A Study of SB-742457, Added to Donepezil for the Treatment of Mild-to-moderate Alzheimer's Disease
Study Details
Study Description
Brief Summary
The study is designed to investigate the safety and efficacy of SB-742457 when added to stable donepezil treatment in subjects with mild-to-moderate Alzheimer's disease.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: DONEPEZIL + SB-742457 15 MG SB-742457 - 15mg added to existing donepezil treatment |
Drug: SB-742457 15mg
SB-742457 - 15mg added to existing donepezil treatment
Drug: donepezil 5-10mg
existing donepezil treatment
|
Placebo Comparator: DONEPEZIL + PLACEBO Placebo added to existing donepezil |
Drug: Placebo
Placebo added to existing donepezil
Drug: donepezil 5-10mg
existing donepezil treatment
|
Experimental: DONEPEZIL + SB-742457 35 MG SB-742457 - 35mg added to existing donepezil |
Drug: SB-742457 35mg
SB-742457 - 35mg added to existing donepezil
Drug: donepezil 5-10mg
existing donepezil treatment
|
Outcome Measures
Primary Outcome Measures
- Change From Baseline in Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog) Total Score at Week 24 [Baseline(Week 0) and Week 24]
ADAS-cog assessed a range of cognitive abilities including memory, comprehension, orientation in time and place and spontaneous speech. Most items were evaluated by tests, but some were dependent on clinician ratings on a five point scale. There were in all 11 questions. Total scores were calculated as the sum of the individual components. Scores ranged from 0 to 70 with higher scores indicated greater dysfunction. The ADAS-Cog total score was the sum of the calculated scores for questions 1, 2, and 7, and the scores recorded on the case report form (CRF) for questions 3 to 6 and 8 to 11. When a score was missing for one of the questions, the total score was calculated as a weighted average of the scores provided for the remaining ten questions. The change from Baseline was obtained by subtracting the Baseline value from the post-randomization value. Baseline was Week 0 value. Data for adjusted mean is presented.
- Change From Baseline in Clinical Dementia Rating - Sum of Boxes (CDR-SB) Score at Week 24 [Baseline(Week 0) and Week 24]
The CDR-SB is an interviewer administered scale and impairment is scored in each of categories: memory, orientation, judgment and problem solving, community affairs, home and hobbies and personal care. Impairment is scored on a scale in which none = 0, questionable = 0.5, mild = 1, moderate = 2 and severe = 3. The 6 individual category ratings, or "box scores", were added together to give the CDR-Sum of Boxes which ranges from 0-18 (severe impairment). If there were any missing items then CDR-SB was set to missing and was not imputed. The change from Baseline was obtained by subtracting the Baseline value from the post-randomization value. Baseline was Week 0 value. Data for adjusted mean has been presented.
Secondary Outcome Measures
- Change From Baseline in Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Total Score at Week 24 [Baseline (Week 0) and Week 24]
RBANS is an individually administered cognitive battery comprising 12 subtests across five domains (Attention, Language, Visuospatial/Constructional Abilities, and Immediate and Delayed memory). Total scores are calculated by adding up the scores for each of the 12 individual subtests and ranges between 0 and 311, where a low score indicates greater impairment. The change from Baseline was obtained by subtracting the Baseline value from the post-randomization value. Baseline was Week 0 value. Data for adjusted mean has been presented.
- Change From Baseline in ADAS-Cog Total Score at Week 12, 36 and 48 [Baseline (Week 0) and Week 12, 36 and 48]
ADAS-cog assessed a range of cognitive abilities including memory, comprehension, orientation in time and place and spontaneous speech. Most items were evaluated by tests, but some were dependent on clinician ratings on a five point scale. There were in all 11 questions. Total scores were calculated as the sum of the individual components. Scores ranged from 0 to 70 with higher scores indicated greater dysfunction. The ADAS-Cog total score was the sum of the calculated scores for questions 1, 2, and 7, and the scores recorded on the CRF for questions 3 to 6 and 8 to 11. In cases where more than one question was missing, a total score was not be imputed. When a score was missing for one of the questions, the total score was calculated as a weighted average of the scores provided for the remaining ten questions. The change from Baseline was obtained by subtracting the Baseline value from the post-randomization value. Baseline was Week 0 value. Data for adjusted mean has been present
- Change From Baseline in CDR-SB Score at Week 12, 36 and 48 [Baseline (Week 0) and Week 12, 36, 48]
The CDR-SB is an interviewer administered scale and impairment is scored in each of categories: memory, orientation, judgment and problem solving, community affairs, home and hobbies and personal care. Impairment is scored on a scale in which none = 0, questionable = 0.5, mild = 1, moderate = 2 and severe = 3. The 6 individual category ratings, or "box scores", were added together to give the CDR-Sum of Boxes which ranges from 0-18 (severe impairment). If there were any missing items then CDR-SB was set to missing and was not imputed. The change from Baseline was obtained by subtracting the Baseline value from the post-randomization value. Baseline was Week 0 value. Data for adjusted mean has been presented.
- Change From Baseline in RBANS Score at Week 12, 36 and 48 [Baseline (Week 0) and Week 12, 36 and 48]
RBANS is an individually administered cognitive battery comprising 12 subtests across five domains (Attention, Language, Visuospatial/Constructional Abilities, and Immediate and Delayed memory). Total scores are calculated by adding up the scores for each of the 12 individual subtests and ranges between 0 and 311, where a low score indicates greater impairment. The change from Baseline was obtained by subtracting the Baseline value from the post-randomization value. Baseline was Week 0 value. Data for adjusted mean has been presented.
- Change From Baseline in Alzheimer's Disease Co-operative Study Group - Activities of Daily Living Inventory (ADCS- ADL) Total Score at Weeks 12, 24, 36 and 48 [Baseline (Week 0) and Week 12, 24, 36 and 48]
The ADCS-ADL is an interviewer-administered informant-based scale where the informant (caregiver) responds to 23 activities of daily living questions about the participant. The questions ranged from basic to instrumental activities of daily living and take approximately 20 minutes to complete. The Total score ranges from 0-78 and a higher score signified greater functional ability. The questionnaire was split into two types of questions, an initial question relating to whether a participant had completed a particular activity and then a follow on question which scored how much assistance the participant had required if they had performed that particular activity. The total score was calculated by adding up the responses for each of the individual activities. The change from Baseline was obtained by subtracting the Baseline value from the post-randomization value. Baseline was Week 0 value. Data for adjusted mean has been presented.
- Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Week 24 and 48 [Baseline (Week 0) and Week 24 and 48]
The MMSE consisted of 11 items covering orientation, memory (recent and immediate), concentration, language and praxis. Scores ranged from 0 to 30, with lower scores indicating greater cognitive impairment. Scores for each of the 11 individual tests were not recorded on the CRF, therefore if any item was missing then the total score was be set to missing. The change from Baseline was obtained by subtracting the Baseline value from the post-randomization value. Baseline was Week 0 value. Data for adjusted mean has been presented.
- Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) During Treatment Phase [Up to follow-up i.e. 2 weeks post end of treatment (Week 24, Week 48 or Early Withdrawal)]
An AE was defined as any untoward medical occurrence that occurred during the course of the trial after study treatment had started. An adverse event was therefore any unfavorable and unintended sign, symptom, or disease temporally associated with the use of study drug, whether or not considered related to the study drug. An SAE was any untoward medical occurrence that at any dose results in death, are life threatening, requires hospitalization or prolongation of hospitalization or results in disability/incapacity, and congenital anomaly/birth defect.
- Number of Participants With Parameters of Clinical Concern - Hematology [Up to Week 48]
Only parameters with values have been presented. Data has been reported for number of participants with high and/ or low values for Eosinophils (high-2), Hematocrit (low- 0.8, high-1.2), Lymphocytes (low-0.75, high-1.5), Mean Corpuscle Hemoglobin (MCH) (low-0.8, high-1.2), Monocytes(low-0.75, high-2), Neutrophil bands (high-10), Platelet count (low-100, high-500), Segmented Neutrophils (low-0.75, high-1.3), Total Neutrophils (low-0.75, high-1.5), and white blood cells (WBC) (low-3, high-15).
- Number of Participants With Parameters of Clinical Concern - Clinical Chemistry [Up to Week 48]
Only parameters with values have been presented. Data has been reported for number of participants with high and/ or low values for Alanine Amino Transferase (ALT) (high-1.5), Alkaline Phosphatase (high-1.5), Aspartate Amino Transferase (ASAT) (high-1.5), BUN/Creatinine ratio (high-1.5), Calcium (low- 0.75, high-1.25), Carbon dioxide content/Bicarbonate (low-15, high- 40), Cholesterol (high-1.25), Creatine Kinase ((low- 0.5, high-1.25), Creatinine (low- 0.5, high-1.25), Direct Bilirubin (high-1.5), Gamma Glutamyl Transferase (GGT) (high-2), Glucose (low- 3.6, high-7.8), HDL Cholesterol (low-0.65), LDL Cholesterol (hig-1.25), Magnesium (low-0.5, high-2), Phosphorus inorganic (low- 0.5, high-1.5), Potassium (low- 3, high-5.5), Sodium (low- 130, high-150), Total Bilirubin (high-1.5), Triglycerides (high -4) and Urea/BUN (high-11).
