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Table 3 Changes in scores during three years of ChEI treatment in mild AD by APOE genotype

From: Progression of mild Alzheimer’s disease: knowledge and prediction models required for future treatment strategies

 

MMSE scorea

MMSE score, change from baselinea

MMSE score, improved/unchanged patients (%)

Number of non-carriers/ϵ4-carriersb

Non-carriers

ϵ4-carriers

P- value

Non-carriers

ϵ4-carriers

P-value

Non-carriers

ϵ4-carriers

P-value

Baseline (n = 225/493)

23.3 (23.0, 23.5)

23.4 (23.2, 23.6)

0.326

      

2 months (n = 213/469)

24.0 (23.6, 24.4)

24.0 (23.8, 24.3)

0.843

0.64 (0.28, 1.00)

0.60 (0.39, 0.80)

0.834

73.2

72.7

0.926

6 months (n = 194/423)

23.5 (23.0, 23.9)

23.5 (23.2, 23.9)

0.864

0.20 (−0.20, 0.59)

0.17 (−0.12, 0.46)

0.920

61.9

65.2

0.417

12 months (n = 178/388)

22.7 (22.1, 23.3)

22.9 (22.5, 23.3)

0.597

−0.53 (−1.10, 0.04)

−0.56 (−0.89, −0.22)

0.945

56.2

54.4

0.716

18 months (n = 145/320)

21.7 (20.9, 22.5)

22.3 (21.9, 22.8)

0.189

−1.53 (−2.29, −0.78)

−1.18 (−1.57, −0.80)

0.420

49.0

46.3

0.617

24 months (n = 130/292)

21.0 (20.0, 22.0)

21.5 (21.0, 22.1)

0.361

−2.52 (−3.45, −1.60)

−2.05 (−2.54, −1.57)

0.377

44.6

40.8

0.522

30 months (n = 97/219)

21.5 (20.5, 22.5)

20.9 (20.2, 21.6)

0.342

−2.04 (−3.03, −1.05)

−2.74 (−3.36, −2.11)

0.230

47.4

34.7

0.034

36 months (n = 91/199)

21.0 (19.9, 22.2)

20.3 (19.6, 21.1)

0.325

−2.81 (−3.83, −1.80)

−3.26 (−3.95, −2.57)

0.471

35.2

31.7

0.591

 

ADAS-cog (0 to 70) score a

ADAS-cog (0 to 70) score, change from baseline a

ADAS-cog (0 to 70) score, improved/unchanged patients (%)

Number of non-carriers/ϵ4-carriersb

Non-carriers

ϵ4-carriers

P-value

Non-carriers

ϵ4-carriers

P -value

Non-carriers

ϵ4-carriers

P -value

Baseline (n = 220/488)

17.8 (17.0, 18.6)

17.1 (16.6, 17.7)

0.220

      

6 months (n = 187/414)

16.8 (15.9, 17.8)

17.6 (16.8, 18.3)

0.277

0.84 (0.09, 1.58)

−0.57 (−1.22, 0.08)

0.011

63.0

51.5

0.010

12 months (n = 171/376)

18.1 (16.8, 19.4)

18.5 (17.6, 19.3)

0.666

0.06 (−0.84, 0.96)

−1.78 (−2.50, −1.05)

0.004

57.7

44.5

0.005

18 months (n = 137/306)

19.4 (17.7, 21.1)

19.5 (18.5, 20.5)

0.893

−1.88 (−3.30, −0.47)

−2.89 (−3.68, −2.11)

0.185

48.1

38.8

0.075

24 months (n = 117/274)

20.4 (18.2, 22.5)

20.1 (18.9, 21.3)

0.812

−3.34 (−4.98, −1.70)

−4.07 (−4.96, −3.18)

0.409

43.5

33.3

0.065

30 months (n = 92/203)

20.7 (18.3, 23.1)

21.7 (20.1, 23.3)

0.526

−3.71 (−5.85, −1.58)

−5.54 (−6.87, −4.22)

0.139

42.2

28.7

0.031

36 months (n = 85/180)

20.9 (18.2, 23.5)

22.2 (20.3, 24.0)

0.427

−4.96 (−7.24, −2.68)

−6.78 (−8.28, −5.29)

0.181

40.5

26.8

0.032

 

IADL score a

IADL score, change from baseline a

IADL score, improved/unchanged patients (%)

Number of non-carriers/ϵ4-carriersb

Non-carriers

ϵ4-carriers

P -value

Non-carriers

ϵ4-carriers

P -value

Non-carriers

ϵ4-carriers

P -value

Baseline (n = 219/481)

15.3 (14.7, 16.0)

14.3 (13.8, 14.7)

0.010

      

6 months (n = 189/413)

16.3 (15.6, 17.0)

15.5 (15.0, 16.0)

0.081

−1.07 (−1.45, −0.69)

−1.14 (−1.41, −0.88)

0.758

48.1

50.6

0.597

12 months (n = 175/379)

17.6 (16.8, 18.4)

16.8 (16.2, 17.4)

0.123

−2.31 (−2.80, −1.82)

−2.55 (−2.93, −2.16)

0.482

34.3

34.8

0.923

18 months (n = 142/311)

18.6 (17.6, 19.6)

17.6 (16.9, 18.3)

0.099

−3.64 (−4.29, −2.99)

−3.63 (−4.09, −3.16)

0.974

26.6

23.4

0.477

24 months (n = 128/283)

19.8 (18.7, 20.9)

18.4 (17.7, 19.1)

0.029

−5.13 (−5.96, −4.29)

−4.60 (−5.10, −4.10)

0.268

18.4

17.9

0.889

30 months (n = 95/216)

19.9 (18.7, 21.1)

19.1 (18.3, 19.9)

0.273

−5.11 (−6.07, −4.15)

−5.71 (−6.34, −5.09)

0.301

16.3

14.4

0.728

36 months (n = 91/191)

20.3 (18.9, 21.7)

19.7 (18.8, 20.6)

0.500

−6.23 (−7.31, −5.14)

−6.31 (−7.03, −5.60)

0.895

17.0

12.1

0.266

  1. aMean (95% confidence interval).
  2. bNo difference in dropout was found between APOE ϵ4-carriers and non-carriers, χ2(1) = 0.148, P = 0.700.
  3. For clarity, clinical improvements for all scales have been tabulated as positive changes from the start of ChEI treatment (baseline).
  4. ADAS-cog, Alzheimer’s Disease Assessment Scale-cognitive subscale; APOE, apolipoprotein E; ChEI, cholinesterase inhibitor; IADL, Instrumental Activities of Daily Living scale; MMSE, Mini-Mental State Examination.