Donepezil, rivastigmine, galantamine and memantine for ...
Donepezil, rivastigmine, galantamine and memantine for ...
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