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| Name | Class |
|---|---|
| Caisse Nationale de Solidarité pour l'Autonomie | OTHER |
| National Health Insurance Fund for Unemployed Workers | OTHER |
| Direction Générale de la Santé, France | OTHER |
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ETNA3 is a multicentric randomised clinical trial conducted in France to evaluate the impact of cognitive training, reminiscence therapy and a "made-to-measure" program on the progression rate of dementia.
ETNA3 is a multicentric randomised clinical trial conducted in France to evaluate the impact of non pharmacological treatments on the progression rate of dementia: Three non pharmacological treatments are being studied: cognitive training therapy, reminiscence therapy and a "made-to-measure" program. Nearly 40 "Memory Clinics" are participating. 800 patients suffering Alzheimer's Disease in the mild to moderate stage of the disease will be included. For each therapy, a standard intervention protocol has been defined. The main objective is to determine whether any or several of these non pharmacological treatments can delay the severe stage of dementia during a 2-year follow-up. The secondary outcomes assess cognitive abilities, functional abilities in activities of daily living, behavioural disturbance, apathy, quality of life, depression, caregiver burden and resource utilization
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Active Comparator |
| |
| 2 | Experimental |
| |
| 3 | Experimental |
| |
| 4 | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Standard intervention protocol | Behavioral | The control group involves a standardized medical follow-up of patients with Alzheimer's disease and a psychoeducative group program for caregivers of patients. |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of progression to the severe stage of Alzheimer's disease (MMSE score of 15 or lower) | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Cognitive abilities (ADAS-cog) | 2 years | |
| Functional abilities in activities of daily living (DAD scale) | 2 years | |
| Behavioural disturbance (NPI) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jean-François, Dartigues, MD, PhD | University Hospital, Bordeaux | Principal Investigator |
| Geneviève Chêne, MD, PhD | University Hospital, Bordeaux | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CH Agen | Agen | 47923 | France | |||
| CHU Amiens Nord |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 14583963 | Background | Clare L, Woods RT, Moniz Cook ED, Orrell M, Spector A. Cognitive rehabilitation and cognitive training for early-stage Alzheimer's disease and vascular dementia. Cochrane Database Syst Rev. 2003;(4):CD003260. doi: 10.1002/14651858.CD003260. | |
| 24011983 | Result | Amieva H, Dartigues JF. ETNA3, a clinical randomized study assessing three cognitive-oriented therapies in dementia: rationale and general design. Rev Neurol (Paris). 2013 Oct;169(10):752-6. doi: 10.1016/j.neurol.2013.07.011. Epub 2013 Sep 4. |
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| Institut National de la Santé Et de la Recherche Médicale, France |
| OTHER_GOV |
| Université Victor Segalen Bordeaux 2 | OTHER |
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| Standard intervention protocol + Cognitive training therapy | Behavioral | "Cognitive training therapy" is provided in small groups of 5 to 8 patients. It consists in classroom type sessions designed to provide general cognitive stimulation. A set of standard cognitive exercises (involving memory, attention, or problem-solving…) related to activities of daily living is realized at each session. |
|
| Standard intervention protocol + Reminiscence therapy | Behavioral | "Reminiscence therapy" is provided in small groups of 5 to 8 patients. This therapy involves the discussion of past activities, events and experiences enhanced by aids such as photographs, familiar items, songs, or personal recordings. A particular topic of life (i.e. a wedding) is discussed at each session. |
