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Alzheimer's DiseaseNCT00015548

CATIE-Alzheimer's Disease Trial

A study testing Olanzapine, Quetiapine and Risperidone in people with Alzheimer's Disease, run by National Institute of Mental Health (NIMH) at 34 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The CATIE Alzheimer's Disease Trial is part of the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) Project. The study is for people with Alzheimer's disease who are having trouble with their thinking or behavior. Read more about this study

Who is it for?
Any age
Conditions the study is for
Alzheimer's Disease
What is being tested?
Olanzapine, Quetiapine and Risperidone
How many people
450 participants
Where
34 sitesUnited States
Study dates
Mar 2001to Oct 2004
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Diagnosis of Dementia of the Alzheimer's Type
  • Ambulatory, Outpatients who have an informant living/visiting at least 8 hours/week over 3-4 days.
  • Presence of delusions, hallucinations, agitation impacting functioning and requiring medication treatment
  • Agitation or psychotic symptoms began after signs or symptoms of dementia

Who cannot join

  • Be benefiting from psychotropic medication, antidepressants or anticonvulsants
  • Be diagnosed with schizophrenia, schizoaffective disorder, delusional disorder or mood disorder with psychotic features.
  • Have severe or unstable medical illness requiring active treatment
  • Have hypersensitivity or intolerance of any of the study medications

Trial locations and contacts

34 sites in 1 country.

34 sites in 1 country

United States34 sites
  • Emory University - Wesley Woods Health Center

    Atlanta, Georgia, 30329

  • Johns Hopkins University

    Baltimore, Maryland, 21287

  • Southwestern Vermont Medical Center- The Memory Clinic

    Bennington, Vermont, 05201

  • Mental Health Advocates, Inc.

    Boca Raton, Florida, 33432

  • Northwestern University Medical School

    Chicago, Illinois, 60611

  • VA Medical Center

    Coatesville, Pennsylvania, 19320

  • University of Texas Southwestern Medical Center

    Dallas, Texas, 75235-9070

  • Duke University Medical Center

    Durham, North Carolina, 27710

  • Berma Research Group

    Hialeah, Florida, 33016

  • University of Hawaii

    Honolulu, Hawaii, 96813

  • University of Iowa College of Medicine

    Iowa City, Iowa, 52242

  • University of California, Irvine Medical Center

    Irvine, California, 92697

  • University of Southern California Dept of Psychiatry& Behavioral Sciences

    Los Angeles, California, 90033

  • University of California, Los Angeles, VA Medical Center

    Los Angeles, California, 90073

  • Yale University School of Medicine

    New Haven, Connecticut, 06510

  • Mount Sinai School of Medicine

    New York, New York, 10029

  • Columbia University

    New York, New York, 10032

  • Medical University of South Carolina

    North Charleston, South Carolina, 29406

  • Global Research and Consulting

    Olean, New York, 14760

  • Mental Illness Research Education and Clinical Center

    Philadelphia, Pennsylvania, 19104

  • University of Medicine and Dentistry of New Jersey

    Piscataway, New Jersey, 08855-1382

  • Monroe Community Hospital

    Rochester, New York, 14620

  • University of California-San Diego, VA Medical Center

    San Diego, California, 92161

  • Louisiana State University Health Sciences Center

    Shreveport, Louisiana, 71103

  • Southern Illinois School of Medicine

    Springfield, Illinois, 62702

  • Millennium Psychiatric Associates

    St Louis, Missouri, 63044

  • Stanford University School of Medicine

    Stanford, California, 94305

  • Staten Island University Hospital

    Staten Island, New York, 10305

  • University of Medicine and Dentistry of New Jersey-Stratford

    Stratford, New Jersey, 08084

  • University of South Florida Suncoast Gerontology Center

    Tampa, Florida, 33617

  • Tuscaloosa VA Medical Center

    Tuscaloosa, Alabama, 35404

  • Palm Beach Neurology/Premiere Research Institute

    West Palm Beach, Florida, 33407

  • University Hospital Health Systems-Laurelwood Hospital

    Willoughby, Ohio, 44904

  • Wake Forest University School of Medicine

    Winston-Salem, North Carolina, 27157

Other trials in United States

About this study

Official title: Comparative Effectiveness of Antipsychotic Medications in Patients With Alzheimer's Disease (CATIE Alzheimer's Disease Trial)

The CATIE Alzheimer's Disease Trial is part of the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) Project. The study is for people with Alzheimer's disease who are having trouble with their thinking or behavior. In particular, this study is trying to find out the best treatment for people who have hallucinations (seeing or hearing things that aren't there), delusions (false beliefs), or agitation. The design of the trial helps to increase the chance that participants in the study receive a medication that helps them. The study uses three medications known as atypical antipsychotics (olanzapine, quetiapine, risperidone), which are the newest medications that are currently available for treating these problems. Participants may also receive an antidepressant (citalopram). The trial lasts for 36 weeks. Participants are given a thorough evaluation at no cost to ensure that this study is appropriate. In addition, the caregiver, family member, or friend who comes with the participant will be offered an educational program about Alzheimer's disease.

