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Rivastigmine 5 cm^2 patch

Phase 3

Alzheimer's Disease | Small molecule | Neurology |Novartis AG|Last Updated: Jun 11, 2014

Success Probability

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Trial Design

RandomizedCONTROLLED
Total Trials1
Total Enrollment262

FDA Designations

No designations recorded

Clinical trial landscape

Rivastigmine 5 cm^2 patch · 1 trial · 1 indication

Phase 3 1
NCT00428389Safety of Switching From Donepezil to Rivastigmine Patch in Patients With Probable Alzheimer's DiseaseAlzheimer's Disease
COMPLETED262 Analytics
PHASE3COMPLETED
Safety of Switching From Donepezil to Rivastigmine Patch in Patients With Probable Alzheimer's Disease
Alzheimer's DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants Who Discontinued From the Study Due to Any Reason During the Core Phase of the Study
Baseline through the end of the core phase of the study (Week 5)

The primary objective of the study was to evaluate the safety and tolerability of 2 paradigms for switching from donepezil to rivastigmine patch in patients with Alzheimer's disease (AD). The primary variable to assess tolerability of switching was the number of participants who discontinued from the study due to any reason during the core phase.

Secondary Endpoints

Number of Participants Who Discontinued From the Study Due to Any Adverse Event (AE) During the Combined Core and Extension Phases of the Study
Baseline through the end of study (25 weeks)
Number of Participants Who Discontinued From Study Due to Any Reason During Extension Phase
From week 5 through the end of extension phase (25 weeks)
Mean Change From Baseline in the Clinical Global Impression of Change (CGIC) Score at Week 5 and Week 25
Baseline, Week 5 (end of the core phase) and Week 25 (end of the extension phase)
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Immediate SwitchEXPERIMENTALPatients randomized to the immediate switch group continued treatment with donepezil through the evening prior to Day 8 of the study. On Day 8, all patients began open-label treatment with 5 cm\^2 rivastigmine patch formulation. A new patch was applied daily for 4 weeks. Patients who completed the core phase had the option of entering the extension phase, in which they received open-label treatment with rivastigmine patch formulation for an additional 20 weeks. In the absence of any dose-limiting adverse events (AEs), the dose was increased to 10 cm\^2 patch, and it remained the same through Week 25. Patients who experienced dose-limiting AEs had their dose reduced to 5 cm\^2 patch and continued on their best tolerated dose for the remainder of the study.
Delayed SwitchEXPERIMENTALPatients randomized to the delayed switch group were switched to 5 cm\^2 rivastigmine patch formulation on Day 8, following a 7-day withdrawal period from donepezil. A new patch was applied daily for 4 weeks. Patients who completed the core phase had the option of entering the extension phase, in which they received open-label treatment with rivastigmine patch formulation for an additional 20 weeks. In the absence of any dose-limiting adverse events (AEs), the dose was increased to 10 cm\^2 patch, and it remained the same through Week 25. Patients who experienced dose-limiting AEs had their dose reduced to 5 cm\^2 patch and continued on their best tolerated dose for the remainder of the study.

Interventions

NameTypeDescription
Rivastigmine 5 cm^2 transdermal patchDRUGRivastigmine 5 cm\^2 patch size, loaded with 9 mg and providing 4.6 mg rivastigmine per 24 hours.
Rivastigmine 10 cm^2 transdermal patchDRUGRivastigmine 10 cm\^2 patch size loaded with 18 mg and providing 9.5 mg rivastigmine per 24 hours.
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Eligibility Criteria

Age Range50 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites23

Inclusion Criteria: * Be at least 50 years of age; * Have a diagnosis of probable Alzheimer's Disease; * Have an MMSE score of \> or = 10 and \< or = 24; * Must have a caregiver who is able to attend all study visits; * Have received continuous treatment with donepezil for at least 6 months prior t...

Countries:United States
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Frequently asked questions about Rivastigmine 5 cm^2 patch

What is Rivastigmine 5 cm^2 used for?

Rivastigmine 5 cm^2 is a small molecule being developed for Alzheimer's Disease. It is an investigational treatment studied in patients with probable Alzheimer's Disease, including those showing cognitive decline. The drug is administered as a patch and is intended to address symptoms of this neurological condition.

Who makes Rivastigmine 5 cm^2?

Rivastigmine 5 cm^2 is developed by Novartis AG, a company traded under the ticker NVS. Novartis is conducting clinical trials to evaluate the safety and efficacy of this patch formulation in patients with Alzheimer's Disease.

What phase is Rivastigmine 5 cm^2 in?

Rivastigmine 5 cm^2 is in Phase 3 clinical development. It is an investigational drug and has not been approved by regulatory authorities. The Phase 3 trials are completed, and the drug remains under evaluation for Alzheimer's Disease.

What clinical trials is Rivastigmine 5 cm^2 in?

Rivastigmine 5 cm^2 has been studied in two completed Phase 3 trials. NCT00428389 evaluated switching from donepezil to rivastigmine patch in 262 patients. NCT00506415 compared rivastigmine 10 and 15 cm^2 patches in 1584 patients with cognitive decline. Both trials involved Alzheimer's Disease patients aged 50 and older.

Is Rivastigmine 5 cm^2 the same as rivastigmine patch?

Rivastigmine 5 cm^2 refers to a specific patch size of rivastigmine. The clinical trials studied rivastigmine patches of various sizes, including 10 and 15 cm^2. The 5 cm^2 patch is one formulation within this development program for Alzheimer's Disease.