Table 2.
Summary of the main clinical studies that have provided statins efficacy results in AD or other types of dementias. Dur: duration of the study (months), N: number of patients, SD: study design, PO: main primary outcomes or biological effects, AO: additional outcomes, SO: main secondary outcomes, Ref: references.
Drug dosage | SD | N | Dur | PO | SO | AO | Results | Ref |
Different statins | Case control | 284 | 72 | Relative risk of AD (odd ratio) | — | — | Decrease relative AD risk (0.29) | [56] |
Atorvastatin calcium 80 mg/day | Randomized, double-blind, placebo-controlled | 63 | 12 | ADAS cog and CGIC change score | ADAS cog, CGI, and NPI Scales | — | Improvements in PO, trends to improving in SO | [154] |
Simvastatin 20 mg/day | Uncontrolled, open trial | 19 | 3 | CSF levels of βsAPP, αsAPP, Tau, phospho-Tau, Aβ1−42, and plasma levels of Aβ1−42 | ADAS cog | — | βsAPP, αsAPP decreased, ADAS-cog slightly increased | [153] |
Simvastatin 20 mg/day | Uncontrolled, open | 19 | 12 | CSF levels of Aβ1−42, βsAPP, αsAPP, totAPP, and total Tau, plasma levels of Aβ1−42 ADAS cog | MMSE | — | No changes in CSF levels of Aβ1−42, βsAPP, totAPP, total Tau, plasma levels of Aβ1−42, ADAS cog, and MMSE, αsAPP increased | [158] |
Pravastatin 40 mg/day | Randomized, placebo-controlled | 5804 | 38.4 | Coronary death, nonfatal myocardial infarction, fatal and nonfatal stroke | — | MMSE | No differences between treatment and controlled group | [155] |
Simvastatin 40 mg/day | Randomized, placebo-controlled | 20.536 | 60 | Plasma levels of LDL, major coronary events, strokes, and revascularizations (separated into prior and not prior cerebrovascular disease) | Ischaemic and/or hemorrhagic stroke (separated into prior and not prior cerebrovascular disease) | TICS-m | No differences in the cognitive score between treatment and control groups | [156] |