COMPARATIVE EFFECTIVENESS OF MCI and DEMENTIA TREATMENTS IN A COMMUNITY-BASED DEMENTIA PRACTICE
NCT02860338 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 900
Last updated 2016-08-09
Summary
This retrospective study is a more extensive, confirmatory analysis of the cognitive and functional outcomes initially seen in 2 groups of MCI/dementia patients in Springfield, MA and compares specialized dementia care and a comprehensive treatment approach versus usual care delivered in a non-specialist setting.
The first group of patients (n= 328) was seen by a dementia specialist, who utilized a standardized assessment and treatment protocol (CNS). This included comprehensive identification and treatment of hypoxia, sleep-disorders, and other cognitively-impairing metabolic conditions as well as maximally- dosed FDA-approved medications for dementia, depression, and PBA.
The second group of patients (n= 280) was seen by non-dementia specialists in the community and received usual care which did not include comprehensive assessment or treatment of underlying metabolic derangements or maximal utilization of currently available medications.
This study, evaluating date from a larger cohort (n\>800) of specialist-treated cognitively-impaired patients, will further examine the hypothesis that a comprehensive dementia treatment protocol yields cognitive stabilization and/or improvement using already available dementia drugs when compared with usual community care.
Conditions
- Mild Cognitive Impairment
- Dementia
- Hypoxia
- Hyperhomocysteinemia
- Vitamin B 12 Deficiency
- Iron Deficiency
- Anemia
- TBI
- Neurodegenerative Disorders
- Alzheimer's Disease
- Vascular Dementia
- Brain Injuries
- Tauopathies
- Parkinson's Disease
- Lewy Body Dementia
- Frontotemporal Dementia
- TDP-43 Proteinopathies
Sponsors & Collaborators
-
Clionsky Neuro Systems Inc.
lead INDUSTRY
Principal Investigators
-
Emily F Clionsky, M.D. · Clionsky Neuro Systems Inc.
Eligibility
- Min Age
- 40 Years
- Max Age
- 90 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2009-01-31
- Primary Completion
- 2015-12-31
- Completion
- 2015-12-31
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