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This is a multi-center, open-label, single-arm, prospective, phase IV trial, evaluating safety and efficacy of donepezil hydrochloride in patients with moderate to severe Alzheimer's disease.
This study consisted of pre-treatment and treatment phase. Pre-treatment phase was approximately 4 weeks including the screening and baseline process. In treatment phase, about 190 subjects received Donepezil HCl 23 mg once daily for 24 weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| donepezil HCl 23 mg | Experimental | Donepezil HCl 23 mg once daily, just before bed, for 24 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Donepezil HCL | Drug | Donepezil HCl 23 mg once daily, just before bed, for 24 weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| Overall Summary of Adverse Events (AEs) | Safety of study drug was assessed by clinical laboratory assessments, vital signs, weight, 12-lead electrocardiogram (ECG), physical and neurological examination. Treatment-Emergent Adverse Events (TEAEs) were defined as any event not present prior to the initiation of study treatment or any event already present that worsens in either intensity or frequency following exposure to study treatment. Serious adverse events were defined as AEs that led to or were life-threatening, resulted in or prolonged hospitalization, caused important or long-lasting disability, caused congenital abnormality or malformation, or resulted in death. Adverse drug reactions were defined as any harmful or unintended reaction to study treatment and were considered possibly related or probably related to study drug. Specific AEs and SAEs due to changes in clinical laboratory assessments, vital signs, weight, ECG, and physical and neurological exam are listed in the safety section. | Baseline (Day 1) up to Week 24 |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in the Mini-Mental State Examination (MMSE) Score | The MMSE was used to measure cognitive impairment. The MMSE can evaluate overall cognitive function, and is widely used for the assessment of cognitive impairment in dementia patients. The questionnaire consists of 11 items, and each item aims to evaluate different cognitive domains such as orientation, memory, attention, and construction. The score ranged from 0 to 30, with a higher score indicating better function. A positive change score indicated improvement from baseline. The mean change was analyzed by Wilcoxon's signed rank test. |
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Inclusion Criteria
Exclusion Criteria
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ansan | Gyeonggi-do | South Korea | ||||
Out of the 171 participants enrolled into the study, 1 was not treated resulting in 170 participants in the safety population.
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| ID | Title | Description |
|---|---|---|
| FG000 | Donepezil Hydrochloride | Donepezil hydrochloride (HCl) at 23 mg was administered once daily, just before bed, for 24 weeks. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Baseline, Week 12, and Week 24 (Final visit) |
| Change From Baseline in the Neuropsychiatric Inventory Questionnaire (NPI-Q) Severity and Distress Total Scores | The NPI-Q assessed twelve behavioral domains common in dementia including; hallucinations, delusions, agitation/aggression, dysphoria/depression, anxiety, irritability, disinhibition, euphoria, apathy, aberrant motor behavior, sleep/night-time behavior change, and appetite/eating change. The questionnaire is given by the clinician to the patient's caregiver who was asked if the behavior described is present in the patient. If "Yes", the informant then rates both the Severity of the symptoms present within the last month on a 3-point scale (1 = mild, 2= moderate, and 3= severe) and the associated impact of the symptom manifestations on them (i.e. Caregiver Distress) using a 5-point scale (0 = not distressing at all, 1 = minimal, 2 = mild, 3 = moderate, 4 = severe, and 5 = extreme or very severe). The total severity score represents the sum of individual scores and ranges from 0 to 36. The total distress score represents the sum of individual symptom scores and ranges from 0 to 60. | Baseline, Week 12, and Week 24 (Follow up visit) |
| Buchoen |
| Gyeonggi-do |
| South Korea |
| Seongnam-si | Gyeonggi-do | South Korea |
| Jinju | Gyeongsangnam-do | South Korea |
| Iksan | Jeollabuk-do | South Korea |
| Hwasun | Jeollanam-do | South Korea |
| Busan | Korea, Republic of | South Korea |
| Daegu | Korea, Republic of | South Korea |
| Daejeon | Korea, Republic of | South Korea |
| Incheon | Korea, Republic of | South Korea |
| Jeju City | Korea, Republic of | South Korea |
| Seoul | Korea, Republic of | South Korea |
| Chungju | North Chungcheong | South Korea |
| ParticipantsTreated |
|
| COMPLETED |
|
| NOT COMPLETED |
|
|
Safety population included all participants who received at least one dose of study treatment and had at least one postbaseline safety assessment.