- Exposure Estimates for SB-742457 : Area Under the Concentration Time Curve Over the Dosing Interval at Steady State (AUCτss) [Post-dose at 3, 8 and 24 hours on Week 0, 1, 3, 6, 12, 18, 24, 30, 36, 42 and 48]
AUCτss of SB-742457 was estimated via nonlinear mixed effect analysis. This pharmacokinetic(PK) model was a steady state one compartment model with first-order absorption, with between participant variability on clearance and volume of distribution.
- Exposure Estimates for SB-742457 : Minimum Concentrations at Steady State (Cmin-ss) [Post-dose at 3, 8 and 24 hours on Week 0, 1, 3, 6, 12, 18, 24, 30, 36, 42 and 48]
Cmin-ss was estimated via nonlinear mixed effect analysis. This PK model was a steady state one compartment model with first-order absorption, with between participant variability on clearance and volume of distribution.
- Exposure Estimates for Donepezil (Cavgss) [Post-dose at 12 to 20 hours on Week 0, 1, 3, 6, 12, 18, 24, 30, 36, 42 and 48]
Participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) were allowed to participate in this study. Cavgss for donepezil approximately 12 to 20 hours after dosing were summarized by donepezil dose level 5 mg/7.5 mg/10 mg/15 mg.
- Change From Baseline in ADAS-Cog Scale in Participants With APOE4 Gene [Baseline (Week 0) to Week 24 and Week 48]
Genetic analyses was conducted to assess the effect of APOE4 carriage. ADAS-cog assessed a range of cognitive abilities including memory, comprehension, orientation in time and place and spontaneous speech. Most items were evaluated by tests, but some were dependent on clinician ratings on a five-point scale. There were in all 11 questions. Total scores were calculated as the sum of the individual components. Scores ranged from 0 to 70 with higher scores indicating greater dysfunction. The ADAS-Cog total score was the sum of the calculated scores for questions 1, 2, and 7, and the scores were recorded on the CRF for questions 3 to 6 and 8 to 11. When a score was missing for one of the questions, the total score was calculated as a weighted average of the scores provided for the remaining ten questions. Baseline was Week 0 value. The change from Baseline was obtained by subtracting the Baseline value from the post-randomization value.
- Change From Baseline in CDR-SB Scale in Participants With APOE4 Gene [Baseline (Week 0) to Week 24 and Week 48]
Genetic analyses was conducted to assess the effect of APOE4 carriage. The CDR-SB is an interviewer administered scale and impairment is scored in following categories: memory, orientation, judgment and problem solving, community affairs, home and hobbies and personal care. Impairment was scored on a scale in which none =0, questionable =0.5, mild =1, moderate =2 and severe =3. The 6 individual category ratings, or "box scores", were added together to give the CDR-Sum of Boxes which ranges from 0-18, with higher score indicating severe impairment. If there were any missing items then CDR-SB was set to missing and was not imputed. Baseline was Week 0 value. The change from Baseline was obtained by subtracting the Baseline value from the post-randomization value.
- Change From Baseline in RBANS Scale in Participants With APOE4 Gene [Baseline (Week 0) to Week 24 and Week 48]
Genetic analyses was conducted to assess the effect of APOE4 carriage. RBANS is an individually administered cognitive battery comprising 12 subtests across five domains (Attention, Language, Visuospatial/Constructional Abilities, and Immediate and Delayed memory). Total scores are calculated by adding up the scores for each of the 12 individual subtests and ranges between 0 and 311, where a low score indicates greater impairment. Baseline was Week 0 value. The change from Baseline was obtained by subtracting the Baseline value from the post-randomization value.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Subjects and their caregivers must provide informed consent prior to study entry.
-
Subjects must have a clinical diagnosis of probable mild-to-moderate Alzheimer's disease with no evidence of disorders that are thought to be the cause of, or contributing to the severity of the subject's dementia and a documented history of at least 6 months of ongoing donepezil therapy with stable dosing for at least the last 2 months.
-
Subjects must have a regular caregiver who is willing to attend visits, oversee the subject's compliance with the study and report on the subject's status.
-
Female subjects of child-bearing potential must agree to abstinence or an approved form of birth control.
-
Subjects must have adequate blood pressure and laboratory values.
Exclusion Criteria:
-
Subjects with a diagnosis of possible, probable or definite vascular dementia may not participate.
-
Subjects with known hypersensitivity to sunlight or a history of seizures, previous exposure to SB-742457, taking agents for which there is a theoretical risk of interaction with SB-742457, or taking medication for Alzheimer's disease or centrally acting agents which might impact study outcomes may not participate.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | GSK Investigational Site | Litchfield Park | Arizona | United States | 85340 |
2 | GSK Investigational Site | Fresno | California | United States | 93720 |
3 | GSK Investigational Site | Rancho Mirage | California | United States | 92270 |
4 | GSK Investigational Site | San Francisco | California | United States | 94109 |
5 | GSK Investigational Site | Hallandale Beach | Florida | United States | 33009 |
6 | GSK Investigational Site | Hialeah | Florida | United States | 33016 |
7 | GSK Investigational Site | Manchester | New Jersey | United States | 08759 |
8 | GSK Investigational Site | Syracuse | New York | United States | 13210 |
9 | GSK Investigational Site | Winston-Salem | North Carolina | United States | 27103 |
10 | GSK Investigational Site | Columbus | Ohio | United States | 43210 |
11 | GSK Investigational Site | Tulsa | Oklahoma | United States | 74104 |
12 | GSK Investigational Site | Memphis | Tennessee | United States | 38119 |
13 | GSK Investigational Site | Austin | Texas | United States | 78757 |
14 | GSK Investigational Site | Bennington | Vermont | United States | 05201 |
15 | GSK Investigational Site | Ciudad Autonoma de Buenos Aires | Buenos Aires | Argentina | C1022AAO |
16 | GSK Investigational Site | Ciudad Autonoma de Buenos Aires | Buenos Aires | Argentina | C1405BCH |
17 | GSK Investigational Site | Ciudad de Buenos Aires | Buenos Aires | Argentina | C1431FWO |
18 | GSK Investigational Site | La Plata | Buenos Aires | Argentina | B1900AVG |
19 | GSK Investigational Site | Cordoba | Córdova | Argentina | 5000 |
20 | GSK Investigational Site | Buenos Aires | Argentina | 1425 | |
21 | GSK Investigational Site | Santa Fe | Argentina | 3000 | |
22 | GSK Investigational Site | Kogarah | New South Wales | Australia | 2217 |
23 | GSK Investigational Site | Herston | Queensland | Australia | 4029 |
24 | GSK Investigational Site | Woodville | South Australia | Australia | 5011 |
25 | GSK Investigational Site | Ballarat | Victoria | Australia | 3350 |
26 | GSK Investigational Site | Heidelberg West | Victoria | Australia | 3084 |
27 | GSK Investigational Site | Kew | Victoria | Australia | 3101 |
28 | GSK Investigational Site | Nedlands | Western Australia | Australia | 6009 |
29 | GSK Investigational Site | Saint John | New Brunswick | Canada | E2L 3L6 |
30 | GSK Investigational Site | Kentville | Nova Scotia | Canada | B4N 4K9 |
31 | GSK Investigational Site | Ottawa | Ontario | Canada | K1G 4G3 |
32 | GSK Investigational Site | Peterborough | Ontario | Canada | K9H 2P4 |
33 | GSK Investigational Site | Toronto | Ontario | Canada | M3B 2S7 |
34 | GSK Investigational Site | Toronto | Ontario | Canada | M6M 3Z5 |
35 | GSK Investigational Site | Greenfield Park | Quebec | Canada | J4V 2J2 |
36 | GSK Investigational Site | Montreal | Quebec | Canada | H1T 2M4 |
37 | GSK Investigational Site | Sherbrooke | Quebec | Canada | J1H 1Z1 |
38 | GSK Investigational Site | Sherbrooke | Quebec | Canada | J1J 3H5 |
39 | GSK Investigational Site | Québec | Canada | G1R 3X5 | |
40 | GSK Investigational Site | Santiago | Región Metro De Santiago | Chile | 7510186 |
41 | GSK Investigational Site | Santiago | Región Metro De Santiago | Chile | 7560356 |
42 | GSK Investigational Site | Viña del Mar | Valparaíso | Chile | 252-0997 |
43 | GSK Investigational Site | Santiago | Chile | ||
44 | GSK Investigational Site | Melnik | Czechia | 27601 | |
45 | GSK Investigational Site | Olomouc | Czechia | 775 20 | |
46 | GSK Investigational Site | Ostrava | Czechia | 702 00 | |
47 | GSK Investigational Site | Pardubice | Czechia | 53203 | |
48 | GSK Investigational Site | Plzen | Czechia | 301 00 | |
49 | GSK Investigational Site | Praha 10 | Czechia | 10000 | |
50 | GSK Investigational Site | Praha 1 | Czechia | 110 00 | |
51 | GSK Investigational Site | Praha 4 | Czechia | 14059 | |
52 | GSK Investigational Site | Ellwangen | Baden-Wuerttemberg | Germany | 73479 |
53 | GSK Investigational Site | Stuttgart | Baden-Wuerttemberg | Germany | 70176 |
