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Observational Study Of Donepezil In Routine Clinical Practice

Ecological Perspective On The Efficacy And Tolerability Of Donepezil In A Routine Clinical Practice: A Patient Centered Observational Study

Status
Terminated
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT00843115
Enrollment
370
Registered
2009-02-13
Start date
2007-02-28
Completion date
2008-04-30
Last updated
2014-03-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Alzheimer's Disease

Keywords

Alzheimer's Disease, naturalistic study

Brief summary

To characterize the comorbidities and medications of patients treated with donepezil in a routine clinical practice and to verify the therapeutic response of these patients.

Detailed description

This trial was terminated prematurely on December 31, 2007 due to difficulties in enrolling patients in the study. There were no safety or efficacy concerns regarding the study in the decision to terminate the trial.

Interventions

OTHERdonepezil

Routine clinical practice of prescribing donepezil as per the Canadian label. No drug was supplied as part of this study

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Observational model
ECOLOGIC_OR_COMMUNITY
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* DSM-IV criteria for the clinical diagnosis of mild to moderate Alzheimer's Disease with or without other etiologies of dementia * Mini Mental Status Examination score of 10-26

Exclusion criteria

* Contraindication as stated in the Canadian label for donepezil * Subjects treated with medication for dementia within 30 days prior to baseline

Design outcomes

Primary

MeasureTime frameDescription
All Subjects Improved/Stabilized or Worsened for Cognitive Activation in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentBaseline and Week 12Cognitive Activation symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.
All Subjects Improved/Stabilized or Worsened for Attention in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentBaseline and Week 12Attention symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline and Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Improved/Stabilized=4,5,6; Worsened=2,3.
All Subjects Improved/Stabilized or Worsened for Repetitiveness in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentBaseline and Week 12Repetitiveness symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.
All Subjects Improved/Stabilized or Worsened for Remembering in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentBaseline and Week 12Remembering symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded toCategories: Improved/Stabilized=4,5,6; Worsened=2,3.
All Subjects Improved/Stabilized or Worsened for Temporal Orientation in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentBaseline and Week 12Temporal Orientation symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.
All Subjects Improved/Stabilized or Worsened for Asphasia in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentBaseline and Week 12Asphasia symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded toCategories: Improved/Stabilized=4,5,6; Worsened=2,3.
All Subjects Improved/Stabilized or Worsened for Spatial Orientation in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentBaseline and Week 12Spatial Orientation symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to categories: Improved/Stabilized=4,5,6; Worsened=2,3
All Subjects Improved/Stabilized or Worsened for Judgment in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentBaseline and Week 12Judgment symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.
All Subjects Improved/Stabilized or Worsened for Insight in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentBaseline and Week 12Insight symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.
All Subjects Improved/Stabilized or Worsened for Leisure in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentBaseline and Week 12Leisure symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.
All Subjects Improved/Stabilized or Worsened for Domestic Activities in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentBaseline and Week 12Domestic Activities symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.
All Subjects Improved/Stabilized or Worsened for Hygiene in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentBaseline and Week 12Hygiene symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.
All Subjects Improved/Stabilized or Worsened for Dressing in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentBaseline and Week 12Dressing symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.
All Subjects Improved/Stabilized or Worsened for Telephoning in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentBaseline and Week 12Telephoning symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.
All Subjects Improved/Stabilized or Worsened for Agitation in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentBaseline and Week 12Agitation symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.
All Subjects Improved/Stabilized or Worsened for Mood in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentBaseline and Week 12Mood symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.
All Subjects Improved/Stabilized or Worsened for Anxiety in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentBaseline and Week 12Anxiety symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.
All Subjects Improved/Stabilized or Worsened for Delusions in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentBaseline and Week 12Delusions symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.
All Subjects Improved/Stabilized or Worsened for Apathy in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentBaseline and Week 12Apathy symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.
All Subjects Improved/Stabilized or Worsened for Caregiver in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentBaseline and Week 12Caregiver symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.
All Subjects Improved/Stabilized or Worsened for Severity in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentBaseline and Week 12Severity symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.