Read the detailed description

There are four phases.

Phase I: In the initial treatment phase (Phase 1), patients will be randomized to one of the three atypical antipsychotics or placebo in the ratio 100:100:100:150 respectively. After two weeks, the investigator can move the patient to the next phase because of lack of efficacy or tolerability. At week 12, the investigator can decide whether the current medication is sufficiently optimal or it would be more beneficial to try another randomized medication.

Phase 2: Phase 2 starts when the patient is randomized to a second medication, i.e., olanzapine, quetiapine, risperidone, or citalopram. Patients will be randomized from an antipsychotic treatment to another antipsychotic treatment or citalopram in the ratio 3:3:2, or from placebo to an antipsychotic treatment or citalopram in the ratio 1:1:1:3 respectively. Therefore, 50% of patients who took placebo in Phase 1 will be randomized to an antipsychotic in Phase 2, and 50% will be randomized to citalopram in Phase 2. After the initial two weeks in Phase 2, the investigator can move the patient to the next phase, due to lack of efficacy or tolerability. After the patient has been on the Phase 2 study drug for approximately 12 weeks, the investigator can decide whether the current medication is sufficiently optimal or whether it would be more beneficial to try another randomized medication.

Phase 3: Phase 3 is randomized open-label treatment of one of the medications not previously received, i.e., olanzapine, quetiapine, risperidone, or citalopram. Treatment failures to the second treatment can be switched to a third open-label treatment. During Phase 3 patients will be maintained on their treatments openly and managed clinically until week 36.

If the investigator determines that the patient's response is not sufficiently optimal to the randomized open-label medication, then after the first two weeks of Phase 3, the investigator can prescribe another medication (of the investigator's choice) to the patient. If this occurs then patients are classed as being in the Open-Choice Phase.

Open-Choice Phase: The Open-Choice Phase can be entered at anytime during the 36-week study and directly from any of the three phases. There are four reasons a patient can enter the open choice phase:

  • Withdrawal from Phase 1 or Phase 2 with the patient or surrogate decision-maker refusing to proceed to the next randomized phase;
  • Withdrawal from Phase 3;
  • Withdrawal from current study drug from any of the three previous phases due to antipsychotic medication no longer being required in the opinion of the investigator; or
  • Withdrawal due to concomitant treatment with an exclusionary medication.

The Open-Choice Phase is designed to keep patients monitored in the trial for the 36-week duration.

Being tested
Olanzapine, Quetiapine, Risperidone, Citalopram
Keywords
antipsychotic treatment, Alzheimer's disease, agitation, dementia, psychosis, behavioral symptoms, hallucinations, delusions
Medical subject headings
Alzheimer Disease, Psychomotor Agitation, Dementia, Psychotic Disorders, Behavioral Symptoms, Hallucinations, Delusions

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Apr 2001 (estimated)
  2. Study startMar 2001
  3. Study completionOct 2004

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Enrolment
450 participants
IDs, dates and publications
ClinicalTrials.gov ID
NCT00015548
Sponsor's protocol ID
N01 MH090001-05
Other IDs
N01 MH90001-AD, DSIR AT, N01MH90001, N01MH090001
Status last verified
Feb 2009
First submitted
20 Apr 2001
Last updated
17 Jun 2015
Results posted
No

Publications

  • Schneider LS, Tariot PN, Lyketsos CG, Dagerman KS, Davis KL, Davis S, Hsiao JK, Jeste DV, Katz IR, Olin JT, Pollock BG, Rabins PV, Rosenheck RA, Small GW, Lebowitz B, Lieberman JA. National Institute of Mental Health Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE): Alzheimer disease trial methodology. Am J Geriatr Psychiatry. 2001 Fall;9(4):346-60.

    PubMed 11739062
  • Schneider LS, Ismail MS, Dagerman K, Davis S, Olin J, McManus D, Pfeiffer E, Ryan JM, Sultzer DL, Tariot PN. Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE): Alzheimer's disease trial. Schizophr Bull. 2003;29(1):57-72. doi: 10.1093/oxfordjournals.schbul.a006991.