54 | GSK Investigational Site | Tuebingen | Baden-Wuerttemberg | Germany | 72076 |
55 | GSK Investigational Site | Ulm | Baden-Wuerttemberg | Germany | 89075 |
56 | GSK Investigational Site | Alzenau | Bayern | Germany | 63755 |
57 | GSK Investigational Site | Guenzburg | Bayern | Germany | 89312 |
58 | GSK Investigational Site | Muenchen | Bayern | Germany | 81675 |
59 | GSK Investigational Site | Regensburg | Bayern | Germany | 93053 |
60 | GSK Investigational Site | Unterhaching | Bayern | Germany | 82008 |
61 | GSK Investigational Site | Bad Homburg | Hessen | Germany | 61348 |
62 | GSK Investigational Site | Schwerin | Mecklenburg-Vorpommern | Germany | 19053 |
63 | GSK Investigational Site | Schwerin | Mecklenburg-Vorpommern | Germany | 19055 |
64 | GSK Investigational Site | Achim | Niedersachsen | Germany | 28832 |
65 | GSK Investigational Site | Aachen | Nordrhein-Westfalen | Germany | 52062 |
66 | GSK Investigational Site | Bad Honnef | Nordrhein-Westfalen | Germany | 53604 |
67 | GSK Investigational Site | Bochum | Nordrhein-Westfalen | Germany | 44869 |
68 | GSK Investigational Site | Dresden | Sachsen | Germany | 01097 |
69 | GSK Investigational Site | Dresden | Sachsen | Germany | 01309 |
70 | GSK Investigational Site | Jena | Thueringen | Germany | 07743 |
71 | GSK Investigational Site | Berlin | Germany | 10961 | |
72 | GSK Investigational Site | Berlin | Germany | 12163 | |
73 | GSK Investigational Site | Berlin | Germany | 13439 | |
74 | GSK Investigational Site | Chieti Scalo | Abruzzo | Italy | 66013 |
75 | GSK Investigational Site | Napoli | Campania | Italy | 80131 |
76 | GSK Investigational Site | San Felice A Cancello - Caserta | Campania | Italy | 81027 |
77 | GSK Investigational Site | Cassino (FR) | Lazio | Italy | 03043 |
78 | GSK Investigational Site | Roma | Lazio | Italy | 00148 |
79 | GSK Investigational Site | Roma | Lazio | Italy | 00163 |
80 | GSK Investigational Site | Brescia | Lombardia | Italy | 25125 |
81 | GSK Investigational Site | Castellanza (VA) | Lombardia | Italy | 21053 |
82 | GSK Investigational Site | Milano | Lombardia | Italy | 20122 |
83 | GSK Investigational Site | Milano | Lombardia | Italy | 20132 |
84 | GSK Investigational Site | Rho | Lombardia | Italy | 20017 |
85 | GSK Investigational Site | Torino | Piemonte | Italy | 10126 |
86 | GSK Investigational Site | Lido Di Camaiore (LU) | Toscana | Italy | 55043 |
87 | GSK Investigational Site | Pisa | Toscana | Italy | 56126 |
88 | GSK Investigational Site | Perugia | Umbria | Italy | 06156 |
89 | GSK Investigational Site | Valdagno (VI) | Veneto | Italy | 36078 |
90 | GSK Investigational Site | Verona | Veneto | Italy | 37126 |
91 | GSK Investigational Site | Baracaldo/Vizcaya | Spain | 48903 | |
92 | GSK Investigational Site | Barcelona | Spain | 08003 | |
93 | GSK Investigational Site | Barcelona | Spain | 08014 | |
94 | GSK Investigational Site | Barcelona | Spain | 08907 | |
95 | GSK Investigational Site | Burgos | Spain | 09006 | |
96 | GSK Investigational Site | Castellón | Spain | 12004 | |
97 | GSK Investigational Site | Madrid | Spain | 28006 | |
98 | GSK Investigational Site | Murcia | Spain | 30120 | |
99 | GSK Investigational Site | Salamanca | Spain | 37007 | |
100 | GSK Investigational Site | San Sebastián | Spain | 20014 | |
101 | GSK Investigational Site | San Vicente Del Raspeig/Alicante | Spain | 03690 | |
102 | GSK Investigational Site | Valencia | Spain | 46010 |
Sponsors and Collaborators
- GlaxoSmithKline
Investigators
- Study Director: GSK Clinical Trials, GlaxoSmithKline
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- AZ3110866
Study Results
Participant Flow
Recruitment Details | A total of 684 participants were randomized from 100 centers i.e. Australia, Argentina, Chile, Canada, United States of America, Czech Republic, Spain, Italy, Germany between 01 July 2008 and 16 November 2010. |
---|---|
Pre-assignment Detail | Out of 1132 participants screened, 725 entered into 4-week placebo run-in period out of which 41 participants were placebo run-in failures. Out of 684 participants randomized, 682 were included in safety population (1 participant each from Donepezil+Placebo and Donepezil+SB742457 35 milligram [mg] group failed to take a dose of study medication). |
Arm/Group Title | Donepezil + Placebo | Donepezil + SB-742457 15 mg | Donepezil + SB-742457 35 mg |
---|---|---|---|
Arm/Group Description | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received placebo tablets matching with SB742457 orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 15 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 35 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. |
Period Title: Overall Study | |||
STARTED | 225 | 221 | 236 |
COMPLETED | 151 | 147 | 172 |
NOT COMPLETED | 74 | 74 | 64 |
Baseline Characteristics
Arm/Group Title | Donepezil + Placebo | Donepezil + SB-742457 15 mg | Donepezil + SB-742457 35 mg | Total |
---|---|---|---|---|
Arm/Group Description | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received placebo tablets matching with SB742457 orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 15 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 35 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Total of all reporting groups |
Overall Participants | 223 | 218 | 236 | 677 |
Age (years) [Mean (Standard Deviation) ] | ||||
Mean (Standard Deviation) [years] |
73.1
(7.49)
|
74.2
(6.82)
|
73.8
(6.92)
|
73.7
(7.09)
|
Sex: Female, Male (Count of Participants) | ||||
Female |
129
57.8%
|
118
54.1%
|
148
62.7%
|
395
58.3%
|
Male |
94
42.2%
|
100
45.9%
|
88
37.3%
|
282
41.7%
|
Race (NIH/OMB) (Count of Participants) | ||||
American Indian or Alaska Native |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Asian |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Native Hawaiian or Other Pacific Islander |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Black or African American |
0
0%
|
3
1.4%
|
2
0.8%
|
5
0.7%
|
White |
223
100%
|
215
98.6%
|
233
98.7%
|
671
99.1%
|
More than one race |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Unknown or Not Reported |
0
0%
|
0
0%
|
1
0.4%
|
1
0.1%
|
Outcome Measures
Title | Change From Baseline in Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog) Total Score at Week 24 |
---|---|
Description | ADAS-cog assessed a range of cognitive abilities including memory, comprehension, orientation in time and place and spontaneous speech. Most items were evaluated by tests, but some were dependent on clinician ratings on a five point scale. There were in all 11 questions. Total scores were calculated as the sum of the individual components. Scores ranged from 0 to 70 with higher scores indicated greater dysfunction. The ADAS-Cog total score was the sum of the calculated scores for questions 1, 2, and 7, and the scores recorded on the case report form (CRF) for questions 3 to 6 and 8 to 11. When a score was missing for one of the questions, the total score was calculated as a weighted average of the scores provided for the remaining ten questions. The change from Baseline was obtained by subtracting the Baseline value from the post-randomization value. Baseline was Week 0 value. Data for adjusted mean is presented. |
Time Frame | Baseline(Week 0) and Week 24 |
Outcome Measure Data
Analysis Population Description |
---|
ITT population. Only those participants with data available at the indicated time points were analyzed. |
Arm/Group Title | Donepezil + Placebo | Donepezil + SB-742457 15 mg | Donepezil + SB-742457 35 mg |
---|---|---|---|
Arm/Group Description | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received placebo tablets matching with SB742457 orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 15 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 35 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. |
Measure Participants | 193 | 184 | 200 |
Least Squares Mean (Standard Error) [Score on scale] |
1.2
(0.45)
|
0.5
(0.44)
|
-0.4
(0.41)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 15 mg |
---|---|---|
Comments | SB-742457 15mg versus placebo at Week 24 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.279 |
Comments | ||
Method | mixed model for repeated measures (MMRM) | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | -0.7 | |
Confidence Interval |
(2-Sided) 95% -1.9 to 0.5 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 35 mg |
---|---|---|
Comments | SB-742457 35mg versus placebo at Week 24 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.012 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | -1.5 | |
Confidence Interval |
(2-Sided) 95% -2.7 to -0.3 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Change From Baseline in Clinical Dementia Rating - Sum of Boxes (CDR-SB) Score at Week 24 |
---|---|
