Skip to main content
Erschienen in: Journal of Neural Transmission 8/2011

01.08.2011 | Dementias - Short Communication

Memantine in moderate to severe Alzheimer’s disease: an observational post-marketing study

verfasst von: Michael Rainer, A. Wuschitz, C. Jagsch, C. Erb, J.-J. Chirikdjian, H. A. M. Mucke

Erschienen in: Journal of Neural Transmission | Ausgabe 8/2011

Einloggen, um Zugang zu erhalten

Abstract

Memantine is an N-methyl-d-aspartate (NMDA) receptor antagonist, approved for the treatment of moderate to severe Alzheimer’s disease (AD). We conducted a 4-month observational, post-marketing, Austrian study of memantine in 377 outpatients with moderate to severe AD. In this ‘real-life’ setting, memantine was well-tolerated, and produced benefits in cognition (Mini-Mental State Examination), activities of daily living (Activities of Daily Living score), and global function (Clinical Global Impression scale). Treatment effects were apparent in both pre-treated and treatment-naïve patient subgroups.
Literatur
Zurück zum Zitat Atri A, Shaughnessy LW, Locascio JJ, Growdon JH (2008) Long-term course and effectiveness of combination therapy in Alzheimer disease. Alzheimer Dis Assoc Disord 22(3):209–221PubMedCrossRef Atri A, Shaughnessy LW, Locascio JJ, Growdon JH (2008) Long-term course and effectiveness of combination therapy in Alzheimer disease. Alzheimer Dis Assoc Disord 22(3):209–221PubMedCrossRef
Zurück zum Zitat Bakchine S, Loft H (2007) Memantine treatment in patients with mild to moderate Alzheimer’s disease: results of a randomised, double-blind, placebo-controlled 6-month study. J Alzheimers Dis 11:471–479PubMed Bakchine S, Loft H (2007) Memantine treatment in patients with mild to moderate Alzheimer’s disease: results of a randomised, double-blind, placebo-controlled 6-month study. J Alzheimers Dis 11:471–479PubMed
Zurück zum Zitat Calabrese P, Essner U, Förstl H (2007) Memantine (Ebixa®) in clinical practice–results of an observational study. Dement Geriatr Cogn Disord 24:111–117PubMedCrossRef Calabrese P, Essner U, Förstl H (2007) Memantine (Ebixa®) in clinical practice–results of an observational study. Dement Geriatr Cogn Disord 24:111–117PubMedCrossRef
Zurück zum Zitat Doody R, Wirth Y, Schmitt F, Möbius HJ (2004) Specific functional effects of memantine treatment in patients with moderate to severe Alzheimer’s disease. Dement Geriatr Cogn Disord 18(2):227–232PubMedCrossRef Doody R, Wirth Y, Schmitt F, Möbius HJ (2004) Specific functional effects of memantine treatment in patients with moderate to severe Alzheimer’s disease. Dement Geriatr Cogn Disord 18(2):227–232PubMedCrossRef
Zurück zum Zitat Ferris S, Ihl R, Robert P et al (2009) Treatment effects of Memantine on language in moderate to severe Alzheimer’s disease patients. Alzheimers Dement 5(5):369–374PubMedCrossRef Ferris S, Ihl R, Robert P et al (2009) Treatment effects of Memantine on language in moderate to severe Alzheimer’s disease patients. Alzheimers Dement 5(5):369–374PubMedCrossRef
Zurück zum Zitat Folstein MF, Folstein SE, McHugh PR (1975) “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiat Res 12:189–198PubMedCrossRef Folstein MF, Folstein SE, McHugh PR (1975) “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiat Res 12:189–198PubMedCrossRef
Zurück zum Zitat Gauthier S, Wirth Y, Möbius HJ (2005) 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 20(5):459–464PubMedCrossRef Gauthier S, Wirth Y, Möbius HJ (2005) 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 20(5):459–464PubMedCrossRef
Zurück zum Zitat Georges J, Jansen S, Jackson J et al (2008) Alzheimer’s disease in real life–the dementia carer’s survey. Int J Geriatr Psychiatry 23:546–551PubMedCrossRef Georges J, Jansen S, Jackson J et al (2008) Alzheimer’s disease in real life–the dementia carer’s survey. Int J Geriatr Psychiatry 23:546–551PubMedCrossRef
Zurück zum Zitat Herrmann N, Gauthier S (2008) Diagnosis and treatment of dementia: 6. Management of severe Alzheimer disease. CMAJ 179:1279–1287PubMedCrossRef Herrmann N, Gauthier S (2008) Diagnosis and treatment of dementia: 6. Management of severe Alzheimer disease. CMAJ 179:1279–1287PubMedCrossRef
Zurück zum Zitat Hofbauer RK, Saxton J, Woodward M et al (2009) Effects of memantine on functional communication in patients with moderate AD: results of a 12-week placebo-controlled trial. Alzheimers Dement 5(4):256–257CrossRef Hofbauer RK, Saxton J, Woodward M et al (2009) Effects of memantine on functional communication in patients with moderate AD: results of a 12-week placebo-controlled trial. Alzheimers Dement 5(4):256–257CrossRef