Secondary

MeasureTime frameDescription
Change From Baseline in Mini-Mental State Examination (MMSE) Total Scores at Week 12baseline, Week 12MMSE measured general cognitive functioning: orientation, memory, attention, calculation, language, visuospatial functions. Total score derived from sub-scores; total ranges from 0 - 30, higher score indicates better cognitive state. Change: mean score at Week 12 minus mean score at baseline.
Change From Baseline in Subject's Anxiety/Depression at Week 12 LOCFbaseline, Week 12 LOCFEuroQuality of Life-5 Domains: health related tool (not disease specific) measuring index of health & defines health in 5 Domains, including anxiety/depression (none, moderate or extreme anxiety/depression). Analysis of difference between the proportion of subjects with any problem and no problem at baseline versus at Week 12 LOCF
Last Observation Carried Forward (LOCF) Change From Baseline in Mini-Mental State Examination (MMSE) Total Scores at Week 12baseline, Week 12 LOCFMMSE measured general cognitive functioning: orientation, memory, attention, calculation, language, visuospatial functions. Total score derived from sub-scores; total ranges from 0 - 30, higher score indicates better cognitive state. Change: mean score at Week 12 minus mean score at baseline
Correlation Between Change From Baseline in Mini-Mental State Examination (MMSE) Score and Change From Baseline in Combined Patient and Caregiver Health Related Quality of Life (Alzheimer's Disease) (HR QoL-AD) Questionnaire Total Scorebaseline, 12 WeeksMMSE cognitive function: Total 0 - 30, higher score, better cognitive state. Hr QoL- AD: physical health, energy, mood, living situation, memory, family, marriage, friends, chores, fun, money, self, and life as a whole using scale: 1 (poor) - 4 (excellent), possible total 13 - 52. Separate ratings from both patient and caregiver.
Correlation Between LOCF Change From Baseline in Mini-Mental State Examination (MMSE) Score and LOCF Change From Baseline in Combined Patient and Caregiver Health Related Quality of Life (Alzheimer's Disease) (HR QoL-AD) Questionnaire Total Scorebaseline, Week 12 LOCFMMSE cognitive function. Total 0 - 30, higher score, better cognitive state. Hr QoL- AD: physical health, energy, mood, living situation, memory, family, marriage, friends, chores, fun, money, self, and life as a whole. Likert scale, 1 (poor) - 4 (excellent), possible total 13 to 52. Separate ratings from both the patient and the caregiver
Change From Baseline in Combined Patient and Caregiver Health Related Quality of Life (Alzheimer's Disease) (HR QoL-AD) Questionnaire Total Scoresbaseline, 12 WeeksHr QoL- AD: physical health, energy, mood, living situation, memory, family, marriage, friends, chores, fun, money, self, and life as a whole. Likert scale, 1 (poor) - 4 (excellent), possible total 13 to 52. Separate ratings from both the patient and the caregiver. Change: mean score at Week 12 minus mean score at baseline.
LOCF Change From Baseline in Combined Patient and Caregiver Health Related Quality of Life (Alzheimer's Disease) (HR QoL-AD) Questionnaire Total Scoresbaseline, 12 Week LOCFHr QoL- AD: physical health, energy, mood, living situation, memory, family, marriage, friends, chores, fun, money, self, and life as a whole. Likert scale, 1 (poor) - 4 (excellent), possible total 13 to 52. Separate ratings from both the patient and the caregiver. Change: mean score at Week 12 minus mean score at baseline.
Correlation Analysis: Change From Baseline in Combined Patient and Caregiver Quality of Life in Alzheimer's Disease(QoL-AD) Questionnaire Total Score Versus Number of Treatment Emergent Adverse Events (TEAEs)baseline, 12 WeeksQoL- AD: physical health, energy, mood, living situation, memory, family, marriage, friends, chores, fun, money, self, and life as a whole. Likert scale, 1 (poor) - 4 (excellent), possible total 13 to 52. Patient and the caregiver totals combined and correlated to number of treatment emergent adverse events.
Correlation Analysis: LOCF Change From Baseline in Combined Patient and Caregiver Quality of Life in Alzheimer's Disease (QoL-AD) Questionnaire Total Score Versus the Number of Treatment Emergent Adverse Events (TEAEs)baseline, 12 Weeks LOCFQoL- AD: physical health, energy, mood, living situation, memory, family, marriage, friends, chores, fun, money, self, and life as a whole. Likert scale, 1 (poor) - 4 (excellent), possible total 13 to 52. Ratings from patient and the caregiver combined and correlated with number of treatment emergent adverse events.
Change From Baseline Total Score in EuroQuality of Life-5 Domains (EQoL-5D)baseline, 12 WeeksEQoL-5D: measures index of health and defines it in 5 Domains:mobility,self-care,usual activities, pain/discomfort, anxiety/depression. Each domain evaluated on 3-point scale yielding 243 potential combinations; converted to utility values ranging from -0.59(worst state) to 1 (perfect state). Change: Week 12 mean score minus baseline mean score
LOCF Change From Baseline Total Score in EuroQuality of Life-5 Domains (EQoL-5D)baseline, 12 Weeks LOCFEQoL-5D: measures index of health & defines it in 5 Domains: mobility, self-care, usual activities, pain/discomfort, anxiety/depression. Each evaluated on 3-point scale yielding 243 potential combinations converted to utility values ranging from -0.59(worst state) to 1 (perfect state). Change:Week 12 mean score minus baseline mean score
Change From Baseline in Visual Analog Scale (VAS) of Subject's Overall Health Included in EuroQuality of Life-5 Domains (EQoL-5D)Questionnairebaseline, 12 WeeksEuroQuality of Life-5 Domains (EQoL-5D)Questionnaire includes a visual analogue scale (VAS) of subject's overall health with 0 (worst state) to 100 (best state). Change: mean score at Week 12 minus mean score at baseline.
LOCF Change From Baseline in Visual Analog Scale (VAS) of Subject's Overall Health Included in EuroQuality of Life-5 Domains (EQoL-5D) Questionnairebaseline, 12 Weeks LOCFEuroQuality of Life-5 Domains (EQoL-5D) Questionnaire includes a visual analogue scale (VAS) of subject's overall health with 0 (worst state) to 100 (best state). Change: mean score at Week 12 minus mean score at baseline.
Change From Baseline in Subject's Mobility at Week 12baseline, 12 WeeksEuroQuality of Life-5 Domains: health related tool (not disease specific) measuring index of health & defines health in 5 Domains, including mobility (no problem walking, some problems walking, confined to bed). Analysis of difference between the number of subjects with any problem and no problem at baseline versus at Week 12.
Change From Baseline in Subject's Mobility at Week 12 LOCFWeek 12 LOCFEuroQuality of Life-5 Domains: health related tool (not disease specific) measuring index of health & defines health in 5 Domains, including mobility (no problem walking, some problems walking, confined to bed). Analysis of difference between the proportion of subjects with any problem at baseline versus Week 12 LOCF
Change From Baseline in Subject's Self-Care at Week 12baseline, Week 12EuroQuality of Life-5 Domains: health related tool (not disease specific) measuring index of health & defines health in 5 Domains, including self-care (no problem, some problems, unable to wash or dress). Analysis of difference between the number of subjects with any problem and no problem at baseline versus at Week 12
Change From Baseline in Subject's Self-Care at Week 12 LOCFbaseline, 12 Weeks LOCFEuroQuality of Life-5 Domains: health related tool (not disease specific) measuring index of health & defines health in 5 Domains, including self-care (no problem, some problems, unable to wash or dress). Analysis of difference between the number of subjects with any problem and no problem at baseline versus at Week 12 LOCF.
Change From Baseline in Subject's Usual Activities at Week 12baseline, Week 12EuroQuality of Life-5 Domains: health related tool (not disease specific) measuring index of health & defines health in 5 Domains, including usual activities(no problem, some problem, unable to perform). Analysis of difference between the number of subjects with any problem and no problem at baseline versus at Week 12.
Change From Baseline in Subject's Usual Activities at Week 12 LOCFbaseline, 12 Weeks LOCFEuroQuality of Life-5 Domains: health related tool (not disease specific) measuring index of health & defines health in 5 Domains, including usual activities (no problem, some problem, unable to perform). Analysis of difference between the number of subjects with any problem and no problem at baseline versus at Week 12 LOCF
Change From Baseline in Subject's Pain/Discomfort at Week 12baseline, Week 12EuroQuality of Life-5 Domains: health related tool (not disease specific) measuring index of health & defines health in 5 Domains, including discomfort(no pain, moderate pain, extreme pain). Analysis of difference between the number of subjects with any problem and no problem at baseline versus at Week 12.
Change From Baseline in Subject's Pain/Discomfort at Week 12 LOCFWeek 12 LOCFEuroQuality of Life-5 Domains: health related tool (not disease specific) measuring index of health & defines health in 5 Domains, including discomfort(no pain, moderate pain, extreme pain). Analysis of difference between the proportion of subjects with any problem at baseline versus Week 12 LOCF
Change From Baseline in Subject's Anxiety/Depression at Week 12baseline, Week 12EuroQuality of Life-5 Domains: health related tool (not disease specific) measuring index of health & defines health in 5 Domains, including anxiety/depression(none, moderate or extreme anxiety/depression). Analysis of difference between the number of subjects with any problem and no problem at baseline versus at Week 12.

