Evidence map›Paper›PMID 22301195›Full record

Trial reportAlzheimer's & dementia : the journal of the Alzheimer's Association2012

Citalopram for agitation in Alzheimer's disease: design and methods.

Lea T Drye, Zahinoor Ismail, Anton P Porsteinsson, Paul B Rosenberg, Daniel Weintraub, Christopher Marano, Gregory Pelton, Constantine Frangakis, Peter V Rabins, Cynthia A Munro and 8 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00898807 (A Multi-Center Randomized Placebo-Controlled Clinical Trial Study of Citalopram for the Treatment of Agitation in Alzheimer's Disease), which is not on this map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00898807 phase3completednot on this map

A Multi-Center Randomized Placebo-Controlled Clinical Trial Study of Citalopram for the Treatment of Agitation in Alzheimer's Disease

TypeinterventionalSponsorJHSPH Center for Clinical TrialsRan2009 to 2013Enrolled186ConditionsAlzheimer's Disease, AgitationArmscitalopram, placebo
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Antidepressants for treating depression in dementia.The Cochrane database of systematic reviews · 2018
    Pooled it
  2. Trial
  3. Measuring Apathy in Alzheimer's Disease in the Apathy in Dementia Methylphenidate Trial 2 (ADMET 2): A Comparison of Instruments.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2021
    Trial
  4. Sex Differences in the Neuropsychiatric Symptoms of Patients With Alzheimer's Disease.American journal of Alzheimer's disease and other dementias · 2018
    Trial
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  6. Trial
  7. Trial
  8. Trial
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  10. Time to Response to Citalopram Treatment for Agitation in Alzheimer Disease.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2015
    Trial
  11. Trial
  12. Trial
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  16. Designing a trial to evaluate potential treatments for apathy in dementia: the apathy in dementia methylphenidate trial (ADMET).The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2013
    Trial
  17. Article
  18. Article
  19. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 9 institutions in 2 countries.

Lea T DryeDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. ldrye@jhsph.edu
Zahinoor Ismail
Anton P Porsteinsson
Paul B Rosenberg
Daniel Weintraub
Christopher Marano
Gregory Pelton
Constantine Frangakis
Peter V Rabins
Cynthia A Munro
Curtis L Meinert
D P Devanand
Jerome Yesavage
Jacobo E Mintzer
Lon S Schneider
Bruce G Pollock
Constantine G Lyketsos
CitAD Research Group
Johns Hopkins Bayview Medical Center · USJohns Hopkins University · USColumbia University · USUniversity of Toronto · CAMental Illness Research, Education and Clinical Centers · USRalph H. Johnson VA Medical Center · USUniversity of Pennsylvania · USUniversity of Rochester · USUniversity of Southern California · US

Funding

Citalopram Treatment for Agitation in Alzheimer DementiaR01AG031348 · NIA · JOHNS HOPKINS UNIVERSITY · PI LYKETSOS, CONSTANTINE G · 2008 to 2012
$7.9M
Research Infrastructure for the Hopkins Population CenterR24HD042854 · NICHD · JOHNS HOPKINS UNIVERSITY · PI CHERLIN, ANDREW J · 2003 to 2017
$5.1M
Cancer palliative Education Network (Cancer PEN)R25CA115562 · NCI · STANFORD UNIVERSITY · PI PERIYAKOIL, VYJEYANTHI S · 2006 to 2008
$962k
PET imaging of activated microglia in Alzheimer's DiseaseK08AG029157 · NIA · JOHNS HOPKINS UNIVERSITY · PI ROSENBERG, PAUL B · 2008 to 2012
$539k
NCI NIH HHS R25 CA115562NIA NIH HHS K08 AG029157NIA NIH HHS R01 AG031348NIA NIH HHS R01AG031348NICHD NIH HHS R24 HD042854
6 · The paper itself

Abstract

backgroundAgitation is one of the most common neuropsychiatric symptoms of Alzheimer's disease (AD), and is associated with serious adverse consequences for patients and caregivers. Evidence-supported treatment options for agitation are limited. The citalopram for agitation in Alzheimer's disease (CitAD) study was designed to evaluate the potential of citalopram to ameliorate these symptoms.

methodsCitAD is a randomized, double-masked, placebo-controlled multicenter clinical trial, with two parallel treatment groups assigned in a 1:1 ratio and randomization stratified by clinical center. The study included eight recruiting clinical centers, a chair's office, and a coordinating center located in university settings in the United States and Canada. A total of 200 individuals having probable AD with clinically significant agitation and without major depression were recruited for this study. Patients were randomized to receive citalopram (target dose of 30 mg/d) or matching placebo. Caregivers of patients in both treatment groups received a structured psychosocial therapy. Agitation was compared between treatment groups using the NeuroBehavioral Rating Scale and the AD Cooperative Study- Clinical Global Impression of Change, which are the primary outcomes. Functional performance, cognition, caregiver distress, and rates of adverse and serious adverse events were also measured.

conclusionThe authors believe the design elements in CitAD are important features to be included in trials assessing the safety and efficacy of psychotropic medications for clinically significant agitation in AD.

Indexed as

Alzheimer DiseaseCitalopramCognitive Behavioral TherapyDouble-Blind MethodFemaleFollow-Up StudiesHumansMaleOutcome Assessment, Health CarePsychiatric Status Rating ScalesPsychomotor AgitationSelective Serotonin Reuptake InhibitorsCitalopramSelective Serotonin Reuptake Inhibitors

Identifiers

PMID22301195
PMCPMC3333484
OpenAlexW2032178361

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.