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Trial registered on ANZCTR
Registration number
ACTRN12608000618358
Ethics application status
Approved
Date submitted
26/09/2008
Date registered
8/12/2008
Date last updated
9/12/2008
Type of registration
Retrospectively registered
Titles & IDs
Public title
A randomised placebo controlled clinical trial to study the therapeutic effectiveness of a Chinese herbal medicine formula used for the treatment of vascular dementia.
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Scientific title
A randomised, double-blind, placebo controlled clinical trial to study the therapeutic effectiveness of a Chinese herbal medicine formula used for the treatment of vascular dementia.
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Vascular dementia (VaD)
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Condition category
Condition code
Alternative and Complementary Medicine
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0
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Herbal remedies
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Neurological
3938
3938
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0
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Dementias
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Chinese herbal medicine extract prepared in oral capsule form, with a dosage of three capsules daily for 16 weeks. The formulation ingredients remain commercial-in confidence.
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Intervention code [1]
3471
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Treatment: Drugs
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Comparator / control treatment
The placebo will be prepared in an oral capsule extract designed to taste, smell and look the same as the active formulation, with a dosage of three capsules daily for 16 weeks.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Measuring cognitive abilities using the Alzheimer's Disease Assessment Scale-cognitive subscale (ADAS-cog) which is assessed by the trial researchers.
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Assessment method [1]
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Timepoint [1]
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Baseline, weeks 8, 16, 32.
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Secondary outcome [1]
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Measuring activities of daily living using the Alzheimer's Disease Co-operative Study Activities of Daily Living Inventory (ADCS-ADL), which is administered by the trial researchers.
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Assessment method [1]
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Timepoint [1]
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Baseline, weeks 8, 16, 32.
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Secondary outcome [2]
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Measuring the overall health of the participant using the Clinician's Interview-Based Impression of Change Plus Caregiver Input (CIBIC-Plus), which is assessed by the trial researchers.
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Assessment method [2]
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Timepoint [2]
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Baseline, weeks 8, 16, 32.
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Secondary outcome [3]
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Measuring mental status using the Mini-Mental Status Examination (MMSE), which is administered by trial researchers.
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Assessment method [3]
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Timepoint [3]
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Baseline, weeks 8, 16, 32.
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Secondary outcome [4]
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Short Form Health Survey (SF-36) assessed by patients and researchers measuring physical and mental health.
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Assessment method [4]
8159
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Timepoint [4]
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Baseline, weeks 8, 16, 32.
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Eligibility
Key inclusion criteria
1. A diagnosis of probable or possible Vascular Dementia (VaD) of more than or equal to 3 months in duration based on the NINDS-AIREN criteria.
2. Hichinski Ischemic Score (HIS) >4 to distinguish VaD from other types of dementia.
3. Absence of severe depression (Geriatric Depression Scale 15-item version, total score <11).
4. If patients have hypertension, diabetes, cardiac disease, or stroke, these disorders have been stable or controlled by medication for at least 3 months.
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Minimum age
60
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Patients with other types of dementia, delirium, depression, schizophrenia, acute illness or poorly controlled chronic diseases.
2. Administration of drugs including: acetyl-cholinesterase inhibitors, ginko biloba, psychotropic drugs, hypnosedatives, antidepressants.
3.Significant liver or renal disease.
4. Severe dysphasia
5. Mental retardation
6. Life expectancy of <6 months.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Geriatricians or psycho-geriatricians will assess the patients and classify them according to the National Institute of Neurological Disorders and Stroke (NINDS) and Association Internationale pour la Recherche et l'Enseignement en Neurosciences (AIREN) diagnostic criteria. Medical history and examination, blood tests for reversible dementia and neuropsychological assessment will be conducted if deemed necessary. Eligible patients will be randomly allocated to receive the active Chinese herbal medicine formulation or placebo. Medication randomisation is conducted by a computer at a central administration site where the trial medications are also labelled in numbered (coded) containers to maintain concealment for researchers.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomisation will be conducted by computer. Patients and investigating staff will be blinded to treatment allocation.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/11/2004
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
120
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Western Sydney
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Address [1]
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Locked Bag 1797
Penrith South DC
NSW 1797
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Country [1]
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Australia
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Primary sponsor type
University
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Name
University of Western Sydney
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Address
Locked Bag 1797
Penrith South DC
NSW 1797
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
3526
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Other collaborator category [1]
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Hospital
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Name [1]
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Xi Yuan Hospital
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Address [1]
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No.1 Xi Yuan Cao Chang, Haidian District
Beijing
100091
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Country [1]
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China
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Other collaborator category [2]
434
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Hospital
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Name [2]
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Department of Aged Care & Rehabilitation, Bankstown Hospital
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Address [2]
434
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Locked Bag 1600
Bankstown
NSW 2200
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Country [2]
434
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of Western Sydney Human Research Ethics Committee
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Ethics committee address [1]
5998
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Locked Bag 1797 Penrith South DC NSW 1797
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
5998
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Approval date [1]
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09/09/2004
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Ethics approval number [1]
5998
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04/061
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Ethics committee name [2]
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South Western Sydney Area Health Service
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Ethics committee address [2]
5999
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Locked Bag 7017 Liverpool BC NSW 1871
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
5999
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Approval date [2]
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27/10/2004
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Ethics approval number [2]
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04/057
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Summary
Brief summary
Vascular dementia (VaD) is the second most common form of dementia and is a major cause of mental and physical disability in the elderly. There are currently no satisfactory or widely accepted medical options to help alleviate the symptoms associated with this disorder. Traditional Chinese medicine has a well-documented history of using herbal formulations for treatment of dementia-like disorders, but its therapeutic effectiveness has very little or no scientific validation. This controlled clinical trial will investigate the therapeutic effectiveness of a Chinese herbal medicine formula used in the treatment of VaD. 120 patients will be recruited to trial this formula over a four-month period.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Centre for Complementary Medicine Research (CompleMED)
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Address
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University of Western Sydney
Locked Bag 1797
Penrith South DC
NSW 1797
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Country
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Australia
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Phone
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02 4620 3284
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Centre for Complementary Medicine Research (CompleMED)
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Address
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University of Western Sydney
Locked Bag 1797
Penrith South DC
NSW 1797
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Country
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Australia
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Phone
3066
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02 4620 3284
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Fax
3066
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Email
3066
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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