Trial Outcomes & Findings for Non-Interventional Study With Aricept® Evess (NCT NCT00889603)

NCT ID: NCT00889603

Last Updated: 2011-03-31

Results Overview

MMSE measured general cognitive functioning: orientation, memory, attention, calculation, language, visuospatial functions. Total score derived from sub-scores; total ranged from 0 - 30, higher score indicated better cognitive state. Change: mean score at Week 24 LOCF minus mean score at baseline.

Recruitment status

COMPLETED

Target enrollment

370 participants

Primary outcome timeframe

Baseline and Week 24

Results posted on

2011-03-31

Participant Flow

Participant milestones

Participant milestones
Measure
Donepezil
5 milligrams per day (mg/day), once-a-day dosing and after 4 weeks titrated to 10 mg/day, once-a-day dosing
Overall Study
STARTED
370
Overall Study
COMPLETED
333
Overall Study
NOT COMPLETED
37

Reasons for withdrawal

Reasons for withdrawal
Measure
Donepezil
5 milligrams per day (mg/day), once-a-day dosing and after 4 weeks titrated to 10 mg/day, once-a-day dosing
Overall Study
Adverse Event
7
Overall Study
Death
3
Overall Study
Lost to Follow-up
19
Overall Study
No longer willing to participant in stud
4
Overall Study
Other
4

Baseline Characteristics

Non-Interventional Study With Aricept® Evess

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Donepezil
n=370 Participants
5 milligrams per day (mg/day), once-a-day dosing and after 4 weeks titrated to 10 mg/day, once-a-day dosing
Age, Customized
Less than 65 years
71 Participants
n=5 Participants
Age, Customized
65 to 74 years
130 Participants
n=5 Participants
Age, Customized
75 to 84 years
142 Participants
n=5 Participants
Age, Customized
Greater than or equal to 85 years
27 Participants
n=5 Participants
Sex: Female, Male
Female
200 Participants
n=5 Participants
Sex: Female, Male
Male
170 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline and Week 24

Population: Full Analysis Set (FAS): all participants who received at least 1 dose of Donepezil and had at least 1 postbaseline efficacy evaluation. LOCF was used. N=number of participants with evaluable data.

MMSE measured general cognitive functioning: orientation, memory, attention, calculation, language, visuospatial functions. Total score derived from sub-scores; total ranged from 0 - 30, higher score indicated better cognitive state. Change: mean score at Week 24 LOCF minus mean score at baseline.

Outcome measures

Outcome measures
Measure
Donepezil
n=351 Participants
5 milligrams per day (mg/day), once-a-day dosing and after 4 weeks titrated to 10 mg/day, once-a-day dosing
Change From Baseline in Mini Mental State Examination (MMSE) Total at Week 24 Last Observation Carried Forward (LOCF)
1.92 Scores on a scale
Standard Error 0.14

SECONDARY outcome

Timeframe: Baseline, Week 8, 16, and 24

Population: FAS. N=number of participants with evaluable data.

MMSE measured general cognitive functioning: orientation, memory, attention, calculation, language, visuospatial functions. Total score derived from sub-scores; total ranged from 0 - 30, higher score indicated better cognitive state. Change: least squares (LS) mean score at observation minus LS mean score at baseline. Changes from baseline at each week were controlled for baseline MMSE.

Outcome measures

Outcome measures
Measure
Donepezil
n=348 Participants
5 milligrams per day (mg/day), once-a-day dosing and after 4 weeks titrated to 10 mg/day, once-a-day dosing
Change From Baseline in MMSE Total
Week 8 (N=348)
0.92 Scores on a scale
Standard Error 0.09
Change From Baseline in MMSE Total
Week 16 (N=340)
1.56 Scores on a scale
Standard Error 0.12
Change From Baseline in MMSE Total
Week 24 (N=327)
1.97 Scores on a scale
Standard Error 0.14

SECONDARY outcome

Timeframe: Baseline and Week 24

Population: FAS. Data not analyzed

Participants completed the FAQ for physical function. Overall scores could have ranged from 0 (independent) to 30 (dependent) where lower scores represented an improvement in physical function. Change from baseline was to be calculated as baseline scores minus week 24 scores.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Week 8

Population: FAS. N=number of participants with evaluable data.

CGI-I: 7-point Investigator-rated scale ranging from 1 (very much improved) to 7 (very much worse). Improvement was defined as a score of 1 (very much improved), 2 (much improved), or 3 (minimally improved) on the scale. Higher score = more affected.

