Memantine for the treatment of frontotemporal dementia: a meta-analysis

Taro Kishi, Shinji Matsunaga, Nakao Iwata Department of Psychiatry, Fujita Health University School of Medicine, Toyoake, Japan Background: There is no conclusive evidence supporting the efficacy of memantine in frontotemporal dementia (FTD). We conducted a comprehensive meta-analysis of memantine...

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Autores principales: Kishi T, Matsunaga S, Iwata N
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Publicado: Dove Medical Press 2015
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spelling oai:doaj.org-article:dd83ed873e184510ba2f258a527f8d022021-12-02T06:19:43ZMemantine for the treatment of frontotemporal dementia: a meta-analysis1178-2021https://doaj.org/article/dd83ed873e184510ba2f258a527f8d022015-11-01T00:00:00Zhttps://www.dovepress.com/memantine-for-the-treatment-of-frontotemporal-dementia-a-meta-analysis-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Taro Kishi, Shinji Matsunaga, Nakao Iwata Department of Psychiatry, Fujita Health University School of Medicine, Toyoake, Japan Background: There is no conclusive evidence supporting the efficacy of memantine in frontotemporal dementia (FTD). We conducted a comprehensive meta-analysis of memantine concerning the efficacy and tolerability of memantine in FTD.Methods: Studies were identified through searches of PubMed, databases of the Cochrane Library, and PsycINFO citations up to April 10, 2015. Outcomes were Clinical Global Impression (primary), Mini-Mental State Examination, Neuropsychiatric Inventory, and Zarit Burden Interview scores as well as all-cause discontinuation. Standardized mean difference and risk ratio with 95% confidence interval were calculated.Results: Two randomized controlled trials (RCTs) (total n=130) met the inclusion criteria. Memantine was marginally superior to placebo as assessed by the Clinical Global Impression scores (standardized mean difference =-0.34, 95% confidence interval =-0.68–0.01, P=0.06). However, there were no significant differences in Mini-Mental State Examination, Neuropsychiatric Inventory, and Zarit Burden Interview scores as well as all-cause discontinuation between memantine and placebo.Conclusion: Our results suggest that memantine may benefit FTD patients. However, because only two randomized controlled trials have addressed this issue, further studies using larger samples are needed. Keywords: frontotemporal dementia, memantine, meta-analysis, Clinical Global ImpressionKishi TMatsunaga SIwata NDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2015, Iss default, Pp 2883-2885 (2015)
institution DOAJ
collection DOAJ
language EN
topic Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Kishi T
Matsunaga S
Iwata N
Memantine for the treatment of frontotemporal dementia: a meta-analysis
description Taro Kishi, Shinji Matsunaga, Nakao Iwata Department of Psychiatry, Fujita Health University School of Medicine, Toyoake, Japan Background: There is no conclusive evidence supporting the efficacy of memantine in frontotemporal dementia (FTD). We conducted a comprehensive meta-analysis of memantine concerning the efficacy and tolerability of memantine in FTD.Methods: Studies were identified through searches of PubMed, databases of the Cochrane Library, and PsycINFO citations up to April 10, 2015. Outcomes were Clinical Global Impression (primary), Mini-Mental State Examination, Neuropsychiatric Inventory, and Zarit Burden Interview scores as well as all-cause discontinuation. Standardized mean difference and risk ratio with 95% confidence interval were calculated.Results: Two randomized controlled trials (RCTs) (total n=130) met the inclusion criteria. Memantine was marginally superior to placebo as assessed by the Clinical Global Impression scores (standardized mean difference =-0.34, 95% confidence interval =-0.68–0.01, P=0.06). However, there were no significant differences in Mini-Mental State Examination, Neuropsychiatric Inventory, and Zarit Burden Interview scores as well as all-cause discontinuation between memantine and placebo.Conclusion: Our results suggest that memantine may benefit FTD patients. However, because only two randomized controlled trials have addressed this issue, further studies using larger samples are needed. Keywords: frontotemporal dementia, memantine, meta-analysis, Clinical Global Impression
format article
author Kishi T
Matsunaga S
Iwata N
author_facet Kishi T
Matsunaga S
Iwata N
author_sort Kishi T
title Memantine for the treatment of frontotemporal dementia: a meta-analysis
title_short Memantine for the treatment of frontotemporal dementia: a meta-analysis
title_full Memantine for the treatment of frontotemporal dementia: a meta-analysis
title_fullStr Memantine for the treatment of frontotemporal dementia: a meta-analysis
title_full_unstemmed Memantine for the treatment of frontotemporal dementia: a meta-analysis
title_sort memantine for the treatment of frontotemporal dementia: a meta-analysis
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/dd83ed873e184510ba2f258a527f8d02
work_keys_str_mv AT kishit memantineforthetreatmentoffrontotemporaldementiaametaanalysis
AT matsunagas memantineforthetreatmentoffrontotemporaldementiaametaanalysis
AT iwatan memantineforthetreatmentoffrontotemporaldementiaametaanalysis
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