Participant flow

Recruitment details

This was a non interventional study conducted at 62 sites in Canada.

Pre-assignment details

Subjects had a diagnosis of mild to moderate Alzheimer's Disease with or without other etiologies of dementia.

Participants by arm

ArmCount
Donepezil
As per physician prescription
370
Total370

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event30
Overall StudyDeath4
Overall StudyDoes not meet entrance criteria1
Overall StudyFamily discontinued meds1
Overall StudyFamily does not want continuation1
Overall StudyFamily wanted meds stopped1
Overall Studyhospitalized due to deterioration1
Overall StudyLost to Follow-up4
Overall StudyPatient forgot to take meds1
Overall Studypatient never took the medication1
Overall Studypatient took for 2 days then stopped1
Overall StudyPhysician Decision1
Overall StudySyndrome De Glissement1
Overall Studyweek 12 not done1
Overall StudyWithdrawal by Subject17

Baseline characteristics

CharacteristicDonepezil
Age, Continuous80.1 years
STANDARD_DEVIATION 7.5
Sex: Female, Male
Female
172 Participants
Sex: Female, Male
Male
198 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
54 / —
serious
Total, serious adverse events
12 / —

Outcome results

Primary

All Subjects Improved/Stabilized or Worsened for Agitation in Top Symptom Checklist (TOPS) Alzheimer's Disease Assessment

Agitation symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.

Time frame: Baseline and Week 12

Population: Intent to Treat (ITT): All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilAll Subjects Improved/Stabilized or Worsened for Agitation in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentImproved or Stabilized157 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Agitation in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentWorsened23 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Agitation in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentMissing/Not Applicable142 participants
Comparison: null hypothesis: the proportion of subjects who improved or stabilized, among those who had the symptom at baseline, is less than or equal to 0.5; the alternative hypothesis: this proportion is greater than 0.5p-value: <0.0001Binomial test of proportions
Primary

All Subjects Improved/Stabilized or Worsened for Anxiety in Top Symptom Checklist (TOPS) Alzheimer's Disease Assessment

Anxiety symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.

Time frame: Baseline and Week 12

Population: Intent to Treat (ITT): All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilAll Subjects Improved/Stabilized or Worsened for Anxiety in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentImproved or Stabilized195 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Anxiety in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentWorsened37 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Anxiety in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentMissing/Not Applicable90 participants
Comparison: null hypothesis: the proportion of subjects who improved or stabilized, among those who had the symptom at baseline, is less than or equal to 0.5; the alternative hypothesis: this proportion is greater than 0.5p-value: <0.0001Binomial test of proportions
Primary

All Subjects Improved/Stabilized or Worsened for Apathy in Top Symptom Checklist (TOPS) Alzheimer's Disease Assessment

Apathy symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.

Time frame: Baseline and Week 12

Population: Intent to Treat (ITT): All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilAll Subjects Improved/Stabilized or Worsened for Apathy in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentImproved or Stabilized187 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Apathy in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentWorsened27 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Apathy in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentMissing/Not Applicable108 participants
Comparison: null hypothesis: the proportion of subjects who improved or stabilized, among those who had the symptom at baseline, is less than or equal to 0.5; the alternative hypothesis: this proportion is greater than 0.5p-value: <0.0001Binomial test of proportions
Primary

All Subjects Improved/Stabilized or Worsened for Asphasia in Top Symptom Checklist (TOPS) Alzheimer's Disease Assessment

Asphasia symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded toCategories: Improved/Stabilized=4,5,6; Worsened=2,3.

Time frame: Baseline and Week 12

Population: Intent to Treat (ITT): All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilAll Subjects Improved/Stabilized or Worsened for Asphasia in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentMissing/Not Applicable104 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Asphasia in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentImproved or Stabilized190 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Asphasia in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentWorsened28 participants
Comparison: null hypothesis: the proportion of subjects who improved or stabilized, among those who had the symptom at baseline, is less than or equal to 0.5; the alternative hypothesis: this proportion is greater than 0.5p-value: <0.0001Binomial test of proportions
Primary

All Subjects Improved/Stabilized or Worsened for Attention in Top Symptom Checklist (TOPS) Alzheimer's Disease Assessment

Attention symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline and Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Improved/Stabilized=4,5,6; Worsened=2,3.

Time frame: Baseline and Week 12

Population: Intent to Treat (ITT) : All subjects who did not have a response for post baseline assessment were not included in analysis.

