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Procedure
ECT for Dementia (ECT-AD Trial)
N/A
Recruiting
Led By George Petrides, MD
Research Sponsored by Brent Forester
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Diagnosis of Dementia, including Alzheimer's dementia, Vascular dementia, Frontotemporal dementia, Dementia with Lewy Bodies
Age 40 and above
Must not have
Diagnosis of vascular dementia due to stroke
Current diagnosis of co-morbid delirium
Timeline
Screening 3 weeks
Treatment Varies
Follow Up the pas will be collected for one month
Awards & highlights
No Placebo-Only Group
Summary
This trial will compare two treatments for severe agitation in patients with dementia: electroconvulsive therapy plus usual care (ECT+UC) versus placebo simulated electroconvulsive therapy plus usual care (S-ECT+UC). The study will also compare the safety and tolerability of the two treatments.
Who is the study for?
This trial is for people aged 40+ with moderate to severe dementia, including Alzheimer's, who show severe agitation. They must have tried at least one medication that didn't work and be medically stable for ECT. Those with certain psychiatric disorders, active substance use disorder, or recent neurostimulation therapy can't join.
What is being tested?
The study tests if Electroconvulsive Therapy (ECT) combined with usual care helps reduce severe agitation in dementia patients better than usual care alone. It also assesses the safety of using ECT in these individuals.
What are the potential side effects?
While not specified here, common side effects of ECT may include confusion right after treatment, memory loss (which could be temporary or permanent), physical side effects like headaches, muscle aches or nausea.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I have been diagnosed with a form of dementia.
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I am 40 years old or older.
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I have been diagnosed with Dementia with Lewy Bodies.
Select...
I have been diagnosed with Alzheimer's dementia.
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I have been diagnosed with frontotemporal dementia.
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I have never had a stroke, confirmed by physical and neurological exams.
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I have been diagnosed with a specific type of dementia.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have been diagnosed with vascular dementia caused by a stroke.
Select...
I am currently diagnosed with delirium alongside other conditions.
Select...
I haven't had ECT or similar therapies in the last 3 months.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ the adcs-cgic will be collected for one month
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~the adcs-cgic will be collected for one month
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
CMAI total score
Secondary study objectives
Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Scale (ADCS-CGIC)
Neuropsychiatric Inventory, Clinician Version (NPI-C)
Pittsburgh Agitation Scale (PAS)
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
1Treatment groups
Experimental Treatment
Group I: ECT+UC groupExperimental Treatment1 Intervention
ECT with Usual Care
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Electroconvulsive Therapy (ECT)
2000
Completed Phase 4
~300
Find a Location
Who is running the clinical trial?
Brent ForesterLead Sponsor
Mayo ClinicOTHER
3,362 Previous Clinical Trials
3,065,911 Total Patients Enrolled
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44 Patients Enrolled for Psychomotor Agitation
Pine Rest Christian Mental Health ServicesOTHER
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Emory UniversityOTHER
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The Zucker Hillside HospitalOTHER
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Medical University of South CarolinaOTHER
979 Previous Clinical Trials
7,400,944 Total Patients Enrolled
1 Trials studying Psychomotor Agitation
150 Patients Enrolled for Psychomotor Agitation
George Petrides, MDPrincipal InvestigatorNorthwell Health
Brent P Forester, MD, MScPrincipal InvestigatorMclean Hospital
1 Previous Clinical Trials
12 Total Patients Enrolled
1 Trials studying Psychomotor Agitation
12 Patients Enrolled for Psychomotor Agitation
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have never had a stroke, confirmed by physical and neurological exams.I have been diagnosed with a form of dementia.I am 40 years old or older.I have been diagnosed with Dementia with Lewy Bodies.You have shown signs of aggression or potentially dangerous behavior during a previous assessment.I have been diagnosed with vascular dementia caused by a stroke.I am currently diagnosed with delirium alongside other conditions.You scored 15 or lower on the Mini Mental Status Exam (MMSE).My condition is diagnosed as vascular dementia.My health is stable enough for ECT, confirmed by tests and possibly brain scans.I have been diagnosed with Alzheimer's dementia.I have been diagnosed with frontotemporal dementia.My illness started slowly and has been getting worse over time.I have been diagnosed with a specific type of dementia.I haven't had ECT or similar therapies in the last 3 months.You have been diagnosed with schizophrenia, bipolar disorder, or schizoaffective disorder at any time in your life.You have struggled with drug or alcohol addiction in the past 6 months.I have tried at least one medication for behavioral symptoms that didn't work.
Research Study Groups:
This trial has the following groups:- Group 1: ECT+UC group
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.