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Escitalopram Treatment of Patients With Agitated Dementia

This study has been completed.
Forest Laboratories
Information provided by:
University of Rochester Identifier:
First received: November 29, 2005
Last updated: February 23, 2012
Last verified: February 2012

November 29, 2005
February 23, 2012
February 2003
December 2006   (Final data collection date for primary outcome measure)
Agitation factor on the Neurobehavioral Rating Scale (NBRS)
Same as current
Complete list of historical versions of study NCT00260624 on Archive Site
  • Total NBRS scores
  • Cohen-Mansfield Agitation Inventory
  • Neuropsychiatric Inventory
  • Global Clinical Impression of Change
Same as current
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Escitalopram Treatment of Patients With Agitated Dementia
Escitalopram in the Treatment of Patients With Agitated Dementia
The purpose of this study is to determine the safety and efficacy of escitalopram (Lexapro) using 10 or 20 mg daily in patients with Alzheimer's disease who are also experiencing agitation.
This study is designed for men and women over 60 who have an established diagnosis of mild to severe Alzheimer's disease and who also present behaviors of agitation such as restlessness, physical aggression, yelling and socially inappropriate interactions. While nonpharmacologic interventions are preferable, many times they are not effective alone. Each consented subject will be enrolled in a 12 week study with escitalopram, 10 or 20 mg per day. Each subject will be evaluated using rating scales designed for symptoms of Alzheimer's and agitated behavior. Each subject will also undergo physical and neurological examinations, laboratory tests and monitoring of side effects of escitalopram.
Phase 4
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
  • Alzheimer's Disease
  • Psychomotor Agitation
Drug: Escitalopram (Lexapro)
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*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
December 2006
December 2006   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • Dementia of Alzheimer's type with behavioral disturbance
  • Mild to severe cognitive impairment
  • Age over 60
  • Medically stable
  • Agitation present both at screening and baseline
  • Agitation not responsive to simple nonpharmacologic interventions and lasting at least 2 weeks prior to enrollment.
  • Available Health Care Proxy or other legal representative to give informed consent, and patient assent.
  • No planned change in environment for duration of study
  • At least one reliable caregiver

Exclusion Criteria:

  • Any intercurrent medical problem that could explain the agitation
  • History of major depression or bipolar preceding the onset of dementia
  • Other major psychiatric illness preceding the onset of dementia or mental retardation
  • Other dementias
  • History of alcohol abuse or dependence in the last 2 years
  • Delirium (or history of delirium in the last 8 weeks)
  • Treatment with other psychotropic drugs except those permitted in the protocol. Patients already treated for agitation with psychotropic medication must be able to successfully discontinue it and tolerate a washout period of no less than 1 week.
  • Treatment with non-psychotropic, centrally active drugs believed to contribute to patient's agitation.
  • Severe psychiatric symptoms requiring psychiatric hospitalization or suicidal, homicidal potential.
  • History of intolerance to citalopram
  • Noncompliance with oral medication or inability to take oral medication
  • Modified Hachinski score of 4 or greater
Sexes Eligible for Study: All
61 Years and older   (Adult, Senior)
Contact information is only displayed when the study is recruiting subjects
United States
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University of Rochester
Forest Laboratories
Principal Investigator: Adrian Leibovici MD University of Rochester
University of Rochester
February 2012

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP