Newly diagnosed patient with mild to moderate Alzheimer's disease meeting IWG-2 research diagnostic criteria including positivity for Alzheimer's disease biomarkers. MedDRA version: 20.0 Level: LLT Classification code 10001896 Term: Alzheimer's disease System Organ Class: 100000004852
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Diagnosis of Alzheimer's disease according to the 2014 IWG-2 criteria. - Covered by social security. - Age = 50 years old. - Lack of legal protection measure (guardianship, curatorship). - MMSE score = 10 on inclusion. - Aß42 in the CSF or abnormal Aß40 / Aß42 ratio according to the local cut-offs of the different centers. - Phosphorylated tau in the CSF abnormal according to the local cut-offs of the different centers. - Presence of a family companion or a person at home who can ensure compliance with treatment in the event of an MMSE score =65 years) yes F.1.3.1 Number of subjects for this age range 60
Exclusion criteria
Exclusion criteria: - Another cause of major neurocognitive disorder. - Cardiological contraindication after possible opinion of a cardiologist, at the initiative of the investigator, in particular bradycardia, presence of 2nd or 3rd degree atrioventricular block. - Previous treatment of symptomatic Alzheimer's disease. - Participation in another intervention research
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the cognitive efficiency at 6 months of daily intake of donepezil compared to the usual non-drug management by course of treatment.;Secondary Objective: Efficacy at 6 months on the different clinical scales used: ADAS-Cog, CDR, ADCS-ADL, quality of life, ZARIT.;Primary end point(s): Difference in MMSE score between inclusion and 6 months, in the arm treated with donepezil and the usual course of care arm.;Timepoint(s) of evaluation of this end point: 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - Difference at 6 months in scores, ADAS-Cog, CDR, ADCS-ADL, quality of life, ZARIT.;Timepoint(s) of evaluation of this end point: 6 months | — |
Countries
France
Contacts
Assistance Publique - Hôpitaux de Paris