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Phase 4 N=30 Treatment

Effects of Discontinuation of Benzodiazepine-derivative Hypnotics on Cognitive and Motor Functions in Elderly Persons

Adverse Effects

Enrolled (actual)
30
Serious AEs
0.0%
Results posted
Mar 2012
Primary outcome: Primary: Completion Rate — 26 percentage of successful completers

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
Drug: Benzodiazepine (listed out below) (Drug)
Age
Adult, Older Adult · 50+ yrs
Sex
All
Sponsor
Minamihanno Hospital
Primary completion
Jul 2010

Outcome Measures

OutcomeResultp-value
PRIMARY
Completion Rate
26
SECONDARY
A Change in a Total Scale Score in the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS), Japanese Version, From Baseline to Week 8.
8.8
SECONDARY
Clinical Stabilometric Platform (CSP)
-1.5
SECONDARY
Critical Flicker Fusion Test (CFF)
2.1
SECONDARY
Leeds Sleep Evaluation Questionnaire (LSEQ)
46.4
SECONDARY
Clinical Global Impression (CGI)
4.2

Summary

Benzodiazepines (BZDs) have been reported to cause negative impacts on motor as well as cognitive functions, which in turn could result in lethal incidents including falls especially in the elderly. This notwithstanding, few trials have evaluated a feasibility and benefits of discontinuing BZD-derivative hypnotics in a systematic manner in this frail population. In this 8-week open-label study, we examined changes in motor and cognitive functions following the discontinuation of BZD hypnotics in older persons. OBJECTIVES & HYPOTHESES 1. Primary Objective The primary objective is to examine the feasibility of discontinuing BZD-derivative hypnotics in older people. 2. Secondary Objectives 1. One of the secondary objectives is to examine the magnitude of discontinuing BZD-derivative hypnotics in the stability of body. 2. Another secondary objective is to examine the magnitude of discontinuing BZD-derivative hypnotics in cognitive function. Hypotheses 1. More than 80% of the participants will complete and tolerate all the study procedures. 2a. Participants will show an improvement in the stability of body. 2b. Participants will show an improvement in the cognitive function globally as well as specifically in attention.

Eligibility Criteria

Inclusion Criteria

  • Male or female participants of any race or ethnicity with any psychiatric diagnosis
  • Age of 50 and older
  • Having been treated with an BZD-derivative hypnotic drug at a steady dose for at least 4 weeks

Exclusion Criteria

  • Incapacity to follow the instructions.
  • Unstable physical illness or significant neurological disorder
  • Psychiatric concerns raised by the physician of record regarding participation in the study.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00707915). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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