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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