Clinical trial • Phase IV • Psychiatry

Nitrous oxide; Oxygen for Major neurocognitive disorder | Depressive symptoms

Phase IV trial of Nitrous oxide; Oxygen for Major neurocognitive disorder | Depressive symptoms.

Overview

Trial Therapeutic Area
Psychiatry
Trial Disease
Major neurocognitive disorder | Depressive symptoms
Trial Stage
Phase IV
Drug Modality
Other

Key dates

Initial CTIS Submission Date
30-01-2024
First CTIS Authorization Date
03-04-2024

Trial design

Randomised, medical air (product name: medical air; active substances nitrogen and oxygen). route: inhalation. comparator sessions mirror investigational product sessions (inhalation of medical air for 20 minutes at s1, 40 minutes at s2, 60 minutes at s3 according to visit schedule); marketed product authorisation pa 0208/009/001 (ireland).-controlled Phase IV trial across 1 site in France.

Randomised
Yes
Comparator
Medical Air (product name: Medical Air; active substances nitrogen and oxygen). Route: inhalation. Comparator sessions mirror investigational product sessions (inhalation of medical air for 20 minutes at S1, 40 minutes at S2, 60 minutes at S3 according to visit schedule); marketed product authorisation PA 0208/009/001 (Ireland).
Target Sample Size
96
Trial Duration For Participant
56

Eligibility

Recruits 96 The trial enrols a vulnerable population: nursing-home residents with major neurocognitive disorder (cognitive impairment). Consent process accounts for this: consent must be signed at the pre-inclusion visit and 'Patient, family and legal representive consent where applicable' is required (i.e. consent may be provided by patient, family members or legal representative as applicable)..

Vulnerable Population
The trial enrols a vulnerable population: nursing-home residents with major neurocognitive disorder (cognitive impairment). Consent process accounts for this: consent must be signed at the pre-inclusion visit and 'Patient, family and legal representive consent where applicable' is required (i.e. consent may be provided by patient, family members or legal representative as applicable).

Inclusion criteria

  • {"criterion_text":"- Men and women aged 60 and over living in nursing homes\n- Diagnosis of major neurocognitive disorder according to DSM-V for at least 6 months\n- MMSE <= 20/30\n- NPI depression >= 4/12\n- Patients resistant to at least one well-tolerated antidepressant as assessed by the MGH-ATRQ scale.\n- Patient, family and legal representive consent where applicable\n- Person affiliated to a social security scheme\n- a person participating in a clinical drug study or in a period of exclusion from any clinical study due to previous participation."}

Exclusion criteria

  • {"criterion_text":"- NPI agitation > 6/12\n- Unstable somatic pathology (in particular unstable neurological or cardiological pathologies at risk of interfering with the diffusion of MEOPA) and any unexplained recent neurological abnormality.\n- Contraindications to the use of MEOPA\n- Patients who have already been treated with MEOPA in the 6 months prior to inclusion, for example for painful treatment\n- Sub-physiological plasma vitamin B12 or B9 concentration (below the lower limit of the laboratory value).\n- A person participating in a clinical drug study or in a period of exclusion from any clinical study due to previous participation.\n- Supra-physiological plasma homocysteine concentration (above the upper limit of the analysis laboratory's value)"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Changes in the CORNELL depression severitý scale between S4 (one week after the last administration of MEOPA or medical air) and S1 (baseline).","definition_or_measurement_approach":"Change from baseline (S1) to S4 (one week after last administration) on the CORNELL depression severity scale."}

Secondary endpoints

  • {"endpoint_text":"- CORNELL scale and GDS scale at weeks 1, 2, 3, 4 and 8","definition_or_measurement_approach":"Assessment of CORNELL and GDS scales at weeks 1, 2, 3, 4 and 8 to evaluate depressive symptom changes over time."}
  • {"endpoint_text":"- CGI-S and CGI-I scales at weeks 1, 2, 3, 4 and 8","definition_or_measurement_approach":"Assessment of Clinical Global Impression - Severity and Improvement at weeks 1, 2, 3, 4 and 8."}
  • {"endpoint_text":"- The NPI scale for the frequency and severitý of the 12 most frequent psychobehavioural disorders in TNC at weeks 1, 4 and 8.","definition_or_measurement_approach":"Neuropsychiatric Inventory (NPI) frequency and severity assessment at weeks 1, 4 and 8."}
  • {"endpoint_text":"- The measurement of well-being by the EVIBE visual analogue scale at weeks 1, 2, 3, 4, and 8.","definition_or_measurement_approach":"EVIBE visual analogue scale measured at weeks 1, 2, 3, 4 and 8 to assess perceived well-being."}
  • {"endpoint_text":"- Collection of adverse events at all study visits.","definition_or_measurement_approach":"Safety assessment via collection and recording of adverse events at each study visit."}

Recruitment

Planned Sample Size
96
Recruitment Window Months
26
Consent Approach
Informed consent to be signed at the pre-inclusion visit. The protocol specifies 'Patient, family and legal representive consent where applicable', indicating that where participants lack capacity consent may be obtained from family or legal representative. No age-specific consent documents or languages are specified in the available record.

Geography

Total Number Of Sites
1
Total Number Of Participants
96

France

Earliest CTIS Part Ii Submission Date
18-03-2024
Latest Decision Or Authorization Date
03-04-2024
Processing Time Days
16
Number Of Sites
1
Number Of Participants
96

Sites

Site Name
Centre Hospitalier Regional Universitaire De Tours
Department Name
Tours
Contact Person Name
IRENE LEGER
Contact Person Email
I.LEGER@chu-tours.fr

Sponsor

Primary sponsor

Full Name
Centre Hospitalier Regional Universitaire De Tours
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
France

Third parties

  • {"country":"","full_name":"DGOS","duties_or_roles":"Monetary support","organisation_type":""}

Investigational products

Investigational Product Name
KALINOX 50%/50%, gaz medicinal comprime
Active Substance
Nitrous oxide; Oxygen
Modality
Other
Routes Of Administration
INHALATION
Route
Inhalation
Authorisation Status
Marketing authorisation FR/H/0409/001 (authorised)
Frequency
20 minutes at S1; 40 minutes at S2; 60 minutes at S3 (sessions scheduled weekly as per visit schedule)
Investigational Product Name
Medical Air
Active Substance
Nitrogen; Oxygen
Modality
Other
Routes Of Administration
INHALATION
Route
Inhalation
Authorisation Status
Marketing authorisation PA 0208/009/001 (authorised)
Frequency
20 minutes at S1; 40 minutes at S2; 60 minutes at S3 (sessions scheduled weekly as per visit schedule)
Combination Treatment
Yes

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