Page last updated: 2024-10-26

donepezil and Depression, Endogenous

donepezil has been researched along with Depression, Endogenous in 13 studies

Donepezil: An indan and piperidine derivative that acts as a selective and reversible inhibitor of ACETYLCHOLINESTERASE. Donepezil is highly selective for the central nervous system and is used in the management of mild to moderate DEMENTIA in ALZHEIMER DISEASE.
donepezil : A racemate comprising equimolar amounts of (R)- and (S)-donepezil. A centrally acting reversible acetylcholinesterase inhibitor, its main therapeutic use is in the treatment of Alzheimer's disease where it is used to increase cortical acetylcholine.
2-[(1-benzylpiperidin-4-yl)methyl]-5,6-dimethoxyindan-1-one : A member of the class of indanones that is 5,6-dimethoxyindan-1-one which is substituted at position 2 by an (N-benzylpiperidin-4-yl)methyl group.

Research Excerpts

ExcerptRelevanceReference
"Donepezil does not seem to improve negative signs and cognitive impairment in elderly patients with chronic schizophrenia."9.12Donepezil for negative signs in elderly patients with schizophrenia: an add-on, double-blind, crossover, placebo-controlled study. ( Barak, Y; Mazeh, D; Mirecki, I; Paleacu, D; Zemishlani, H, 2006)
"Acetylcholinesterase inhibitors (AceI) and memantine might prove useful in bipolar disorder (BD) given their neuroprotective and pro-cognitive effects, as highlighted by several case reports."8.93Acetylcholinesterase inhibitors and memantine in bipolar disorder: A systematic review and best evidence synthesis of the efficacy and safety for multiple disease dimensions. ( Correll, CU; Lu, RB; Luchini, C; Solmi, M; Stubbs, B; Veronese, N; Zaninotto, L, 2016)
"To determine whether the presence of depression predicts higher rate of progression to Alzheimer disease (AD) in patients with amnestic mild cognitive impairment (aMCI) and whether donepezil treatment beneficially affect this relationship."5.14Donepezil delays progression to AD in MCI subjects with depressive symptoms. ( Cummings, JL; Edland, SD; Lu, PH; Petersen, RC; Teng, E; Tingus, K, 2009)
"Donepezil does not seem to improve negative signs and cognitive impairment in elderly patients with chronic schizophrenia."5.12Donepezil for negative signs in elderly patients with schizophrenia: an add-on, double-blind, crossover, placebo-controlled study. ( Barak, Y; Mazeh, D; Mirecki, I; Paleacu, D; Zemishlani, H, 2006)
"(1) Donepezil can reduce memory loss, dry mouth, and constipation in nongeriatric affective patients, but may trigger mania; and (2) long-term follow-up will reveal the predictive value for dementia of donepezil's memory restoration in nongeriatric subjects."5.09Donepezil for psychotropic-induced memory loss. ( Comas-Díaz, L; Jacobsen, FM, 1999)
"Acetylcholinesterase inhibitors (AceI) and memantine might prove useful in bipolar disorder (BD) given their neuroprotective and pro-cognitive effects, as highlighted by several case reports."4.93Acetylcholinesterase inhibitors and memantine in bipolar disorder: A systematic review and best evidence synthesis of the efficacy and safety for multiple disease dimensions. ( Correll, CU; Lu, RB; Luchini, C; Solmi, M; Stubbs, B; Veronese, N; Zaninotto, L, 2016)
"The classification of mild cognitive impairment (MCI) continues to be debated though it has recently been subtyped into late (LMCI) versus early (EMCI) stages."2.87Clinical and radiological characteristics of early versus late mild cognitive impairment in patients with comorbid depressive disorder. ( Ciovacco, MW; D'Antonio, K; Devanand, DP; Doraiswamy, PM; Garcon, E; Motter, JN; Pelton, GH; Petrella, JR; Pimontel, MA; Rushia, SN; Sneed, JR, 2018)
"Donepezil was associated with more adverse effects than placebo."2.87Donepezil Treatment in Patients With Depression and Cognitive Impairment on Stable Antidepressant Treatment: A Randomized Controlled Trial. ( Andrews, H; Beyer, JL; Ciarleglio, A; Ciovacco, M; D'Antonio, K; Devanand, DP; Doraiswamy, PM; Lunsford, J; Pelton, GH; Petrella, JR; Scodes, J; Sneed, J, 2018)
"However, interictal delirium is uncommon in absence of risk factors."1.38Delayed onset and prolonged interictal delirium following electroconvulsive therapy. ( Praharaj, SK; Selvaraj, AG, 2012)

