Objective: To present the characteristics of individuals enrolled in clinical studies to evaluate the effects of galantamine in the treatment of patients with mild cognitive impairment (MCI).
Design: The efficacy and safety of galantamine in the treatment of MCI is currently being evaluated in 2 international, multicenter, double-blind, randomized, placebo-controlled trials with a duration of 24 months. Following a 4-week washout period, more than 2,000 patients were randomized 1:1 to either placebo or galantamine 16 to 24 mg/day using a flexible dose-escalation schedule. Subjects were required to meet the following criteria to be included in the study: 1) outpatients 50 years of age or older, 2) a gradual onset and slow progression of cognitive impairment consistent with MCI (CDR score = 0.5), 3) insufficient impairment of activities of daily living for diagnosis of dementia, and 4) NYU Paragraph Recall Test with delayed recall score less than or equal to 10.
Materials and methods: Clinical efficacy will be measured by assessments in memory and attention, global severity of dementia severity, and function. Safety and tolerability will be also assessed.
Results: The blinded baseline characteristics are described in the Table.
| N (%) |
Overall patient population | 2,057 (100) |
Ethnic category White (Non-Hispanic) Hispanic Black or African American (Non-Hispanic) Asian or Pacific Islander American Indian or Alaskan Native Other Total |
1,954 (95) 62 (3) 31 (1.5) 4 (0.2) 0 6 (2.9) 2,057 (100) |
Age category Adult (18–64 years) Elderly (65–74 years) Elderly (75 years and older) Total |
548 (26.6) 778 (37.8) 731 (35.5) 2,057 (100) |
Gender Male Female Total |
918 (44.6) 1,139 (55.4) 2057 (100) |
Conclusions: The characteristics of patients with MCI who enrolled in these 2 studies are consistent with previously published descriptions of MCI and may provide assistance when determining who is at greater risk for developing this disorder.
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