This was a multicenter, prospective, phase IV study evaluating safety, tolerability and effectiveness of rivastigmine 27 mg -15 cm\^2 transdermal patch prescribed in patients with severe dementia of the Alzheimer's type as per discretion of treating physician.
This was a multicenter, prospective, single-arm, open-label, phase IV study to evaluate safety, tolerability and effectiveness of Rivastigmine 27 mg -15 cm\^2 transdermal patch prescribed in patients with severe dementia of the Alzheimer's type as per discretion of treating physician. Male and female patients who were treated according to local routine clinical practice were enrolled in the study upon signing informed consent. The prescription decision was independent of the decision for inclusion in the study.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
100
15 cm\^2 patch sizes loaded with 27 mg of rivastigmine - one patch per day
Novartis Investigative Site
Bangalore, Karnataka, India
Novartis Investigative Site
Bangalore, Karnataka, India
Novartis Investigative Site
Banglaore, Karnataka, India
Novartis Investigative Site
Bengaluru, Karnataka, India
Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Number of participants with treatment emergent AEs (any AE regardless of seriousness), AEs related to study treatment, AEs led to study treatment discontinuation, and SAEs.
Time frame: Adverse events were reported from first dose of study treatment until end of study treatment, plus 30 days post treatment, up to a maximum duration of approximately 142 days.
Change From Baseline in Mini-Mental State Examination (MMSE)
The MMSE is a brief, practical screening test for cognitive dysfunction. The test consists of five sections (orientation, registration, attention-calculation, recall, and language); and results in a total score can range from 0 to 30, with higher scores indicating better function.
Time frame: Baseline, 16 weeks
Change From Baseline in Alzheimer's Disease Cooperative Study - Activities of Daily Living Inventory - Severe Impairment Version (ADCS-ADL SIV) Score
Alzheimer's Disease Cooperative Study - Activities of Daily Living Inventory - Severe Impairment Version (ADCS-ADL SIV) score is a tool to assess the ability of patients with moderate to severe dementia to perform activities of daily living. The ADCS-ADL SIV assessment is done at start and end of visit. The assessment includes 19 questions. The total score ranges from 0 - 54. Higher scores indicate less functional impairment and greater competence.
Time frame: Baseline, 16 weeks
Compliance by Caregiver Medication Questionnaire (CMQ) Score
Caregiver evaluation of the medications used for Alzheimer Disease was assessed using the Caregiver Medication Questionnaire (CMQ). Compliance was rated on a scale from 0 = "never took the medication as prescribed" to 10 = "always took the medication as prescribed."
Time frame: Week 16
Number of Participants With a Skin Irritation
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Novartis Investigative Site
Mumbai, Maharashtra, India
Novartis Investigative Site
Hyderabad, Telangana, India
Novartis Investigative Site
Lucknow, Uttar Pradesh, India
Novartis Investigative Site
Kolkata, West Bengal, India
Novartis Investigative Site
Kolkata, West Bengal, India
The following score system were used to assess skin irritation: I. Dermal response: Score 0 = No erythema (normal skin) Score 1 = Erythema barely visible Score 2 = Mild erythema Score 3 = Moderate erythema Score 4 = Severe erythema Score 5 = Severe erythema with vesicles or blisters
Time frame: Week 16
Number of Participants With a Urinary Tract Infection (UTI)
Urine samples were collected to assess the number of patients with UTI.
Time frame: 16 weeks
Patch Adhesion to the Skin
Patch adhesion to the skin was evaluated by the caregiver. An estimate of the patch adherence was provided and graded according to the patch adhesiveness score. Following scores were used to capture comments relating to patch adhesion: 0 = 90 % adhered (essentially no lift off of the skin) 1. = 75% to \< 90% adhered (some edges only lifting off of the skin) 2. = 50% to \< 75% adhered (less than half of the patch lifting off the skin) 3. = \< 50% adhered but not detached (more than half the system lifting off of the skin without falling off) 4. = the patch was completely detached. The score ranges from 1 to 4 where a higher score indicates less adhesion.
Time frame: Week 16