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Table 1 Donepezil AD data repository summary (randomised, controlled trials only)

From: Collaborative research between academia and industry using a large clinical trial database: a case study in Alzheimer's disease

Study identifier

Phase

Disease stage/MMSE range

Donepezil/placebo dose, mg

Duration (weeks)

Study objective for donepezil

Total patient number (donepezil + placebo)

Cognitive efficacy measure

Period of study

EWG study*

201 [8]

2

Mild to moderate/10-26

1, 3, 5

12

Initial study of efficacy and safety

150

ADAS-cog MMSE

1991-1992

1, 3, 5

301 [9]

3

Mild to moderate/10-26

5, 10

12

Pivotal study of efficacy and safety (USA)

476

ADAS-cog MMSE

1993-1994

1, 5

302 [9]

3

Mild to moderate/10-26

5, 10

24

Pivotal study of efficacy and safety (USA)

471

ADAS-cogMMSE

1993-1994

1, 2, 5

304 [10]

3

Mild to moderate/10-26

5, 10

24

Pivotal study of efficacy and safety (Europe)

816

ADAS-cog

1994-1996

1, 3, 5

134 [11]

2

Mild to moderate/10-26

3, 5

12

Efficacy and safety (Japan)

190

ADAS-cog

1994

5

161 [12]

3

Mild to moderate/10-26

5

24

Efficacy and safety (Japan)

268

ADAS-cog

1996-1999

1, 5

203 [13]

2

Mild to moderate/10-26

10

24

Effects on regional brain glucose metabolism

28

ADAS-cog

1996-1997

1, 5

204 [14]

2

Mild to moderate/10-26

10

24

Effects on hippocampal volume and neuron integrity

67

ADAS-cog

1996-1997

1, 5

205 [15]

2

Mild to moderate/10-26

10

52

Effects on visuospatial awareness

11

MMSE

1996-1997

1, 5

306 [11]

3b

 

10

12

ApoE subtype and response

38

MMSE

1997-1998

1, 5

311 [16]

3b

Mild to severe/5-26

10

24

Efficacy and safety in nursing home patients

208

MMSE

1996-1997

1, 3, 5

312 [17]

3b

Mild to moderate/12-20

10

54

Preservation of function

431

MMSE

1996-1997

1, 3, 5

324 [18]

3b

Moderate to severe/5-18

10

24

Efficacy and safety in moderate to severe AD

290

MMSE, SIB

1996-1998

1, 2, 3, 4, 5, 6

33301

3b

Mild to moderate/18-26

10

12

Effect on attention

296

 

1997

 

96001 [19]

3b

Mild to moderate/10-26

10

52

1-year DB efficacy and safety

286

MMSE

1997

1, 2, 3, 5, 6

231 [20]

4

Severe/1-12

10

24

Efficacy and safety in severe AD

343

SIB

2001-2005

4

315 [21]

4

Severe/1-12

5, 10

24

Efficacy and safety in severe AD (Japan)

248

SIB

2002-2005

4

1017 [22]

4

Severe/1-10

10

24

Efficacy and safety in severe AD

302

SIB

2002-2004

4

  1. *1 = Jones RW et al [2]; 2 = Wilkinson D et al [3]; 3 = Gauthier S et al [4]; 4 = Cummings J et al [5]; 5 = Lopez O et al [6]; 6 = Waldemar G et al [7].
  2. MMSE = Mini-Mental State Examination, EWG = Expert Working Group, ADAS-cog = Alzheimer's Disease Assessment Scale-cognitive subscale, ApoE = apolipoprotein E, SIB = Severe Impairment Battery, AD = Alzheimer's disease, DB = double blind.