Table 1

Randomised controlled trials of pharmacological interventions in FTD spectrum disorders

StudyCondition studiedCohort sizeTrial designInterventionControlLengthOutcome of interest
Leclair-Visonneau et al 38 PSP syndrome28DB, PG, MCSodium valproate
1500 mg/day
Placebo24 monthsSymptom progression
Nuebling et al 39 PSP syndrome44DB, PG, SCRasagiline
1 mg/day
Placebo12 monthsSymptom progression
Apetauerova et al 40 PSP syndrome61DB, PG, MCCoenzyme Q10
2400 mg/day
Placebo12 monthsSafety and efficacy on disease progression
Pardini et al 41 BvFTD26SB, CX, SCSouvenaid
125 mL/day
Placebo12 weeksFrontal lobe function
Hughes et al 42 BvFTD12DB, CX, SCCitalopram
Single-dose 30 mg
Placebo2 sessions*Frontal lobe function
Finger et al 43 BvFTD and SD23DB, PG, SCOxytocin
24, 48, 72 IU
Twice daily
Placebo1 weekSafety and tolerability, symptom progression
Tolosa et al 44 PSP syndrome146DB, PG, MCTideglusib
600 or 800 mg/day
Placebo52 weeksSafety and disease progression
Höglinger et al 45PSP syndrome37DB, PG, MCTideglusib
600 or 800 mg/day
Placebo52 weeksDisease progression on brain imaging
Boxer et al 46 PSP syndrome313DB, PG, MCDavunetide
30 mg twice daily
Placebo52 weeksSafety and efficacy on disease progression
Boxer et al 47 BvFTD and SD81DB, PG, MCMemantine
10 mg twice daily
Placebo26 weeksSymptom progression
Jesso et al 48 BvFTD20DB, CX, SCOxytocin
Single-dose 24 IU
Placebo1 weekEmotion recognition
Vercelletto et al 49 BvFTD52DB, PG, MCMemantine
10 mg twice daily
Placebo52 weeksSymptom progression
Bensimon et al 50 PSP syndrome and MSA767
(363 with PSP)
DB, PG, MCRiluzole
50–200 mg/day
Placebo35 monthsSurvival and disease progression
Stamelou et al 51 PSP syndrome21DB, PG, SCCoenzyme Q10
5 mg/kg/day
Placebo6 weeksSymptom progression and energy metabolite on MRS
Kertesz et al 52 BvFTD and PPA36OL and DB, PG, SCGalantamine
16–24 mg/day
PlaceboOL: 18 weeks
DB: 8 weeks
Symptom progression
Rahman et al 53 BvFTD8DB, CX, SCMethylphenidate
Single-dose 40 mg
Placebo2 sessions*Frontal lobe function
Deakin et al 54 BvFTD10DB, CX, SCParoxetine
40 mg/day
Placebo7 weeksFrontal lobe function
Moretti et al 55 FTD40OL, PG, SCRivastigmine
3–9 mg/day
Standard treatment12 monthsSymptom progression
Lebert et al 56 BvFTD31DB, CX, MCTrazodone
300 mg/day
Placebo6 weeksSymptom progression
Moretti et al 57 FTD16OL, PG, SCParoxetine
20 mg/day
Piracetam
1200 mg/day
14 monthsSymptom progression
Litvan et al 58 PSP syndrome21DB, CX, SCDonepezil
10 mg/day
Placebo6 weeksSymptom progression
Frattali et al 59 PSP syndrome6DB, CX, SCPhysostigmine
0.5–2 mg
Every 2 hours
Placebo3–4 daysOral motor functions
Rascol et al 60 PSP syndrome14DB, CX, MCEfaroxan
2 mg
Three times a day
Placebo6 weeksMotor symptom progression
  • *Studies involved administration of a single dose of the investigational drug or placebo followed by same-day cognitive assessment.

  • †This was a substudy of the above study.

  • BvFTD, behavioural variant frontotemporal dementia;CX, crossover;DB, double-blind;FTD, frontotemporal dementia;MC, multicentre;MRS, magnetic resonance spectroscopy;MSA, multisystem atrophy;OL, open-label;PG, parallel-group;PPA, primary progressive aphasia;PSP, progressive supranuclear palsy;SB, single-blind;SC, single-centre; SD, semantic dementia.