A Study of SB-742457, Added to Donepezil for the Treatment of Mild-to-moderate Alzheimer's Disease

Sponsor
GlaxoSmithKline (Industry)
Overall Status
Completed
CT.gov ID
NCT00710684
Collaborator
(none)
682
102
3
28.5
6.7
0.2

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
  • Drug: SB-742457 15mg
  • Drug: SB-742457 35mg
  • Drug: Placebo
  • Drug: donepezil 5-10mg
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
682 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
Study AZ3110866, a Fixed Dose Study of SB-742457 Versus Placebo When Added to Existing Donepezil Treatment in Subjects With Mild-to-moderate Alzheimer's Disease
Actual Study Start Date :
Jul 1, 2008
Actual Primary Completion Date :
May 21, 2010
Actual Study Completion Date :
Nov 16, 2010

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

  1. 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.

  2. 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

  1. 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.

  2. 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

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. 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).

  9. 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).

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  14. 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.

  15. 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

Ages Eligible for Study:
50 Years to 85 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
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.
Responsible Party:
GlaxoSmithKline
ClinicalTrials.gov Identifier:
NCT00710684
Other Study ID Numbers:
  • AZ3110866
First Posted:
Jul 4, 2008
Last Update Posted:
Dec 7, 2017
Last Verified:
Nov 1, 2017
Keywords provided by GlaxoSmithKline
Additional relevant MeSH terms:

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

1. Primary Outcome
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
2. Primary Outcome
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
3. Secondary Outcome
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
4. Secondary Outcome
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
5. Secondary Outcome
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
6. Secondary Outcome
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
7. Secondary Outcome
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
8. Secondary Outcome
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
9. Secondary Outcome
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%
10. Secondary Outcome
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%
11. Secondary Outcome
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%
12. Secondary Outcome
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)
13. Secondary Outcome
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)
14. Secondary Outcome
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)
15. Secondary Outcome
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)
16. Secondary Outcome
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)
17. Secondary Outcome
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

[Not Specified]

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
Email
Responsible Party:
GlaxoSmithKline
ClinicalTrials.gov Identifier:
NCT00710684
Other Study ID Numbers:
  • AZ3110866
First Posted:
Jul 4, 2008
Last Update Posted:
Dec 7, 2017
Last Verified:
Nov 1, 2017