Evidence map›Paper›PMID 41647067›Full record

ReviewInnovations in clinical neuroscience

Neurocognitive Disorders: Systematic Review of Approved (2008-2024) and Pipeline Phase III Medications.

Jayant Totlani, Muhammad Arsalan Bashir, Laurel Tay, Ashley Ngor, Alexander J Steiner, Drew Hirsch, Lorena Contreras, Sabrina Renteria, Itai Danovitch, Robert N Pechnick and 2 more

Abstract readReview
In one paragraph

Review in Innovations in clinical neuroscience. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

12 authors.

Jayant TotlaniDr. Totlani is with the Virginia Commonwealth University Health System in Richmond, Virginia and Cedars-Sinai Medical Center in Los Angeles, California.
Muhammad Arsalan BashirDr. Bashir, Ms. Tay, Ms. Ngor, Mr. Hirsch, Ms. Contreras, Dr. Renteria, Dr. Danovitch, and Dr. Kim are with Cedars-Sinai Medical Center in Los Angeles, California.
Laurel TayDr. Bashir, Ms. Tay, Ms. Ngor, Mr. Hirsch, Ms. Contreras, Dr. Renteria, Dr. Danovitch, and Dr. Kim are with Cedars-Sinai Medical Center in Los Angeles, California.
Ashley NgorDr. Bashir, Ms. Tay, Ms. Ngor, Mr. Hirsch, Ms. Contreras, Dr. Renteria, Dr. Danovitch, and Dr. Kim are with Cedars-Sinai Medical Center in Los Angeles, California.
Alexander J SteinerDr. Steiner is with Executive Mental Health, Inc. in Los Angeles, California.
Drew HirschDr. Bashir, Ms. Tay, Ms. Ngor, Mr. Hirsch, Ms. Contreras, Dr. Renteria, Dr. Danovitch, and Dr. Kim are with Cedars-Sinai Medical Center in Los Angeles, California.
Lorena ContrerasDr. Bashir, Ms. Tay, Ms. Ngor, Mr. Hirsch, Ms. Contreras, Dr. Renteria, Dr. Danovitch, and Dr. Kim are with Cedars-Sinai Medical Center in Los Angeles, California.
Sabrina RenteriaDr. Bashir, Ms. Tay, Ms. Ngor, Mr. Hirsch, Ms. Contreras, Dr. Renteria, Dr. Danovitch, and Dr. Kim are with Cedars-Sinai Medical Center in Los Angeles, California.
Itai DanovitchDr. Bashir, Ms. Tay, Ms. Ngor, Mr. Hirsch, Ms. Contreras, Dr. Renteria, Dr. Danovitch, and Dr. Kim are with Cedars-Sinai Medical Center in Los Angeles, California.
Robert N PechnickDr. Pechnick is with Western University of Health Sciences in Pomona, California.
Waguih William IshakDr. IsHak with Cedars-Sinai Medical Center in Los Angeles, California and the David Geffen School of Medicine at UCLA in Los Angeles, California.
Sarah KimDr. Bashir, Ms. Tay, Ms. Ngor, Mr. Hirsch, Ms. Contreras, Dr. Renteria, Dr. Danovitch, and Dr. Kim are with Cedars-Sinai Medical Center in Los Angeles, California.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveNeurocognitive disorders (NCDs), which include delirium, major and mild NCDs such as Alzheimer's disease (AD), and other forms of dementia, constitute a significant and growing public health burden, affecting tens of millions of individuals worldwide. This systematic review aims to examine the medications approved by the United States Food and Drug Administration (FDA) for NCDs from 2008 to 2024, as well as those in the pipeline in Phase III, and to describe the mechanism of action, clinical indications, dosing, evidence for efficacy, and adverse effects.

methodsWe searched the literature using the PubMed database for studies published from January 1, 2008, to December 31, 2024, focusing on FDA-approved psychiatric medications and Phase III pipeline medications, using the keywords "neurocognitive" OR "dementia" OR "Alzheimer*" AND "psychopharm*" OR "medic*" OR "pharm*." Two reviewers performed an independent assessment of the resulting publications and reached a consensus on the eligible studies to include in the systematic review.

resultsFrom 2008 to 2024, the FDA approved eight medications for major and mild NCDs, including monoclonal antibodies, acetylcholinesterase inhibitors, N-methyl-D-aspartate (NMDA) receptor antagonists, and an atypical antipsychotic. Additionally, we identified 22 pipeline medications currently in Phase III clinical trials for NCDs as of December 31, 2024, including biologics and neuroprotective agents, among others. No medications for delirium were FDA-approved or in Phase III, although agents for a variety of encephalopathies have been developed.

conclusionSignificant advancements in the pharmacological management of NCDs have been made during this period, including developing disease-modifying therapies for AD. However, available medications primarily provide symptomatic relief, and challenges persist in the implementation of disease-modifying treatments due to adverse effects and high costs of care. The pipeline of Phase III clinical trials includes many emerging agents with novel mechanisms of action, and ongoing trials will prove essential to confirm the efficacy and safety of these therapies.

Indexed as

Alzheimer’s diseasecognitive disordersdementiaFDA-approvedNeurocognitive disorderspsychiatric medications

Identifiers

PMID41647067
PMCPMC12872052

What OpenQuestion holds

Textmetadata
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.