Description | The CDR-SB is an interviewer administered scale and impairment is scored in each of categories: memory, orientation, judgment and problem solving, community affairs, home and hobbies and personal care. Impairment is scored on a scale in which none = 0, questionable = 0.5, mild = 1, moderate = 2 and severe = 3. The 6 individual category ratings, or "box scores", were added together to give the CDR-Sum of Boxes which ranges from 0-18 (severe impairment). If there were any missing items then CDR-SB was set to missing and was not imputed. The change from Baseline was obtained by subtracting the Baseline value from the post-randomization value. Baseline was Week 0 value. Data for adjusted mean has been presented. |
Time Frame | Baseline(Week 0) and Week 24 |
Outcome Measure Data
Analysis Population Description |
---|
ITT population. Only those participants with data available at the indicated time points were analyzed. |
Arm/Group Title | Donepezil + Placebo | Donepezil + SB-742457 15 mg | Donepezil + SB-742457 35 mg |
---|---|---|---|
Arm/Group Description | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received placebo tablets matching with SB742457 orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 15 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 35 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. |
Measure Participants | 191 | 184 | 200 |
Least Squares Mean (Standard Error) [Score on scale] |
0.9
(0.13)
|
0.8
(0.13)
|
0.7
(0.11)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 15 mg |
---|---|---|
Comments | SB-742457 15 mg versus placebo at Week 24 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.711 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | -0.1 | |
Confidence Interval |
(2-Sided) 95% -0.4 to 0.3 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 35 mg |
---|---|---|
Comments | SB-742457 35 mg versus placebo at Week 24 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.462 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | -0.1 | |
Confidence Interval |
(2-Sided) 95% -0.5 to 0.2 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Change From Baseline in Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Total Score at Week 24 |
---|---|
Description | RBANS is an individually administered cognitive battery comprising 12 subtests across five domains (Attention, Language, Visuospatial/Constructional Abilities, and Immediate and Delayed memory). Total scores are calculated by adding up the scores for each of the 12 individual subtests and ranges between 0 and 311, where a low score indicates greater impairment. The change from Baseline was obtained by subtracting the Baseline value from the post-randomization value. Baseline was Week 0 value. Data for adjusted mean has been presented. |
Time Frame | Baseline (Week 0) and Week 24 |
Outcome Measure Data
Analysis Population Description |
---|
ITT population. Only those participants with data available at the indicated time points were analyzed. |
Arm/Group Title | Donepezil + Placebo | Donepezil + SB-742457 15 mg | Donepezil + SB-742457 35 mg |
---|---|---|---|
Arm/Group Description | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received placebo tablets matching with SB742457 orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 15 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 35 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. |
Measure Participants | 190 | 176 | 193 |
Least Squares Mean (Standard Error) [Score on scale] |
-3.6
(1.18)
|
-5.9
(1.29)
|
-4.0
(1.09)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 15 mg |
---|---|---|
Comments | SB-742457 15 mg versus placebo at Week 24 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.174 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | -2.4 | |
Confidence Interval |
(2-Sided) 95% -5.8 to 1.1 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 35 mg |
---|---|---|
Comments | SB-742457 35 mg versus placebo at Week 24 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.776 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | -0.5 | |
Confidence Interval |
(2-Sided) 95% -3.6 to 2.7 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Change From Baseline in ADAS-Cog Total Score at Week 12, 36 and 48 |
---|---|
Description | ADAS-cog assessed a range of cognitive abilities including memory, comprehension, orientation in time and place and spontaneous speech. Most items were evaluated by tests, but some were dependent on clinician ratings on a five point scale. There were in all 11 questions. Total scores were calculated as the sum of the individual components. Scores ranged from 0 to 70 with higher scores indicated greater dysfunction. The ADAS-Cog total score was the sum of the calculated scores for questions 1, 2, and 7, and the scores recorded on the CRF for questions 3 to 6 and 8 to 11. In cases where more than one question was missing, a total score was not be imputed. When a score was missing for one of the questions, the total score was calculated as a weighted average of the scores provided for the remaining ten questions. The change from Baseline was obtained by subtracting the Baseline value from the post-randomization value. Baseline was Week 0 value. Data for adjusted mean has been present |
Time Frame | Baseline (Week 0) and Week 12, 36 and 48 |
Outcome Measure Data
Analysis Population Description |
---|
ITT population. Only those participants with data available at the specified time points were analyzed. |
Arm/Group Title | Donepezil + Placebo | Donepezil + SB-742457 15 mg | Donepezil + SB-742457 35 mg |
---|---|---|---|
Arm/Group Description | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received placebo tablets matching with SB742457 orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 15 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 35 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. |
Measure Participants | 223 | 218 | 236 |
Week 12 |
0.4
(0.33)
|
0.1
(0.37)
|
-0.9
(0.34)
|
Week 36 |
2.1
(0.45)
|
2.1
(0.48)
|
0.9
(0.45)
|
Week 48 |
3.4
(0.52)
|
3.4
(0.60)
|
1.8
(0.50)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 15 mg |
---|---|---|
Comments | SB-742457 15 mg versus placebo at Week 12 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.631 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | -0.2 | |
Confidence Interval |
(2-Sided) 95% -1.2 to 0.7 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 35 mg |
---|---|---|
Comments | SB-742457 35 mg versus placebo at Week 12 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.006 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | -1.3 | |
Confidence Interval |
(2-Sided) 95% -2.2 to -0.4 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 3
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 15 mg |
---|---|---|
Comments | SB-742457 15 mg versus placebo at Week 36 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.947 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | 0.0 | |
Confidence Interval |
(2-Sided) 95% -1.3 to 1.2 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 4
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 35 mg |
---|---|---|
Comments | SB-742457 35 mg versus placebo at Week 36 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.057 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | -1.2 | |
Confidence Interval |
(2-Sided) 95% -2.5 to 0.0 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 5
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 15 mg |
---|---|---|
Comments | SB-742457 15 mg versus placebo at Week 48 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.925 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | -0.1 | |
Confidence Interval |
(2-Sided) 95% -1.6 to 1.5 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 6
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 35 mg |
---|---|---|
Comments | SB-742457 35 mg versus placebo at Week 48 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.024 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | -1.6 | |
Confidence Interval |
(2-Sided) 95% -3.1 to -0.2 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Change From Baseline in CDR-SB Score at Week 12, 36 and 48 |
---|---|
Description | The CDR-SB is an interviewer administered scale and impairment is scored in each of categories: memory, orientation, judgment and problem solving, community affairs, home and hobbies and personal care. Impairment is scored on a scale in which none = 0, questionable = 0.5, mild = 1, moderate = 2 and severe = 3. The 6 individual category ratings, or "box scores", were added together to give the CDR-Sum of Boxes which ranges from 0-18 (severe impairment). If there were any missing items then CDR-SB was set to missing and was not imputed. The change from Baseline was obtained by subtracting the Baseline value from the post-randomization value. Baseline was Week 0 value. Data for adjusted mean has been presented. |
Time Frame | Baseline (Week 0) and Week 12, 36, 48 |
Outcome Measure Data
Analysis Population Description |
---|
ITT population. Only those participants with data available at the specified time points were analyzed. |
Arm/Group Title | Donepezil + Placebo | Donepezil + SB-742457 15 mg | Donepezil + SB-742457 35 mg |
---|---|---|---|
Arm/Group Description | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received placebo tablets matching with SB742457 orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 15 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 35 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. |