Research

Studies (13)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's1 (7.69)18.2507
2000's5 (38.46)29.6817
2010's7 (53.85)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Motter, JN1
Pelton, GH4
D'Antonio, K3
Rushia, SN1
Pimontel, MA1
Petrella, JR3
Garcon, E1
Ciovacco, MW1
Sneed, JR1
Doraiswamy, PM3
Devanand, DP4
Ciarleglio, A1
Scodes, J1
Andrews, H2
Lunsford, J1
Beyer, JL1
Sneed, J1
Ciovacco, M1
Roose, SP2
Marcus, SM1
Husn, H1
Zannas, AS1
Papp, M1
Gruca, P1
Lason-Tyburkiewicz, M1
Willner, P1
Veronese, N1
Solmi, M1
Luchini, C1
Lu, RB1
Stubbs, B1
Zaninotto, L1
Correll, CU1
Lu, PH1
Edland, SD1
Teng, E1
Tingus, K1
Petersen, RC1
Cummings, JL1
Panza, F1
Frisardi, V1
Capurso, C1
D'Introno, A1
Colacicco, AM1
Chiloiro, R1
Dellegrazie, F1
Di Palo, A1
Capurso, A1
Solfrizzi, V1
Selvaraj, AG1
Praharaj, SK1
Hori, K1
Oda, T1
Tominaga, I1
Inada, T1
Bhat, RS1
Mayur, P1
Chakrabarti, I1
Mazeh, D1
Zemishlani, H1
Barak, Y1
Mirecki, I1
Paleacu, D1
Harper, OL1
Tabert, MH1
Sackeim, HA1
Scarmeas, N1
Jacobsen, FM1
Comas-Díaz, L1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Factors Influencing the Deterioration From Cognitive Decline of Normal Aging to Dementia Among Nursing Home Residents[NCT04589637]182 participants (Actual)Observational2018-05-29Completed
Pilot Combination Treatment Trial of Mild Cognitive Impairment With Depression[NCT01658228]Phase 486 participants (Actual)Interventional2011-09-30Completed
Effects of Combined Memantine (Namenda) Plus Escitalopram (Lexapro) Treatment in Elderly Depressed Patients With Cognitive Impairment[NCT01876823]Phase 2/Phase 360 participants (Actual)Interventional2006-04-30Completed
Neurofeedback as a Novel Treatment for Mild Cognitive Impairment & Early Alzheimer's[NCT02987842]30 participants (Anticipated)Interventional2016-12-31Not yet recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Alzheimer's Disease Assessment Scale - Cognitive (ADAS-Cog)

The modified ADAS-Cog is a cognitive battery that assesses learning, memory, language production, language comprehension, constructional praxis, ideational praxis, and orientation. Subjects' scores represent the total number of errors made throughout the various tasks. The total number of possible errors is between 0-85. (NCT01658228)
Timeframe: Week 16

Interventionnumber of errors on a scale from 0-85 (Mean)
Donepezil Treatment Group13.2
Placebo Treatment Group13.9

Selective Reminding Test (SRT) Delayed Recall

The 12-item, 6-trial SRT is a memory measure used to assess verbal list learning and memory. The total number of words learned over six trials (total immediate recall) and delayed recall (after a 15-minute delay) was obtained. (NCT01658228)
Timeframe: Week 16

