Page last updated: 2024-10-26

donepezil and MS (Multiple Sclerosis)

donepezil has been researched along with MS (Multiple Sclerosis) in 17 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
"To determine the effect of donepezil in treating memory and cognitive dysfunction in multiple sclerosis (MS)."9.11Donepezil improved memory in multiple sclerosis in a randomized clinical trial. ( Christodoulou, C; Elkins, LE; Krupp, LB; MacAllister, WS; Melville, P; Scherl, WF, 2004)
"Donepezil 10 mg daily was compared to placebo to treat memory impairment."6.76Multicenter randomized clinical trial of donepezil for memory impairment in multiple sclerosis. ( Benedict, RH; Christodoulou, C; Goodman, A; He, D; Krupp, LB; Melville, P; Muenz, LR; Pai, LY; Rizvi, S; Scherl, WF; Schwid, SR; Weinstock-Guttman, B; Westervelt, HJ; Wishart, H, 2011)
"To determine the effect of donepezil in treating memory and cognitive dysfunction in multiple sclerosis (MS)."5.11Donepezil improved memory in multiple sclerosis in a randomized clinical trial. ( Christodoulou, C; Elkins, LE; Krupp, LB; MacAllister, WS; Melville, P; Scherl, WF, 2004)
"Donepezil 10 mg daily was compared to placebo to treat memory impairment."2.76Multicenter randomized clinical trial of donepezil for memory impairment in multiple sclerosis. ( Benedict, RH; Christodoulou, C; Goodman, A; He, D; Krupp, LB; Melville, P; Muenz, LR; Pai, LY; Rizvi, S; Scherl, WF; Schwid, SR; Weinstock-Guttman, B; Westervelt, HJ; Wishart, H, 2011)

Research

Studies (17)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's7 (41.18)29.6817
2010's9 (52.94)24.3611
2020's1 (5.88)2.80

Authors

AuthorsStudies
Cavalli, A1
Bolognesi, ML1
Minarini, A1
Rosini, M1
Tumiatti, V1
Recanatini, M1
Melchiorre, C1
Kapoor, T1
Mehan, S1
Suri, M1
Sharma, N1
Kumar, N1
Narula, AS1
Alshammari, A1
Alasmari, AF1
Alharbi, M1
Assiri, MA1
Kalfin, R1
Bellman, S1
He, D3
Zhang, Y1
Dong, S1
Wang, D1
Gao, X1
Zhou, H2
Imamura, O1
Arai, M1
Dateki, M1
Ogata, T1
Uchida, R1
Tomoda, H1
Takishima, K1
Krupp, LB4
Christodoulou, C4
Melville, P4
Scherl, WF4
Pai, LY1
Muenz, LR1
Benedict, RH2
Goodman, A1
Rizvi, S2
Schwid, SR1
Weinstock-Guttman, B2
Westervelt, HJ2
Wishart, H2
Yadav, V1
Bourdette, DN1
Guo, D1
Hao, Z1
Wu, B1
Strober, LB1
Goodman, AD1
O'Carroll, CB1
Woodruff, BK1
Locke, DE1
Hoffman-Snyder, CR1
Wellik, KE1
Thaera, GM1
Demaerschalk, BM1
Wingerchuk, DM1
Farag, A1
Averill, A1
Doraiswamy, PM1
Rao, SM1
MacAllister, WS2
Elkins, LE2
Amato, MP1
Axelrod, S1
Bielory, L1
Greene, YM1
Tariot, PN1
Cox, C1
Holt, CJ1
Schwid, S1
Noviasky, J1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
EMRESERVA A Program to Enhace Cognitive Reserve in Patients With Multiple Scleorisis[NCT05546424]58 participants (Anticipated)Observational2022-05-19Recruiting
Intranasal Insulin for Improving Cognitive Function in Multiple Sclerosis[NCT02988401]Phase 1/Phase 2105 participants (Actual)Interventional2017-12-01Completed
A Double-Blind, Crossover Trial of AriceptĀ® in Memory-Impaired Patients With Multiple Sclerosis: A Phase IV Demonstration of Functional MRI (fMRI) as a Surrogate Marker of Brain Activity Associated With Improvement in Memory Function[NCT00315367]Phase 426 participants (Anticipated)Interventional2004-09-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Assess Depression Severity, as Measured by the Beck Depression Inventory-II (BDI-II)

