
DOI 10.1186/ISRCTN62185868
ClinicalTrials.gov identifier NCT00142324
EudraCT number
Public title A Randomised Placebo Controlled Trial of a Cholinesterase Inhibitor in the Management of Agitation in Dementia that is Unresponsive to a Psychological Intervention
Scientific title
Acronym CALM-AD Trial
Serial number at source G0100070
Study hypothesis To determine whether risperidone or donepezil are significantly better than placebo respectively in the management of agitation in AD that has not responded to, or is inappropriate for a standardized brief psychosocial treatment (BPST).
Lay summary
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Neurosciences, psychiatry
Participants - inclusion criteria 1. Probable or possible Alzheimer's disease (AD)
2. Clinically significant agitation
3. Age >39 years
4. Resident in care facility or community resident with carer
5. Not receiving treatment with neuroleptics or chlornesterase inhibitors
6. Carer with capacity to consent.
Participants - exclusion criteria 1. Known sensitivity to donepezil or resperidone
2. Severe, unstable or uncontrolled medical conditions apparent from history, physical examination or investigations
3. Current evidence of delirium
4. Patient meets criteria for Probable Dementia with Lewy Bodies (McKeith et al, 1996)
5. Low probability of treatment compliance
Anticipated start date 01/11/2003
Anticipated end date 30/04/2006
Status of trial Completed
Patient information material
Target number of participants 285
Interventions Randomised to receive:
1. Risperidone 0.5-1.0 mg
2. Donepezil 5-10mg
3. Placebo
For 12 weeks.
Primary outcome measure(s) A reduction in score on the Cohen Mansfield Agitation Inventory.
Secondary outcome measure(s) Not provided at time of registration
Sources of funding Medical Research Council (MRC) (UK)
Trial website
Publications 2007 results in http://www.ncbi.nlm.nih.gov/pubmed/17914039
Contact name Dr  Robert  Howard
  Address Division of Psychological Medicine
Institute of Psychiatry
De Crespigny Park
  City/town London
  Zip/Postcode SE5 8AF
  Country United Kingdom
  Email
Sponsor King's College London (UK)
  Address Strand
  City/town London
  Zip/Postcode WC2R 2LS
  Country United Kingdom
  Tel +44 (0)20 7836 5454
  Email ceu@kcl.ac.uk
  Sponsor website: http://www.kcl.ac.uk/
Date applied 21/09/2000
Last edited 07/09/2009
Date ISRCTN assigned 21/09/2000
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