InterventionWords (Mean)
Donepezil Treatment Group7.4
Placebo Treatment Group7.4

Selective Reminding Test (SRT) Total Recall

The 12-item, 6-trial SRT is a memory measure used to assess verbal list learning and memory. The total number of words learned over six trials (total immediate recall) was obtained. (NCT01658228)
Timeframe: Week 16

InterventionWords (Mean)
Donepezil Treatment Group45.6
Placebo Treatment Group46.6

Change in 24-item HAMD

Change in 24-item Hamilton Rating Scale for Depression (HAMD) scores from baseline to Week 48: HAMD measures depression severity based on a series of 24 items items. The range of HAMD total score is 0-74; 0 indicates no depressive symptoms and a maximum HAMD score is a 74, where the greater the score indicates more significant psychopathology. In this study, moderate to severe depression is considered a HAMD-24 greater than 14. (NCT01876823)
Timeframe: Baseline, Week 48

Interventionscores on a scale (Mean)
Es-citalopram and Memantine Treatment-15.2

Change in Selective Reminding Test - Delayed Recall (SRT-DR)

Change in Selective Reminding Test-Delayed Recall scores from baseline to Week 48: SRT Delay is administered 15 minutes after the immediate recall portion. Patients are asked to remember as many of the words as they can from the 6 trials. Maximum raw score is a 12 for free recall. If a patient is unable to recall a word, they are given a chance to recognize it among three incorrect word choices. Maximum raw score for recognition is 12. The greater the score on the delayed recall portion, the better the patient does on the assessment. (NCT01876823)
Timeframe: Baseline, Week 48

Interventionunits on a scale (Mean)
Es-citalopram and Memantine Treatment1.2

Change in Selective Reminding Test - Total Immediate Recall (SRT-IR)

Change in Selective Reminding Test-Total Immediate Recall (SRT-IR) scores from baseline to Week 48: Measures word recall (maximum 12 words per trial, across 6 trials). Maximum total recall score across 6 trials is 72; minimum recall is 0 across 6 trials. The higher the raw score, the better the patient did at recalling the target words. The unit of measure is the raw score, or the sum of the number of words recalled across all 6 trials. (NCT01876823)
Timeframe: baseline, 48 weeks

Interventionunits on a scale (Mean)
Es-citalopram and Memantine Treatment7.5

Change in Trails A

Change in Trails A scores from baseline to Week 48: Measures attention and executive function. It asks patients to connect numbers from 1-25 in numerical order as fast as they can. Patients are timed; the longer it takes for the patient to connect the numbers, the worse their score. Unit of measure is in seconds. The amount of errors that the patient makes during trails is also recorded. (NCT01876823)
Timeframe: Baseline, Week 48

Interventionseconds (Mean)
Es-citalopram and Memantine Treatment1.9

Change in Trails B

Change from baseline to Week 48 on Trails B: Measures attention and executive function. It asks patients to connect numbers and letters in numerical to alphabetical order from (1-13 and A-L) as fast as they can. Patients are timed; the longer it takes for the patient to connect the numbers and letters, the worse their score. Unit of measure is in seconds. The amount of errors that the patient makes during trails is also recorded. (NCT01876823)
Timeframe: Baseline, Week 48

Interventionseconds (Mean)
Es-citalopram and Memantine Treatment-36.3

Change in Wechsler Memory Scale-III (WMS-III)

Change in Wechsler Memory Scale-III scores from baseline to Week 48: The WMS-III Visual Reproduction sub-test was used to measure visual working memory and delayed memory. Patients were shown pictures of four drawings and were asked to reproduce them from memory immediately after seeing them, and 25 minutes after seeing them. The four scores are summed and the greater the total raw score, the better the patient did on the assessment. The maximum raw score for this test is a 41 on both the immediate and delayed portions (the overall range is 0-82 points). The change score is calculated using the total scores of both the immediate and delayed portions. (NCT01876823)
Timeframe: Baseline, Week 48

Interventionunits on a scale (Mean)
Es-citalopram and Memantine Treatment9.9

Conversion to Dementia Using Clinical Dementia Rating (CDR)

