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Ziprasidone vs Standard Therapy for Agitated Patients in the ED
This study is currently recruiting participants.
Verified by National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), November 2008
First Received: November 5, 2008   No Changes Posted
Sponsors and Collaborators: George Washington University
Pfizer
Information provided by: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
ClinicalTrials.gov Identifier: NCT00786318
  Purpose

The primary objective is to determine if ziprasidone is superior to standard therapies in the emergency department treatment of the acutely agitated patient. The primary outcome will be the length of time taken until the patient is ready to be evaluated by the psychiatric service, or until a disposition is made.


Condition Intervention Phase
Psychosis
Agitation
Delirium
Drug: ziprasidone
Drug: Standard therapy
Phase IV

MedlinePlus related topics: Psychotic Disorders
Drug Information available for: Ziprasidone hydrochloride Ziprasidone Ziprasidone mesylate
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Active Control, Parallel Assignment, Efficacy Study
Official Title: Prospective Double Blind Randomized Trial of Intramuscular Ziprasidone Compared With Standard Antipsychotic Therapy For The Treatment Of The Acutely Agitated Patient In The Emergency Department

Further study details as provided by National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK):

Primary Outcome Measures:
  • length of time from triage until patient is either ready to be seen by psychiatry or is ready to have a disposition made [ Time Frame: During ED stay ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Length of time taken to sedate patient [ Time Frame: Ed visit ] [ Designated as safety issue: No ]
  • Total time spent in restraints [ Time Frame: ED visit ] [ Designated as safety issue: No ]
  • Cost effectiveness of the therapy [ Time Frame: ED visit ] [ Designated as safety issue: No ]

Estimated Enrollment: 300
Study Start Date: September 2008
Estimated Study Completion Date: January 2010
Estimated Primary Completion Date: January 2010 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: ziprasidone
    ziprasidone 20mg IM
    Drug: Standard therapy
    Haldol 5mg/ Ativan 2mg IM
  Eligibility

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

Inclusion Criteria:

  • Acutely agitated
  • Requires chemical sedation

Exclusion Criteria:

  • Physician preference for a specific chemical sedative
  • Known allergy to any study medications
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00786318

Contacts
Contact: Jeremy Brown, MD 202 741 2902
Contact: Dianne Lee, RN 2027412917

Locations
United States, District of Columbia
The George Washington University Medical Center, Dept of Emergency Medicine Recruiting
Washington, District of Columbia, United States, 20037
Principal Investigator: Jeremy Brown, MD            
Sponsors and Collaborators
George Washington University
Pfizer
  More Information

Publications:
Responsible Party: Dept of Emergency Medicine, The George Washington University Medical Center ( Jeremy Brown )
Study ID Numbers: 010411
Study First Received: November 5, 2008
Last Updated: November 5, 2008
ClinicalTrials.gov Identifier: NCT00786318     History of Changes
Health Authority: United States: Federal Government

Keywords provided by National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK):
Psychosis
Agitation
Delirium

Study placed in the following topic categories:
Neurotransmitter Agents
Psychotropic Drugs
Psychomotor Agitation
Schizophrenia
Haloperidol
Signs and Symptoms
Lorazepam
Dopamine
Mental Disorders
Psychotic Disorders
Dementia
Neurobehavioral Manifestations
Schizophrenia and Disorders with Psychotic Features
Delirium
Tranquilizing Agents
Central Nervous System Depressants
Confusion
Antipsychotic Agents
Dyskinesias
Cognition Disorders
Serotonin
Haloperidol decanoate
Delirium, Dementia, Amnestic, Cognitive Disorders
Neurologic Manifestations
Emergencies
Dopamine Agents
Ziprasidone

Additional relevant MeSH terms:
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs
Psychotropic Drugs
Psychomotor Agitation
Signs and Symptoms
Serotonin Antagonists
Mental Disorders
Therapeutic Uses
Psychomotor Disorders
Psychotic Disorders
Neurobehavioral Manifestations
Schizophrenia and Disorders with Psychotic Features
Delirium
Tranquilizing Agents
Nervous System Diseases
Central Nervous System Depressants
Dopamine Antagonists
Confusion
Antipsychotic Agents
Dyskinesias
Pharmacologic Actions
Delirium, Dementia, Amnestic, Cognitive Disorders
Serotonin Agents
Neurologic Manifestations
Dopamine Agents
Ziprasidone
Central Nervous System Agents

ClinicalTrials.gov processed this record on May 07, 2009