Table 1: Summary of findings.
|
Author & Year Published |
Sample size (N) and median age (A) |
Diagnosis |
Treatment & Dosage |
Duration |
Primary Outcomes Assessed |
Results |
|
Lanctôt K, et al. (2013) [17] |
N = 60 (M:23; F:37) A = 76 |
Mild to moderate Alzheimer's Disease |
Methylphenidate (10 mg) PO BID |
6 weeks |
DS AES |
DS (p = 0.03) AES from baseline (p = 0.06) |
|
Padala P, et al. (2018) [14] |
N = 60 A = 76 |
Mild Alzheimer's Disease |
Methylphenidate (10 mg) PO BID |
12 weeks |
AES; MMSE NPI; CGI; ZBS |
AES (p = 0.001) MMSE (2.6, 95% CI = 1.1-4.0, p = 0.001) NPI (2.3, 95% CI = 0.7-3.9, p = 0.005) CGI (-1.3, 95% CI = -1.9 to -0.6, p ≤ 0.001) ZBS (-5.8, 95% CI = -10.1 to -1.4, p = 0.011) |
|
Mintzer J, et al. (2021) [18] |
N = 200 (M:131; F:68) A = 76 |
Mild to moderate Alzheimer's Disease |
Methylphenidate (10 mg) PO BID |
6 months |
NPI ADCS- CGIC |
NPI mean difference = -1.25; 95% CI, -2.03 to -0.47; P = 0.002 ADCS-CGIC Odds ratio 1.90 (95% CI, 0.95-3.84; P = 0.07) |
|
Takemoto M, et al. (2020) [15] |
N = 33 (M:10; F:23) A = 77 |
Alzheimer's Disease |
Sertraline (31.8 mg) Escitalopram (7.3 mg) Nicergoline (14.5 mg) |
3 months |
AS; MMSE; HDS-R; GDS |
AS baseline (20.8 ± 5.2) to 3 months (16.8 ± 6.1) p = 0.05 with Sertraline GDS (8.2 + 3.5) to 3 months (5.7 + 2.6) p = 0.04 with Escitalopram |
|
Frakey L, et al. (2012) [19] |
N = 23 A = 75 |
Mild to moderate Alzheimer's Disease |
Modafinil 200 mg OD |
8 weeks |
FrSBe ADLQ DAFS ZBS |
FrSBe (p = 0.932) ADLQ (p = 0.611) DAFS (p = 0.465) ZBS (p = 0.053) |
|
Maier F, et al. (2020) [20] |
N = 108 (M:67; F:41) A = 75 |
Mild to moderate Alzheimer's Disease |
Bupoprion 150 mg OD × 4 wks then 300 mg OD × 8 wks |
12 weeks |
AES-C |
AES-C mean change, 2.22; 95% CI, -0.47 to 4.91; p = 0.11 |
N: sample size; A: age; M: male; F: female; DS: Digit span; AES: Apathy Evaluation Scale; GDS: Geriatric Depression Scale; AS: Apathy Scale; MMSE: Mini-Mental State Examination; HDS-R: Hasegawa Dementia Rating Scale-Revised; AES-C: Apathy Evaluation Scale-Clinician Version; CGI: Clinical Global Impairment; ZBS: Zarit Burden Scale; NPI: Neuropsychiatric Inventory; ADCS-CGIC: Alzheimer's Disease Cooperative Study - Clinical Global Impression of Change; FrSBe: Frontal Systems Behavior Scale; ADLQ: Lawton and Brody ADLQ; DAFS: Direct Assessment of Functional Status Scale