The CDR is a numeric rating scale that is used to quantify the severity of one's cognitive function. The scale goes from 0=normal; 0.5=mild cognitive impairment; 1 to 3=mild to moderate/severe dementia. CDR was used a dichotomous outcome measure (no=0; yes=1). (NCT01876823)
Timeframe: Baseline, Week 48

Interventionparticipants (Number)
Es-citalopram and Memantine Treatment1

Change in Clinical Global Impression - Cognitive Change

The CGI Cognitive Change follows a seven-point likert scale. Compared to the patient's condition at baseline in the study [prior to medication initiation], the patient's condition is rated as: 1=very much improved since the initiation of treatment; 2=much improved; 3=minimally improved; 4=no change from baseline (the initiation of treatment); 5=minimally worse; 6= much worse; 7=very much worse since the initiation of treatment. Responses from the entire group were calculated. Mean at final visit and baseline is reported below. (NCT01876823)
Timeframe: Baseline, Week 48

Interventionunits on a scale (Mean)
CGI-Cognitive Change (Baseline)Clinical Global Impression-Cogntive Change (WK 48)
Es-citalopram and Memantine Treatment3.62.7

Change in Clinical Global Impression - Depression Change

The CGI Depression Change follows a seven-point likert scale. Compared to the patient's condition at baseline in the study [prior to medication initiation], the patient's condition is rated as: 1=very much improved since the initiation of treatment; 2=much improved; 3=minimally improved; 4=no change from baseline (the initiation of treatment); 5=minimally worse; 6= much worse; 7=very much worse since the initiation of treatment. Responses were calculated for the entire group. Mean at final visit has been reported below. Higher mean at baseline indicates a decrease in depression scores. (NCT01876823)
Timeframe: Baseline, Week 48

Interventionunits on a scale (Mean)
Cognitive Global Impression at BaselineCognitive Global Impression at Final Visit (WK 48)
Es-citalopram and Memantine Treatment4.12.1

Change in Treatment Emergent Side Effects (TESS)

"Somatic side effect rating scale which includes 26 common somatic side effects associated with previous medication clinical trials; rated by the study physician. Factors were dichotomized to yes or no responses on this scale, which equated to the symptom being either present or not present. Yes and no responses were given a value of 0 (no) or 1 (yes). Responses from the entire group were calculated and the mean at baseline and the last visit is reported below." (NCT01876823)
Timeframe: Baseline, Week 48

Interventionunits on a scale (Mean)
Treatment Emergent Side Effects (Baseline)Treatment Emergent Side Effects (WK 48)
Es-citalopram and Memantine Treatment6.63.2

Reviews

1 review available for donepezil and Depression, Endogenous

ArticleYear
Acetylcholinesterase inhibitors and memantine in bipolar disorder: A systematic review and best evidence synthesis of the efficacy and safety for multiple disease dimensions.
    Journal of affective disorders, 2016, Volume: 197

    Topics: Adult; Bipolar Disorder; Case-Control Studies; Cholinesterase Inhibitors; Clinical Trials as Topic;

2016

Trials

7 trials available for donepezil and Depression, Endogenous

ArticleYear
Clinical and radiological characteristics of early versus late mild cognitive impairment in patients with comorbid depressive disorder.
    International journal of geriatric psychiatry, 2018, Volume: 33, Issue:12

    Topics: Age of Onset; Aged; Aged, 80 and over; Antidepressive Agents; Cholinesterase Inhibitors; Cognitive D

2018
Donepezil Treatment in Patients With Depression and Cognitive Impairment on Stable Antidepressant Treatment: A Randomized Controlled Trial.
    The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2018, Volume: 26, Issue:10

    Topics: Aged; Aged, 80 and over; Antidepressive Agents, Second-Generation; Cholinesterase Inhibitors; Cognit

2018
Donepezil Treatment in Patients With Depression and Cognitive Impairment on Stable Antidepressant Treatment: A Randomized Controlled Trial.
    The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2018, Volume: 26, Issue:10