The BDI-II is a 21-question multiple-choice self-report inventory test for measuring the severity of depression. Scores range from zero to 63; higher scores indicate greater depression. In order to account for all contributed data (even for those who did not complete the study but contributed some post-randomization data in the active study phase), the analyses include the BDI-II scores acquired within the active treatment phase (from baseline to week 24 visit). We then calculated and report the average change per week in the scores. (NCT02988401)
Timeframe: Up to week 24 visit

Interventionscore on a scale (Mean)
Intranasal Insulin 20 International Units-0.022
Intranasal Insulin 10 International Units-0.019
Placebo-0.045

Change From Baseline in Cognitive Function as Assessed by the Brief Visuospatial Memory Test - Revised (BVMT-R) Delayed Recall

This is a visual, nonverbal test of learning and memory. Scores range from zero to 12; higher is better. In order to account for all contributed data (even for those who did not complete the study but contributed some post-randomization data in the active study phase), the analyses include the BVMT-R delayed recall scores acquired within the active treatment phase (from baseline to week 24 visit). We then calculated and report the average change per week in the score. (NCT02988401)
Timeframe: Up to week 24 visit

Interventionscore on a scale (Mean)
Intranasal Insulin 20 International Units0.027
Intranasal Insulin 10 International Units0.059
Placebo0.030

Change From Baseline in Cognitive Function as Assessed by the California Verbal Learning Test, Second Edition (CVLT-II)

This is a verbal learning and memory test. Scores range from zero to 16; a higher number is better. In order to account for all contributed data (even for those who did not complete the study but contributed some post-randomization data in the active study phase), the primary analyses include the CVLT-II scores acquired within the active treatment phase (from baseline to week 24 visit). We then calculated and report the average change per week in the score. (NCT02988401)
Timeframe: Up to week 24 visit

Interventionscore on a scale (Mean)
Intranasal Insulin 20 International Units0.082
Intranasal Insulin 10 International Units0.021
Placebo0.020

Change From Baseline in Cognitive Function as Assessed by the Controlled Oral Word Association Test (COWAT)

This test measures phonemic fluency. The test scores the number of words a participant can provide that begin with a specified letter within one minute, such that scores range from zero (worst) to an infinite number (better). Total score is sum of three 60-second trials. In order to account for all contributed data (even for those who did not complete the study but contributed some post-randomization data in the active study phase), the primary analyses include the COWAT scores acquired within the active treatment phase (from baseline to week 24 visit). We then calculated and report the average change per week in the score. (NCT02988401)
Timeframe: Up to week 24 visit

Interventionscore on a scale (Mean)
Intranasal Insulin 20 International Units0.090
Intranasal Insulin 10 International Units0.070
Placebo0.021

Change From Baseline in Cognitive Function as Assessed by the Delis-Kaplan Executive Function System Sorting Test

This test measures executive functioning, concept formation, and cognitive flexibility. Scores range from zero to 16; higher is better. In order to account for all contributed data (even for those who did not complete the study but contributed some post-randomization data in the active study phase), the analyses include DKEFS correct sort scores acquired within the active treatment phase (from baseline to week 24 visit). We then calculated and report the average change per week in the score. (NCT02988401)
Timeframe: Up to week 24 visit

Interventionscore on a scale (Mean)
Intranasal Insulin 20 International Units-0.001
Intranasal Insulin 10 International Units0.027
Placebo0.002

Change From Baseline in Cognitive Function as Assessed by the Judgement of Line Orientation Test (JLO)

Judgment of Line Orientation Test measures a person's ability to match the angle and orientation of lines in space. Scores range from zero to 30; higher is better. In order to account for all contributed data (even for those who did not complete the study but contributed some post-randomization data in the active study phase), the analyses include JLO data acquired within the active treatment phase (from baseline to week 24 visit). We then calculated and report the average change per week in the score. (NCT02988401)
Timeframe: Up to week 24 visit

Interventionscore on a scale (Mean)
Intranasal Insulin 20 International Units-0.031
Intranasal Insulin 10 International Units0.047
Placebo-0.005

Change in Cognitive Function as Assessed by the Rao-version of the Paced Auditory Serial Addition Test (PASAT)

"The Rao-version of the PASAT evaluates processing speed, working memory, and basic addition skills. Scores range from zero to 60; higher is better. Herein we present 3-second PASAT results (PASAT-3). In order to account for all contributed data (even for those who did not complete the study but contributed some post-randomization data in the active study phase), the analyses include PASAT-3 scores acquired within the active treatment phase (from baseline to week 24 visit). We then calculated and report the average change per week in the SDMT." (NCT02988401)
Timeframe: Up to week 24 visit

Interventionscore on a scale (Mean)
Intranasal Insulin 20 International Units0.372
Intranasal Insulin 10 International Units0.363
Placebo0.212