ArmMeasureGroupValue (NUMBER)
DonepezilAll Subjects Improved/Stabilized or Worsened for Attention in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentImproved or Stabilized202 Participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Attention in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentWorsened31 Participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Attention in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentMissing/Not Applicable89 Participants
Comparison: null hypothesis: the proportion of subjects who improved or stabilized, among those who had the symptom at baseline, is less than or equal to 0.5; the alternative hypothesis: this proportion is greater than 0.5.p-value: <0.0001Binomial test of proportions
Primary

All Subjects Improved/Stabilized or Worsened for Caregiver in Top Symptom Checklist (TOPS) Alzheimer's Disease Assessment

Caregiver symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.

Time frame: Baseline and Week 12

Population: Intent to Treat (ITT): All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilAll Subjects Improved/Stabilized or Worsened for Caregiver in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentImproved or Stabilized213 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Caregiver in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentWorsened30 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Caregiver in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentMissing/Not Applicable79 participants
Comparison: null hypothesis: the proportion of subjects who improved or stabilized, among those who had the symptom at baseline, is less than or equal to 0.5; the alternative hypothesis: this proportion is greater than 0.5p-value: <0.0001Binomial test of proportions
Primary

All Subjects Improved/Stabilized or Worsened for Cognitive Activation in Top Symptom Checklist (TOPS) Alzheimer's Disease Assessment

Cognitive Activation symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.

Time frame: Baseline and Week 12

Population: Intent to Treat (ITT): All Subjects who did not have a response for post baseline assessment were not included in analysis.

ArmMeasureGroupValue (NUMBER)
DonepezilAll Subjects Improved/Stabilized or Worsened for Cognitive Activation in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentImproved or Stabilized196 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Cognitive Activation in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentWorsened36 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Cognitive Activation in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentMissing/Not Applicable90 participants
Comparison: null hypothesis: the proportion of subjects who improved or stabilized, among those who had the symptom at baseline, is less than or equal to 0.5; the alternative hypothesis: this proportion is greater than 0.5.p-value: <0.0001Binomial test of proportions
Primary

All Subjects Improved/Stabilized or Worsened for Delusions in Top Symptom Checklist (TOPS) Alzheimer's Disease Assessment

Delusions symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.

Time frame: Baseline and Week 12

Population: Intent to Treat (ITT): All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilAll Subjects Improved/Stabilized or Worsened for Delusions in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentImproved or Stabilized139 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Delusions in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentWorsened16 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Delusions in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentMissing/Not Applicable167 participants
Comparison: null hypothesis: the proportion of subjects who improved or stabilized, among those who had the symptom at baseline, is less than or equal to 0.5; the alternative hypothesis: this proportion is greater than 0.5p-value: <0.0001Binomial test of proportions
Primary

All Subjects Improved/Stabilized or Worsened for Domestic Activities in Top Symptom Checklist (TOPS) Alzheimer's Disease Assessment

Domestic Activities symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.

Time frame: Baseline and Week 12

Population: Intent to Treat (ITT): All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilAll Subjects Improved/Stabilized or Worsened for Domestic Activities in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentImproved or Stabilized198 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Domestic Activities in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentWorsened23 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Domestic Activities in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentMissing/Not Applicable101 participants
Comparison: null hypothesis: the proportion of subjects who improved or stabilized, among those who had the symptom at baseline, is less than or equal to 0.5; the alternative hypothesis: this proportion is greater than 0.5p-value: <0.0001Binomial test of proportions
Primary

All Subjects Improved/Stabilized or Worsened for Dressing in Top Symptom Checklist (TOPS) Alzheimer's Disease Assessment

Dressing symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.

Time frame: Baseline and Week 12

Population: Intent to Treat (ITT): All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilAll Subjects Improved/Stabilized or Worsened for Dressing in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentImproved or Stabilized152 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Dressing in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentWorsened23 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Dressing in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentMissing/Not Applicable147 participants
Comparison: null hypothesis: the proportion of subjects who improved or stabilized, among those who had the symptom at baseline, is less than or equal to 0.5; the alternative hypothesis: this proportion is greater than 0.5p-value: <0.0001Binomial test of proportions
Primary

All Subjects Improved/Stabilized or Worsened for Hygiene in Top Symptom Checklist (TOPS) Alzheimer's Disease Assessment

Hygiene symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.

Time frame: Baseline and Week 12

Population: Intent to Treat (ITT): All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilAll Subjects Improved/Stabilized or Worsened for Hygiene in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentImproved or Stabilized168 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Hygiene in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentWorsened23 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Hygiene in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentMissing/Not Applicable131 participants
Comparison: null hypothesis: the proportion of subjects who improved or stabilized, among those who had the symptom at baseline, is less than or equal to 0.5; the alternative hypothesis: this proportion is greater than 0.5p-value: <0.0001Binomial test of proportions
Primary

All Subjects Improved/Stabilized or Worsened for Insight in Top Symptom Checklist (TOPS) Alzheimer's Disease Assessment

Insight symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.

Time frame: Baseline and Week 12

Population: Intent to Treat (ITT): All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilAll Subjects Improved/Stabilized or Worsened for Insight in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentImproved or Stabilized209 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Insight in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentWorsened34 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Insight in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentMissing/Not Applicable79 participants
Comparison: null hypothesis: the proportion of subjects who improved or stabilized, among those who had the symptom at baseline, is less than or equal to 0.5; the alternative hypothesis: this proportion is greater than 0.5p-value: <0.0001Binomial test of proportions
Primary

All Subjects Improved/Stabilized or Worsened for Judgment in Top Symptom Checklist (TOPS) Alzheimer's Disease Assessment

Judgment symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.

Time frame: Baseline and Week 12

Population: Intent to Treat (ITT): All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilAll Subjects Improved/Stabilized or Worsened for Judgment in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentWorsened30 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Judgment in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentImproved or Stabilized206 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Judgment in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentMissing/Not Applicable86 participants
Comparison: null hypothesis: the proportion of subjects who improved or stabilized, among those who had the symptom at baseline, is less than or equal to 0.5; the alternative hypothesis: this proportion is greater than 0.5p-value: <0.0001Binomial test of proportions
Primary

All Subjects Improved/Stabilized or Worsened for Leisure in Top Symptom Checklist (TOPS) Alzheimer's Disease Assessment

Leisure symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.

