Assessing quality of life in Alzheimer's disease: Implications for clinical trials

Alzheimers Dement (Amst). 2016 Dec 13:6:82-90. doi: 10.1016/j.dadm.2016.11.004. eCollection 2017.

Abstract

Introduction: Characterization of the quality of life (QOL) in Alzheimer's disease (AD) scale within the context of a clinical trial may inform its applicability in future trials.

Methods: Using data from 1322 patients enrolled in two phase-III studies (EXPEDITION 1 [NCT00905372] and 2 [NCT00904683]) of intravenous solanezumab in outpatients with mild AD dementia, correlations between patient- and caregiver-assessed QOL and between QOL and clinical outcome measures were examined. Longitudinal effects of solanezumab over 80 weeks were explored, controlling for patient and caregiver baseline characteristics.

Results: Caregivers rated patients' QOL worse than did patients themselves. Patients' QOL was correlated, albeit modestly, with clinical/health measures. Patients' QOL changed minimally over 80 weeks, although a treatment effect of solanezumab on QOL was detected.

Discussion: Further investigations are needed to determine the optimal measures with which to quantify and qualify QOL of patients with mild AD.

Keywords: Alzheimer's disease; Caregiver-assessed; Clinical trial; Patient-assessed; Quality of life; Solanezumab.