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| ID | Title | Description |
|---|---|---|
| BG000 | Donepezil Hydrochloride | Donepezil hydrochloride (HCl) at 23 mg was administered once daily, just before bed, for 24 weeks. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | Years |
| |||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Overall Summary of Adverse Events (AEs) | Safety of study drug was assessed by clinical laboratory assessments, vital signs, weight, 12-lead electrocardiogram (ECG), physical and neurological examination. Treatment-Emergent Adverse Events (TEAEs) were defined as any event not present prior to the initiation of study treatment or any event already present that worsens in either intensity or frequency following exposure to study treatment. Serious adverse events were defined as AEs that led to or were life-threatening, resulted in or prolonged hospitalization, caused important or long-lasting disability, caused congenital abnormality or malformation, or resulted in death. Adverse drug reactions were defined as any harmful or unintended reaction to study treatment and were considered possibly related or probably related to study drug. Specific AEs and SAEs due to changes in clinical laboratory assessments, vital signs, weight, ECG, and physical and neurological exam are listed in the safety section. | Safety population included all participants who received at least one dose of study treatment and had at least one postbaseline safety assessment. | Posted | Number | Percentage of participants | Baseline (Day 1) up to Week 24 |
|
|
| ||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in the Mini-Mental State Examination (MMSE) Score | The MMSE was used to measure cognitive impairment. The MMSE can evaluate overall cognitive function, and is widely used for the assessment of cognitive impairment in dementia patients. The questionnaire consists of 11 items, and each item aims to evaluate different cognitive domains such as orientation, memory, attention, and construction. The score ranged from 0 to 30, with a higher score indicating better function. A positive change score indicated improvement from baseline. The mean change was analyzed by Wilcoxon's signed rank test. | Efficacy analysis population included all participants who took at least one dose of study drug and had at least one baseline and at least one post-baseline assessment of the efficacy parameter. Twenty participants had no efficacy variables collected. | Posted | Mean | Standard Deviation | Scores on a scale | Baseline, Week 12, and Week 24 (Final visit) |
|
| ||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in the Neuropsychiatric Inventory Questionnaire (NPI-Q) Severity and Distress Total Scores | The NPI-Q assessed twelve behavioral domains common in dementia including; hallucinations, delusions, agitation/aggression, dysphoria/depression, anxiety, irritability, disinhibition, euphoria, apathy, aberrant motor behavior, sleep/night-time behavior change, and appetite/eating change. The questionnaire is given by the clinician to the patient's caregiver who was asked if the behavior described is present in the patient. If "Yes", the informant then rates both the Severity of the symptoms present within the last month on a 3-point scale (1 = mild, 2= moderate, and 3= severe) and the associated impact of the symptom manifestations on them (i.e. Caregiver Distress) using a 5-point scale (0 = not distressing at all, 1 = minimal, 2 = mild, 3 = moderate, 4 = severe, and 5 = extreme or very severe). The total severity score represents the sum of individual scores and ranges from 0 to 36. The total distress score represents the sum of individual symptom scores and ranges from 0 to 60. | Efficacy analysis population included all participants who took at least one dose of study drug and had at least one baseline and at least one post-baseline assessment of the efficacy parameter. Twenty participants had no efficacy variables collected. | Posted | Mean | Standard Deviation | Scores on a scale | Baseline, Week 12, and Week 24 (Follow up visit) |
|
AEs were collected from Day 1 through Week 24 of study.
