NCT00838110.
| Methods | Multi‐centre, double‐blind, randomized, placebo controlled trial | |
| Participants | ‐ aged 50 years or older ‐ diagnosis of Alzheimer's disease according to DSM‐IV‐TR and NINCDS‐ADRDA criteria ‐ MMSE between 12 and 26 inclusive ‐ If on existing anti‐dementia medications (including cholinesterase inhibitors or memantine), must be on a stable dose 60 days prior to enrolment ‐ If not taking anti‐dementia therapy (including cholinesterase inhibitors or memantine), must not have received medication 60 days prior to enrolment |
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| Interventions | Participants were randomized to either: ‐ latrepirdine (10 mg PO TID for 1 week followed by 20 mg PO TID until endpoint) for 26 weeks ‐ placebo (10 mg PO TID for 1 week followed by 20 mg PO TID until endpoint) for 26 weeks ‐ latrepirdine (10 mg PO TID for 1 week followed by 20 mg PO TID until endpoint) for 12 weeks ‐ placebo (10 mg PO TID for 1 week followed by 20 mg PO TID until endpoint) for 12 weeks enrollment: 741 patients randomized (370 to latrepirdine, 371 to placebo) in combined 12 and 26‐week cohorts |
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| Outcomes | Safety and tolerability ‐ % participants with abnormal clinically significant vital signs (blood pressure, heart rate, etc.) ‐ % participants with abnormal clinically significant ECG findings (PR and QRS intervals, etc.) ‐ % participants with abnormal clinically significant laboratory values (liver/renal function, electrolytes, etc.) ‐ % participants with adverse events |
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| Notes | Funding: Pfizer Inc. and Medivation Inc. | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Low risk | "randomized" |
| Allocation concealment (selection bias) | Unclear risk | This information has not been made available |
| Blinding of participants and personnel (performance bias) All outcomes | Low risk | "double‐blind (subject, care‐giver, investigator)" |
| Blinding of outcome assessment (detection bias) All outcomes | Low risk | "double‐blind (subject, care‐giver, investigator)" |
| Incomplete outcome data (attrition bias) All outcomes | Low risk | The reasons for withdrawal from the study were provided in the patient flow table and were balanced between groups. This information is available in ClinicalTrials.gov |
| Selective reporting (reporting bias) | Low risk | Data are available for all pre‐determined study outcome measures (ClinicalTrials.gov) |
| Other bias | Low risk | There were no other major sources of bias |