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Trial · NCT00857649

Efficacy and Safety of Memantine in Moderate to Severe Alzheimer's Disease

NCT00857649, Phase 3, Terminated, H. Lundbeck A/S; results first posted 2012-01-09

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ConductScience Library. Efficacy and Safety of Memantine in Moderate to Severe Alzheimer's Disease. Trials, record NCT00857649. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00857649

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Efficacy and Safety of Memantine in Moderate to Severe Alzheimer's Disease
NCT number
NCT00857649
Status
Terminated
Phases
Phase 3
Enrollment
369 participants, actual
Lead sponsor
H. Lundbeck A/S
Conditions
Alzheimer's Disease
Interventions
Memantine, Placebo
First posted
2009-03-06
Last updated
2013-12-05
Results first posted
2012-01-09
Limitations and caveats
Long recruitment, premature termination, substantial protocol changes; baseline imbalances (concomitant medication and severity of agitation). Variability across sites in reported events frequency (50% of agitation reports from a single site)

Source ClinicalTrials.gov

Registered outcomes5

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryEfficacy of Memantine on Behavioural Symptoms in Outpatients With Moderate to Severe Dementia of the Alzheimer's Type Using the NPI - 12 Items Version Total Score.Baseline to Week 24
Change from Baseline in Neuropsychiatric Inventory (NPI) total score. NPI is a validated scale that assesses behavioural disturbances in patients with dementia. The 12 item version consists of 10 behavioural and 2 neurovegetative areas. It provides both a total score as well as scores for a number of sub-scales. The frequency, severity and caregiver distress for each domain are measured. The NPI is based upon responses obtained from the caregiver. The total score is from 0 to 144. A higher score reflects more frequency and severity of the disturbances.
PrimaryEfficacy of Memantine on Cognition in Outpatients With Moderate to Severe Dementia of the Alzheimer's Type Using the SIB Total Score.Baseline to Week 24
Change from Baseline in Severe Impairment Battery (SIB) total score. SIB is a validated scale used to assess cognitive function in patients with moderate to severe dementia. Items are single words or one-step commands combined with gestures. Nine domains are assessed, and the total score is between 0 and 100. A lower total score reflects the loss of cognitive function.
SecondaryEfficacy of Memantine on Global Condition Using CIBIC-plus.Baseline to Week 24
Clinician's Interview-Based Impression of Change-Plus Version (CIBIC-plus). Improvement evaluated with reference to Baseline. CIBIC-plus is a global rating that is derived through an independent, comprehensive interview with the patient and caregiver by a rater who is barred from knowledge of all other psychometric test scores conducted as part of this protocol as well as from reported safety data. The rating is made on a 7-point scale ranging from "1 = marked improvement" to "7 = marked worsening". A score of "4" indicates no change.
SecondaryEfficacy of Memantine on Functioning Using ADCS-ADL - 19 Items Total Score.Baseline to Week 24
Change from Baseline on the Alzheimer's Disease Cooperative Study - Activities of Daily Living Inventory (ADCS-ADL) 19-item version total score. ADCS-ADL- 19 items version for moderate to severe AD will measure patient's functioning. This battery of ADL questions is used here to measure the functional capabilities of patients with dementia. The inventory is done by interviewing a person in close contact with the patient and covers the most usual and consistent performance of the patient over the preceding 4 weeks. Total score is from 0 to 54. The higher score, the lower impairment.
SecondaryEfficacy of Memantine on Functioning Using CMAI - Long Form Total Score.Baseline to Week 24
Change from Baseline on the Cohen-Mansfield Agitation Inventory (CMAI) - Long Form total score. CMAI - Long Form looks specifically at agitated behaviour in patients with cognitive impairment. It is a seven-point rating scale assessing the frequency of up to 29 agitated behaviours, ranging from "1 = Never" to "7 = Several times an hour". Rating is based on responses obtained from interviews with the caregiver. The total score ranges from 29 to 203, with a higher score reflecting more frequent behavioural disturbances.