Safety population included all participants who received at least one dose of study treatment and had at least one postbaseline safety assessment. Summary and analysis of adverse events were analyzed using TEAEs.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Donepezil Hydrochloride | Donepezil hydrochloride (HCl) at 23 mg was administered once daily, just before bed, for 24 weeks. | 12 | 170 | 109 | 170 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Femur fracture | Injury, poisoning and procedural complications | MedDRA 18.0 | Systematic Assessment |
| |
| Rib fracture | Injury, poisoning and procedural complications | MedDRA 18.0 | Systematic Assessment |
| |
| Ankle fracture | Injury, poisoning and procedural complications | MedDRA 18.0 | Systematic Assessment |
| |
| Cervical vertebral fracture | Injury, poisoning and procedural complications | MedDRA 18.0 | Systematic Assessment |
| |
| Ligament injury | Injury, poisoning and procedural complications | MedDRA 18.0 | Systematic Assessment |
| |
| Lumbar vertebral fracture | Injury, poisoning and procedural complications | MedDRA 18.0 | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA 18.0 | Systematic Assessment |
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| Gait disturbance | General disorders | MedDRA 18.0 | Systematic Assessment |
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| Pneumonia | Infections and infestations | MedDRA 18.0 | Systematic Assessment |
| |
| Decreased appetite | Metabolism and nutrition disorders | MedDRA 18.0 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nausea | Gastrointestinal disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA 18.0 | Systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | MedDRA 18.0 | Systematic Assessment |
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| Dizziness | Nervous system disorders | MedDRA 18.0 | Systematic Assessment |
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| Lethargy | Nervous system disorders | MedDRA 18.0 | Systematic Assessment |
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| Decreased appetite | Metabolism and nutrition disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Dyspepsia | Gastrointestinal disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Somnolence | Nervous system disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Abdominal discomfort | Gastrointestinal disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Gastrointestinal disorder | Gastrointestinal disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Faecal incontinence | Gastrointestinal disorders | MedDRA 18.0 | Systematic Assessment |
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| Constipation | Gastrointestinal disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Dental caries | Gastrointestinal disorders | MedDRA 18.0 | Systematic Assessment |
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| Sedation | Nervous system disorders | MedDRA 18.0 | Systematic Assessment |
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| Tremor | Nervous system disorders | MedDRA 18.0 | Systematic Assessment |
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| Dreamy state | Nervous system disorders | MedDRA 18.0 | Systematic Assessment |
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| Drooling | Nervous system disorders | MedDRA 18.0 | Systematic Assessment |
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| Dysarthria | Nervous system disorders | MedDRA 18.0 | Systematic Assessment |
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| Facial spasm | Nervous system disorders | MedDRA 18.0 | Systematic Assessment |
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| Hypersomnia | Nervous system disorders | MedDRA 18.0 | Systematic Assessment |
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| Paraesthesia | Nervous system disorders | MedDRA 18.0 | Systematic Assessment |
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| Anxiety | Psychiatric disorders | MedDRA 18.0 | Systematic Assessment |
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| Insomnia | Psychiatric disorders | MedDRA 18.0 | Systematic Assessment |
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| Aggression | Psychiatric disorders | MedDRA 18.0 | Systematic Assessment |
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| Behavioural and psychiatric symptoms of dementia | Psychiatric disorders | MedDRA 18.0 | Systematic Assessment |
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| Depression | Psychiatric disorders | MedDRA 18.0 | Systematic Assessment |
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| Irritability | Psychiatric disorders | MedDRA 18.0 | Systematic Assessment |
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| Sleep disorder | Psychiatric disorders | MedDRA 18.0 | Systematic Assessment |
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| Compulsions | Psychiatric disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Compulsive hoarding | Psychiatric disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Confusional state | Psychiatric disorders | MedDRA 18.0 | Systematic Assessment |
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| Delusion | Psychiatric disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Depressed mood | Psychiatric disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Disinhibition | Psychiatric disorders | MedDRA 18.0 | Systematic Assessment |
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| Nightmare | Psychiatric disorders | MedDRA 18.0 | Systematic Assessment |
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| Restlessness | Psychiatric disorders | MedDRA 18.0 | Systematic Assessment |
