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Rivastigmine

Phase 3

Alzheimer Disease | Small molecule | Neurology |Novartis AG|Last Updated: Mar 28, 2017

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindUNCONTROLLED
Total Trials1
Total Enrollment -

FDA Designations

No designations recorded

Clinical trial landscape

Rivastigmine · 5 trials · 5 indications

Phase 3 5
NCT00623103Long-term Safety of Rivastigmine Capsule and Patch in Patients With Mild to Moderately-severe Dementia Associated With Parkinson's Disease (PDD)Parkinson's Disease Dementia
COMPLETED583 Analytics
NCT00171795Efficacy and Safety of Rivastigmine in Patients With Traumatic Brain Injury and Cognitive ImpairmentTraumatic Brain Injury
COMPLETED67 Analytics
NCT00130338Rivastigmine Capsules in Patients With Probable Vascular DementiaVascular Dementia
COMPLETED521 Analytics
NCT00099216Efficacy and Safety of Rivastigmine Capsules in Patients With Probable Vascular DementiaVascular Dementia
COMPLETED708 Analytics
NCT00000174Investigation Into Delay to Diagnosis of Alzheimer's Disease With Exelon (InDDEx)Alzheimer Disease
COMPLETED- Analytics
PHASE3COMPLETED
Long-term Safety of Rivastigmine Capsule and Patch in Patients With Mild to Moderately-severe Dementia Associated With Parkinson's Disease (PDD)
Parkinson's Disease DementiaUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Rivastigmine in Patients With Traumatic Brain Injury and Cognitive Impairment
Traumatic Brain InjuryUnlock trial analytics
PHASE3COMPLETED
Rivastigmine Capsules in Patients With Probable Vascular Dementia
Vascular DementiaUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Rivastigmine Capsules in Patients With Probable Vascular Dementia
Vascular DementiaUnlock trial analytics
PHASE3COMPLETED
Investigation Into Delay to Diagnosis of Alzheimer's Disease With Exelon (InDDEx)
Alzheimer DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Adverse Events (AEs) Due, or Potentially Due, to Worsening of Parkinson Disease (PD) Motor Symptoms (Tremor, Muscle Rigidity, Bradykinesia, Fall)
76 Weeks

The AEs were summarized by presenting the number and percentage of patients having any of the 4 AEs or discontinued due to any of the 4 predefined AEs (tremor, muscle rigidity, bradykinesia, and fall)in each treatment group. The 95% CIs associated with the rates were also presented.

Percentage of Participants With Study Drug Discontinuations Due to Predefined AEs That Are Due, or Potentially Due, to Worsening of PD Motor Symptoms (Tremor, Muscle Rigidity, Bradykinesia, Fall)
76 Weeks

The discontinuations due to these AEs were summarized by presenting the number and percentage of patients having any of the 4 AEs or discontinued due to any of the 4 predefined AEs (tremor, muscle rigidity, bradykinesia, and fall) in each treatment group. The 95% CIs associated with these rates were also presented.

20 week's treatment with rivastigmine on selective attention compared with placebo in patients with TBI and cognitive impairment
Safety and tolerability of rivastigmine for up to 52 weeks of treatment in patients with VaD and probable VaD
Change in cognition from baseline at week 24
Global clinical impression of change from baseline at week 24

Secondary Endpoints

Change in Unified Parkinson Disease Rating Scale (UPDRS) Part III Motor Examination Scores at Weeks 8, 16, 24, 52 and 76 (or Early Discontinuation) Compared to Baseline
From Baseline to Weeks 8, 16, 24, 52 and 76
Change in Mattis Dementia Rating Scale (Mattis DRS-2) Scores at Weeks 16, 24, 52 and 76 Compared to Baseline
From Baseline to Weeks 16, 24, 52 and 76
Change in Ten Point Clock Test (TPCT) Scores at Weeks 16, 24, 52 and 76 (or Early Discontinuation) Compared to Baseline
From Baseline to Weeks 16, 24, 52 and 76
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Rivastigmine capsuleEXPERIMENTALRivastigmine capsules starting at a total dose of 3 mg/day (1.5 mg twice daily orally) titrated up in 3 mg/day increments every 4 weeks to a final dose of 12 mg/day (6 mg twice daily orally). The 12 mg/day dose or the highest dose tolerated was maintained until week 76.
Rivastigmine patchEXPERIMENTALRivastigmine patch once a day in the morning, worn for 24 hours, starting at 5 cm\^2 (delivering 4.6 mg rivastigmine over a 24 hour period) for 4 weeks then titrated up to 10 cm\^2 daily (delivering 9.5 mg rivastigmine over a 24 hour period). The 10 cm\^2 patch or the highest well tolerated dose was maintained until week 76.

Interventions

NameTypeDescription
Rivastigmine capsuleDRUGRivastigmine capsules orally twice a day. Target dose 12 mg/day.
Rivastigmine transdermal patchDRUGRivastigmine patch once a day in the morning, worn for 24 hours. Target dose 10 cm\^2/day delivering 9.5 mg over a 24 hour period.
RivastigmineDRUG -
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Eligibility Criteria

Age Range50 Years to 85 Years
SexALL
Healthy VolunteersNo
Study Sites127

Inclusion Criteria: * Diagnosis of idiopathic Parkinson's disease, according to the UK Parkinson's disease Society Brain Bank criteria * Diagnosis of Parkinson's disease dementia according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria, with onset of symp...

Countries:United StatesArgentinaAustraliaAustriaBelgiumCanadaFranceGermanyItalyNetherlandsSpainTurkey (Türkiye)United KingdomRussiaSwitzerland
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Frequently asked questions about Rivastigmine

What is Rivastigmine used for?

Rivastigmine is an investigational small molecule in Phase 3 clinical development for neurological conditions including Alzheimer's Disease, Vascular Dementia, Parkinson's Disease Dementia, and Traumatic Brain Injury. It is being studied for its effects on cognitive disorders associated with these conditions.

Who makes Rivastigmine?

Rivastigmine is being developed by Novartis AG, a multinational pharmaceutical company traded on the New York Stock Exchange under the ticker symbol NVS. The company is conducting Phase 3 clinical trials to evaluate the drug's safety and efficacy in various dementia and cognitive impairment indications.

What phase is Rivastigmine in?

Rivastigmine is in Phase 3 clinical development. It has completed four Phase 3 trials, with no active trials currently ongoing. The drug remains investigational and has not been reported as approved by regulatory authorities for the studied indications.

What clinical trials is Rivastigmine in?

Rivastigmine has completed four Phase 3 clinical trials: NCT00000174 in Alzheimer's Disease, NCT00130338 in Vascular Dementia, NCT00171795 in Traumatic Brain Injury, and NCT00623103 in Parkinson's Disease Dementia. These trials were completed with a total enrollment of approximately 3,268 participants across multiple countries.

Is Rivastigmine the same as Exelon?

Rivastigmine is the generic name for the drug marketed under the brand name Exelon. Clinical trial NCT00000174, titled 'Investigation Into Delay to Diagnosis of Alzheimer's Disease With Exelon (InDDEx)', uses the brand name Exelon to refer to the same drug substance.