Change in Cognitive Function as Assessed by the Symbol Digit Modalities Test (SDMT)

This task will be performed at five study visits. The SDMT is one of the most commonly used tests to assess processing speed in the MS population and is included in the Minimal Assessment of Cognitive Function in MS (MACFIMS). Higher scores reflect a better outcome (range 0 to 110). In order to account for all contributed data (even for those who did not complete the study but contributed some post-randomization data in the active study phase), the primary analyses include the SDMTs acquired within the active treatment phase (from baseline to week 24 visit). We then calculated and report the average change per week in the SDMT. (NCT02988401)
Timeframe: Up to week 24 visit

Interventionscore on a scale (Mean)
Intranasal Insulin 20 International Units0.145
Intranasal Insulin 10 International Units0.207
Placebo0.163

Evaluation of How Overall Sleep Quality Impacts People With MS Using a Sleep Questionnaire (Pittsburgh Sleep Quality Index)

The sleep questionnaire asks subjects to report various aspects related to their sleep routine. Scores range from zero to 21; higher score indicates worse sleep quality. In order to account for all contributed data (even for those who did not complete the study but contributed some post-randomization data in the active study phase), the analyses include the PSQIs acquired within the active treatment phase (from baseline to week 24 visit). We then calculated and report the average change per week in the score. (NCT02988401)
Timeframe: Up to week 24 visit

Interventionscore on a scale (Mean)
Intranasal Insulin 20 International Units-0.026
Intranasal Insulin 10 International Units0.035
Placebo-0.045

Evaluation of Impact of Study Products on Health Related Quality of Life Using the Functional Assessment of Multiple Sclerosis Questionnaire (FAMS)

FAMS is a self-reported health-related quality-of-life instrument for people with multiple sclerosis. Subjects rate six quality-of-life domains: Mobility, Symptoms, Emotional well-being, General contentment, Thinking/fatigue, and Family/social well-being. Scores range from zero to 176; higher scores indicate better health-related quality of life. In order to account for all contributed data (even for those who did not complete the study but contributed some post-randomization data in the active study phase), the analyses include the FAMS scores acquired within the active treatment phase (from baseline to week 24 visit). We then calculated and report the average change per week in the score. (NCT02988401)
Timeframe: Up to week 24 visit

Interventionscore on a scale (Mean)
Intranasal Insulin 20 International Units0.056
Intranasal Insulin 10 International Units0.051
Placebo0.240

Number of Participants With Adverse Events Leading to Study Discontinuation

An adverse event will be defined as any occurrence or worsening of an undesirable or unintended sign, symptom (or abnormal laboratory test), or disease temporally associated with the use of a medicinal product or intervention, whether or not it is considered related to the product/intervention. We report overall adverse events in the relevant section. Here, we report adverse events that led to study discontinuation. (NCT02988401)
Timeframe: Up to week 24 visit

InterventionParticipants (Count of Participants)
Intranasal Insulin 20 International Units3
Intranasal Insulin 10 International Units2
Placebo1

Fingerstick Blood Glucose (Subset)

Fingerstick blood glucose levels were monitored twice within the 90 minutes following the first dose administration of study drug for the first 15 participants. (NCT02988401)
Timeframe: At the baseline visit, monitored twice within the 90 minutes following the first dose administration of study drug

,,
Interventionmg/dL (Mean)
First timepointSecond timepoint
Intranasal Insulin 10 International Units95.892.2
Intranasal Insulin 20 International Units97.888.4
Placebo90.087.8

Reviews

4 reviews available for donepezil and MS (Multiple Sclerosis)

ArticleYear
Multi-target-directed ligands to combat neurodegenerative diseases.
    Journal of medicinal chemistry, 2008, Feb-14, Volume: 51, Issue:3

    Topics: Acetylcholinesterase; Alzheimer Disease; Amyloid beta-Peptides; Antioxidants; Binding Sites; Calcium

2008
Pharmacological treatment for memory disorder in multiple sclerosis.
    International journal of evidence-based healthcare, 2017, Volume: 15, Issue:4

    Topics: Adult; Donepezil; Ginkgo biloba; Humans; Indans; Memantine; Memory Disorders; Multiple Sclerosis; Ne

2017
Pharmacological treatment for memory disorder in multiple sclerosis.
    The Cochrane database of systematic reviews, 2013, Dec-17, Issue:12

    Topics: Adult; Donepezil; Ginkgo biloba; Humans; Indans; Memantine; Memory Disorders; Middle Aged; Multiple

