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Rivastigmine patch

Phase 3

Delirium | Small molecule | Other |Novartis AG|Last Updated: Jul 20, 2016

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment23
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01487317Rivastigmine in the Management of DeliriumPHASE3 COMPLETED 23Jun 1, 2011Feb 1, 2016Jul 20, 20161 France
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Study Endpoints
Primary Endpoints
Hospital length of stay from randomization to declaration by investigator (MD) that patient can leave acute care
to a maximum of 12 months
Secondary Endpoints
Percentage of patients with persistent delirium symptoms (DRS R-98 scale)
at day 14
Percentage of patients with persistent delirium symptoms at day 30 (CAM scale)
at day 30
Percentage of patients with a dementia diagnosis at 12 months (according to the DSM IV criteria)
at 12 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Rivastigmine transdermal patchEXPERIMENTAL -
placeboPLACEBO_COMPARATOR -
Interventions
NameTypeDescription
Rivastigmine transdermal patchDRUGOne transdermal patch of Rivastigmine (equivalent to 4.6 mg/24h per os) per day from randomization to day 14 before day 14: end od treatment, if DRS R-98 severity \< 10 during 2 consecutive days At day 14, if DRS R-98 severity ≥ 10: one transdermal patch of Rivastigmine 9.5 mg/24h per day from day 14 to day 30 if DRS R-98 severity \< 10, the active treatment will be stopped
placebo patchDRUGOne transdermal patch of placebo per day from randomization to day 14 Before day 14: end of treatment if DRS R-98 severity \< 10 during 2 consecutive days, At day 14 if DRS R-98 severity ≥ 10: One transdermal patch of placebo per day from day 14 to day 30 if DRS R-98 severity \< 10, the placebo treatment will be stopped
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Eligibility Criteria
Age Range75 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Patients aged 75 and over * Hospitalization for delirium not correlated to surgery for less than 48 hours * Patients with delirium requiring the presence of features 1 (acute onset and fluctuation course), 2 (inattention), 3 (disorganized thinking) and 4 (altered level of cons...

Countries:France
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