RecruitingPhase 4NCT05590637

Comparing Antipsychotic Medications in LBD Over Time

A Pragmatic Randomized Trial Comparing Antipsychotics in Lewy Body Disease


Sponsor

The University of Texas Health Science Center at San Antonio

Enrollment

94 participants

Start Date

Apr 22, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

The primary objective of this study is to determine whether treatment with pimavanserin or quetiapine is associated with a greater improvement in psychosis when used in a routine clinical setting to treat hallucinations and/or delusions due to Parkinson's disease (PD) or dementia with Lewy bodies (DLB) - collectively referred to as Lewy body disease (LBD).


Eligibility

Inclusion Criteria5

  • Patients seen in the neurology clinic at UT Health San Antonio
  • Diagnosed with psychosis due to PD or DLB
  • Requiring initiation of an antipsychotic medication
  • Clinical equipoise between quetiapine and pimavanserin must exist
  • The prescribing provider must be comfortable prescribing and managing both quetiapine and pimavanserin

Exclusion Criteria4

  • Medical contraindication to either medication
  • Caregiver unavailable to complete NPI-Q
  • Currently taking an antipsychotic medication
  • Prescribing provider unwilling to manage either medication

Interventions

DRUGPimavanserin

Dosage choice and further medication management will be at the discretion of the treating clinician, per routine clinical practice.

DRUGQuetiapine

Dosage choice and further medication management will be at the discretion of the treating clinician, per routine clinical practice.


Locations(2)

University Health System

San Antonio, Texas, United States

UT Health Science Center - San Antonio

San Antonio, Texas, United States

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NCT05590637


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