    PubMed 12908661
  • Schneider LS, Tariot PN, Dagerman KS, Davis SM, Hsiao JK, Ismail MS, Lebowitz BD, Lyketsos CG, Ryan JM, Stroup TS, Sultzer DL, Weintraub D, Lieberman JA; CATIE-AD Study Group. Effectiveness of atypical antipsychotic drugs in patients with Alzheimer's disease. N Engl J Med. 2006 Oct 12;355(15):1525-38. doi: 10.1056/NEJMoa061240.

    PubMed 17035647
  • Reeves S, Bertrand J, Uchida H, Yoshida K, Otani Y, Ozer M, Liu KY, Bramon E, Bies R, Pollock BG, Howard R. Towards safer risperidone prescribing in Alzheimer's disease. Br J Psychiatry. 2021 May;218(5):268-275. doi: 10.1192/bjp.2020.225.

    PubMed 33176899
  • Nagata T, Shinagawa S, Yoshida K, Noda Y, Shigeta M, Mimura M, Nakajima S. Early Improvements of Individual Symptoms With Antipsychotics Predict Subsequent Treatment Response of Neuropsychiatric Symptoms in Alzheimer's Disease: A Re-Analysis of the CATIE-AD Study. J Clin Psychiatry. 2020 Feb 11;81(2):19m12961. doi: 10.4088/JCP.19m12961.

    PubMed 32074412
  • Ozawa C, Roberts R, Yoshida K, Suzuki T, Lebowitz B, Reeves S, Howard R, Abe T, Mimura M, Uchida H. Placebo Effects in the Treatment of Noncognitive Symptoms of Alzheimer's Disease: Analysis of the CATIE-AD Data. J Clin Psychiatry. 2017 Nov/Dec;78(9):e1204-e1210. doi: 10.4088/JCP.17m11461.

    PubMed 29045769
  • Yoshida K, Roberts R, Suzuki T, Lebowitz B, Reeves S, Howard R, Abe T, Mimura M, Uchida H. Lack of Early Improvement with Antipsychotics is a Marker for Subsequent Nonresponse in Behavioral and Psychological Symptoms of Dementia: Analysis of CATIE-AD Data. Am J Geriatr Psychiatry. 2017 Jul;25(7):708-716. doi: 10.1016/j.jagp.2017.01.016. Epub 2017 Jan 30.

    PubMed 28215900
  • Miller EA, Schneider LS, Rosenheck RA. Predictors of nursing home admission among Alzheimer's disease patients with psychosis and/or agitation. Int Psychogeriatr. 2011 Feb;23(1):44-53. doi: 10.1017/S1041610210000244. Epub 2010 Mar 10.

    PubMed 20214847
  • Zheng L, Mack WJ, Dagerman KS, Hsiao JK, Lebowitz BD, Lyketsos CG, Stroup TS, Sultzer DL, Tariot PN, Vigen C, Schneider LS. Metabolic changes associated with second-generation antipsychotic use in Alzheimer's disease patients: the CATIE-AD study. Am J Psychiatry. 2009 May;166(5):583-90. doi: 10.1176/appi.ajp.2008.08081218. Epub 2009 Apr 15.

    PubMed 19369318
  • Sultzer DL, Davis SM, Tariot PN, Dagerman KS, Lebowitz BD, Lyketsos CG, Rosenheck RA, Hsiao JK, Lieberman JA, Schneider LS; CATIE-AD Study Group. Clinical symptom responses to atypical antipsychotic medications in Alzheimer's disease: phase 1 outcomes from the CATIE-AD effectiveness trial. Am J Psychiatry. 2008 Jul;165(7):844-54. doi: 10.1176/appi.ajp.2008.07111779. Epub 2008 Jun 2.

    PubMed 18519523
  • Rosenheck RA, Leslie DL, Sindelar JL, Miller EA, Tariot PN, Dagerman KS, Davis SM, Lebowitz BD, Rabins P, Hsiao JK, Lieberman JA, Schneider LS; Clinical Antipsychotic Trial of Intervention Effectiveness-Alzheimer's Disease (CATIE-AD) investigators. Cost-benefit analysis of second-generation antipsychotics and placebo in a randomized trial of the treatment of psychosis and aggression in Alzheimer disease. Arch Gen Psychiatry. 2007 Nov;64(11):1259-68. doi: 10.1001/archpsyc.64.11.1259.

    PubMed 17984395

Questions about this trial

What is this clinical trial studying?

A study testing Olanzapine, Quetiapine and Risperidone in people with Alzheimer's Disease, run by National Institute of Mental Health (NIMH) at 34 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 17 Jun 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 34 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00015548, which also lists 11 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Jun 2015.

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