Methods | 24‐week, multi‐centre, randomised, double‐blind, placebo‐controlled, parallel group study | |
Participants | Country: USA 22 centres 270 individual randomised, aged 55 to 89 years Selection criteria: generally healthy, living independently and capable of complying with testing procedures. Documented memory complaint, MMSE ≥ 24, CDR = 0.5, ADLs normal or only slightly impaired, delayed paragraph recall test (WMS‐R) below education‐matched norms and modified Hachinski ≤ 4 Exclusion criteria: HAM‐D > 12, possible or probably AD, drug or alcohol abuse/dependence in the last 5 years, poorly controlled diabetes or other medical conditions, or previous treatment with a cholinesterase inhibitor |
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Interventions | 1. Donepezil 5 mg/day increased to 10 mg after 42 days 2. Placebo |
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Outcomes | Change from baseline in NYU paragraph test delayed recall CGIC‐MCI Modified ADAS‐Cog WMS‐R digit span backwards test Symbol digit modalities test NYU Paragraph test immediate recall Neuropsychological test battery (Modified Boston naming, verbal fluency, maze and number cancellation tests) Patient Global Assessment |
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Notes | ‐ | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Quote: "randomised" |
Allocation concealment (selection bias) | Unclear risk | Quote: "randomised in a 1:1 ratio" Quote: "double‐blind" |
Blinding (performance bias and detection bias) All outcomes | Unclear risk | Quote: "double‐blind" |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Efficacy analyses used last observation carried forward in 3 populations, including "observed cases" and the "fully evaluable" population |
Selective reporting (reporting bias) | Low risk | All outcomes reported |
Other bias | Low risk | No additional biases |