Measure Participants | 223 | 218 | 236 |
Week 12 |
0.5
(0.10)
|
0.4
(0.09)
|
0.2
(0.08)
|
Week 36 |
1.2
(0.15)
|
1.4
(0.18)
|
1.0
(0.13)
|
Week 48 |
1.6
(0.16)
|
1.9
(0.20)
|
1.5
(0.16)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 15 mg |
---|---|---|
Comments | SB-742457 15 mg versus placebo at Week 12 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.387 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | -0.1 | |
Confidence Interval |
(2-Sided) 95% -0.4 to 0.1 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 35 mg |
---|---|---|
Comments | SB-742457 35 mg versus placebo at Week 12 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.018 |
Comments | ||
Method | MMRM | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | -0.3 | |
Confidence Interval |
(2-Sided) 95% -0.5 to -0.1 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 3
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 15 mg |
---|---|---|
Comments | SB-742457 15 mg versus placebo at Week 36 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.439 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | 0.2 | |
Confidence Interval |
(2-Sided) 95% -0.3 to 0.6 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 4
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 35 mg |
---|---|---|
Comments | SB-742457 35 mg versus placebo at Week 36 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.336 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | -0.2 | |
Confidence Interval |
(2-Sided) 95% -0.6 to 0.2 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 5
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 15 mg |
---|---|---|
Comments | SB-742457 15 mg versus placebo at Week 48 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.190 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | 0.3 | |
Confidence Interval |
(2-Sided) 95% -0.2 to 0.8 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 6
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 35 mg |
---|---|---|
Comments | SB-742457 35 mg versus placebo at Week 48 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.787 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | -0.1 | |
Confidence Interval |
(2-Sided) 95% -0.5 to 0.4 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Change From Baseline in RBANS Score at Week 12, 36 and 48 |
---|---|
Description | RBANS is an individually administered cognitive battery comprising 12 subtests across five domains (Attention, Language, Visuospatial/Constructional Abilities, and Immediate and Delayed memory). Total scores are calculated by adding up the scores for each of the 12 individual subtests and ranges between 0 and 311, where a low score indicates greater impairment. The change from Baseline was obtained by subtracting the Baseline value from the post-randomization value. Baseline was Week 0 value. Data for adjusted mean has been presented. |
Time Frame | Baseline (Week 0) and Week 12, 36 and 48 |
Outcome Measure Data
Analysis Population Description |
---|
ITT population. Only those participants with data available at the specified time points were analyzed. |
Arm/Group Title | Donepezil + Placebo | Donepezil + SB-742457 15 mg | Donepezil + SB-742457 35 mg |
---|---|---|---|
Arm/Group Description | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received placebo tablets matching with SB742457 orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 15 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 35 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. |
Measure Participants | 223 | 218 | 236 |
Week 12 |
-7.2
(0.94)
|
-8.5
(1.02)
|
-6.5
(0.79)
|
Week 36 |
-3.9
(1.32)
|
-4.8
(1.21)
|
-1.8
(1.19)
|
Week 48 |
-7.3
(1.36)
|
-9.4
(1.45)
|
-4.7
(1.25)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 15 mg |
---|---|---|
Comments | SB-742457 15 mg versus placebo at Week 12 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.337 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | -1.3 | |
Confidence Interval |
(2-Sided) 95% -4.0 to 1.4 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 35 mg |
---|---|---|
Comments | SB-742457 35 mg versus placebo at Week 12 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.596 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | 0.6 | |
Confidence Interval |
(2-Sided) 95% -1.7 to 3.0 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 3
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 15 mg |
---|---|---|
Comments | SB-742457 15 mg versus placebo at Week 36 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.634 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | -0.9 | |
Confidence Interval |
(2-Sided) 95% -4.4 to 2.7 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 4
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 35 mg |
---|---|---|
Comments | SB-742457 35 mg versus placebo at Week 36 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.238 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | 2.1 | |
Confidence Interval |
(2-Sided) 95% -1.4 to 5.6 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 5
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 15 mg, Donepezil + SB-742457 35 mg |
---|---|---|
Comments | SB-742457 15 mg versus placebo at Week 48 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.292 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | -2.1 | |
Confidence Interval |
(2-Sided) 95% -6.0 to 1.8 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 6
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 35 mg |
---|---|---|
Comments | SB-742457 35 mg versus placebo at Week 48 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.161 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | 2.6 | |
Confidence Interval |
(2-Sided) 95% -1.0 to 6.2 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Change From Baseline in Alzheimer's Disease Co-operative Study Group - Activities of Daily Living Inventory (ADCS- ADL) Total Score at Weeks 12, 24, 36 and 48 |
---|---|
Description | The ADCS-ADL is an interviewer-administered informant-based scale where the informant (caregiver) responds to 23 activities of daily living questions about the participant. The questions ranged from basic to instrumental activities of daily living and take approximately 20 minutes to complete. The Total score ranges from 0-78 and a higher score signified greater functional ability. The questionnaire was split into two types of questions, an initial question relating to whether a participant had completed a particular activity and then a follow on question which scored how much assistance the participant had required if they had performed that particular activity. The total score was calculated by adding up the responses for each of the individual activities. The change from Baseline was obtained by subtracting the Baseline value from the post-randomization value. Baseline was Week 0 value. Data for adjusted mean has been presented. |
Time Frame | Baseline (Week 0) and Week 12, 24, 36 and 48 |
Outcome Measure Data
Analysis Population Description |
---|
ITT population. Only those participants with data available at the specified time points were analyzed. |
Arm/Group Title | Donepezil + Placebo | Donepezil + SB-742457 15 mg | Donepezil + SB-742457 35 mg |
---|---|---|---|
Arm/Group Description | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received placebo tablets matching with SB742457 orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 15 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 35 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. |
Measure Participants | 223 | 218 | 236 |
Week 12 |
-1.4
(0.57)
|
-0.8
(0.49)
|
0.3
(0.47)
|
Week 24 |
-3.4
(0.66)
|
-1.9
(0.61)
|
-1.4
(0.60)
|
Week 36 |
-3.7
(0.67)
|
-3.8
(0.80)
|
-1.8
(0.65)
|
Week 48 |
-5.5
(0.85)
|
-5.0
(0.87)
|
-3.5
(0.76)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 15 mg |
---|---|---|
Comments | SB-742457 15 mg versus placebo at Week 12 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.396 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | 0.6 | |
Confidence Interval |
(2-Sided) 95% -0.8 to 2.1 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 35 mg |
---|---|---|
Comments | SB-742457 35 mg versus placebo at Week 12 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.019 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | 1.7 | |
Confidence Interval |
(2-Sided) 95% 0.3 to 3.2 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 3
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 15 mg |
---|---|---|
Comments | SB-742457 15 mg versus placebo at Week 24 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.110 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | 1.4 | |
Confidence Interval |
(2-Sided) 95% -0.3 to 3.2 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 4
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 35 mg |
---|---|---|
Comments | SB-742457 35 mg versus placebo at Week 24 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.024 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | 2.0 | |
