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KAPA
CompletedPhase 4Results postedConvenience, Tolerability, and Safety of Change in the Administration of Rivastigmine From Capsules to a Transdermal Patch in Patients With Mild to Moderate Alzheimer's Disease
A Multi-center, Randomised, Open-label Study to Evaluate Convenience and Safety of Change in the Mode of Administration of Rivastigmine (From Capsules to a Transdermal Patch) in Patients With Alzheimer's Disease
Lead sponsor
Asset
Rivastigmine
Listed sites
1
Recruiting sites
-
Enrollment
142
actual
Study population
Alzheimer’s disease
Key I/E criteria
•Alzheimer's disease•Study partner/caregiver required
Primary endpoint
•Percentage of Patients Who Had a Gastrointestinal Adverse Event (AE) at Any
Footprint
Where this trial recruits
Site locations as reported to ClinicalTrials.gov. Site count is not enrollment count; per-site enrollment is not available from source.
Identifiers
Registered as
Timeline
Milestones
Assets
Drug assets
Study populations
Who this study enrolls
Eligibility
Who can enroll
Inclusion criteria
Exclusion criteria
Other protocol-defined inclusion/exclusion criteria applied to the study.
Endpoints (12)
What's being measured
Protocol endpoints and posted registry outcome measures, grouped into outcome categories. Composite endpoints show their component event types. Standard codes (LOINC, SNOMED CT) are shown where available.
Coverage by outcome category
Global cognition
2 endpointsChange in the Total Mini-Mental State Examination (MMSE) Score From Baseline to Month 1 and Month 3
Time frame:Baseline to Month 1 and Month 3
Mini-Mental State Examination (MMSE)
change from baseline, improvement
Change in the Total Mini-Mental State Examination (MMSE) Score From Baseline to Month 1 and Month 3
Time frame:Baseline to Month 1 and Month 3
Mini-Mental State Examination (MMSE)
change from baseline, improvement
Posted result
| Group | Value (mean), Units on a scale | Standard deviation |
|---|---|---|
| Rivastigmine Patch (4.6 mg/Day Switch to 9.5 mg/Day)Month 1n=43 Participants | 0.12 | 2.60 |
| Month 3n=43 Participants | -0.59 | 2.85 |
| Rivastigmine Patch (9.5 mg/Day)Month 1n=47 Participants | 0.59 | 2.58 |
| Month 3n=47 Participants | 0.12 | 2.85 |
| Rivastigmine Capsules (6 mg to 12 mg/Day)Month 1n=49 Participants | 1.00 | 2.63 |
| Month 3n=49 Participants | -0.40 | 2.42 |
Caregiver / quality of life
2 endpointsOverall Caregiver Satisfaction With Treatment
Time frame:At end of study (Month 3)
descriptive
Overall Caregiver Satisfaction With Treatment
Time frame:At end of study (Month 3)
descriptive
Posted result
| Group | Value (number), Participants | Reported bounds |
|---|---|---|
| Rivastigmine Patch (4.6 mg/Day Switch to 9.5 mg/Day)Not Decided (ND)n=43 Participants | 1 | - |
| Very goodn=43 Participants | 18 | - |
| Goodn=43 Participants | 18 | - |
| Averagen=43 Participants | 3 | - |
| Poorn=43 Participants | 3 | - |
| Very Poorn=43 Participants | 0 | - |
| Rivastigmine Patch (9.5 mg/Day)Not Decided (ND)n=47 Participants | 3 | - |
| Very goodn=47 Participants | 20 | - |
| Goodn=47 Participants | 14 | - |
| Averagen=47 Participants | 5 | - |
| Poorn=47 Participants | 2 | - |
| Very Poorn=47 Participants | 3 | - |
| Rivastigmine Capsules (6 mg to 12 mg/Day)Not Decided (ND)n=49 Participants | 1 | - |
| Very goodn=49 Participants | 10 | - |
| Goodn=49 Participants | 33 | - |
| Averagen=49 Participants | 2 | - |
| Poorn=49 Participants | 3 | - |
| Very Poorn=49 Participants | 0 | - |
Safety / tolerability / PK
6 endpointsPercentage of Patients Who Had a Gastrointestinal Adverse Event (AE) at Any Time During the Study
Time frame:Baseline to end of study (Month 3)
threshold achievement, event
Percentage of Patients Who Had a Gastrointestinal Adverse Event (AE) at Any Time During the Study
Time frame:Baseline to end of study (Month 3)
threshold achievement, event
Posted result
| Group | Value (number), Percentage of participants | Reported spread |
|---|---|---|
| Rivastigmine Patch (4.6 mg/Day Switch to 9.5 mg/Day)n=43 Participants | 4.65 | 4.65 |
| Rivastigmine Patch (9.5 mg/Day)n=47 Participants | 4.26 | 4.26 |
| Rivastigmine Capsules (6 mg to 12 mg/Day)n=49 Participants | 6.12 | 6.12 |
Percentage of Patients With an AE Involving the Skin (Local Tolerance) Recorded Over the Course of the Study Period (Patch Groups Only)
Time frame:Baseline to end of study (Month 3)
threshold achievement, event
Percentage of Patients With at Least 1 AE of Any Kind Recorded During the Period of the Study.
