Table 1.
Drug(s) | Study | Daily dosea | Duration (weeks) | Baseline MMSE | Outcomeb |
Quality rating | |||
---|---|---|---|---|---|---|---|---|---|
Cognition | Function | Behavior | Global | ||||||
Donepezil(D) vs. Galantamine(G) | Jones et al 2004 |
(D) 5–10 mg (G) 8–24 mg |
12 | 10–24 | ADAS-cog | DAD | – | – | NAc |
Wilcock et al 2003 |
(D) 5–10 mg (G) 16–24 mg |
52 | 9–18 | ADAS-cog | BADLS | NPI | – | NAc | |
Donepezil(D) vs.Rivastigmine(R) | Bullock et al 2005 |
(D) 5–10 mg (R) 3–12 mg |
104 | 10–20 | – | ADCS/ADL | NPI | – | Good |
Wilkinson et al 2002 |
(D) 5–10 mg (R) 6–12 mg |
12 | 10–26 | ADAS-cog | – | – | – | NAc | |
Donepezil | AD2000 Collaborative, 2004 | 5–10 mg | 60 | 10–27 | – | BADLS | NPI | – | Fair |
Burns et al 1999 | 5–10 mgd | 24 | 10–26 | – | IDDD | – | CIBIC+ | Fair | |
Feldman et al 2001 | 5–10 mg | 24 | 5–17 | – | DAD | NPI | – | Good | |
Homma et al 2000 | 5 mg | 24 | 10–26 | ADAS-Jcog | CMCS | – | CGI-C | Fair | |
Mohs et al 2001 | 10 mg | 54 | 12–20 | – | ADFACS | – | – | Fair | |
Rogers et al 1998a | 5–10 mgd | 12 | 10–26 | ADAS-cog | – | – | CIBIC+ | Fair | |
Rogers et al 1998b | 5–10 mgd | 24 | 10–26 | ADAS-cog | – | – | CIBIC+ | Fair | |
Rogers and Friedhoff 1996 | 5 mgd | 12 | 10–26 | ADAS-cog | – | – | CGI-C | Fair | |
Seltzer et al2004 | 10 mg | 24 | 21–26 | ADAS-cog | – | – | – | Fair | |
Tariot et al 2001 | 5–10 mg | 24 | 5–26 | – | – | – | NPI | Fair | |
Winblad et al 2001 | 10 mg | 52 | 10–26 | – | PDS | – | – | Fair | |
Winblad et al 2006 | 10 mg | 24 | 1–10 | – | ADCS/ADL | NPI | CGI-C | Fair | |
Galantamine | Brodaty et al 2005e | 16–24 mg | 26 | 10–24 | ADAS-cog | ADCS/ADL | NPI | CIBIC+ | Good |
Raskind et al 2000 | 24 mgd | 24 | 11–24 | ADAS-cog | – | – | CIBIC+ | Fair | |
Rockwood et al 2001 | 24–32 mg | 12 | 11–24 | ADAS-cog | DAD | – | CIBIC+ | Fair | |
Rockwood et al 2006 | 24 mg | 16 | 10–25 | ADAS-cog | – | NPI | – | Fair | |
Tariot et al 2000 | 16–24 mgd | 20 | 10–22 | ADAS-cog | ADCS/ADL | NPI | – | Fair | |
Wilcock et al 2000 | 24 mg | 24 | 11–24 | ADAS-cog | DAD | – | CIBIC+ | Good | |
Wilkinson and Murray 2001 | 18–24 mgd | 12 | 13–24 | ADAS-cog | – | – | CGI-C | Fair | |
Rivastigmine | Agid et al 1998 | 6 mg | 13 | NRf | – | NOSGER | – | – | Fair |
Corey-Bloom et al 1998 | 6–12 mg | 26 | 10–26 | ADAS-cog | PDS | – | CIBIC+ | Fair | |
Rosler et al 1999 | 6–12 mg | 26 | 10–26 | ADAS-cog | PDS | – | CIBIC+ | Fair |
Notes: Fixed doses outside of the range of the manufacturer label excluded; flexible dosing studies might allow doses outside of labeled range;
Does not indicate whether the outcome was primary or secondary in the trial design, and some outcomes were not reported or abstracted;
Not applicable; open-label trials were not rated for quality;
Value reflects fixed dosing design (compared with flexible dosing);
Galantamine and Galantamine Prolonged-Release Capsule (PRC);
DSM-III-R mild-to-moderate dementia.
Abbreviations: MMSE, Mini Mental State Exam; ADAS-cog, Alzheimer’s Disease Assessment Scale-Cognitive section; ADAS-Jcog, Japanese translation of ADAS-cog; SIB, Severe Impairment Battery; CGI-C, Clinical Global Impression of Change; ADCS/ADL, Alzheimer’s Disease Cooperative Studies Activities of Daily Living Inventory; ADFACS, Alzheimer’s Disease Functional Assessment and Change Scale; BADLS, Bristol Activities of Daily Living Scale; CMCS, Caregiver-rated Modified Crichton Scale; DAD, Disability Assessment for Dementia; IDDD, Interview for Deterioration in Daily living activities in Dementia; NOSGER-IADL, Nurses Observation Scale for Geriatric Patients Activities of Daily Living; PDS, Progressive Deterioration Scale; CIBIC+, Clinician Interview-Based Impression of Change Incorporating Caregiver Information.