Time frame: Baseline and Week 12

Population: Intent to Treat (ITT): All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilAll Subjects Improved/Stabilized or Worsened for Leisure in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentImproved or Stabilized205 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Leisure in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentWorsened28 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Leisure in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentMissing/Not Applicable89 participants
Comparison: null hypothesis: the proportion of subjects who improved or stabilized, among those who had the symptom at baseline, is less than or equal to 0.5; the alternative hypothesis: this proportion is greater than 0.5p-value: <0.0001Binomial test of proportions
Primary

All Subjects Improved/Stabilized or Worsened for Mood in Top Symptom Checklist (TOPS) Alzheimer's Disease Assessment

Mood symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.

Time frame: Baseline and Week 12

Population: Intent to Treat (ITT): All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilAll Subjects Improved/Stabilized or Worsened for Mood in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentImproved or Stabilized187 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Mood in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentWorsened38 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Mood in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentMissing/Not Applicable97 participants
Comparison: null hypothesis: the proportion of subjects who improved or stabilized, among those who had the symptom at baseline, is less than or equal to 0.5; the alternative hypothesis: this proportion is greater than 0.5p-value: <0.0001Binomial test of proportions
Primary

All Subjects Improved/Stabilized or Worsened for Remembering in Top Symptom Checklist (TOPS) Alzheimer's Disease Assessment

Remembering symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded toCategories: Improved/Stabilized=4,5,6; Worsened=2,3.

Time frame: Baseline and Week 12

Population: Intent to Treat (ITT): All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilAll Subjects Improved/Stabilized or Worsened for Remembering in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentImproved or Stabilized231 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Remembering in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentWorsened44 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Remembering in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentMissing/Not Applicable47 participants
Comparison: null hypothesis: the proportion of subjects who improved or stabilized, among those who had the symptom at baseline, is less than or equal to 0.5; the alternative hypothesis: this proportion is greater than 0.5p-value: <0.0001Binomial test of proportions
Primary

All Subjects Improved/Stabilized or Worsened for Repetitiveness in Top Symptom Checklist (TOPS) Alzheimer's Disease Assessment

Repetitiveness symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.

Time frame: Baseline and Week 12

Population: Intent to Treat (ITT): All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilAll Subjects Improved/Stabilized or Worsened for Repetitiveness in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentImproved or Stabilized195 Participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Repetitiveness in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentWorsened32 Participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Repetitiveness in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentMissing/Not Applicable95 Participants
Comparison: null hypothesis: the proportion of subjects who improved or stabilized, among those who had the symptom at baseline, is less than or equal to 0.5; the alternative hypothesis: this proportion is greater than 0.5p-value: <0.0001Binomial test of proportions
Primary

All Subjects Improved/Stabilized or Worsened for Severity in Top Symptom Checklist (TOPS) Alzheimer's Disease Assessment

Severity symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.

Time frame: Baseline and Week 12

Population: Intent to Treat (ITT): All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilAll Subjects Improved/Stabilized or Worsened for Severity in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentImproved or Stabilized233 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Severity in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentWorsened40 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Severity in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentMissing/Not Applicable49 participants
Comparison: null hypothesis: the proportion of subjects who improved or stabilized, among those who had the symptom at baseline, is less than or equal to 0.5; the alternative hypothesis: this proportion is greater than 0.5p-value: <0.0001Binomial test of proportions
Primary

All Subjects Improved/Stabilized or Worsened for Spatial Orientation in Top Symptom Checklist (TOPS) Alzheimer's Disease Assessment

Spatial Orientation symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to categories: Improved/Stabilized=4,5,6; Worsened=2,3

Time frame: Baseline and Week 12

Population: Intent to Treat (ITT): All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilAll Subjects Improved/Stabilized or Worsened for Spatial Orientation in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentMissing/Not Applicable96 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Spatial Orientation in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentImproved or Stabilized201 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Spatial Orientation in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentWorsened25 participants
Comparison: null hypothesis: the proportion of subjects who improved or stabilized, among those who had the symptom at baseline, is less than or equal to 0.5; the alternative hypothesis: this proportion is greater than 0.5p-value: <0.0001Binomial test of proportions
Primary

All Subjects Improved/Stabilized or Worsened for Telephoning in Top Symptom Checklist (TOPS) Alzheimer's Disease Assessment

Telephoning symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.

Time frame: Baseline and Week 12

Population: Intent to Treat (ITT): All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilAll Subjects Improved/Stabilized or Worsened for Telephoning in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentImproved or Stabilized190 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Telephoning in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentWorsened16 participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Telephoning in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentMissing/Not Applicable116 participants
Comparison: null hypothesis: the proportion of subjects who improved or stabilized, among those who had the symptom at baseline, is less than or equal to 0.5; the alternative hypothesis: this proportion is greater than 0.5p-value: <0.0001Binomial test of proportions
Primary

All Subjects Improved/Stabilized or Worsened for Temporal Orientation in Top Symptom Checklist (TOPS) Alzheimer's Disease Assessment

Temporal Orientation symptom in TOPS checklist: Number of subjects Improved/Stabilized or Worsened. TOPS Ratings compared at baseline & Week 12. No symptoms=1, Emergence of symptoms=2, Symptoms Increased=3, Stable=4, Symptoms decreased=5, Cessation of Symptoms=6. Ratings recoded to Categories: Improved/Stabilized=4,5,6; Worsened=2,3.

