Donepezil significantly improves quality-of-life in brain-irradiated long-term survivors of both primary and metastatic brain tumors

 

Radiation-induced cognitive dysfunction is an under-recognized and increasing problem for survivors of both primary and metastatic brain tumors.  Most patients suffer a triad of symptoms that includes fatigue, depression and/or anxiety, and changes in cognition (poor attention/concentration, cognitive slowing, decreased short-term memory, and word finding problems).  

Our open-label Phase II clinical trial suggests that donepezil (Aricept) significantly improves quality-of-life in brain-irradiated long-term survivors by improving energy, mood, and cognitive function.  The Wake Forest University School of Medicine just completed an open-label Phase II study of ginkgo biloba in a similar patient population.

 

Bibliographical reference:

Phase II study of donepezil in irradiated brain tumor patients: effect on cognitive function, mood, and quality of life.
J Clin Oncol. 2006 Mar 20;24(9):1415-20

 

Edward Shaw

Department of Radiation Oncology, Wake Forest University School of Medicine, Brain Tumor Center of Excellence of WFU, Winston-Salem, NC, USA