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. 2006 Jan 25;2006(1):CD005593. doi: 10.1002/14651858.CD005593

RIV‐B351.

Methods 26 week
 double‐blind
 randomized
 placebo‐controlled
 parallel‐group
Participants Country: USA
 14 centres
 702 participants (393 female, 309 male)
 age range 45‐89 years, mean =74.5 years
 Inclusion: DSM‐IV, NINCDS‐ADRDA criteria for probable AD. MMSE range 10‐26 inclusive
 head computed tomography or magnetic resonance imaging scan consistent with AD within 12 months , most concomitant disease, most medications 
 Exclusion: severe and unstable medical illnesses, anticholinergic drugs, acetylcholine precursor health food supplements, memory enhancers, insulin, psychotropic drugs (apart from occasional use of chloral hydrate for agitation or insomnia)
Interventions 1.rivastigmine:3 mg/day divided into 2 doses
 2.rivastigmine:6 mg/day divided into 2 doses
 3.rivastigmine:9 mg/day divided into 2 doses
 4.placebo
 titration during weeks 1‐12 to the fixed dose, no dose reductions allowed
Outcomes ADAS‐Cog
 CIBIC‐plus
 PDS
 GDS
 CAS
 MMSE
 CAS
Notes Main hypothesis: to evaluate the efficacy and safety of 3 fixed doses of rivastigmine (3,6,9 mg/d) and placebo for 26 weeks of treatment, and dose/efficacy and dose/safety relationships in patients with probable mild to moderate AD
 Assessments: baseline, 12,18,26 weeks