Time frame: Baseline and Week 12

Population: Intent to Treat (ITT): All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilAll Subjects Improved/Stabilized or Worsened for Temporal Orientation in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentImproved or Stabilized209 Participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Temporal Orientation in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentWorsened39 Participants
DonepezilAll Subjects Improved/Stabilized or Worsened for Temporal Orientation in Top Symptom Checklist (TOPS) Alzheimer's Disease AssessmentMissing/Not Applicable74 Participants
Comparison: null hypothesis: the proportion of subjects who improved or stabilized, among those who had the symptom at baseline, is less than or equal to 0.5; the alternative hypothesis: this proportion is greater than 0.5p-value: <0.0001Binomial test of proportions
Secondary

Change From Baseline in Combined Patient and Caregiver Health Related Quality of Life (Alzheimer's Disease) (HR QoL-AD) Questionnaire Total Scores

Hr QoL- AD: physical health, energy, mood, living situation, memory, family, marriage, friends, chores, fun, money, self, and life as a whole. Likert scale, 1 (poor) - 4 (excellent), possible total 13 to 52. Separate ratings from both the patient and the caregiver. Change: mean score at Week 12 minus mean score at baseline.

Time frame: baseline, 12 Weeks

Population: Intent to Treat (ITT). (n= 207; number of subjects who responded)

ArmMeasureValue (MEAN)Dispersion
DonepezilChange From Baseline in Combined Patient and Caregiver Health Related Quality of Life (Alzheimer's Disease) (HR QoL-AD) Questionnaire Total Scores1.4 score on scaleStandard Deviation 3.36
p-value: <0.0001t-test, 2 sided
Secondary

Change From Baseline in Mini-Mental State Examination (MMSE) Total Scores at Week 12

MMSE measured general cognitive functioning: orientation, memory, attention, calculation, language, visuospatial functions. Total score derived from sub-scores; total ranges from 0 - 30, higher score indicates better cognitive state. Change: mean score at Week 12 minus mean score at baseline.

Time frame: baseline, Week 12

Population: Intent to Treat (ITT): (n=288; number of subjects responding)

ArmMeasureValue (MEAN)Dispersion
DonepezilChange From Baseline in Mini-Mental State Examination (MMSE) Total Scores at Week 121.1 score on scaleStandard Deviation 2.75
Comparison: Change from baseline in total score at Week 12p-value: <0.0001t-test, 2 sided
Secondary

Change From Baseline in Subject's Anxiety/Depression at Week 12

EuroQuality of Life-5 Domains: health related tool (not disease specific) measuring index of health & defines health in 5 Domains, including anxiety/depression(none, moderate or extreme anxiety/depression). Analysis of difference between the number of subjects with any problem and no problem at baseline versus at Week 12.

Time frame: baseline, Week 12

Population: Intent to Treat (ITT): All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilChange From Baseline in Subject's Anxiety/Depression at Week 12Any Problem158 Participants
DonepezilChange From Baseline in Subject's Anxiety/Depression at Week 12No Problem132 Participants
p-value: 0.0131McNemar
Secondary

Change From Baseline in Subject's Anxiety/Depression at Week 12 LOCF

EuroQuality of Life-5 Domains: health related tool (not disease specific) measuring index of health & defines health in 5 Domains, including anxiety/depression (none, moderate or extreme anxiety/depression). Analysis of difference between the proportion of subjects with any problem and no problem at baseline versus at Week 12 LOCF

Time frame: baseline, Week 12 LOCF

Population: Intent to Treat (ITT)LOCF: All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilChange From Baseline in Subject's Anxiety/Depression at Week 12 LOCFAny Problem179 Participants
DonepezilChange From Baseline in Subject's Anxiety/Depression at Week 12 LOCFNo Problem142 Participants
p-value: 0.0078McNemar
Secondary

Change From Baseline in Subject's Mobility at Week 12

EuroQuality of Life-5 Domains: health related tool (not disease specific) measuring index of health & defines health in 5 Domains, including mobility (no problem walking, some problems walking, confined to bed). Analysis of difference between the number of subjects with any problem and no problem at baseline versus at Week 12.

Time frame: baseline, 12 Weeks

Population: Intent to Treat (ITT): All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilChange From Baseline in Subject's Mobility at Week 12Any Problem129 participants
DonepezilChange From Baseline in Subject's Mobility at Week 12No Problem161 participants
p-value: 0.7963McNemar
Secondary

Change From Baseline in Subject's Mobility at Week 12 LOCF

EuroQuality of Life-5 Domains: health related tool (not disease specific) measuring index of health & defines health in 5 Domains, including mobility (no problem walking, some problems walking, confined to bed). Analysis of difference between the proportion of subjects with any problem at baseline versus Week 12 LOCF

Time frame: Week 12 LOCF

Population: Intent to Treat (ITT) LOCF: All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilChange From Baseline in Subject's Mobility at Week 12 LOCFNo Problem174 Participants
DonepezilChange From Baseline in Subject's Mobility at Week 12 LOCFAny Problem147 Participants
p-value: 1McNemar
Secondary

Change From Baseline in Subject's Pain/Discomfort at Week 12

EuroQuality of Life-5 Domains: health related tool (not disease specific) measuring index of health & defines health in 5 Domains, including discomfort(no pain, moderate pain, extreme pain). Analysis of difference between the number of subjects with any problem and no problem at baseline versus at Week 12.

Time frame: baseline, Week 12

Population: Intent to Treat (ITT): All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilChange From Baseline in Subject's Pain/Discomfort at Week 12Any Problem147 Participants
DonepezilChange From Baseline in Subject's Pain/Discomfort at Week 12No Problem143 Participants
p-value: 1McNemar
Secondary

Change From Baseline in Subject's Pain/Discomfort at Week 12 LOCF

EuroQuality of Life-5 Domains: health related tool (not disease specific) measuring index of health & defines health in 5 Domains, including discomfort(no pain, moderate pain, extreme pain). Analysis of difference between the proportion of subjects with any problem at baseline versus Week 12 LOCF

Time frame: Week 12 LOCF

Population: Intent to Treat (ITT)LOCF: All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilChange From Baseline in Subject's Pain/Discomfort at Week 12 LOCFAny Problem162 Participants
DonepezilChange From Baseline in Subject's Pain/Discomfort at Week 12 LOCFNo Problem159 Participants
p-value: 1McNemar
Secondary

Change From Baseline in Subject's Self-Care at Week 12

EuroQuality of Life-5 Domains: health related tool (not disease specific) measuring index of health & defines health in 5 Domains, including self-care (no problem, some problems, unable to wash or dress). Analysis of difference between the number of subjects with any problem and no problem at baseline versus at Week 12

Time frame: baseline, Week 12

Population: Intent to Treat (ITT): All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilChange From Baseline in Subject's Self-Care at Week 12No Problem168 participants
DonepezilChange From Baseline in Subject's Self-Care at Week 12Any Problem122 participants
p-value: 0.0719McNemar
Secondary

Change From Baseline in Subject's Self-Care at Week 12 LOCF

EuroQuality of Life-5 Domains: health related tool (not disease specific) measuring index of health & defines health in 5 Domains, including self-care (no problem, some problems, unable to wash or dress). Analysis of difference between the number of subjects with any problem and no problem at baseline versus at Week 12 LOCF.

