“…In secondary analyses, huperzine A 400 μg BID showed a 2.27-point improvement in ADAS-Cog at 11 weeks vs 0.29-point decline in the placebo group (p = 0.001), and a 1.92-point improvement vs 0.34-point improvement in the placebo arm (p = 0.07) at week 16 [153]. Therefore, overall Huperzine A is a well-tolerated drug that could significantly improve cognitive performance in patients with AD, and it appears to be more effective than FDA approved acetylcholinesterase inhibitors, AChEIs [150, 154-156]. Considering the study design was not strong, sample sizes were still small, as well as individuals vary for an optimal effective dose, rigorous design, randomized, multi-centre, large-sample trials of Huperzine A and its derivatives for AD are needed to further assess the effects.…”