Table 1.
Trial number | Source | Intervention | Control | N | Phase | Follow-up intervals | Cognitive measures | Cognitive result | Level of Evidence | GRADE |
---|---|---|---|---|---|---|---|---|---|---|
IMP-based interventions | ||||||||||
NCT03100149 | Pagano et al., 2022 | Prasinezumab | Placebo | 316 | 2 | 52 weeks | MoCA | No significant differences in MoCA at high or low dose | 2 | |
NCT03769896 | Peball et al., 2020 | Nabilone | Placebo | 48 | 2 | 4 weeks | MoCA | No significant change in MoCA | 2 | |
NCT04403399 | Albin et al., 2021 | Varenicline | Placebo | 34 | 2 | 2 × 3-week treatment & washout periods | MoCA, SAT | Significant improvement on SAT (without distractor, treatment difference 0.076, 95% CI 0.0073–0.14, p=.03; non-significant after correction for multiple comparisons); No significant change in other cognitive tests | 2 | Low |
NCT02642393 | Mestre et al., 2021 | Inosine | Placebo | 298 | 3 | 2 years | MoCA | No significant change in MoCA | 2 | |
NCT03305809 | Biglan et al., 2022 | Mevidalen | Placebo | 344 | 2 | 12 weeks | ADAScog, MoCA, ADCS-CGIC | No significant change in ADAScog or MoCA; Dose-dependent significant improvement in ADCS-CGIC in intervention group (minimal or better improvement: 32.9% of subjects in placebo vs 58.0% for 30 mg, 58.2% for 75 mg [p<.001 for both]; moderate or better improvement: 6.8% of subjects in placebo vs 21.7% for 30 mg, 30.9% for 75 mg [30mg p<.05; 75mg p<.001]) | 2 | Moderate |
Device-based interventions | ||||||||||
NCT03417271 | Dayal et al., 2020 | STN DBS | OFF | 16 | 2 | 4 weeks | Verbal fluency | No significant difference in verbal fluency | 2 |
Abbreviations: GRADE = Grades of Recommendation Assessment, Development and Evaluation, IMP = Investigational Medicinal Product, MoCA = Montreal Cognitive Assessment, ADAScog = Alzheimer’s Disease Assessment Scale–Cognitive Subscale, ADCS-CGlC = Alzheimer’s Disease Cooperative Study - Clinical Global Impression of Change, SAT = Sustained Attention Test, STN DBS= Subthalamic nucleus deep brain stimulation, CI = Confidence interval