Time frame: baseline, 12 Weeks LOCF

Population: Intent to Treat (ITT): All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilChange From Baseline in Subject's Self-Care at Week 12 LOCFAny Problem140 Participants
DonepezilChange From Baseline in Subject's Self-Care at Week 12 LOCFNo Problem181 Participants
p-value: 0.1779McNemar
Secondary

Change From Baseline in Subject's Usual Activities at Week 12

EuroQuality of Life-5 Domains: health related tool (not disease specific) measuring index of health & defines health in 5 Domains, including usual activities(no problem, some problem, unable to perform). Analysis of difference between the number of subjects with any problem and no problem at baseline versus at Week 12.

Time frame: baseline, Week 12

Population: Intent to Treat (ITT): All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilChange From Baseline in Subject's Usual Activities at Week 12Any Problem181 Participants
DonepezilChange From Baseline in Subject's Usual Activities at Week 12No Problem109 Participants
p-value: 1McNemar
Secondary

Change From Baseline in Subject's Usual Activities at Week 12 LOCF

EuroQuality of Life-5 Domains: health related tool (not disease specific) measuring index of health & defines health in 5 Domains, including usual activities (no problem, some problem, unable to perform). Analysis of difference between the number of subjects with any problem and no problem at baseline versus at Week 12 LOCF

Time frame: baseline, 12 Weeks LOCF

Population: Intent to Treat (ITT): All Subjects who did not have a response for post baseline assessment were not included in analysis

ArmMeasureGroupValue (NUMBER)
DonepezilChange From Baseline in Subject's Usual Activities at Week 12 LOCFAny Problem203 Participants
DonepezilChange From Baseline in Subject's Usual Activities at Week 12 LOCFNo Problem118 Participants
p-value: 0.8575McNemar
Secondary

Change From Baseline in Visual Analog Scale (VAS) of Subject's Overall Health Included in EuroQuality of Life-5 Domains (EQoL-5D)Questionnaire

EuroQuality of Life-5 Domains (EQoL-5D)Questionnaire includes a visual analogue scale (VAS) of subject's overall health with 0 (worst state) to 100 (best state). Change: mean score at Week 12 minus mean score at baseline.

Time frame: baseline, 12 Weeks

Population: Intent to Treat (ITT): (n=286; number of subjects responding).

ArmMeasureValue (MEAN)Dispersion
DonepezilChange From Baseline in Visual Analog Scale (VAS) of Subject's Overall Health Included in EuroQuality of Life-5 Domains (EQoL-5D)Questionnaire3.7 score on scaleStandard Deviation 10.55
p-value: <0.0001t-test, 2 sided
Secondary

Change From Baseline Total Score in EuroQuality of Life-5 Domains (EQoL-5D)

EQoL-5D: measures index of health and defines it in 5 Domains:mobility,self-care,usual activities, pain/discomfort, anxiety/depression. Each domain evaluated on 3-point scale yielding 243 potential combinations; converted to utility values ranging from -0.59(worst state) to 1 (perfect state). Change: Week 12 mean score minus baseline mean score

Time frame: baseline, 12 Weeks

Population: Intent to Treat (ITT) (n=290; number of subjects responding)

ArmMeasureValue (MEAN)Dispersion
DonepezilChange From Baseline Total Score in EuroQuality of Life-5 Domains (EQoL-5D)0.015 score on scaleStandard Deviation 0.1071
p-value: 0.0152t-test, 2 sided
Secondary

Correlation Analysis: Change From Baseline in Combined Patient and Caregiver Quality of Life in Alzheimer's Disease(QoL-AD) Questionnaire Total Score Versus Number of Treatment Emergent Adverse Events (TEAEs)

QoL- AD: physical health, energy, mood, living situation, memory, family, marriage, friends, chores, fun, money, self, and life as a whole. Likert scale, 1 (poor) - 4 (excellent), possible total 13 to 52. Patient and the caregiver totals combined and correlated to number of treatment emergent adverse events.

Time frame: baseline, 12 Weeks

Population: Intent to Treat (ITT). (n=207 number of subjects responding)

ArmMeasureValue (NUMBER)
DonepezilCorrelation Analysis: Change From Baseline in Combined Patient and Caregiver Quality of Life in Alzheimer's Disease(QoL-AD) Questionnaire Total Score Versus Number of Treatment Emergent Adverse Events (TEAEs)-0.13 Pearson Product Correlation Coefficient
p-value: 0.0713correlation coefficient
Secondary

Correlation Analysis: LOCF Change From Baseline in Combined Patient and Caregiver Quality of Life in Alzheimer's Disease (QoL-AD) Questionnaire Total Score Versus the Number of Treatment Emergent Adverse Events (TEAEs)

QoL- AD: physical health, energy, mood, living situation, memory, family, marriage, friends, chores, fun, money, self, and life as a whole. Likert scale, 1 (poor) - 4 (excellent), possible total 13 to 52. Ratings from patient and the caregiver combined and correlated with number of treatment emergent adverse events.