Confidence Interval |
(2-Sided) 95% 0.3 to 3.7 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 5
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 15 mg |
---|---|---|
Comments | SB-742457 15 mg versus placebo ate Week 36 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.944 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | -0.1 | |
Confidence Interval |
(2-Sided) 95% -2.1 to 2.0 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 6
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 35 mg |
---|---|---|
Comments | SB-742457 35 mg versus placebo at Week 36 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.037 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | 1.9 | |
Confidence Interval |
(2-Sided) 95% 0.1 to 3.8 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 7
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 15 mg |
---|---|---|
Comments | SB-742457 15 mg versus placebo at Week 48 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.705 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | 0.5 | |
Confidence Interval |
(2-Sided) 95% -1.9 to 2.9 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 8
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 35 mg |
---|---|---|
Comments | SB-742457 35 mg versus placebo at Week 48 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.088 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | 1.9 | |
Confidence Interval |
(2-Sided) 95% -0.3 to 4.2 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Week 24 and 48 |
---|---|
Description | The MMSE consisted of 11 items covering orientation, memory (recent and immediate), concentration, language and praxis. Scores ranged from 0 to 30, with lower scores indicating greater cognitive impairment. Scores for each of the 11 individual tests were not recorded on the CRF, therefore if any item was missing then the total score was be set to missing. The change from Baseline was obtained by subtracting the Baseline value from the post-randomization value. Baseline was Week 0 value. Data for adjusted mean has been presented. |
Time Frame | Baseline (Week 0) and Week 24 and 48 |
Outcome Measure Data
Analysis Population Description |
---|
ITT population. Only those participants with data available at the specified time points were analyzed. |
Arm/Group Title | Donepezil + Placebo | Donepezil + SB-742457 15 mg | Donepezil + SB-742457 35 mg |
---|---|---|---|
Arm/Group Description | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received placebo tablets matching with SB742457 orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 15 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 35 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. |
Measure Participants | 223 | 218 | 236 |
Week 24 |
-0.4
(0.21)
|
-0.3
(0.23)
|
0.1
(0.21)
|
Week 48 |
-1.1
(0.28)
|
-1.3
(0.33)
|
-0.7
(0.27)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 15 mg |
---|---|---|
Comments | SB-742457 15 mg versus placebo at Week 24 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.962 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | 0.0 | |
Confidence Interval |
(2-Sided) 95% -0.6 to 0.6 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 35 mg |
---|---|---|
Comments | SB-742457 35 mg versus placebo at Week 24 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.134 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | 0.4 | |
Confidence Interval |
(2-Sided) 95% -0.1 to 1.0 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 3
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 15 mg |
---|---|---|
Comments | SB-742457 15 mg versus placebo at Week 48 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.782 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | -0.1 | |
Confidence Interval |
(2-Sided) 95% -1.0 to 0.7 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 4
Statistical Analysis Overview | Comparison Group Selection | Donepezil + Placebo, Donepezil + SB-742457 35 mg |
---|---|---|
Comments | SB-742457 35 mg versus placebo at Week 48 | |
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.268 |
Comments | ||
Method | MMRM | |
Comments | The MMRM model included fixed categorical terms for treatment, visit, treatment by visit interaction and country. | |
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | 0.4 | |
Confidence Interval |
(2-Sided) 95% -0.3 to 1.2 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) During Treatment Phase |
---|---|
Description | An AE was defined as any untoward medical occurrence that occurred during the course of the trial after study treatment had started. An adverse event was therefore any unfavorable and unintended sign, symptom, or disease temporally associated with the use of study drug, whether or not considered related to the study drug. An SAE was any untoward medical occurrence that at any dose results in death, are life threatening, requires hospitalization or prolongation of hospitalization or results in disability/incapacity, and congenital anomaly/birth defect. |
Time Frame | Up to follow-up i.e. 2 weeks post end of treatment (Week 24, Week 48 or Early Withdrawal) |
Outcome Measure Data
Analysis Population Description |
---|
Safety population consisted of all participants randomized to treatment who had received at least one dose of study medication. |
Arm/Group Title | Donepezil + Placebo | Donepezil + SB-742457 15 mg | Donepezil + SB-742457 35 mg |
---|---|---|---|
Arm/Group Description | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received placebo tablets matching with SB742457 orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 15 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 35 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. |
Measure Participants | 225 | 221 | 236 |
Any AE |
125
56.1%
|
137
62.8%
|
146
61.9%
|
Any SAE |
17
7.6%
|
26
11.9%
|
27
11.4%
|
Title | Number of Participants With Parameters of Clinical Concern - Hematology |
---|---|
Description | Only parameters with values have been presented. Data has been reported for number of participants with high and/ or low values for Eosinophils (high-2), Hematocrit (low- 0.8, high-1.2), Lymphocytes (low-0.75, high-1.5), Mean Corpuscle Hemoglobin (MCH) (low-0.8, high-1.2), Monocytes(low-0.75, high-2), Neutrophil bands (high-10), Platelet count (low-100, high-500), Segmented Neutrophils (low-0.75, high-1.3), Total Neutrophils (low-0.75, high-1.5), and white blood cells (WBC) (low-3, high-15). |
Time Frame | Up to Week 48 |
Outcome Measure Data
Analysis Population Description |
---|
Safety population. Only those participants with data available at the specified time points were analyzed. |
Arm/Group Title | Donepezil + Placebo | Donepezil + SB-742457 15 mg | Donepezil + SB-742457 35 mg |
---|---|---|---|
Arm/Group Description | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received placebo tablets matching with SB742457 orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 15 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 35 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. |
Measure Participants | 225 | 221 | 236 |
Eosinophils, high |
1
0.4%
|
0
0%
|
4
1.7%
|
Hematocrit, low |
2
0.9%
|
2
0.9%
|
1
0.4%
|
Hematocrit, high |
0
0%
|
1
0.5%
|
0
0%
|
Hemoglobin, low |
5
2.2%
|
3
1.4%
|
8
3.4%
|
Hemoglobin, high |
3
1.3%
|
1
0.5%
|
0
0%
|
Lymphocytes, low |
6
2.7%
|
5
2.3%
|
7
3%
|
Lymphocytes, high |
0
0%
|
2
0.9%
|
1
0.4%
|
MCH, low |
0
0%
|
1
0.5%
|
0
0%
|
MCV, low |
0
0%
|
1
0.5%
|
0
0%
|
Monocytes, low |
35
15.7%
|
32
14.7%
|
32
13.6%
|
Monocytes, high |
0
0%
|
1
0.5%
|
0
0%
|
Neutrophil bands, high |
0
0%
|
1
0.5%
|
1
0.4%
|
Platelet count, low |
1
0.4%
|
4
1.8%
|
3
1.3%
|
Platelet count, high |
2
0.9%
|
3
1.4%
|
5
2.1%
|
Segmented Neutrophils, low |
7
3.1%
|
3
1.4%
|
7
3%
|
Segmented Neutrophils, high |
3
1.3%
|
4
1.8%
|
5
2.1%
|
Total Neutrophils, low |
7
3.1%
|
3
1.4%
|
7
3%
|
Total Neutrophils, high |
0
0%
|
3
1.4%
|
2
0.8%
|
WBC, low |
4
1.8%
|
1
0.5%
|
5
2.1%
|
WBC, high |
0
0%
|
3
1.4%
|
2
0.8%
|
Title | Number of Participants With Parameters of Clinical Concern - Clinical Chemistry |
---|---|
Description | Only parameters with values have been presented. Data has been reported for number of participants with high and/ or low values for Alanine Amino Transferase (ALT) (high-1.5), Alkaline Phosphatase (high-1.5), Aspartate Amino Transferase (ASAT) (high-1.5), BUN/Creatinine ratio (high-1.5), Calcium (low- 0.75, high-1.25), Carbon dioxide content/Bicarbonate (low-15, high- 40), Cholesterol (high-1.25), Creatine Kinase ((low- 0.5, high-1.25), Creatinine (low- 0.5, high-1.25), Direct Bilirubin (high-1.5), Gamma Glutamyl Transferase (GGT) (high-2), Glucose (low- 3.6, high-7.8), HDL Cholesterol (low-0.65), LDL Cholesterol (hig-1.25), Magnesium (low-0.5, high-2), Phosphorus inorganic (low- 0.5, high-1.5), Potassium (low- 3, high-5.5), Sodium (low- 130, high-150), Total Bilirubin (high-1.5), Triglycerides (high -4) and Urea/BUN (high-11). |
Time Frame | Up to Week 48 |
Outcome Measure Data
Analysis Population Description |
---|