Outcome measures

Outcome measures
Measure
Donepezil
n=351 Participants
5 milligrams per day (mg/day), once-a-day dosing and after 4 weeks titrated to 10 mg/day, once-a-day dosing
Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I) at Week 8
Very much improved
5 Participants
Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I) at Week 8
Much improved
68 Participants
Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I) at Week 8
Minimally improved
194 Participants
Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I) at Week 8
No change
74 Participants
Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I) at Week 8
Minimally worse
8 Participants
Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I) at Week 8
Much worse
2 Participants

SECONDARY outcome

Timeframe: Week 16

Population: FAS. N=number of participants with evaluable data.

CGI-I: 7-point Investigator-rated scale ranging from 1 (very much improved) to 7 (very much worse). Improvement was defined as a score of 1 (very much improved), 2 (much improved), or 3 (minimally improved) on the scale. Higher score = more affected.

Outcome measures

Outcome measures
Measure
Donepezil
n=341 Participants
5 milligrams per day (mg/day), once-a-day dosing and after 4 weeks titrated to 10 mg/day, once-a-day dosing
Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I) at Week 16
Very much improved
21 Participants
Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I) at Week 16
Much improved
119 Participants
Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I) at Week 16
Minimally improved
116 Participants
Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I) at Week 16
No change
66 Participants
Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I) at Week 16
Minimally worse
17 Participants
Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I) at Week 16
Much worse
2 Participants

SECONDARY outcome

Timeframe: Week 24

Population: FAS. N=number of participants with evaluable data.

CGI-I: 7-point Investigator-rated scale ranging from 1 (very much improved) to 7 (very much worse). Improvement was defined as a score of 1 (very much improved), 2 (much improved), or 3 (minimally improved) on the scale. Higher score = more affected.

Outcome measures

Outcome measures
Measure
Donepezil
n=330 Participants
5 milligrams per day (mg/day), once-a-day dosing and after 4 weeks titrated to 10 mg/day, once-a-day dosing
Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I) at Week 24
Minimally improved
87 Participants
Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I) at Week 24
No change
62 Participants
Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I) at Week 24
Minimally worse
16 Participants
Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I) at Week 24
Much worse
2 Participants
Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I) at Week 24
Very much improved
33 Participants
Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I) at Week 24
Much improved
129 Participants
Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I) at Week 24
Very much worse
1 Participants

SECONDARY outcome

Timeframe: Week 24

Population: FAS; LOCF. N=number of participants with evaluable data.

CGI-I: 7-point Investigator-rated scale ranging from 1 (very much improved) to 7 (very much worse). Improvement was defined as a score of 1 (very much improved), 2 (much improved), or 3 (minimally improved) on the scale. Higher score = more affected.

Outcome measures

Outcome measures
Measure
Donepezil
n=352 Participants
5 milligrams per day (mg/day), once-a-day dosing and after 4 weeks titrated to 10 mg/day, once-a-day dosing
Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I) at Week 24 LOCF
Very much improved
34 Participants
Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I) at Week 24 LOCF
Much improved
133 Participants
Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I) at Week 24 LOCF
Minimally improved
95 Participants
Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I) at Week 24 LOCF
No change
70 Participants
Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I) at Week 24 LOCF
Minimally worse
17 Participants
Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I) at Week 24 LOCF
Much worse
2 Participants
Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I) at Week 24 LOCF
Very much worse
1 Participants

SECONDARY outcome

Timeframe: Week 24

Population: Safety population: all participants who received at least 1 dose of study drug. N=number of participants with evaluable data. Week 24 LOCF not reported as data only collected at Week 24.

Participants asked to indicate if the cognition, functionality, and/or behavior domain were most benefited/improved after treatment (dichotomous yes/no endpoints where checking the CRF box next to each domain indicated 'yes' and leaving a box blank indicated 'no').

Outcome measures

Outcome measures
Measure
Donepezil
n=335 Participants
5 milligrams per day (mg/day), once-a-day dosing and after 4 weeks titrated to 10 mg/day, once-a-day dosing
Number of Participants in Each Patient Domain of Benefit
Cognition
202 Participants
Number of Participants in Each Patient Domain of Benefit
Functionality
215 Participants
Number of Participants in Each Patient Domain of Benefit
Behavior
193 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Week 24

Population: Safety population; N=number of particpants with evaluable data.

