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Methylphenidate, Rivastigmine or Haloperidol in Hypoactive Delirium in Intensive Care Patients
This study has been terminated.
( Inclusion rate too low due to a lack of eligible patients and difficulties obtaining informed consent. )
First Received: January 10, 2008   Last Updated: May 27, 2008   History of Changes
Sponsored by: UMC Utrecht
Information provided by: UMC Utrecht
ClinicalTrials.gov Identifier: NCT00599287
  Purpose

The purpose of this pilot-trial is the feasibility of a large randomized, placebo controlled, doubleblind clinical trial to investigate the use of methylphenidate, rivastigmine or haloperidol in hypoactive ICU-delirium.

In addition we will compare duration of delirium, severity of delirium, length of ICU/hospital stay and side effects between the different interventions.


Condition Intervention Phase
Delirium
Drug: Haloperidol
Drug: Methylphenidate
Drug: Rivastigmine
Other: No intervention
Phase III

Study Type: Interventional
Study Design: Treatment, Randomized, Single Blind (Investigator), Parallel Assignment, Efficacy Study
Official Title: Methylphenidate, Rivastigmine or Haloperidol in Hypoactive Delirium in Intensive Care Patients: a Randomized, Mono-Blind Pilot Trial

Resource links provided by NLM:


Further study details as provided by UMC Utrecht:

Primary Outcome Measures:
  • duration of delirium [ Time Frame: Days ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • duration of ICU-stay [ Time Frame: days ] [ Designated as safety issue: No ]
  • duration of in hospital stay [ Time Frame: days ] [ Designated as safety issue: No ]
  • delirium severity [ Time Frame: duration of delirium ] [ Designated as safety issue: No ]
  • frequency of side effects [ Time Frame: duration of intervention ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 80
Study Start Date: February 2008
Study Completion Date: May 2008
Primary Completion Date: May 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: No Intervention
No intervention
Other: No intervention
No intervention
2: Experimental
Methylphenidate
Drug: Methylphenidate

Methylphenidate 5 mg. 2 dd 1, oral, increased every day with 10 mg. until negative CAM(-ICU) or side-effects.

Maximum dosage 30 mg./day

3: Experimental
Rivastigmine
Drug: Rivastigmine
Rivastigmine 1,5 mg. 2 dd 1, oral, increased every third day with 3 mg. until negative CAM(-ICU) or side-effects. Maximum dosage 12 mg./day
4: Experimental
Haloperidol
Drug: Haloperidol
Haloperidol 2,5 mg. 2 dd 1, oral. (if patient is 69 years or younger) Haloperidol 1 mg. 2 dd 1, oral (if patient is 70 years or older)

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Older than 18 years
  • Diagnosed as hypoactive delirium
  • Informed consent given

Exclusion Criteria:

  • Pregnancy
  • Epilepsy
  • M. Parkinson
  • Lewy-body dementia
  • Prolonged QT-time
  • Known allergy to the medicinals used
  • Renal replacement therapy
  • Hepatic encephalopathy
  • Hyperthyroid
  • Glaucoma
  • Previous suicide attempts
  • Syndrome of Gilles de la Tourette
  • Patients which cannot receive the medication oral or through a nasogastric tube
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00599287

Locations
Netherlands
University Medical Center
Utrecht, Netherlands, 3508 GA
Sponsors and Collaborators
UMC Utrecht
Investigators
Study Director: Jozef Kesecioglu, MD PhD University Medical Center Utrecht
  More Information

No publications provided

Responsible Party: University Medical Center Utrecht ( prof. dr. J. Kesecioglu )
Study ID Numbers: ICHYPDEL/002, METC-UMCU 07/236
Study First Received: January 10, 2008
Last Updated: May 27, 2008
ClinicalTrials.gov Identifier: NCT00599287     History of Changes
Health Authority: Netherlands: Medical Ethics Review Committee (METC);   Netherlands: The Central Committee on Research Involving Human Subjects (CCMO)

Keywords provided by UMC Utrecht:
ICU delirium
Hypoactive delirium
Haloperidol
Methylphenidate
Rivastigmine
Hypoactive ICU delirium

Study placed in the following topic categories:
Dopamine Uptake Inhibitors
Neurotransmitter Agents
Rivastigmine
Psychotropic Drugs
Methylphenidate
Antiemetics
Cholinergic Agents
Neuroprotective Agents
Haloperidol
Signs and Symptoms
Dopamine
Mental Disorders
Dementia
Hypokinesia
Neurobehavioral Manifestations
Delirium
Tranquilizing Agents
Central Nervous System Depressants
Central Nervous System Stimulants
Confusion
Antipsychotic Agents
Dyskinesias
Cognition Disorders
Cholinesterase Inhibitors
Haloperidol decanoate
Delirium, Dementia, Amnestic, Cognitive Disorders
Neurologic Manifestations
Dopamine Agents
Peripheral Nervous System Agents

Additional relevant MeSH terms:
Dopamine Uptake Inhibitors
Neurotransmitter Uptake Inhibitors
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Rivastigmine
Anti-Dyskinesia Agents
Physiological Effects of Drugs
Psychotropic Drugs
Methylphenidate
Antiemetics
Cholinergic Agents
Neuroprotective Agents
Haloperidol
Signs and Symptoms
Mental Disorders
Therapeutic Uses
Hypokinesia
Neurobehavioral Manifestations
Delirium
Tranquilizing Agents
Nervous System Diseases
Gastrointestinal Agents
Central Nervous System Depressants
Enzyme Inhibitors
Central Nervous System Stimulants
Dopamine Antagonists
Confusion
Antipsychotic Agents
Protective Agents
Dyskinesias

ClinicalTrials.gov processed this record on September 03, 2009