Evidence map›Paper›PMID 37538343›Full record

ArticleAlzheimer's & dementia (New York, N. Y.)

Effects of methylphenidate on neuropsychiatric symptoms in Alzheimer's disease: Evidence from the ADMET 2 study.

Emily D Clark, Jamie Perin, Nathan Herrmann, Olga Brawman-Mintzer, Krista L Lanctôt, Alan J Lerner, Jacobo Mintzer, Prasad R Padala, Paul B Rosenberg, Susie Sami and 4 more

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's & dementia (New York, N. Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
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

14 authors at 10 institutions in 2 countries.

Emily D ClarkAlzheimer's Disease Care, Research and Education Program (AD-CARE), Department of Psychiatry University of Rochester School of Medicine and Dentistry Rochester New York USA.
Jamie PerinDepartment of International Health Johns Hopkins University Bloomberg School of Public Health Baltimore Maryland USA.
Nathan HerrmannSunnybrook Research Institute University of Toronto Toronto Ontario Canada.
Olga Brawman-MintzerRalph H. Johnson VA Medical Center, Department of Psychiatry Medical University of South Carolina Charleston South Carolina USA.
Krista L LanctôtHurvitz Brain Science Research Program, Sunnybrook Research Institute, Departments of Psychiatry and Pharmacology University of Toronto Toronto Ontario Canada.
Alan J LernerDepartment of Neurology University Hospitals Cleveland Medical Center Case Western Reserve University School of Medicine Cleveland Ohio USA.
Jacobo MintzerRalph H. Johnson VA Medical Center, Department of Psychiatry Medical University of South Carolina Charleston South Carolina USA.
Prasad R PadalaCentral Arkansas Veterans Healthcare System Baptist Health-University of Arkansas for Medical Sciences Little Rock Arkansas USA.
Paul B RosenbergDepartments of Psychiatry and Behavioral Sciences Johns Hopkins University School of Medicine Baltimore Maryland USA.
Susie SamiDepartment of Neurology University Hospitals Cleveland Medical Center Case Western Reserve University School of Medicine Cleveland Ohio USA.
David M ShadeDepartment of Epidemiology Johns Hopkins University Bloomberg School of Public Health Baltimore Maryland USA.
Christopher H van DyckDepartments of Psychiatry, Neurology, and Neuroscience Yale School of Medicine New Haven Connecticut USA.
Anton P PorsteinssonAlzheimer's Disease Care, Research and Education Program (AD-CARE), Department of Psychiatry University of Rochester School of Medicine and Dentistry Rochester New York USA.
ADMET‐2 Study Group
Johns Hopkins University · USUniversity of Rochester · USUniversity of Toronto · CACase Western Reserve University · USJohns Hopkins Medicine · USMedical University of South Carolina · USRalph H. Johnson VA Medical Center · USUniversity of Arkansas for Medical Sciences · USUniversity School · USYale University · US

Funding

Yale Alzheimer Disease Research CenterP30AG066508 · NIA · YALE UNIVERSITY · PI STEPHEN M STRITTMATTER, CHRISTOPHER H VAN DYCK · 2020 to 2026
$30.2M
Apathy in Alzheimer's Disease Methyphenidate Trial II (ADMET II)R01AG046543 · NIA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI HERRMANN, NATHAN, LANCTOT, KRISTA L. · 2014 to 2018
$8.1M
Using connectomics to characterize risk for Alzheimer's DiseaseR01AG055132 · NIA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI JOSEPH, JANE E, MINTZER, JACOBO · 2017 to 2021
$3.7M
NIA NIH HHS P30 AG066508NIA NIH HHS R01 AG046543NIA NIH HHS R01 AG055132RRD VA I01 RX002638RRD VA I01 RX002961
6 · The paper itself

Abstract

introductionMethylphenidate has been shown to improve apathy in patients with Alzheimer's disease (AD). The authors evaluated the impact of methylphenidate on neuropsychiatric symptoms (NPS) of AD, excluding apathy, using data from the Apathy in Dementia Methylphenidate Trial 2 (ADMET 2) study.

methodsA secondary analysis was conducted on data from the ADMET 2 study to determine the effect of methylphenidate on Neuropsychiatric Inventory (NPI) scores outside of apathy. Caregiver scores were compared from baseline to month 6 in 199 participants receiving methylphenidate (20 mg/day) or placebo regarding the presence or absence of individual neuropsychiatric symptoms, emergence of new symptoms, and individual domain scores.

resultsNo clinically meaningful improvement was observed in any NPI domain, excluding apathy, in participants treated with methylphenidate compared to placebo after 6 months. A statistical difference between groups was appreciated in the domains of elation/euphoria ( DISCUSSION: Methylphenidate is a selective agent for symptoms of apathy in patients with AD with no meaningful impact on other NPS. Findings from this secondary analysis are considered exploratory and multiple limitations should be considered when interpreting these results, including small sample size and use of a single questionnaire.

Indexed as

agitationAlzheimer's diseasecentral nervous system stimulantmethylphenidateNeuropsychiatric Inventoryneuropsychiatric symptomstreatment

Identifiers

PMID37538343
PMCPMC10394740
OpenAlexW4385484542

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.