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| Hyperlipidaemia | Metabolism and nutrition disorders | MedDRA 18.0 | Systematic Assessment |
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| Hypophagia | Metabolism and nutrition disorders | MedDRA 18.0 | Systematic Assessment |
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| Hyperglycaemia | Metabolism and nutrition disorders | MedDRA 18.0 | Systematic Assessment |
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| Hypoglycaemia | Metabolism and nutrition disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Hyponatraemia | Metabolism and nutrition disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Electrocardiogram QT prolonged | Investigations | MedDRA 18.0 | Systematic Assessment |
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| Weight decreased | Investigations | MedDRA 18.0 | Systematic Assessment |
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| Blood glucose increased | Investigations | MedDRA 18.0 | Systematic Assessment |
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| Glucose urine present | Investigations | MedDRA 18.0 | Systematic Assessment |
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| Alanine aminotransferase increased | Investigations | MedDRA 18.0 | Systematic Assessment |
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| Aspartate aminotransferase increased | Investigations | MedDRA 18.0 | Systematic Assessment |
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| Blood cholesterol increased | Investigations | MedDRA 18.0 | Systematic Assessment |
| |
| Blood creatine phosphokinase increased | Investigations | MedDRA 18.0 | Systematic Assessment |
| |
| Blood triglycerides increased | Investigations | MedDRA 18.0 | Systematic Assessment |
| |
| Electrocardiogram ST segment elevation | Investigations | MedDRA 18.0 | Systematic Assessment |
| |
| Electrocardiogram T wave abnormal | Investigations | MedDRA 18.0 | Systematic Assessment |
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| Asthenia | General disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Fatigue | General disorders | MedDRA 18.0 | Systematic Assessment |
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| Gait disturbance | General disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Chills | General disorders | MedDRA 18.0 | Systematic Assessment |
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| Oedema | General disorders | MedDRA 18.0 | Systematic Assessment |
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| Pain | General disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Ankle fracture | Injury, poisoning and procedural complications | MedDRA 18.0 | Systematic Assessment |
| |
| Contusion | Injury, poisoning and procedural complications | MedDRA 18.0 | Systematic Assessment |
| |
| Urinary incontinence | Renal and urinary disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Acute kidney injury | Renal and urinary disorders | MedDRA 18.0 | Systematic Assessment |
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| Enuresis | Renal and urinary disorders | MedDRA 18.0 | Systematic Assessment |
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| Incontinence | Renal and urinary disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Nocturia | Renal and urinary disorders | MedDRA 18.0 | Systematic Assessment |
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| Pollakiuria | Renal and urinary disorders | MedDRA 18.0 | Systematic Assessment |
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| Nasopharyngitis | Infections and infestations | MedDRA 18.0 | Systematic Assessment |
| |
| Periodontitis | Infections and infestations | MedDRA 18.0 | Systematic Assessment |
| |
| Pharyngitis | Infections and infestations | MedDRA 18.0 | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 18.0 | Systematic Assessment |
| |
| Hyperhidrosis | Skin and subcutaneous tissue disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Cold sweat | Skin and subcutaneous tissue disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Hiccups | Respiratory, thoracic and mediastinal disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Nasal discomfort | Respiratory, thoracic and mediastinal disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Productive cough | Respiratory, thoracic and mediastinal disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Rhinitis allergic | Respiratory, thoracic and mediastinal disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Atrioventricular block second degree | Cardiac disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Bradycardia | Cardiac disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Pallor | Vascular disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Eye pain | Eye disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Hypersensitivity | Immune system disorders | MedDRA 18.0 | Systematic Assessment |
|
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Youngji Pyo | Eisai Korea Inc. | +82-2-3451-5533 | y-pyo@eisaikorea.com |
| ID | Term |
|---|---|
| D000544 | Alzheimer Disease |
| ID | Term |
|---|---|
| D003704 | Dementia |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D024801 | Tauopathies |
| D019636 | Neurodegenerative Diseases |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D000077265 | Donepezil |
| ID | Term |
|---|---|
| D007189 | Indans |
| D007192 | Indenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D010880 | Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D011083 | Polycyclic Compounds |
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| Title | Measurements |
|---|
|
| Serious ADRs |
|
|
| Units | Counts |
|---|---|
| Participants |
|
|