Outcomes5

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYEfficacy of Memantine on Behavioural Symptoms in Outpatients With Moderate to Severe Dementia of the Alzheimer's Type Using the NPI - 12 Items Version Total Score.Baseline to Week 24
Full-analysis Set (FAS) - all randomised patients on current treatment with an acetylcholinesterase inhibitor (AChEI) who took at least one dose of investigational medicinal product (IMP) and had at least one post-baseline assessment on both co-primary efficacy variables.~Last Observation Carried Forward (LOCF).
Scores on a scaleMEAN
PRIMARYEfficacy of Memantine on Cognition in Outpatients With Moderate to Severe Dementia of the Alzheimer's Type Using the SIB Total Score.Baseline to Week 24FAS; LOCFScores on a scaleMEAN
SECONDARYEfficacy of Memantine on Global Condition Using CIBIC-plus.Baseline to Week 24FAS; Observed Cases (OC).Scores on a scaleMEAN
SECONDARYEfficacy of Memantine on Functioning Using ADCS-ADL - 19 Items Total Score.Baseline to Week 24FAS; OCScores on a scaleMEAN
SECONDARYEfficacy of Memantine on Functioning Using CMAI - Long Form Total Score.Baseline to Week 24FAS; OCScores on a scaleMEAN

Results by group10

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Efficacy of Memantine on Behavioural Symptoms in Outpatients With Moderate to Severe Dementia of the Alzheimer's Type Using the NPI - 12 Items Version Total Score.Memantine-3.90Standard Error 1.24Scores on a scale
Efficacy of Memantine on Behavioural Symptoms in Outpatients With Moderate to Severe Dementia of the Alzheimer's Type Using the NPI - 12 Items Version Total Score.Placebo-5.13Standard Error 1.23Scores on a scale
Efficacy of Memantine on Cognition in Outpatients With Moderate to Severe Dementia of the Alzheimer's Type Using the SIB Total Score.Memantine-2.34Standard Error 0.76Scores on a scale
Efficacy of Memantine on Cognition in Outpatients With Moderate to Severe Dementia of the Alzheimer's Type Using the SIB Total Score.Placebo-1.86Standard Error 0.75Scores on a scale
Efficacy of Memantine on Global Condition Using CIBIC-plus.Memantine4.68Standard Error 0.11Scores on a scale
Efficacy of Memantine on Global Condition Using CIBIC-plus.Placebo4.63Standard Error 0.11Scores on a scale
Efficacy of Memantine on Functioning Using ADCS-ADL - 19 Items Total Score.Memantine-4.36Standard Error 0.67Scores on a scale
Efficacy of Memantine on Functioning Using ADCS-ADL - 19 Items Total Score.Placebo-2.56Standard Error 0.65Scores on a scale
Efficacy of Memantine on Functioning Using CMAI - Long Form Total Score.Memantine-0.26Standard Error 0.79Scores on a scale
Efficacy of Memantine on Functioning Using CMAI - Long Form Total Score.Placebo-1.16Standard Error 0.79Scores on a scale

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDMemantine182
Overall StudySTARTEDPlacebo187
Overall StudyCOMPLETEDMemantine151
Overall StudyCOMPLETEDPlacebo155
Overall StudyNOT COMPLETEDMemantine31
Overall StudyNOT COMPLETEDPlacebo32

Adverse events92

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNauseaGastrointestinal disordersMemantine4182
otherNauseaGastrointestinal disordersPlacebo11187
otherFallInjury, poisoning and procedural complicationsMemantine19182
otherFallInjury, poisoning and procedural complicationsPlacebo8187
otherWeight decreasedInvestigationsMemantine11182
otherWeight decreasedInvestigationsPlacebo5187
otherSomnolenceNervous system disordersMemantine10182
otherSomnolenceNervous system disordersPlacebo5187
otherAgitationPsychiatric disordersMemantine15182
otherAgitationPsychiatric disordersPlacebo7187

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityMemantine
Total, all-cause mortalityPlacebo
Total, other adverse eventsMemantine51182
Total, other adverse eventsPlacebo35187
Total, serious adverse eventsMemantine18182
Total, serious adverse eventsPlacebo11187

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
23472619RESULT

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons1

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison
Memantine vs Placebo: serious adverse events

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00857649

GET https://conductscience.org/api/trials/v1/NCT00857649/events?page=2