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Neurology Advisor
New findings suggest systolic blood pressure time in target range as a potential indicator for dementia risk, independent of mean SBP, underscoring the role of consistent blood pressure management in dementia prevention.
Neurology July 5th 2023
MDLinx
Unveiling the Secret to Superior Cognitive Health in the Oldest-Old In a breakthrough research, an understanding of the resistance of certain 90+ individuals to neurodegenerative pathologies leading to superior cognitive abilities emerges, presenting avenues for preserving cognitive health in advanced ages. Key Points: “There are some individuals who can maintain high levels of cognitive function well into advanced ages. Further research into the factors that enable these individuals to maintain their cognitive function could provide insights into how to preserve cognitive health despite advanced age.” María M. Corrada, ScD, co-principal investigator of the study
Family Medicine/General Practice June 13th 2023
Promising Discovery: Existing Drugs Could Be Repurposed for First Treatment of Dementia-Linked Strokes Clinical trials reveal the potential of two commonly used cardiac drugs, isosorbide mononitrate and cilostazol, to serve as novel treatment options for lacunar strokes, a leading cause of dementia. Key Points: “Now we understand more about what is triggering these small vessel strokes to attack the brain, we’ve been able to focus our efforts on treatments that can put a halt to this damage…as these drugs are already widely available for other circulatory disorders, and inexpensive, it shouldn’t take too long to move our findings from research into everyday clinical practice.” Professor Joanna Wardlaw of the University of Edinburgh and UK Dementia Research Institute
Cardiology June 13th 2023
The FDA has granted approval for Otsuka Pharmaceutical’s brexpiprazole as the first drug to treat agitation in patients with Alzheimer’s disease. Agitation is a common symptom in Alzheimer’s patients, characterized by extreme aggression, restlessness, and anxiety. Previously, non-pharmacological strategies were used initially, followed by off-label use of antipsychotics and anti-depressants in severe cases. The decision to approve brexpiprazole was based on two late-stage studies demonstrating its effectiveness in calming agitated patients with Alzheimer’s, compared to a placebo. The drug was already approved for the treatment of major depressive disorder and schizophrenia in adults. This approval addresses an unmet need in the management of agitation in Alzheimer’s patients and provides healthcare professionals with a new pharmacological option. Brexpiprazole has shown significant improvement in calming agitated patients, offering a potential solution to help alleviate symptoms associated with the disease. The drug’s approval was supported by sufficient data and endorsement from an advisory panel, reinforcing its benefits outweigh the associated risks.
Neurology May 17th 2023
ReachMD
More trials in larger groups of patients will be required to determine whether this drug, BIIB080 (/IONIS-MAPTRx), an antisense oligonucleotide (used to stop RNA from producing a protein), leads to clinical benefit, but the phase 1 results published in Nature Medicine – with results from 46 patients – are the first indication that this method has a biological effect. BIIB080 ‘silences’ the tau protein-coding gene, known as the microtubule-associated protein tau (MAPT) gene. This inhibits the gene from being dosed and reversibly translated into protein. It will also reduce the creation of that protein, changing the course of the condition.
Neurology May 9th 2023
Frequent use of prescription meds for sleep carries an increased risk for dementia in White older adults compared with those who rarely or never used them, as described in the January issue of Journal of Alzheimer’s Disease. The study found no increased risk for dementia for those who took sleep medications “sometimes.”
Neurology April 11th 2023