Promising New Drugs
Vitamin E (Apr 1997) Can 2000 IU/day slow the progression of Alzheimer's disease?
1997 Book Pharmacological treatment of Alzheimer's disease:
Molecular and neurobiological foundations
Alzheimer's Test For New Drug
By PAUL RECER (Dec 1996)
AP Science Writer
WASHINGTON (AP) _ A new drug, which in some tests of healthy
elderly men restores memory almost to that of young people, soon
will be tested on patients with Alzheimer's, the fatal brain
disorder that destroys the mind.
Dr. Gary Lynch of the University of California at Irvine said
Sunday the drug called ampakine CX-516 accelerates signals between
brain cells and appears to significantly sharpen the memory.
The drug, used in only mild doses, was tested on students in
their early 20s and on men aged 65 to 70 and the results were
"particularly striking" among the older people, Lynch said. He
delivered a report on the drug Sunday at a national meeting of the
Society for Neuroscience.
Lynch said clinical trials of the drug consisted of memory tests
conducted with and without CX-516.
Before taking the drugs, the subjects were read a series of
nonsense syllables, then asked five minutes later to recall as many
of them as possible.
The elderly could recall, on average, only one of the syllables.
The score for the young men averaged four out of 10.
The subjects later were given mild doses of ampakine CX-516,
then retested.
"The results for the 65- to 70-year-old men was particularly
striking," said Lynch. "They scored near the range of young
people."
In some tests even the young experienced improvement in memory
by about 20 percent, he said.
Lynch said the hope is that the drug will improve the memory of
patients with Alzheimer's disease, a progressive disorder that
destroys memory and other functions of the brain and eventually
kills. About 5 million Americans, mostly elderly, have Alzheimer's,
and it is estimated that the number will climb to 15 million over
the next quarter-century as the nation's population ages.
Ampakine CX-516 has been tested only on small groups in clinical
experiments to detect any toxic effects. A more definitive test
will start next year at the National Institutes of Health, when 16
patients with mild to moderate Alzheimer's disease will be given
the drug.
Dr. Donald Price, a neuroscience researcher at Johns Hopkins
University in Baltimore, said the new drug is "intriguing and
innovative" and that it will influence "a very important
synapse" in the brain.
However, he said, "I have reservations about its use in
Alzheimer's, because it does not directly address the disease
mechanism. It is a palliative."
"I would suspend my enthusiasm until I see the results of the
clinical trials. It is quite early" in the drug development
process, Price said.
Lynch and co-workers at the University of California, Irvine,
discovered the drug in 1991 while searching for compounds to
improve communications between neurons in the brain. He said it
works by causing neuron switches, called synapses, to remain open
for a fractional second longer. This enhances the flow of an amino
acid called glutamate. The exchange in effect carries a message
from one neuron to another.
In 1993, ampakine CX-516 was tested on laboratory animals.
Researchers found that older rats given the drug had a dramatically
improved ability to find their way out of a maze and to remember
the route later.
"It reduced the training session for older rats from 10 to
five," said Lynch.
Human trials of the drug started last year. Results will be
published in January in the journal Experimental Neurology.
Tests on humans, using very low doses of the drug, also were
conducted using photograph recognition, odor recollection and
learning a pencil maze. In all of these tests, the subjects
performed better with ampakine than without it.
Lynch said the improvement in memory may be even better with
higher doses of the drug. This will be done only after early tests
prove the drug has no harmful side effects.
People with the greatest amount of memory deficit seemed to
benefit most from the drug, which makes it promising for
Alzheimer's disease. Lynch said that though the drug appears to
sharpen memory, there is no indication that it will effect some of
the behavioral aspects of Alzheimer's that are not associated with
memory.
Ampakine CX-516 is licensed to an Irvine, Cal., company, Cortex
Pharmaceuticals Inc., and Lynch said he has an interest in the
firm. Human trials starting next year will be under the control
National Institutes of Health scientists.
c.1996, Associated Press All Rights Reserved
Copyright © 1997, Environmental News Network (ENN), March 12, 1997
ENN/Cambridge Scientific Abstract's Science Channel
|