• Neuroscience · Jan 2025

    Review Meta Analysis Comparative Study

    Comparison of the efficacy of updated drugs for the treatment on the improvement of cognitive function in patients with Alzheimer 's disease: A systematic review and network meta- analysis.

    • Weili Cao, Bo Zhu, Zhiqin Liu, Xiaotao Jia, Hongwei Zhao, Naibing Gu, Hongye Chang, Jing Xi, Rong Li, Kun Guo, Jia Shen, Le Ding, Fanya Sun, and Zhengli Di.
    • Department of Neurology, Xi 'an Central Hospital Affiliated to Xi 'an Jiaotong University, No.161 Xiwu Road, Xincheng District, Xi 'an City, Shaanxi Province, PR China. Electronic address: 13720527904@163.com.
    • Neuroscience. 2025 Jan 26; 565: 293929-39.

    BackgroundThe recent emergence of updated drugs for the treatment of Alzheimer's disease (AD) has produced encouraging cognitive and clinical results in clinical trials, but there is still controversy over how to choose effective treatment options among these numerous drugs. The purpose of this network meta-analysis (NMA) is to compare and rank these drugs based on their efficacy.MethodsWe systematically searched in PubMed, Web of Science databases and Cochrane LIbrary, gov for randomized controlled trials for data from 2020 to 2024, and then performed a random-effect network meta-analysis.ResultsOur NMA results showed that in several main indicators ADAS-cog, CDR-SB and ADCS-ADL. GV-971 (MD -2.36, 95 % CI -5.08, 0.35), Lecanemab (MD -2.00, 95 % CI -5.25, 1.26), Donanemab (MD -1.45, 95 % CI -4.70, 1.81), Masupirdine (MD -0.83, 95 % CI -3.49, 1.84) were more effective than placebo in improving ADAS-cog. In terms of CDR-SB, Lecanemab (MD -3.11,95 % CI -5.23, -0.99) was more effective. Compared with placebo, Donanemab was more effective in ADCS-ADL (MD 3.26,95 % CI 1.48,5.05). SUCRA values showed that GV-971 (76.1 % and 68.7 %) could achieve better therapeutic effects in ADAS-cog) and NPI, and Lecanema (98.1 %) was more effective in improving CDR-SB scores than other drugs. Donanemab (99.8 %) may be the most promising way to slow down the decline in ADCS-ADL scores. The effect of Masupirdine (80.7 %) on MMSE was significantly better than that of several other drugs.ConclusionDonanemab and Lecanemab showed good efficacy in ADCS-ADL and CDR-SB, respectively. GV-971 is the best choice to improve ADAS cogs and NPI.Copyright © 2024. Published by Elsevier Inc.

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