Meta AnalysisID 2522

多奈哌齐、加兰他敏、卡巴拉汀、美金刚和甘露特钠治疗阿尔茨海默病的有效性和安全性:一项系统评价与Meta分析

CRD42022360642

Is there any difference in safety and effectiveness between anti-dementia drugs and placebo in the treatment of mild to moderate Alzheimer's disease?

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Record Fields

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Meta Analysis Id
2522
Evidence Id
11080
Core Evidence Id
11080
Source Meta Analysis Id
2471
Herb2 Meta Analysis Id
HBMA002471
Crd Id
CRD42022360642
Title
Efficacy and Safety of Donepezil, Galantamine, Rivastigmine, Memantine and sodium oligomannate for the Treatment of Alzheimer’s Disease: A Systematic Review and Meta-Analysis
Review Question
Is there any difference in safety and effectiveness between anti-dementia drugs and placebo in the treatment of mild to moderate Alzheimer's disease?
Study Type Included
Inclusion: (1) double-blind, parallel-group, placebo-controlled, with random assignment to Donepezil, Galantamine, Rivastigmine, Memantine or sodium oligomannate; (2) full-text articles were written by English; (3) participants in the studies were mild to moderate AD; (4) Donepezil, Galantamine, Rivastigmine, Memantine and sodium oligomannatewas compared with placebo directly in trials; (5) participants in the studies were generally over 50 years old Exclusion: (1) participants are not patients with Alzheimer's disease; (2) the drug in studies was not Donepezil, Galantamine, Rivastigmine, Memantine or sodium oligomannate; (3)Non-double-blind, non-randomized, no placebo.
Condition Being Studied
Alzheimer’s disease(AD) is the most common cause of dementia, affecting more than 36 million people worldwide. It has been predicted that by 2050, this figure will more than 115 million.This age-associated neurodegenerative disorder has an insidious onset with progressive deterioration in cognition, functional ability, behavior, and mood. Regarding patients with mild-to-moderate AD, the American Psychiatric Association recommends second generation ChEIs, donepezil, galantamine and rivastigmine for mild-to-moderate AD.Memantine and sodium oligomannate were gradually added to the treatment in recent years, but controversy over these drugs still be continued.
Participant
Inclusion: (1) participants in the studies were mild-to-moderate AD; (2) Donepezil, Galantamine, Rivastigmine, Memantine and sodium oligomannate were compared with placebo directly in trials; (3) participants in the studies were generally over 50 years old Exclusion: (1) participants are not patients with Alzheimer's disease; (2) the drug in studies was not Donepezil, Galantamine, Rivastigmine, Memantine or sodium oligomannate
Animal
Human Disease Modelled
Intervention
Donepezil, Galantamine, Rivastigmine, Memantine and sodium oligomannate
Comparator Control
Placebo
Main Outcome
We focus on the Alzheimer’s Disease Assessment Scale (ADAS-cog), Alzheimer’s Disease Cooperative Study-Activities of Daily Living (ADCS/ADL), Neuropsychiatric Inventory (NPI), and the Clinician’s Interview Based Assessment of Change-Plus (CIBIC plus) as the primary measure of cognition, function, behavior, and global assessment of change, respectively.
Outcome Measure
Additional Outcome
we recorded the incidence of adverse events (AEs) and serious adverse events (SAEs) as the second outcome to assess the safety of the different drug doses.
Study Method
Meta-analysis, Systematic review
Keyword
Alzheimer Disease; Donepezil; Galantamine; Humans; Memantine; Rivastigmine; Sodium
Contact
yan chen [email protected]
Organisational Affiliation
Zhejiang Chinese Medical University
Funding Source
Research and development of key technologies and core equipment for early screening and diagnosis of AD, Ministry of Science and Technology of the People's Republic of China(2022YFE0199300)
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
Country
China
Review Stage
Review Ongoing
First Submission Date
2022-09-16
Registration Date
2022-09-27
Anticipated Start Date
2022-08-09
Anticipated Completion Date
2022-11-09
Title Cn
多奈哌齐、加兰他敏、卡巴拉汀、美金刚和甘露特钠治疗阿尔茨海默病的有效性和安全性:一项系统评价与Meta分析
Title En
Efficacy and Safety of Donepezil, Galantamine, Rivastigmine, Memantine and sodium oligomannate for the Treatment of Alzheimer’s Disease: A Systematic Review and Meta-Analysis
Bilingual Status
complete