Study (a/b/c=separate study arms) | Participants | Intervention | Outcomes included | |||||||
% Female | Mean age, years | n | ||||||||
Drug | Placebo | Class | Drug | Daily dosage, mg | Duration, weeks | |||||
Herrmann 2008*66 | 53.8 | 77.9 | 13 | 13 | NRI | Methylphenidate | 20 | 2 | 1a, 9a | |
Lanctot 2014†67 | 61.6 | 76 | 29 | 31 | NRI | Methylphenidate | 20 | 6 | 1a, 2a, 7a | |
Rosenberg 2013†68 | 61.6 | 76 | 29 | 31 | NRI | Methylphenidate | 20 | 6 | 9a | |
Maier 202069 | 38 | 74.8 | 54 | 54 | NRI | Buproprion | 150–300 | 12 | 1a, 3a, 8a | |
Mintzer 202113 | 33 | 76 | 101 | 99 | NRI | Methylphenidate | 20 | 26 | 1a, 2a, 9b, 4a, 6a, 7a, 10a | |
Padala 201845 | 0 | 76.6 | 30 | 30 | NRI | Methylphenidate | 10–20 | 12 | 1a, 9a | |
Mohs 200922 | 54.3 | 77.4 | 47 | 45 | NRI | Atomoxetine | 25–80 | 26 | 1a | |
Frakey 201246 | Unknown | 77.3 | 11 | 11 | NRI | Modafinil | 200 | 8 | 9c | |
Levey 2021*‡70 | 46.2 | 70.3 | 39 | 39 | NRI | Atomoxetine | 100 | 26 | 1a, 2c, 4c, 6e, 7d, 8a, 9b, 10a | |
Winblad 200171 | 62.4 | 73.7 | 177 | 169 | A1 Ant | Nicergoline | 60 | 26 | 1b | |
Amaducci 199972 | Unknown | Unknown | 102 | 95 | A1 Ant | Nicergoline | 60 | 52 | 1b | |
Banerjee 202173 | 66 | 82.8 | 102 | 102 | A1 Ant | Mirtazapine | 45 | 12 | 8a, 10b | |
Wang 200974 | 40.9 | 80.6 | 11 | 11 | A1 Ant | Prazosin | 6 | 8 | 8a | |
Crook 199225 | 55 | 71 | 15 | 14 | A2 Ag | Guanfacine | 0.5 | 13 | 3a, 5a, 7b | |
Mohr 1989*23 | a | 25 | 62 | 8 | 8 | A2 Ag | Clonidine | 0.1 | 2 | 2a, 3b, 4b, 5b, 6b, 7a |
b | 25 | 62 | 8 | 8 | 0.2 | 2 | ||||
c | 25 | 62 | 8 | 8 | 0.4 | 2 | ||||
Schlegel 1989*24 | 40 | 60 | 5 | 5 | A2 Ag | Guanfacine | 0.5–1 | 2 | 2a, 3a, 4b, 5c, 6c, 7a | |
Huff 199637 | a | Unknown | Unknown | 92 | 91 | A2 Ant | Besipirdine | 10 | 12 | 1b, 8b |
b | Unknown | Unknown | 92 | 91 | 40 | 12 | ||||
Rinne 201738 | a | 59 | 72 | 33 | 34 | A2 Ant | ORM-12741 | 30–60 | 12 | 2b, 4c, 5d, 6d, 7c |
b | 59 | 72 | 33 | 34 | 100–200 | 12 | ||||
Peskind 200575 | 80.6 | 85 | 17 | 14 | B Ant | Propranolol | 120 | 6 | 9b, 8a, 10a | |
Mean/total over all studies | 56.7 | 75.8 | 45.9 | 45.1 | N/A | N/A | N/A | 12.9 | N/A |
Drug: NRI=norepinephrine reuptake inhibitor; A1 Ant=alpha1 adrenergic receptor antagonist; A2 Ag= alpha2 adrenergic receptor agonist; B Ant=Beta adrenergic receptor antagonist/blocker; A2 Ant=alpha2 adrenergic receptor antagonist. Outcomes: Global cognition: 1a=Mini-Mental State Examination; 1b=Alzheimer’s Disease Assessment Scale—Cognitive Subscale. Attention: 2a=Digit Span Forwards; 2b=Continuity of Attention; 2c=Trails A. Visuospatial: 3a=Benton Visual Retention—No. Correct; 3b=Visual Retention Test—Delayed Recall; 3c=15 Objects Test; 3d=Spatial Recognition Memory (latency). Semantic Memory: 4a=Action Verbal Fluency Test; 4b=Supermarket fluency; 4c=Category fluency test. Episodic Visual Memory: 5a=Benton Visual Retention; 5b=Visual Retention Test—Delayed Recall; 5c=Quality of Episodic Memory. Episodic Verbal Memory: 6a=Hopkins Verbal Learning Test—Revised Delayed Recall; 6b=Verbal Learning Delayed Recall; 6c=Rey Verbal Learning—Delayed Recall; 6d=Controlled Oral Word Association Test; 6e=Wechsler Memory Scale—Logical Memory Delayed Recall. Executive Functions and Working Memory: 7a=Digit Span Backwards; 7b=Wechsler Paired Associates; 7c=Quality of Working Memory; 7d=Trails B.
General behaviour/neuropsychiatric symptoms: 8a=The Neuropsychiatry Inventory—Total; 8b=Alzheimer’s Disease Assessment Scale—Non-Cognitive Subscale. Apathy: 9a=Apathy Evaluation Scale; 9b=The Neuropsychiatry Inventory—Apathy; 9c=The Frontal Systems Behaviour Scale—Apathy. Agitation: 10a=The Neuropsychiatry Inventory—Agitation; 10b=The Cohen-Mansfield Agitation Inventory.
*Cross-over design.
†The same trial reported across different publications.
‡Mild cognitive impairment due to Alzheimer’s disease.