Evidence map›Paper›PMID 40860505›Full record

ReviewDementia & neuropsychologia2025

Efficacy of medications in controlling cognitive dysfunction in Alzheimer's : a systematic review.

Sâmia Moreira de Andrade, Ítalo Sávio Mendes Rodrigues, Luís Marcelo Vieira Rosa, Rodrigo Luís Taminato, Gustavo Alves Andrade Dos Santos

Abstract readReview
In one paragraph

Review in Dementia & neuropsychologia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

5 authors.

Sâmia Moreira de AndradeCentro Universitário Santo Agostinho, São Luís MA, Brazil.ORCID https://orcid.org/0000-0002-2310-2515
Ítalo Sávio Mendes RodriguesFaculdade de Tecnologia de Teresina, Teresina PI, Brazil.ORCID https://orcid.org/0000-0002-9311-9443
Luís Marcelo Vieira RosaUniversidade Federal do Maranhão, São Luís MA, Brazil.ORCID https://orcid.org/0000-0002-8960-6871
Rodrigo Luís TaminatoUniversidade Federal de Goiás, Goiânia GO, Brazil.ORCID https://orcid.org/0000-0001-9685-557X
Gustavo Alves Andrade Dos SantosUniversidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Anatomia e Cirurgia, Ribeirão Preto SP, Brazil.ORCID https://orcid.org/0000-0002-3326-5537

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dementia is one of the biggest global health crises of the 21st century. It is known that Alzheimer's disease (AD) is the most common cause of dementia. Therefore, developing drugs with the potential to alter disease progression has been a priority. Objective: This study aims to review the efficacy and safety of drugs for AD. Methods: Based on the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) document, a systematic review was carried out in different databases. The Alzheimer's Disease Assessment Scale (ADAS-Cog) was used as the primary outcome. The risk of bias was checked using the Risk of Bias in Randomized Trials (RoB 2). Results: A systematic review resulted in 64 articles which were included in the analysis. The main medications discussed were: donepezil, which demonstrated a significant improvement in cognitive function, with good tolerability, although it has limitations in patients with swallowing difficulties. Transdermal patches showed similar effectiveness and were recently approved. Galantamine showed benefits on cognitive function, with good tolerability. Rivastigmine was effective and presented in transdermal form with similar efficacy to capsules, but had mainly gastrointestinal adverse effects. Pioglitazone showed no significant results initially, but some studies suggest benefits in patients with AD associated with type II diabetes mellitus. Conclusion: The studies reviewed indicate that, although some current medications such as donepezil, galantamine, and rivastigmine have modest, well-established benefits in clinical practice, many new agents have not yet demonstrated significant efficacy in modifying AD progression.

Indexed as

Alzheimer DiseaseClinical TrialCognitive Dysfunction

Identifiers

PMID40860505
PMCPMC12377826

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.