Time frame:Baseline to end of study (Month 3)
threshold achievement, event
Percentage of Patients With an AE Involving the Skin (Local Tolerance) Recorded Over the Course of the Study Period (Patch Groups Only)
Time frame:Baseline to end of study (Month 3)
threshold achievement, event
Posted result
| Group | Value (number), Percentage of participants | Reported spread |
|---|---|---|
| Rivastigmine 4.6 mg/9.5 mg Patchn=43 Participants | 11.63 | 11.63 |
| Rivastigmine 9.5 mg Patchn=47 Participants | 17.02 | 17.02 |
Percentage of Patients With at Least 1 AE of Any Kind Recorded During the Period of the Study.
Time frame:Baseline to end of study (Month 3)
threshold achievement, event
Posted result
| Group | Value (number), Percentage of participants | Reported spread |
|---|---|---|
| Rivastigmine Patch (4.6 mg/Day Switch to 9.5 mg/Day)n=43 Participants | 48.84 | 48.84 |
| Rivastigmine Patch (9.5 mg/Day)n=47 Participants | 55.32 | 55.32 |
| Rivastigmine Capsules (6 mg to 12 mg/Day)n=49 Participants | 53.06 | 53.06 |
Other (unclassified)
2 endpointsOverall Patient Satisfaction With Treatment
Time frame:At end of study (Month 3)
descriptive
Overall Patient Satisfaction With Treatment
Time frame:At end of study (Month 3)
descriptive
Posted result
| Group | Value (number), Participants | Reported bounds |
|---|---|---|
| Rivastigmine Patch (4.6 mg/Day Switch to 9.5 mg/Day)Not Decided (ND)n=43 Participants | 0 | - |
| Very goodn=43 Participants | 18 | - |
| Goodn=43 Participants | 20 | - |
| Averagen=43 Participants | 3 | - |
| Poorn=43 Participants | 2 | - |
| Very Poorn=43 Participants | 0 | - |
| Rivastigmine Patch (9.5 mg/Day)Not Decided (ND)n=47 Participants | 3 | - |
| Very goodn=47 Participants | 14 | - |
| Goodn=47 Participants | 21 | - |
| Averagen=47 Participants | 6 | - |
| Poorn=47 Participants | 2 | - |
| Very Poorn=47 Participants | 1 | - |
| Rivastigmine Capsules (6 mg to 12 mg/Day)Not Decided (ND)n=49 Participants | 1 | - |
| Very goodn=49 Participants | 12 | - |
| Goodn=49 Participants | 29 | - |
| Averagen=49 Participants | 5 | - |
| Poorn=49 Participants | 2 | - |
| Very Poorn=49 Participants | 0 | - |
Provenance
Sources
Trial facts come from public ClinicalTrials.gov records. Endpoint categories are Delfa's classification of those records, not a ClinicalTrials.gov field. All figures reflect the July 21, 2026 snapshot.