Safety population. Only those participants with data available at the specified time points were analyzed. |
Arm/Group Title | Donepezil + Placebo | Donepezil + SB-742457 15 mg | Donepezil + SB-742457 35 mg |
---|---|---|---|
Arm/Group Description | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received placebo tablets matching with SB742457 orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 15 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 35 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. |
Measure Participants | 225 | 221 | 236 |
ALT, high |
2
0.9%
|
4
1.8%
|
4
1.7%
|
Alkaline Phosphatase, high |
5
2.2%
|
6
2.8%
|
4
1.7%
|
ASAT, high |
2
0.9%
|
7
3.2%
|
4
1.7%
|
BUN/Creatinine ratio, high |
11
4.9%
|
7
3.2%
|
5
2.1%
|
Calcium, low |
0
0%
|
0
0%
|
1
0.4%
|
Carbon dioxide content/Bicarbonate, low |
3
1.3%
|
2
0.9%
|
2
0.8%
|
Cholesterol, high |
11
4.9%
|
4
1.8%
|
7
3%
|
Creatine Kinase, high |
5
2.2%
|
2
0.9%
|
6
2.5%
|
Creatinine, high |
3
1.3%
|
3
1.4%
|
5
2.1%
|
Direct Bilirubin, high |
2
0.9%
|
1
0.5%
|
1
0.4%
|
GGT, high |
5
2.2%
|
7
3.2%
|
7
3%
|
Glucose, low |
17
7.6%
|
24
11%
|
13
5.5%
|
Glucose, high |
54
24.2%
|
42
19.3%
|
54
22.9%
|
HDL Cholesterol, direct, low |
3
1.3%
|
0
0%
|
2
0.8%
|
LDL Cholesterol, high |
35
15.7%
|
29
13.3%
|
40
16.9%
|
Magnesium, low |
0
0%
|
1
0.5%
|
0
0%
|
Phosphorus, inorganic, high |
0
0%
|
0
0%
|
1
0.4%
|
Potassium, high |
2
0.9%
|
10
4.6%
|
9
3.8%
|
Sodium, high |
0
0%
|
1
0.5%
|
1
0.4%
|
Total Bilirubin, high |
2
0.9%
|
1
0.5%
|
1
0.4%
|
Triglycerides, high |
1
0.4%
|
0
0%
|
0
0%
|
Urea/BUN, high |
17
7.6%
|
12
5.5%
|
25
10.6%
|
Title | Exposure Estimates for SB-742457 : Area Under the Concentration Time Curve Over the Dosing Interval at Steady State (AUCτss) |
---|---|
Description | AUCτss of SB-742457 was estimated via nonlinear mixed effect analysis. This pharmacokinetic(PK) model was a steady state one compartment model with first-order absorption, with between participant variability on clearance and volume of distribution. |
Time Frame | Post-dose at 3, 8 and 24 hours on Week 0, 1, 3, 6, 12, 18, 24, 30, 36, 42 and 48 |
Outcome Measure Data
Analysis Population Description |
---|
PK population included all participants for whom a pharmacokinetic sample was obtained and analyzed. |
Arm/Group Title | Donepezil + SB-742457 15 mg | Donepezil + SB-742457 35 mg |
---|---|---|
Arm/Group Description | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 15 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 35 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. |
Measure Participants | 215 | 233 |
Geometric Mean (Geometric Coefficient of Variation) [Nanogram hour per milliliter (ng*h/mL)] |
1640.76
(35.96)
|
4160.29
(31.67)
|
Title | Exposure Estimates for SB-742457 : Minimum Concentrations at Steady State (Cmin-ss) |
---|---|
Description | Cmin-ss was estimated via nonlinear mixed effect analysis. This PK model was a steady state one compartment model with first-order absorption, with between participant variability on clearance and volume of distribution. |
Time Frame | Post-dose at 3, 8 and 24 hours on Week 0, 1, 3, 6, 12, 18, 24, 30, 36, 42 and 48 |
Outcome Measure Data
Analysis Population Description |
---|
PK population. |
Arm/Group Title | Donepezil + SB-742457 15 mg | Donepezil + SB-742457 35 mg |
---|---|---|
Arm/Group Description | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 15 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 35 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. |
Measure Participants | 215 | 233 |
Geometric Mean (Geometric Coefficient of Variation) [ng/mL] |
53.42
(38.58)
|
135.05
(33.08)
|
Title | Exposure Estimates for Donepezil (Cavgss) |
---|---|
Description | Participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) were allowed to participate in this study. Cavgss for donepezil approximately 12 to 20 hours after dosing were summarized by donepezil dose level 5 mg/7.5 mg/10 mg/15 mg. |
Time Frame | Post-dose at 12 to 20 hours on Week 0, 1, 3, 6, 12, 18, 24, 30, 36, 42 and 48 |
Outcome Measure Data
Analysis Population Description |
---|
Donepezil PK population comprised of participants who received a stable dose of donepezil 5 mg/7.5 mg/10 mg/15 mg. Analysis is exclusively for Cavgss of donepezil therefore the two arms SB-742457 15 mg and SB-742457 35 mg have not been presented. |
Arm/Group Title | Donepezil 5 mg | Donepezil 7.5 mg | Donepezil 10 mg | Donepezil 15 mg |
---|---|---|---|---|
Arm/Group Description | Participants received a stable dose of donepezil 5 mg at least for 6 months and a stable regimen for at least 2 months. The participants received SB742457 15 mg or 35 mg or placebo matching with SB742457 orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. | Participants received a stable dose of donepezil 7.5 mg at least for 6 months and a stable regimen for at least 2 months. The participants received SB742457 15 mg or 35 mg or placebo matching with SB742457 orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. | Participants received a stable dose of donepezil 10 mg at least for 6 months and a stable regimen for at least 2 months. The participants received SB742457 15 mg or 35 mg or placebo matching with SB742457 orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. | Participants received a stable dose of donepezil 15 mg at least for 6 months and a stable regimen for at least 2 months. The participants received SB742457 15 mg or 35 mg or placebo matching with SB742457 orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. |
Measure Participants | 179 | 1 | 484 | 1 |
Geometric Mean (Geometric Coefficient of Variation) [ng/mL] |
20.72
(45.07)
|
17.68
(NA)
|
39.79
(46.62)
|
36.60
(NA)
|
Title | Change From Baseline in ADAS-Cog Scale in Participants With APOE4 Gene |
---|---|
Description | Genetic analyses was conducted to assess the effect of APOE4 carriage. ADAS-cog assessed a range of cognitive abilities including memory, comprehension, orientation in time and place and spontaneous speech. Most items were evaluated by tests, but some were dependent on clinician ratings on a five-point scale. There were in all 11 questions. Total scores were calculated as the sum of the individual components. Scores ranged from 0 to 70 with higher scores indicating greater dysfunction. The ADAS-Cog total score was the sum of the calculated scores for questions 1, 2, and 7, and the scores were recorded on the CRF for questions 3 to 6 and 8 to 11. When a score was missing for one of the questions, the total score was calculated as a weighted average of the scores provided for the remaining ten questions. Baseline was Week 0 value. The change from Baseline was obtained by subtracting the Baseline value from the post-randomization value. |
Time Frame | Baseline (Week 0) to Week 24 and Week 48 |
Outcome Measure Data
Analysis Population Description |
---|
PGx ITT Population consisted of all participants in the ITT population who had evaluable PGx data. Only those participants with APOE gene and available at the specified time point were analyzed. |
Arm/Group Title | Donepezil + Placebo | Donepezil + SB-742457 15 mg | Donepezil + SB-742457 35 mg |
---|---|---|---|
Arm/Group Description | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received placebo tablets matching with SB742457 orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 15 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 35 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. |
Measure Participants | 206 | 202 | 219 |
Week 24 |
1.9
(5.58)
|
1.0
(6.63)
|
-0.1
(5.40)
|
Week 48 |
4.7
(6.52)
|
4.2
(7.46)
|
1.8
(5.72)
|
Title | Change From Baseline in CDR-SB Scale in Participants With APOE4 Gene |
---|---|
Description | Genetic analyses was conducted to assess the effect of APOE4 carriage. The CDR-SB is an interviewer administered scale and impairment is scored in following categories: memory, orientation, judgment and problem solving, community affairs, home and hobbies and personal care. Impairment was scored on a scale in which none =0, questionable =0.5, mild =1, moderate =2 and severe =3. The 6 individual category ratings, or "box scores", were added together to give the CDR-Sum of Boxes which ranges from 0-18, with higher score indicating severe impairment. If there were any missing items then CDR-SB was set to missing and was not imputed. Baseline was Week 0 value. The change from Baseline was obtained by subtracting the Baseline value from the post-randomization value. |
Time Frame | Baseline (Week 0) to Week 24 and Week 48 |
Outcome Measure Data
Analysis Population Description |
---|
PGx ITT Population. Only those participants with APOE gene and available at the specified time point were analyzed. |
Arm/Group Title | Donepezil + Placebo | Donepezil + SB-742457 15 mg | Donepezil + SB-742457 35 mg |
---|---|---|---|
Arm/Group Description | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received placebo tablets matching with SB742457 orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 15 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 35 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. |
Measure Participants | 206 | 202 | 219 |
