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Donepezil, rivastigmine, galantamine and memantine for ...

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TABLE 24 Characteristics of included studies <strong>for</strong> <strong>galantamine</strong><br />

© Queen’s Printer <strong>and</strong> Controller of HMSO 2006. All rights reserved.<br />

Health Technology Assessment 2006; Vol. 10: No. 1<br />

Study Methods Participants Outcomes<br />

[Commercial/academic confidential in<strong>for</strong>mation removed]<br />

Raskind et al.,<br />

2000 61<br />

Rockwood et al.,<br />

2001 62<br />

Tariot et al.,<br />

2000 63<br />

Cummings et al.,<br />

2004 67<br />

Wilcock et al.,<br />

2000 64<br />

Design: multicentre, double-blind<br />

RCT<br />

Interventions:<br />

1. Galantamine 24 mg/day<br />

2. Galantamine 32 mg/day<br />

3. Placebo<br />

Number of centres: 33<br />

Duration of treatment: 6 months<br />

Sponsor: Janssen Research Foundation<br />

Design: multicentre, double-blind<br />

RCT<br />

Interventions:<br />

1. Galantamine 24–32 mg/day<br />

2. Placebo<br />

Number of centres: 43<br />

Duration of treatment: 3 months<br />

Sponsor: Janssen Research Foundation<br />

Design: multicentre, double-blind<br />

RCT<br />

Interventions:<br />

1. Galantamine 8 mg/day<br />

2. Galantamine 16 mg/day<br />

3. Galantamine 24 mg/day<br />

4. Placebo<br />

Number of centres: 5<br />

Duration of treatment: 5 months<br />

Sponsor: Janssen Research Foundation<br />

Design: multicentre, double-blind<br />

RCT<br />

Interventions:<br />

1. Galantamine 24 mg/day<br />

2. Galantamine 32 mg/day<br />

3. Placebo<br />

Number of centres: 86<br />

Duration of treatment: 6 months<br />

Sponsor: Janssen Research Foundation<br />

Inclusion criteria: probable AD<br />

(NINCDS-ADRDA); MMSE score<br />

of 11–24; ≥ 12 on ADAS-cog<br />

Numbers: 636 r<strong>and</strong>omised<br />

1. 212 to 24 mg/day<br />

2. 211 to 32 mg/day<br />

3. 213 to placebo<br />

Mean age:<br />

1. 75.9 ± 0.5<br />

2. 75.0 ± 0.6<br />

3. 75.3 ± 0.6<br />

Inclusion criteria: probable AD<br />

(NINCDS-ADRDA); MMSE score<br />

of 11–24 <strong>and</strong> ≥ 2 on ADAS-cog.<br />

Numbers: 386 r<strong>and</strong>omised.<br />

1. 261 to <strong>galantamine</strong> (72 final<br />

dose 24 mg/day, 103 final dose<br />

32 mg/day)<br />

2. 125 to placebo<br />

Mean age:<br />

1. 75.2 (0.45)<br />

2. 74.6 (0.68)<br />

Inclusion criteria: probable AD<br />

(NINCDS-ADRDA); MMSE score<br />

10–22, ADAS-cog score of ≥ 18<br />

(from st<strong>and</strong>ard 11-item cognitive<br />

subscale).<br />

Numbers: 978 r<strong>and</strong>omised<br />

1. 140 to 8 mg/day<br />

2. 279 to 16 mg/day<br />

3. 273 to 24 mg/day<br />

4. 286 to placebo<br />

Mean age:<br />

1. 76.0 ± 0.6<br />

2. 76.3 ± 0.5<br />

3. 77.7 ± 0.4<br />

4. 77.1 ± 0.5<br />

Inclusion criteria: probable AD<br />

(NINCDS-ADRDA); MMSE score<br />

11–24 <strong>and</strong> a score of ≥ 12 on<br />

ADAS-cog/11 scale<br />

Numbers: 653 r<strong>and</strong>omised:<br />

1. 220 to 24 mg/day<br />

2. 218 to 32 mg/day<br />

3. 215 to placebo<br />

Mean age:<br />

1. 71.9 (8.3)<br />

2. 72.1 (8.6)<br />

3. 72.2 (7.6)<br />

Primary:<br />

● ADAS-cog/11<br />

● CIBIC-plus<br />

Secondary:<br />

● ADAS-cog/13<br />

● Proportion of responders<br />

on ADAS-cog/11<br />

● DAD<br />

● Adverse events<br />

Primary:<br />

● ADAS-cog/11<br />

● CIBIC-plus<br />

Secondary:<br />

● Exp<strong>and</strong>ed ADAS-cog/13<br />

● Proportions of responders<br />

(defined as improvements<br />

in ADAS-cog/11 ≥ 4 points<br />

from baseline)<br />

● NPI<br />

● DAD<br />

● Adverse events<br />

Primary:<br />

● ADAS-cog/11<br />

● CIBIC-plus<br />

Secondary:<br />

● Responders on ADAS-cog<br />

(≥ 4 points relative to<br />

baseline)<br />

● Proportion improved by<br />

≥ 7 points on the ADAScog<br />

● AD Cooperative Study<br />

Activities of Daily Living<br />

inventory (ADCS/ADL)<br />

● NPI<br />

● Adverse events<br />

Primary:<br />

● ADAS-cog/11<br />

● CIBIC-plus<br />

Secondary:<br />

● ADAS-cog/13<br />

● Proportion improving on<br />

ADAS-cog/11 (≥ 0 <strong>and</strong> ≥ 4<br />

points)<br />

● DAD scale<br />

● Adverse events<br />

continued<br />

53

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