Alzheimer’s breakthroughs reported

A number of studies recently published have made significant breakthroughs in the field of Alzheimer’s treatment and research. A drug, known as Rember, is believed to have halted the progression of the disease in a substantial number of patients participating in a trial.

Aberdeen University researchers said that the rate of mental decline in patients taking the drug differed by 81%, compared to those not taking the treatment. It is hoped that the drug may reach the market by 2012, although experts have cautioned that larger trials are required. A Russian clinical trial has also found that the drug Dimebon significantly improves the symptoms of Alzheimer’s patients. The study, published in the Lancet, investigated the effects of Dimebon, with a placebo control, on 183 patients with mild-to-moderate Alzheimer’s disease. Patients given the drug experienced significant improvement in cognition, function and behaviour. Dimebon was previously available in as an antihistamine, but was withdrawn for commercial reasons. However, side-effects are said to be minimal.

There was some disappointing news regarding a possible vaccination, however. British researchers found that although drug vaccination can remove amyloid plaques from the brains of people with Alzheimer’s disease, this does not slow the progress of the disease. The five-year study, funded by the Alzheimer’s Research Trust and published in the Lancet, examined 80 patients with mild to moderate dementia who had been immunised with AN1792.

Contrary to predictions, removal of amyloid plaques did not result in an improvement in cognitive function or survival. Several patients with complete plaque removal deteriorated severely. The previous consensus among dementia scientists – that removing amyloid plaques is key to defeating Alzheimer’s – may now need to be rethought. Lead researcher Professor Clive Holmes of the University of Southampton said: “Our results suggest that brain deterioration can occur in Alzheimer’s despite the removal of plaques. It may be that these toxic plaques trigger the neurodegeneration but don’t have an ongoing role. This study opens up numerous avenues for further research.”

Rebecca Wood, chief executive of the Alzheimer’s Research Trust, commented: “It is disappointing that anti-amyloid treatments did not prevent the disease’s progress, but we still need to do more research into whether earlier removal of this initial ‘motor’ of the disease could slow its progression.”

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