Overall Evaluation of Tolerability at Week 24; 1=Very good, 2=Good, 3=Moderate, 4=Poor

Outcome measures

Outcome measures
Measure
Donepezil
n=331 Participants
5 milligrams per day (mg/day), once-a-day dosing and after 4 weeks titrated to 10 mg/day, once-a-day dosing
Number of Participants With Treatment Tolerability
Very Good
186 Participants
Number of Participants With Treatment Tolerability
Good
130 Participants
Number of Participants With Treatment Tolerability
Moderate
14 Participants
Number of Participants With Treatment Tolerability
Poor
1 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and Week 24

Population: Safety population

Information collected and recorded by investigator in accordance with existing medical records. World Health Organization- Drug (WHO-Drug) coding dictionary applied.

Outcome measures

Outcome measures
Measure
Donepezil
n=370 Participants
5 milligrams per day (mg/day), once-a-day dosing and after 4 weeks titrated to 10 mg/day, once-a-day dosing
Number of Participants Receiving Other Medications
Baseline
205 Participants
Number of Participants Receiving Other Medications
Week 24
270 Participants

Adverse Events

Donepezil

Serious events: 12 serious events
Other events: 52 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Donepezil
n=370 participants at risk
5 milligrams per day (mg/day), once-a-day dosing and after 4 weeks titrated to 10 mg/day, once-a-day dosing
Cardiac disorders
Cardiac arrest
0.54%
2/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Cardiac disorders
Cardiac failure
0.27%
1/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Cardiac disorders
Ventricular fibrillation
0.27%
1/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Gastrointestinal disorders
Nausea
0.27%
1/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Infections and infestations
Pneumonia
0.27%
1/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Injury, poisoning and procedural complications
Head injury
0.27%
1/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Metabolism and nutrition disorders
Decreased appetite
0.27%
1/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Nervous system disorders
Cerebrovascular accident
0.27%
1/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Nervous system disorders
Grand mal convulsion
0.54%
2/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Nervous system disorders
Transient ischaemic attack
0.27%
1/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Psychiatric disorders
Abnormal behaviour
0.27%
1/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Psychiatric disorders
Withdrawal syndrome
0.27%
1/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Renal and urinary disorders
Haematuria
0.27%
1/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.

Other adverse events

Other adverse events
Measure
Donepezil
n=370 participants at risk
5 milligrams per day (mg/day), once-a-day dosing and after 4 weeks titrated to 10 mg/day, once-a-day dosing
Ear and labyrinth disorders
Tinnitus
0.27%
1/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Gastrointestinal disorders
Diarrhoea
0.54%
2/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Gastrointestinal disorders
Dry mouth
0.27%
1/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Gastrointestinal disorders
Nausea
3.0%
11/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Gastrointestinal disorders
Vomiting
0.54%
2/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
General disorders
Irritability
0.27%
1/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Investigations
Weight decreased
0.27%
1/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Musculoskeletal and connective tissue disorders
Myalgia
0.27%
1/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Nervous system disorders
Aphasia
0.27%
1/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Nervous system disorders
Cerebral disorder
0.27%
1/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Nervous system disorders
Dizziness
0.54%
2/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Nervous system disorders
Headache
1.4%
5/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Nervous system disorders
Neuralgia
0.27%
1/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Nervous system disorders
Partial seizures
0.27%
1/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Nervous system disorders
Psychomotor hyperactivity
0.27%
1/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Nervous system disorders
Sedation
0.27%
1/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Psychiatric disorders
Confusional state
0.27%
1/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Psychiatric disorders
Delusion
0.27%
1/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Psychiatric disorders
Depression
1.6%
6/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Psychiatric disorders
Hypomania
0.27%
1/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Psychiatric disorders
Impulse-control disorder
0.27%
1/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Psychiatric disorders
Insomnia
3.5%
13/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Psychiatric disorders
Restlessness
0.81%
3/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Psychiatric disorders
Sleep disorder
0.54%
2/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Renal and urinary disorders
Urinary incontinence
0.54%
2/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Skin and subcutaneous tissue disorders
Psoriasis
0.27%
1/370
The same event may appear as both an adverse event (AE) and a Serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.

Additional Information

Pfizer ClinicalTrials.gov Call Center

Pfizer, Inc.

Phone: 1-800-718-1021

Results disclosure agreements

  • Principal investigator is a sponsor employee Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
  • Publication restrictions are in place

Restriction type: OTHER