Time frame: baseline, 12 Weeks LOCF

Population: Intent to Treat (ITT) LOCF: (n=231; number of patients responding)

ArmMeasureValue (NUMBER)
DonepezilCorrelation Analysis: LOCF Change From Baseline in Combined Patient and Caregiver Quality of Life in Alzheimer's Disease (QoL-AD) Questionnaire Total Score Versus the Number of Treatment Emergent Adverse Events (TEAEs)-0.15 Pearson Product Correlation Coefficient
p-value: 0.0225Correlation coefficient
Secondary

Correlation Between Change From Baseline in Mini-Mental State Examination (MMSE) Score and Change From Baseline in Combined Patient and Caregiver Health Related Quality of Life (Alzheimer's Disease) (HR QoL-AD) Questionnaire Total Score

MMSE cognitive function: Total 0 - 30, higher score, better cognitive state. Hr QoL- AD: physical health, energy, mood, living situation, memory, family, marriage, friends, chores, fun, money, self, and life as a whole using scale: 1 (poor) - 4 (excellent), possible total 13 - 52. Separate ratings from both patient and caregiver.

Time frame: baseline, 12 Weeks

Population: Intent to Treat (ITT); n=207 (number of subjects who responded)

ArmMeasureValue (NUMBER)
DonepezilCorrelation Between Change From Baseline in Mini-Mental State Examination (MMSE) Score and Change From Baseline in Combined Patient and Caregiver Health Related Quality of Life (Alzheimer's Disease) (HR QoL-AD) Questionnaire Total Score0.33 Pearson Product Correlation Coefficient
p-value: <0.0001correlation coefficient
Secondary

Correlation Between LOCF Change From Baseline in Mini-Mental State Examination (MMSE) Score and LOCF Change From Baseline in Combined Patient and Caregiver Health Related Quality of Life (Alzheimer's Disease) (HR QoL-AD) Questionnaire Total Score

MMSE cognitive function. Total 0 - 30, higher score, better cognitive state. Hr QoL- AD: physical health, energy, mood, living situation, memory, family, marriage, friends, chores, fun, money, self, and life as a whole. Likert scale, 1 (poor) - 4 (excellent), possible total 13 to 52. Separate ratings from both the patient and the caregiver

Time frame: baseline, Week 12 LOCF

Population: Intent to Treat (ITT) LOCF: (n=231; number of subjects responding).

ArmMeasureValue (NUMBER)
DonepezilCorrelation Between LOCF Change From Baseline in Mini-Mental State Examination (MMSE) Score and LOCF Change From Baseline in Combined Patient and Caregiver Health Related Quality of Life (Alzheimer's Disease) (HR QoL-AD) Questionnaire Total Score0.35 Pearson Product Correlation Coefficient
p-value: <0.0001correlation coefficient
Secondary

Last Observation Carried Forward (LOCF) Change From Baseline in Mini-Mental State Examination (MMSE) Total Scores at Week 12

MMSE measured general cognitive functioning: orientation, memory, attention, calculation, language, visuospatial functions. Total score derived from sub-scores; total ranges from 0 - 30, higher score indicates better cognitive state. Change: mean score at Week 12 minus mean score at baseline

Time frame: baseline, Week 12 LOCF

Population: Intent to Treat (ITT) LOCF: (n=318; number of subjects responding)

ArmMeasureValue (MEAN)Dispersion
DonepezilLast Observation Carried Forward (LOCF) Change From Baseline in Mini-Mental State Examination (MMSE) Total Scores at Week 121.1 score on scaleStandard Deviation 2.79
Comparison: Change from baseline in total score at Week 12 Last Observation Carried Forwardp-value: <0.0001t-test, 2 sided
Secondary

LOCF Change From Baseline in Combined Patient and Caregiver Health Related Quality of Life (Alzheimer's Disease) (HR QoL-AD) Questionnaire Total Scores

Hr QoL- AD: physical health, energy, mood, living situation, memory, family, marriage, friends, chores, fun, money, self, and life as a whole. Likert scale, 1 (poor) - 4 (excellent), possible total 13 to 52. Separate ratings from both the patient and the caregiver. Change: mean score at Week 12 minus mean score at baseline.

Time frame: baseline, 12 Week LOCF

Population: Intent to Treat (ITT)LOCF: (n=231; number of subjects responding)

ArmMeasureValue (MEAN)Dispersion
DonepezilLOCF Change From Baseline in Combined Patient and Caregiver Health Related Quality of Life (Alzheimer's Disease) (HR QoL-AD) Questionnaire Total Scores1.4 score on scaleStandard Deviation 3.44
p-value: <0.0001t-test, 2 sided
Secondary

LOCF Change From Baseline in Visual Analog Scale (VAS) of Subject's Overall Health Included in EuroQuality of Life-5 Domains (EQoL-5D) Questionnaire

EuroQuality of Life-5 Domains (EQoL-5D) Questionnaire includes a visual analogue scale (VAS) of subject's overall health with 0 (worst state) to 100 (best state). Change: mean score at Week 12 minus mean score at baseline.

Time frame: baseline, 12 Weeks LOCF

Population: Intent to Treat (ITT)LOCF: (n=318; number of subjects responding).

ArmMeasureValue (MEAN)Dispersion
DonepezilLOCF Change From Baseline in Visual Analog Scale (VAS) of Subject's Overall Health Included in EuroQuality of Life-5 Domains (EQoL-5D) Questionnaire3.1 score on scaleStandard Deviation 10.91
p-value: <0.0001t-test, 2 sided
Secondary

LOCF Change From Baseline Total Score in EuroQuality of Life-5 Domains (EQoL-5D)

EQoL-5D: measures index of health & defines it in 5 Domains: mobility, self-care, usual activities, pain/discomfort, anxiety/depression. Each evaluated on 3-point scale yielding 243 potential combinations converted to utility values ranging from -0.59(worst state) to 1 (perfect state). Change:Week 12 mean score minus baseline mean score

Time frame: baseline, 12 Weeks LOCF

Population: Intent to Treat (ITT) LOCF: (n=321; number of subjects responding)

ArmMeasureValue (MEAN)Dispersion
DonepezilLOCF Change From Baseline Total Score in EuroQuality of Life-5 Domains (EQoL-5D)0.013 score on scaleStandard Deviation 0.1053
p-value: 0.0229t-test, 2 sided

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026