Evidence map›Paper›PMID 25302109›Full record

ArticleEuropean neurological journal2011

Efficacy and Tolerability of a Combination Treatment of Memantine and Donepezil for Alzheimer's Disease: A Literature Review Evidence.

Mario Riverol, Andrea Slachevsky, Oscar L López

Open access · greenAbstract read
In one paragraph

Article in European neurological journal, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 42% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 3 countries.

Mario RiverolDepartment of Neurology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA ; Department of Neurology, Clínica Universidad de Navarra, Pamplona, Spain.
Andrea SlachevskyUnidad de Neurología Cognitiva y Demencia, Servicio de Neurología, Hospital del Salvador. Facultad de Medicina Universidad de Chile, Santiago, Chile ; Servicio de Neurologia, Clínica Alemana, Santiago, Chile.
Oscar L LópezDepartment of Neurology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA ; Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Clinica Universidad de Navarra · ESHospital del Salvador · CLUniversity of Pittsburgh · US

Funding

TREATMENT OF DEPRESSION IN ALZHEIMER'S DISEASEP50AG005133 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KAMBOH, M. ILYAS · 1985 to 2019
$43.0M
Predictors of Alheimers Disease in Mild Cognitive ImpairmentR01AG020098 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LOPEZ, OSCAR L. · 2002 to 2011
$3.7M
NIA NIH HHS P50 AG005133NIA NIH HHS R01 AG020098
6 · The paper itself

Abstract

introductionTwo types of drugs have been approved for the symptomatic treatment of Alzheimer's disease (AD): the cholinesterase inhibitors (ChEIs) and memantine. There is a growing interest to know whether the combination of these drugs is safe and if it adds any clinical benefit to patients.

objectiveTo systematically review published medical literature assessing the efficacy and tolerability of a combination treatment of memantine and donepezil in AD patients.

methodsWe searched PubMed for English and Spanish-language literature, using the terms "Alzheimer's disease," "cholinesterase inhibitors," "donepezil," and "memantine." Our review focused on clinical trials and observational studies.

resultsEleven publications representing seven unique studies were selected for this review. Three were randomized double-blind, placebo-controlled trials and four were observational studies.

conclusionsAvailable data revealed that the combination of memantine and donepezil slowed down cognitive decline, prolonged functional independence, and improved behavioral symptoms in patients with moderate to severe AD. The long-term use of the dual therapy decreased the risk of nursing home admission. More longitudinal studies are needed to further examine the role of combined therapy in the management of AD patients.

Indexed as

Alzheimer’s diseasecholinesterase inhibitorscombined therapydonepezilmemantine

Identifiers

PMID25302109
PMCPMC4188475
OpenAlexW2256865142

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.