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The dynamics of the cognitive and social functioning of patients with Alzheimer’s disease on therapy with antidementiv drugs: the results of observational study

Abstract

The objective of this study was to evaluate the efficacy of the noojerone in patients with moderate Alzheimer disease and to compare obtained data with results of clinical trials of memantine. This was a 24-week open - label post-marketing clinical trial conducted in Department of Geriatric Psychiatry St. Petersburg V.M. Bekhterev Psychoneurological Research Institute. Participants were 44 outpatients with moderate AD and Mini-Mental State Examination scores of 10-19 at start - point. This study have demonstrated efficacy in modifying course of AD and no significant deterioration activities of daily living and frequency and severity of behavioral symptoms, comparable with the results of memantine clinical trials.

About the Authors

N. M. Zalutskaya
Санкт-Петербургский научно-исследовательский психоневрологический институт им. В.М. Бехтерева
Russian Federation


I. A. Beltceva
Санкт-Петербургский научно-исследовательский психоневрологический институт им. В.М. Бехтерева
Russian Federation


N. G. Neznanov
Санкт-Петербургский научно-исследовательский психоневрологический институт им. В.М. Бехтерева
Russian Federation


References

1. МКБ-10. Классификация психических и поведенческих расстройств. Клинические описания и указания по диагностике. Перевод на русский язык под редакцией: Ю.Л. Нуллера, С.Ю. Циркина. Всемирная организация здравоохранения. Санкт-Петербург, «Адис». - 1994. - С.46

2. Ambrozi L., Danielczyk W. Treatment of impaired cerebral function in psychogeriatric patients with memantine--results of a phase II double-blind study. - Pharmacopsychiatry. - 1988. - Vol. 21. - P. 144-146.

3. Bakchine S., Loft H. Memantine treatment in patients with mild to moderate Alzheimer’s disease: results of a randomised, double-blind, placebocontrolled 6-month study. Journal of Alzheimer’s disease: JAD. 2007. - Vol. 11. - P. 471-479. Epub 2007/07/28. PMID: 17656827

4. Bakchine S., Pascual-Gangnant L., Loft H. 2005. Results of a randomised, placebo-controlled 6-month study of memantine in the treatment of mild to moderate Alzheimer’s disease in Europe. 9th Congress of the European Federation of the Neurological Societies, (EFNS). - Athens, Greece.

5. Cosman K., Boyle L.L., Porsteinsson A.P. Me-mantine in the treatment of mild-to-moderate Alzheimers disease. - Expert Opin. Pharmacother. 2007. - Vol. 8. - P. 203-214.

6. Cummings J., Mega M., Gray K. et al. The Neuropsychiatric Inventory; comprehensive assessment of psychopathology in dementia. - Neurology. - 1994. - Vol. 44. - P. 2308-2314.

7. Ditzler K. Efficacy and tolerability of memantine in patients with dementia syndrome. A double-blind, placebo controlled trial. Arzneimittelforschung. - 1991. - Vol. 41. - P. 773-780.

8. Folstein M.F., Folstein S.E., McHugh P.R. Mini-Mental State': a practical method for grading the cognitive state of patients for the clinicians. - Journal of Psychiatric Research. - 1975. - Vol. 12. - P. 189-198.

9. Galasko D., Schmitt F., Thomas R. et al. Detailed assessment of activities of daily living in moderate to severe Alzheimer’s disease. - J Int Neuropsychol Soc. - 2005. - Vol. 11. - P. 446-453.

10. Gauthier S., Wirth Y., Möbius H. J. Effects of memantine on behavioural symptoms in Alzheimer’s disease patients: an analysis of the Neuropsychiatric Inventory (NPI), data of two randomised, controlled studies. - Int J Geriatr Psychiatry. - 2005. - Vol. 20. - P. 459-464.

11. Görtelmeyer R., Erbler H. Memantine in the treatment of mild to moderate dementia syndrome. A double-blind placebo-controlled study. - Arzneimittelforschung. - 1992. - Vol. 42. - P. 904-913.

