PMID- 12166542 OWN - NLM STAT- MEDLINE DCOM- 20020927 LR - 20220409 IS - 1368-5031 (Print) IS - 1368-5031 (Linking) VI - 56 IP - 6 DP - 2002 Jul-Aug TI - A multinational, randomised, 12-week, comparative study of donepezil and rivastigmine in patients with mild to moderate Alzheimer's disease. PG - 441-6 AB - This 12-week, multinational study compared the tolerability and cognitive effects of donepezil (up to 10 mg once daily) and rivastigmine (up to 6 mg twice daily) in 111 patients with mild to moderate Alzheimer's disease. Both medications were administered open label according to recommended dosing regimens from the respective product labelling available during the conduct of the study. More patients in the donepezil group (89.3%) completed the study compared with the rivastigmine group (69.1%; p=0.009), and 10.7% of the donepezil group and 21.8% of the rivastigmine group discontinued due to adverse events (AEs); 87.5% of donepezil-treated patients and 47.3% of rivastigmine-treated patients remained on the maximum approved dose of each drug at the last study visit. Both groups showed comparable improvements on the ADAS-cog administered by raters blind to study medication at weeks 4 and 12. Thus, using the recommended dosing schedules, donepezil was better tolerated with fewer discontinuations due to AEs, and both agents improved cognition to a similar extent. FAU - Wilkinson, D G AU - Wilkinson DG AD - Memory Assessment and Research Centre, Moorgreen Hospital, Southampton, UK. FAU - Passmore, A P AU - Passmore AP FAU - Bullock, R AU - Bullock R FAU - Hopker, S W AU - Hopker SW FAU - Smith, R AU - Smith R FAU - Potocnik, F C V AU - Potocnik FC FAU - Maud, C M AU - Maud CM FAU - Engelbrecht, I AU - Engelbrecht I FAU - Hock, C AU - Hock C FAU - Ieni, J R AU - Ieni JR FAU - Bahra, R S AU - Bahra RS LA - eng PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - India TA - Int J Clin Pract JT - International journal of clinical practice JID - 9712381 RN - 0 (Carbamates) RN - 0 (Cholinesterase Inhibitors) RN - 0 (Indans) RN - 0 (Phenylcarbamates) RN - 0 (Piperidines) RN - 8SSC91326P (Donepezil) RN - PKI06M3IW0 (Rivastigmine) SB - IM CIN - Int J Clin Pract. 2002 Jul-Aug;56(6):414-5. PMID: 12166537 CIN - Int J Clin Pract. 2003 Jan-Feb;57(1):70-1; author reply 71. PMID: 12587950 CIN - Int J Clin Pract. 2003 Jun;57(5):449; author reply 449. PMID: 12846358 MH - Aged MH - Aged, 80 and over MH - Alzheimer Disease/*drug therapy MH - Analysis of Variance MH - Carbamates/*therapeutic use MH - Cholinesterase Inhibitors/*therapeutic use MH - Donepezil MH - Female MH - Humans MH - Indans/*therapeutic use MH - Male MH - Middle Aged MH - *Phenylcarbamates MH - Piperidines/*therapeutic use MH - Rivastigmine MH - Treatment Outcome EDAT- 2002/08/09 10:00 MHDA- 2002/09/28 04:00 CRDT- 2002/08/09 10:00 PHST- 2002/08/09 10:00 [pubmed] PHST- 2002/09/28 04:00 [medline] PHST- 2002/08/09 10:00 [entrez] PST - ppublish SO - Int J Clin Pract. 2002 Jul-Aug;56(6):441-6.