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DEP-PAIN-DEM

CompletedPhase 4

Efficacy of Pain Treatment on Depression in Patients With Dementia

Efficacy of Pain Treatment on Depression in Patients With Dementia. A Randomized Clinical Trial.

Assets

Acetaminophen / Buprenorphine

Listed sites

1

Recruiting sites

-

Enrollment

163

actual

Study population

Mixed / unspecified dementia

Key I/E criterion

Age ≥60

Primary endpoint

The Cornell Scale for Depression in Dementia (CSDD)

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

Eudract number2013-002226-23
NCT IDNCT02267057
Org study IDNFR project nr 221951

Timeline

Milestones

Study start2014-08 (month precision)
Study first posted2014-10-17estimated
Primary completion2016-12-21actual
Study completion2016-12-21actual
Last update posted2017-04-04actual

Assets

Drug assets

Study populations

Who this study enrolls

Mixed / unspecified dementia

Eligibility

Who can enroll

Minimum age60 Years
SexAll
Healthy volunteersNot accepted

Inclusion criteria

Patients residing in long term nursing home units for at least 4 weeks prior to study
Diagnosed with probable or possible dementia according to Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), FAST score > 4
Diagnosed with depression ≥ 4 week duration as measured by CSDD ≥ 8
Written, informed consent provided by the participant (if they have capacity) or assent (if they do not have capacity) and a written proxy informed consent from a legally authorized representative empowered to make health-related decisions for the potential study participant

Exclusion criteria

The patient is contra-indicated to study drugs of pain treatment, in another trial, or had no carer.
Participants are ineligible if they are clinical critical (e.g. suicide risk)
Clinician responsible for care, or study clinician considers that the patient suffers from any physical condition, which would make participation in the trial distressing or likely to increase suffering
Advanced severe medical disease/disorder with expected survival less than 6 months or that could interfere with participation
Psychosis or other severe mental disorder prior to dementia diagnosis
Severe aggression (≥8) on item 3 of the NPI subscale, with aggression as the predominant symptom
Schizophrenia, schizoaffective disorder and bipolar disorder
Uncontrolled epilepsy
Severe liver impairment
Renal failure
Severe injury or anaemia (Hb < 8.5 mmol/l), comatose state, current enrolment in another experimental protocol
Known allergy or adverse reaction to paracetamol or buprenorphine transdermal patch
Advanced severe medical disease with expected survival of less than six months, severe psychiatric or neurological disorder.
Patients with diseases that make it impossible to follow the research schedule are excluded

Endpoints (10)

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

Behavior / neuropsychiatric
5
Caregiver / quality of life
2
Global cognition
1
Safety / tolerability / PK
1
Other (unclassified)
1

Global cognition

1 endpoint
Secondary/protocol endpoint

Change in the Mini-Mental State Examination (MMSE)

Time frame:Week -1 and week 13

Mini-Mental State Examination (MMSE)

change from baseline, improvement

Behavior / neuropsychiatric

5 endpoints
Primary/protocol endpoint

Change in the Cornell Scale for Depression in Dementia (CSDD)

Time frame:Week -2, week 0, week 6 and week 13

change from baseline, improvement

Secondary/protocol endpoint

Change in actigraphy recorded sleep patterns and circadian rhythm

Time frame:Week -1 to 0 and week 12 to 13

change from baseline, improvement

Secondary/protocol endpoint

Change in the Neuropsychiatric Inventory - Nursing Home Version (NPI-NH)

Time frame:Week -1, week 0, week 6 and week 13

Neuropsychiatric Inventory (NPI)

change from baseline, improvement

Secondary/protocol endpoint

Change in the Mobilization- Observation - Behavior - Intensity - Dementia-2 (MOBID-2) Pain Scale

Time frame:Week -1, week 0, week 6 and week 13

change from baseline, improvement

Other/protocol endpoint

Change in the burden to personnel as measured by NPI-NH subscale

Time frame:Week 0, week 6 and week 13

Neuropsychiatric Inventory (NPI)

change from baseline, improvement

Caregiver / quality of life

2 endpoints
Secondary/protocol endpoint

Change in the Quality of life in late-stage dementia (QUALID) scale

Time frame:Week -1, week 0, week 6 and week 13

change from baseline, improvement

Secondary/protocol endpoint

Change in the EuroQoL Quality of Life Scale (EQ-5D)

Time frame:Week -1, week 0, week 6 and week 13

change from baseline, improvement

Safety / tolerability / PK

1 endpoint
Secondary/protocol endpoint

Adverse events (AE) and serious adverse event (SAE)

Time frame:Weeks 0-13

event count, event

Other (unclassified)

1 endpoint
Secondary/protocol endpoint/low confidence

Change in the Numerical Rating Scale (NRS)

Time frame:Week 0, week 6 and week 13

change from baseline, improvement

Publications (3)

Bibliography

Records linked to this trial through ClinicalTrials.gov references, PubMed NCT search, and curated study seeds. 'Canonical' marks design/result papers; others are registry references or candidates.

Provenance

Sources

Trial identity, design, statusClinicalTrials.gov API v2
Snapshot dateJuly 21, 2026
Endpoint classificationDelfa ADRD endpoint taxonomy
Results tableno registry results posted yet

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.