12. Guy M., McKhann еt al. The diagnosis of dementia due to Alzheimer’s disease: Recommendations from the National Institute on Aging-Alzheimers Association workgroups on diagnostic guidelines for Alzheimer’s disease. - Alzheimer’s & Dementia. - 2011. - Vol. 7. - P. 263-269.

13. Howard R., McShane R., Lindesay J., Ritchie C., Baldwin A., Barber R. et al. Donepezil and memantine for moderate-to-severe Alzheimer’s disease. The New England journal of medicine. 2012; 366(10): 893-903. Epub 2012/03/09. doi: 10.1056/NEJMoa1106668PMID:22397651.

14. Mecocci P., Bladström A., Stender K. Effects of memantine on cognition in patients with moderate to severe Alzheimer's disease: post-hoc analyses of ADAS-Cog and SIB total and singleitem scores from six randomized, double-blind, placebo-controlled studies. - Jnt J Geriatr Psychiat. - 2009. - Vol. 24. - P. 532-538.

15. Nakamura Y., Homma A., Kitamura S., Yoshimura I. Phase III study of mementine hydrochloride, a new NMDA receptor antagonist, in patients with moderate to severe Alzheimer’s disease. - Jnt J Geriatr Psychiat. - 2011. - Vol. 22. - P. 464-473.

16. Peskind E.R., Potkin S.G., Pomara N. et al. Meman-tine treatment in mild to moderate Alzheimer disease: a 24-week randomized, controlled trial. - Am J Geriatr Psychiatry. - 2006. - Vol. 14. - P. 704-715.

17. Reisberg B., Doody R., Stoffler A., Schmitt F., Ferris S, Mobius HJ, et al. Memantine in moderate-to-severe Alzheimer’s disease. The New England journal of medicine. 2003; 348(14):1333-41. Epub 2003/04/04. doi:10.1056/NEJMoa013128P-MID:12672860

18. Reisberg B., Doody R., Stoffler A., Schmitt F., Ferris S., Mobius H.J. A 24-Week Open-Label Extension Study of Memantine in Moderate to Severe Alzheimer Disease. ARCH NEUROL. - 2006. - Vol.63. - P. 49-54.

19. Rosen W.G., Mohs R.C., Davis K.L. A new rating scale for Alzheimer's disease. - N Engl J Med. - 1 984. - Vol. 384. - P. 1333- 1341.

20. Rossom R., Adityanjee, Dysken M. Efficacy and Tolerability of Memantine in the Treatment of Dementia. - The American Journal of Geriatric Pharmacotherapy - 2004. - Vol. 2, № 4. - P. 303-312.

21. Tariot P.N., Farlow M.R., Grossberg G.T., Graham S.M., McDonald S., Gergel I. Memantine Treatment in Patients With Moderate to Severe Alzheimer Disease Already Receiving Donepezil A Randomized Controlled Trial. - JAMA. - 2004. - Vol. 291. - P. 317-324.

22. Tampi Rajesh R., van Dyck Christopher H. Me-mantine: efficacy and safety in mild-tosevere Alzheimers disease. Neuropsychiatric Disease and Treatment. - 2007. - Vol. 3. - P. 245-258.

23. Wang T., Huang Q., Reiman E.M., Chen K., Li X., Li G. et al. Effects of memantine on clinical ratings, fluorodeoxyglucose positron emission tomography measurements, and cerebrospinal fluid assays in patients with moderate to severe Alzheimer dementia: a 24-week, randomized, clinical trial. Journal of clinical psychopharmacology. - 2013. - Vol. 33. - P. 636-642. Epub 2013/08/21. doi: 10.1097/JCP.0b013e31829a876a PMID:23948786.


Review

For citations:


Zalutskaya N.M., Beltceva I.A., Neznanov N.G. The dynamics of the cognitive and social functioning of patients with Alzheimer’s disease on therapy with antidementiv drugs: the results of observational study. V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY. 2016;(4):102-109. (In Russ.)

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ISSN 2313-7053 (Print)
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