Week 24 |
1.1
(2.02)
|
0.6
(1.59)
|
0.8
(1.47)
|
Week 48 |
1.8
(1.98)
|
1.5
(2.11)
|
1.4
(1.92)
|
Title | Change From Baseline in RBANS Scale in Participants With APOE4 Gene |
---|---|
Description | Genetic analyses was conducted to assess the effect of APOE4 carriage. RBANS is an individually administered cognitive battery comprising 12 subtests across five domains (Attention, Language, Visuospatial/Constructional Abilities, and Immediate and Delayed memory). Total scores are calculated by adding up the scores for each of the 12 individual subtests and ranges between 0 and 311, where a low score indicates greater impairment. Baseline was Week 0 value. The change from Baseline was obtained by subtracting the Baseline value from the post-randomization value. |
Time Frame | Baseline (Week 0) to Week 24 and Week 48 |
Outcome Measure Data
Analysis Population Description |
---|
PGx ITT Population. Only those participants with APOE gene and available at the specified time point were analyzed. |
Arm/Group Title | Donepezil + Placebo | Donepezil + SB-742457 15 mg | Donepezil + SB-742457 35 mg |
---|---|---|---|
Arm/Group Description | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received placebo tablets matching with SB742457 orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 15 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 35 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. |
Measure Participants | 206 | 202 | 219 |
Week 24 |
-5.2
(14.30)
|
-6.0
(20.07)
|
-6.0
(14.84)
|
Week 48 |
-7.7
(16.46)
|
-11.3
(16.13)
|
-5.9
(14.04)
|
Adverse Events
Time Frame | AE data was collected up to follow-up i.e. 2 weeks post end of treatment Up to follow-up i.e. 2 weeks post end of treatment (Week 24, Week 48 or Early Withdrawal). | |||||
---|---|---|---|---|---|---|
Adverse Event Reporting Description | Safety population consisted of all participants randomized to treatment who had received at least one dose of study medication. Safety population was used for the analysis of SAE and nSAE. | |||||
Arm/Group Title | Donepezil + Placebo | Donepezil + SB-742457 15 mg | Donepezil + SB-742457 35 mg | |||
Arm/Group Description | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received placebo tablets matching with SB742457 orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 15 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | Eligible participants who were on donepezil (at least 6 months and a stable regimen for at least 2 months) received SB742457 35 mg orally once daily for a treatment period of 48 weeks as an adjunct treatment to stable donepezil therapy. At the end of 24 weeks treatment participants were asked to consent/assent to continue their randomized treatment for a further 24 weeks. | |||
All Cause Mortality |
||||||
Donepezil + Placebo | Donepezil + SB-742457 15 mg | Donepezil + SB-742457 35 mg | ||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 1/225 (0.4%) | 5/221 (2.3%) | 4/236 (1.7%) | |||
Serious Adverse Events |
||||||
Donepezil + Placebo | Donepezil + SB-742457 15 mg | Donepezil + SB-742457 35 mg | ||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 17/225 (7.6%) | 26/221 (11.8%) | 27/236 (11.4%) | |||
Cardiac disorders | ||||||
Bradycardia | 0/225 (0%) | 1/221 (0.5%) | 1/236 (0.4%) | |||
Adams-Stokes syndrome | 0/225 (0%) | 0/221 (0%) | 1/236 (0.4%) | |||
Angina pectoris | 1/225 (0.4%) | 0/221 (0%) | 0/236 (0%) | |||
Arteriosclerosis coronary artery | 0/225 (0%) | 0/221 (0%) | 1/236 (0.4%) | |||
Cardiac failure | 0/225 (0%) | 1/221 (0.5%) | 0/236 (0%) | |||
Cardio-respiratory arrest | 0/225 (0%) | 1/221 (0.5%) | 0/236 (0%) | |||
Sick sinus syndrome | 1/225 (0.4%) | 0/221 (0%) | 0/236 (0%) | |||
Ear and labyrinth disorders | ||||||
Vertigo | 0/225 (0%) | 0/221 (0%) | 2/236 (0.8%) | |||
Gastrointestinal disorders | ||||||
Abdominal pain upper | 0/225 (0%) | 1/221 (0.5%) | 0/236 (0%) | |||
Colonic polyp | 0/225 (0%) | 1/221 (0.5%) | 0/236 (0%) | |||
Diarrhoea | 0/225 (0%) | 1/221 (0.5%) | 0/236 (0%) | |||
Diverticulum | 0/225 (0%) | 0/221 (0%) | 1/236 (0.4%) | |||
Dyspepsia | 0/225 (0%) | 1/221 (0.5%) | 0/236 (0%) | |||
Oesophageal obstruction | 0/225 (0%) | 0/221 (0%) | 1/236 (0.4%) | |||
Vomiting | 0/225 (0%) | 1/221 (0.5%) | 0/236 (0%) | |||
General disorders | ||||||
Death | 0/225 (0%) | 0/221 (0%) | 1/236 (0.4%) | |||
Fatigue | 1/225 (0.4%) | 0/221 (0%) | 0/236 (0%) | |||
Pyrexia | 0/225 (0%) | 1/221 (0.5%) | 0/236 (0%) | |||
Hepatobiliary disorders | ||||||
Biliary colic | 0/225 (0%) | 1/221 (0.5%) | 0/236 (0%) | |||
Infections and infestations | ||||||
Pneumonia | 3/225 (1.3%) | 1/221 (0.5%) | 3/236 (1.3%) | |||
Urinary tract infection | 1/225 (0.4%) | 1/221 (0.5%) | 0/236 (0%) | |||
Abdominal abscess | 0/225 (0%) | 0/221 (0%) | 1/236 (0.4%) | |||
Bronchopneumonia | 0/225 (0%) | 0/221 (0%) | 1/236 (0.4%) | |||
Diverticulitis | 1/225 (0.4%) | 0/221 (0%) | 0/236 (0%) | |||
Erysipelas | 0/225 (0%) | 1/221 (0.5%) | 0/236 (0%) | |||
Influenza | 0/225 (0%) | 1/221 (0.5%) | 0/236 (0%) | |||
Respiratory tract infection | 0/225 (0%) | 1/221 (0.5%) | 0/236 (0%) | |||
Skin infection | 0/225 (0%) | 1/221 (0.5%) | 0/236 (0%) | |||
Injury, poisoning and procedural complications | ||||||
Fall | 2/225 (0.9%) | 0/221 (0%) | 0/236 (0%) | |||
Humerus fracture | 1/225 (0.4%) | 0/221 (0%) | 1/236 (0.4%) | |||
Femur fracture | 0/225 (0%) | 1/221 (0.5%) | 0/236 (0%) | |||
Hand fracture | 1/225 (0.4%) | 0/221 (0%) | 0/236 (0%) | |||
Hip fracture | 0/225 (0%) | 0/221 (0%) | 1/236 (0.4%) | |||
Joint dislocation | 1/225 (0.4%) | 0/221 (0%) | 0/236 (0%) | |||
Lower limb fracture | 0/225 (0%) | 0/221 (0%) | 1/236 (0.4%) | |||
Post procedural haemorrhage | 0/225 (0%) | 1/221 (0.5%) | 0/236 (0%) | |||
Radius fracture | 1/225 (0.4%) | 0/221 (0%) | 0/236 (0%) | |||
Skin laceration | 1/225 (0.4%) | 0/221 (0%) | 0/236 (0%) | |||
Skull fracture | 0/225 (0%) | 0/221 (0%) | 1/236 (0.4%) | |||
Splenic injury | 0/225 (0%) | 1/221 (0.5%) | 0/236 (0%) | |||
Subdural haematoma | 0/225 (0%) | 1/221 (0.5%) | 0/236 (0%) | |||
Metabolism and nutrition disorders | ||||||
Dehydration | 1/225 (0.4%) | 1/221 (0.5%) | 0/236 (0%) | |||
Decreased appetite | 0/225 (0%) | 0/221 (0%) | 1/236 (0.4%) | |||
Musculoskeletal and connective tissue disorders | ||||||
Neck pain | 1/225 (0.4%) | 0/221 (0%) | 0/236 (0%) | |||
Neoplasms benign, malignant and unspecified (incl cysts and polyps) | ||||||
Gastric cancer | 0/225 (0%) | 1/221 (0.5%) | 0/236 (0%) | |||
Glioblastoma | 1/225 (0.4%) | 0/221 (0%) | 0/236 (0%) | |||
Malignant melanoma | 1/225 (0.4%) | 0/221 (0%) | 0/236 (0%) | |||
Oesophageal carcinoma | 0/225 (0%) | 0/221 (0%) | 1/236 (0.4%) | |||
Penile neoplasm | 0/225 (0%) | 1/221 (0.5%) | 0/236 (0%) | |||
Squamous cell carcinoma | 0/225 (0%) | 0/221 (0%) | 1/236 (0.4%) | |||
Nervous system disorders | ||||||
Cerebrovascular accident | 1/225 (0.4%) | 3/221 (1.4%) | 1/236 (0.4%) | |||
Syncope | 1/225 (0.4%) | 1/221 (0.5%) | 2/236 (0.8%) | |||
Cerebral haemorrhage | 0/225 (0%) | 2/221 (0.9%) | 0/236 (0%) | |||
Aphasia | 1/225 (0.4%) | 0/221 (0%) | 0/236 (0%) | |||
Dementia Alzheimer's type | 0/225 (0%) | 0/221 (0%) | 1/236 (0.4%) | |||
Dizziness | 0/225 (0%) | 0/221 (0%) | 1/236 (0.4%) | |||
Epilepsy | 0/225 (0%) | 1/221 (0.5%) | 0/236 (0%) | |||
Loss of consciousness | 1/225 (0.4%) | 0/221 (0%) | 0/236 (0%) | |||
Psychomotor hyperactivity | 0/225 (0%) | 0/221 (0%) | 1/236 (0.4%) | |||
Sciatica | 0/225 (0%) | 1/221 (0.5%) | 0/236 (0%) | |||
Transient ischaemic attack | 0/225 (0%) | 0/221 (0%) | 1/236 (0.4%) | |||
Psychiatric disorders | ||||||
Confusional state | 0/225 (0%) | 1/221 (0.5%) | 0/236 (0%) | |||
Disorientation | 0/225 (0%) | 0/221 (0%) | 1/236 (0.4%) | |||
Renal and urinary disorders | ||||||
Urethral stenosis | 0/225 (0%) | 1/221 (0.5%) | 0/236 (0%) | |||
Reproductive system and breast disorders | ||||||
Metrorrhagia | 0/225 (0%) | 0/221 (0%) | 1/236 (0.4%) | |||
Respiratory, thoracic and mediastinal disorders | ||||||
Chronic obstructive pulmonary disease | 0/225 (0%) | 0/221 (0%) | 1/236 (0.4%) | |||
Dyspnoea | 1/225 (0.4%) | 0/221 (0%) | 0/236 (0%) | |||
Epistaxis | 0/225 (0%) | 0/221 (0%) | 1/236 (0.4%) | |||
Vascular disorders | ||||||
Circulatory collapse | 0/225 (0%) | 0/221 (0%) | 1/236 (0.4%) | |||
Deep vein thrombosis | 0/225 (0%) | 0/221 (0%) | 1/236 (0.4%) | |||
Haematoma | 0/225 (0%) | 0/221 (0%) | 1/236 (0.4%) | |||
Other (Not Including Serious) Adverse Events |
||||||
Donepezil + Placebo | Donepezil + SB-742457 15 mg | Donepezil + SB-742457 35 mg | ||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 41/225 (18.2%) | 32/221 (14.5%) | 33/236 (14%) | |||
Infections and infestations | ||||||
Nasopharyngitis | 17/225 (7.6%) | 19/221 (8.6%) | 18/236 (7.6%) | |||
Urinary tract infection | 15/225 (6.7%) | 10/221 (4.5%) | 13/236 (5.5%) | |||
Injury, poisoning and procedural complications | ||||||
Fall | 12/225 (5.3%) | 4/221 (1.8%) | 5/236 (2.1%) |
Limitations/Caveats
More Information
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
Results Point of Contact
Name/Title | GSK Response Center |
---|---|
Organization | GlaxoSmithKline |
Phone | 866-435-7343 |
- AZ3110866