    Topics: Aged; Aged, 80 and over; Antidepressive Agents, Second-Generation; Cholinesterase Inhibitors; Cognit

2018
Donepezil Treatment in Patients With Depression and Cognitive Impairment on Stable Antidepressant Treatment: A Randomized Controlled Trial.
    The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2018, Volume: 26, Issue:10

    Topics: Aged; Aged, 80 and over; Antidepressive Agents, Second-Generation; Cholinesterase Inhibitors; Cognit

2018
Donepezil Treatment in Patients With Depression and Cognitive Impairment on Stable Antidepressant Treatment: A Randomized Controlled Trial.
    The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2018, Volume: 26, Issue:10

    Topics: Aged; Aged, 80 and over; Antidepressive Agents, Second-Generation; Cholinesterase Inhibitors; Cognit

2018
Donepezil treatment of older adults with cognitive impairment and depression (DOTCODE study): clinical rationale and design.
    Contemporary clinical trials, 2014, Volume: 37, Issue:2

    Topics: Activities of Daily Living; Aged; Aged, 80 and over; Alzheimer Disease; Antidepressive Agents; Choli

2014
Donepezil delays progression to AD in MCI subjects with depressive symptoms.
    Neurology, 2009, Jun-16, Volume: 72, Issue:24

    Topics: Aged; Aged, 80 and over; Alzheimer Disease; Antioxidants; Brain; Cholinesterase Inhibitors; Cognitio

2009
Donepezil for negative signs in elderly patients with schizophrenia: an add-on, double-blind, crossover, placebo-controlled study.
    International psychogeriatrics, 2006, Volume: 18, Issue:3

    Topics: Aged; Alzheimer Disease; Antipsychotic Agents; Chronic Disease; Cognition Disorders; Comorbidity; Cr

2006
Randomized double-blind placebo-controlled donepezil augmentation in antidepressant-treated elderly patients with depression and cognitive impairment: a pilot study.
    International journal of geriatric psychiatry, 2008, Volume: 23, Issue:7

    Topics: Aged; Antidepressive Agents; Cholinesterase Inhibitors; Cognition Disorders; Depressive Disorder; Do

2008
Donepezil for psychotropic-induced memory loss.
    The Journal of clinical psychiatry, 1999, Volume: 60, Issue:10

    Topics: Adult; Ambulatory Care; Cholinesterase Inhibitors; Constipation; Depressive Disorder; Diarrhea; Dizz

1999

Other Studies

5 other studies available for donepezil and Depression, Endogenous

ArticleYear
Antidepressant, anxiolytic and procognitive effects of rivastigmine and donepezil in the chronic mild stress model in rats.
    Psychopharmacology, 2016, Volume: 233, Issue:7

    Topics: Anhedonia; Animals; Antidepressive Agents; Cholinesterase Inhibitors; Cognitive Dysfunction; Depress

2016
Effect of donepezil on the continuum of depressive symptoms, mild cognitive impairment, and progression to dementia.
    Journal of the American Geriatrics Society, 2010, Volume: 58, Issue:2

    Topics: Aged; Aged, 80 and over; Alzheimer Disease; Cognition Disorders; Depressive Disorder; Disease Progre

2010
Delayed onset and prolonged interictal delirium following electroconvulsive therapy.
    Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society, 2012, Volume: 12, Issue:3

    Topics: Cholinesterase Inhibitors; Delirium; Depressive Disorder; Donepezil; Electroconvulsive Therapy; Foll

2012
'Awakenings' in demented patients.
    Psychiatry and clinical neurosciences, 2003, Volume: 57, Issue:2

    Topics: Aged; Alzheimer Disease; Antipsychotic Agents; Awareness; Cholinesterase Inhibitors; Delusions; Depr

2003
ECT-donepezil interaction: a single case report.
    International journal of geriatric psychiatry, 2004, Volume: 19, Issue:6

    Topics: Aged; Cholinesterase Inhibitors; Combined Modality Therapy; Depressive Disorder; Donepezil; Electroc

2004