Table 2.
Summary of methodology used in the meta-analyses
Cochrane | Winblad | Doody | PenTAG | IQWiGa | |
---|---|---|---|---|---|
Selection of studies | |||||
Included studies | MRZ-9605 | MRZ-9605 | MRZ-9605 | MRZ-9605 | MRZ-9605 |
MEM-MD-01 | MEM-MD-01 | MEM-MD-01 | MEM-MD-01 | MEM-MD-01 | |
MEM-MD-02 | MEM-MD-02 | MEM-MD-02 | MEM-MD-02 | MEM-MD-02 | |
Lu-99679 | Lu-99679 | Lu-99679 | MEM-MD-12b | Lu-99679 | |
MEM-MD-10 | MEM-MD-10 | MEM-MD-10 | MEM-MD-10 | ||
MEM-MD-12 | MEM-MD-12 | MEM-MD-12 | MEM-MD-12 | ||
Lu-10116 | |||||
Use of posthoc analysis of subgroups | No | Yes | No | No | Yes |
Selection of patients | |||||
Includes patients across the licensed population for memantine | Yes | Yes | Yes | No (exclusion of MMSE 14–19) | Yes |
Inclusion of off-label patients | Yes (MMSE >19) | No | Yes (MMSE >19) | No | No |
Analysis strategy | |||||
Monotherapy and combination studies | Grouped | Grouped | Separated and grouped | Separated | Separated and grouped |
Moderately severe to severe AD and mild to moderate AD | Separated | Grouped | Separated and grouped | Separated—only moderately severe to severe | Grouped |
Analysis method | |||||
Management scores (MD or SMD) | MD | SMD | SMD | MD | MD and SMD if necessary |
Management of missing data (OC or LOCF) | LOCF | OC (plus LOCF supportive analysis) | LOCF (plus OC supportive analysis) | ITT, as reported in individual studies | ITT, as reported in individual studies |
AD Alzheimer’s disease, ITT intent to treat, LOCF last observation carried forward, MD mean difference, OC observed cases, SMD standardized mean differenc
aExcluded severe patients (identified as those having a baseline MMSE below 10) from study MEM-MD-02
bIncluded in original PenTAG analysis but excluded here to ensure consistency between monotherapy and combination analyses