|
| Standard intervention protocol + "Made-to-measure" program | Behavioral | The "made to measure" program involves no systematic intervention. The psychologist is asked to choose among the two possible therapies ("Cognitive training therapy" or "Reminiscence therapy") the one more suitable for the patient after considering his clinical characteristics including socio-demographic characteristics, disease severity or cognitive and behavioural disturbance. It is an individualized approach emphasizing the importance of flexibility to allow adjustment to individual needs. |
|
| 2 years |
| Apathy (Apathy Inventory) | 2 years |
| Quality of life (Quol-AD) | 2 years |
| Depression (MADRS) | 2 years |
| Amiens |
| 80054 |
| France |
| Centre Mémoire de Ressources et de Recherches de Bordeaux, CHU de Bordeaux | Bordeaux | 33076 | France |
| Hôpital Pellegrin | Bordeaux | 33076 | France |
| CHU Côte de Nacre | Caen | 14033 | France |
| Centre pour Personnes Agées | Colmar | 68020 | France |
| Centre de Gériatrie | Dax | 40107 | France |
| Hôpital Dupuytren | Draveil | 92210 | France |
| Pôle de Gérontologie CHICAS | Gap | 05007 | France |
| Les Fontaines de Monjous | Gradignan | 33170 | France |
| CMRR & Neuropsychologie, Pavillon de Neurologie, CHU de Grenoble | Grenoble | 38043 | France |
| Centre Hospitalier La Rochelle | La Rochelle | 17000 | France |
| Association AA83 Alzheimer Aidants Var Etablissement " Les pensées " | La Seyne-sur-Mer | 83500 | France |
| Centre Hospitalier de Libourne | Libourne | 33505 | France |
| CHU Limoges | Limoges | 87042 | France |
| Hôpital Privé Gériatrique Les Magnolias | Longjumeau | 91161 | France |
| Centre Hospitalier Bretagne Sud | Lorient | 56322 | France |
| Groupe Hospitalier Saint-Augustin | Malestroit | 56140 | France |
| Hôpital Sainte-Marguerite | Marseille | 13009 | France |
| Centre Antonin Balmes | Montpellier | 34295 | France |
| Hôpital Gui de Chauliac | Montpellier | 34295 | France |
| Clinique Neurologique, CHU Nord | Nantes | 44093 | France |
| Centre Mémoire, Hôpital Pasteur, | Nice | 06002 | France |
| Hôpital Broca | Paris | 75013 | France |
| Hôpital de la Salpétrière, | Paris | 75013 | France |
| Centre Hospitalier des Pyrénées | Pau | 64000 | France |
| Hôpital de Jour Gériatrique | Pau | 64000 | France |
| Hôpital Xavier-Arnozan | Pessac | 33604 | France |
| CHI Poissy-saint-germain-en-laye | Poissy | 78300 | France |
| Hôpital de Jour gériatrique | Poitiers | 86021 | France |
| CHU de Rennes | Rennes | 35000 | France |
| CHRU de Saint-Etienne | Saint-Etienne | 42055 | France |
| Centre hospitalier Ariège Couserans | Saint-Girons | 09201 | France |
| Hôpital de Jour Gériatrique | Saint-Raphaël | 83700 | France |
| Hôpitaux universitaires de Strasbourg | Strasbourg | 67091 | France |
| Bagatelle | Talence | 33401 | France |
| CHIC Marmande - Tonneins | Tonneins | 47400 | France |
| CHU Purpan-Casselardit | Toulouse | 31300 | France |
| Hôpital des Charpennes | Villeurbanne | 69100 | France |
| 26572551 | Result | Amieva H, Robert PH, Grandoulier AS, Meillon C, De Rotrou J, Andrieu S, Berr C, Desgranges B, Dubois B, Girtanner C, Joel ME, Lavallart B, Nourhashemi F, Pasquier F, Rainfray M, Touchon J, Chene G, Dartigues JF. Group and individual cognitive therapies in Alzheimer's disease: the ETNA3 randomized trial. Int Psychogeriatr. 2016 May;28(5):707-17. doi: 10.1017/S1041610215001830. Epub 2015 Nov 17. |
| ID | Term |
|---|---|
| D000544 | Alzheimer Disease |
| D003704 | Dementia |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D024801 | Tauopathies |
| D019636 | Neurodegenerative Diseases |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
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