2013
Pharmacologic treatment for memory disorder in multiple sclerosis.
    The Cochrane database of systematic reviews, 2011, Oct-05, Issue:10

    Topics: Adult; Donepezil; Ginkgo biloba; Humans; Indans; Memantine; Memory Disorders; Middle Aged; Multiple

2011

Trials

5 trials available for donepezil and MS (Multiple Sclerosis)

ArticleYear
Multicenter randomized clinical trial of donepezil for memory impairment in multiple sclerosis.
    Neurology, 2011, Apr-26, Volume: 76, Issue:17

    Topics: Adolescent; Adult; Cholinesterase Inhibitors; Donepezil; Double-Blind Method; Female; Humans; Indans

2011
Cognitive impairment and MS: searching for effective therapies.
    Current neurology and neuroscience reports, 2011, Volume: 11, Issue:5

    Topics: Adolescent; Adult; Aged; Cognition Disorders; Disability Evaluation; Donepezil; Double-Blind Method;

2011
Donepezil improved memory in multiple sclerosis in a randomized clinical trial.
    Neurology, 2004, Nov-09, Volume: 63, Issue:9

    Topics: Adolescent; Adult; Cholinesterase Inhibitors; Donepezil; Double-Blind Method; Female; Follow-Up Stud

2004
Effects of donepezil on memory and cognition in multiple sclerosis.
    Journal of the neurological sciences, 2006, Jun-15, Volume: 245, Issue:1-2

    Topics: Adult; Analysis of Variance; Cognition; Donepezil; Double-Blind Method; Female; Follow-Up Studies; H

2006
A 12-week, open trial of donepezil hydrochloride in patients with multiple sclerosis and associated cognitive impairments.
    Journal of clinical psychopharmacology, 2000, Volume: 20, Issue:3

    Topics: Adult; Aged; Attention; Cognition Disorders; Donepezil; Female; Humans; Indans; Male; Middle Aged; M

2000

Other Studies

8 other studies available for donepezil and MS (Multiple Sclerosis)

ArticleYear
Forskolin, an Adenylcyclase/cAMP/CREB Signaling Activator Restoring Myelin-Associated Oligodendrocyte Destruction in Experimental Ethidium Bromide Model of Multiple Sclerosis.
    Cells, 2022, 09-06, Volume: 11, Issue:18

    Topics: Adenylyl Cyclases; Animals; Colforsin; Cytokines; Demyelinating Diseases; Donepezil; Ethidium; Fingo

2022
Nicotinic acetylcholine receptors mediate donepezil-induced oligodendrocyte differentiation.
    Journal of neurochemistry, 2015, Volume: 135, Issue:6

    Topics: Animals; Cell Differentiation; Cells, Cultured; Central Nervous System; Donepezil; Female; Gene Expr

2015
Unemployment in multiple sclerosis: the contribution of personality and disease.
    Multiple sclerosis (Houndmills, Basingstoke, England), 2012, Volume: 18, Issue:5

    Topics: Adult; Affect; Chi-Square Distribution; Cognition; Cognition Disorders; Cost of Illness; Cross-Secti

2012
Is donepezil effective for multiple sclerosis-related cognitive dysfunction? A critically appraised topic.
    The neurologist, 2012, Volume: 18, Issue:1

    Topics: Cognition Disorders; Donepezil; Humans; Indans; Memory; Multiple Sclerosis; Nootropic Agents; Piperi

2012
Dalfampridine: is the seizure risk greater than previously thought?
    American journal of physical medicine & rehabilitation, 2013, Volume: 92, Issue:7

    Topics: 4-Aminopyridine; Donepezil; Follow-Up Studies; Humans; Indans; Middle Aged; Multiple Sclerosis; Pipe

2013
Treating cognitive deficits in multiple sclerosis: are we there yet?
    Neurology, 2004, Nov-09, Volume: 63, Issue:9

    Topics: Cholinesterase Inhibitors; Cognition Disorders; Donepezil; Humans; Indans; Memory; Multiple Sclerosi

2004
Donepezil for memory impairment in multiple sclerosis.
    The Lancet. Neurology, 2005, Volume: 4, Issue:2

    Topics: Cholinesterase Inhibitors; Donepezil; Humans; Indans; Memory Disorders; Multiple Sclerosis; Piperidi

2005
Beta2-agonists and paresthesias in multiple sclerosis.
    Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 2007, Volume: 98, Issue:1

    Topics: Adrenergic beta-Agonists; Albuterol; Amantadine; Analgesics, Non-Narcotic; Androstadienes; Aromatase

2007