Zurück zum Zitat Kornhuber J, Weller M, Schoppmeyer K, Riederer P (1994) Amantadine and memantine are NMDA receptor antagonists with neuroprotective properties. J Neural Transm Suppl 43:91–104 Kornhuber J, Weller M, Schoppmeyer K, Riederer P (1994) Amantadine and memantine are NMDA receptor antagonists with neuroprotective properties. J Neural Transm Suppl 43:91–104
Zurück zum Zitat Lopez OL, Becker JT, Wahed AS et al (2009) Long-term effects of the concomitant use of memantine with cholinesterase inhibition in Alzheimer disease. J Neurol Neurosurg Psychiatry 80(6):600–607PubMedCrossRef Lopez OL, Becker JT, Wahed AS et al (2009) Long-term effects of the concomitant use of memantine with cholinesterase inhibition in Alzheimer disease. J Neurol Neurosurg Psychiatry 80(6):600–607PubMedCrossRef
Zurück zum Zitat McKhann G, Drachman D, Folstein M et al (1984) Clinical diagnosis of Alzheimer’s disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer’s Disease. Neurology 34:939–944PubMed McKhann G, Drachman D, Folstein M et al (1984) Clinical diagnosis of Alzheimer’s disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer’s Disease. Neurology 34:939–944PubMed
Zurück zum Zitat Mecocci P, Bladstrom A, Stender K (2009) Effects of memantine on cognition in patients with moderate to severe Alzheimer’s disease: post-hoc analyses of ADAS-cog and SIB total and single-item scores from six randomized, double-blind, placebo-controlled studies. Int J Geriatr Psychiatry 24(5):532–538PubMedCrossRef Mecocci P, Bladstrom A, Stender K (2009) Effects of memantine on cognition in patients with moderate to severe Alzheimer’s disease: post-hoc analyses of ADAS-cog and SIB total and single-item scores from six randomized, double-blind, placebo-controlled studies. Int J Geriatr Psychiatry 24(5):532–538PubMedCrossRef
Zurück zum Zitat Merz Pharmaceuticals GmbH (August 2007) Axura® Tablets. Summary of Product Characteristics (SPC) Merz Pharmaceuticals GmbH (August 2007) Axura® Tablets. Summary of Product Characteristics (SPC)
Zurück zum Zitat National Institute for Mental Health (1976) 028 CGI: clinical global impressions. In: Guy W (ed) ECDEU assessment manual for psychopharmacology. Rockville, USA National Institute for Mental Health (1976) 028 CGI: clinical global impressions. In: Guy W (ed) ECDEU assessment manual for psychopharmacology. Rockville, USA
Zurück zum Zitat Peskind ER, Potkin SG, Pomara N et al (2006) Memantine treatment in mild to moderate Alzheimer disease: a 24-week randomized, controlled trial. Am J Geriatr Psychiatry 14:704–715PubMedCrossRef Peskind ER, Potkin SG, Pomara N et al (2006) Memantine treatment in mild to moderate Alzheimer disease: a 24-week randomized, controlled trial. Am J Geriatr Psychiatry 14:704–715PubMedCrossRef
Zurück zum Zitat Porsteinsson AP, Grossberg GT, Mintzer J et al (2008) Memantine treatment in patients with mild to moderate Alzheimer’s disease already receiving cholinesterase inhibitor: a randomized, double-blind, placebo-controlled trial. Curr Alzheimer Res 5:83–89PubMedCrossRef Porsteinsson AP, Grossberg GT, Mintzer J et al (2008) Memantine treatment in patients with mild to moderate Alzheimer’s disease already receiving cholinesterase inhibitor: a randomized, double-blind, placebo-controlled trial. Curr Alzheimer Res 5:83–89PubMedCrossRef
Zurück zum Zitat Reisberg B, Schneider L, Doody R et al (1997) Clinical global measures of dementia Position paper from the International Working Group on Harmonization of Dementia Drug Guidelines. Alzheimer Dis Assoc Disord 11(Suppl 3):S8–S18 Reisberg B, Schneider L, Doody R et al (1997) Clinical global measures of dementia Position paper from the International Working Group on Harmonization of Dementia Drug Guidelines. Alzheimer Dis Assoc Disord 11(Suppl 3):S8–S18
Zurück zum Zitat Reisberg B, Doody R, Stöffler A et al (2003) Memantine in moderate-to-severe Alzheimer’s disease. N Engl J Med 348:1333–1341PubMedCrossRef Reisberg B, Doody R, Stöffler A et al (2003) Memantine in moderate-to-severe Alzheimer’s disease. N Engl J Med 348:1333–1341PubMedCrossRef
Zurück zum Zitat Suh GH, Ju YS, Yeon BK, Shah A (2004) A longitudinal study of Alzheimer’s disease: rates of cognitive and functional decline. Int J Geriatr Psychiatry 19(9):817–824PubMedCrossRef Suh GH, Ju YS, Yeon BK, Shah A (2004) A longitudinal study of Alzheimer’s disease: rates of cognitive and functional decline. Int J Geriatr Psychiatry 19(9):817–824PubMedCrossRef
Zurück zum Zitat Tariot PN, Farlow MR, Grossberg GT et al (2004) Memantine treatment in patients with moderate to severe Alzheimer disease already receiving donepezil. A randomized controlled trial. JAMA 291:317–324PubMedCrossRef Tariot PN, Farlow MR, Grossberg GT et al (2004) Memantine treatment in patients with moderate to severe Alzheimer disease already receiving donepezil. A randomized controlled trial. JAMA 291:317–324PubMedCrossRef
Zurück zum Zitat van Dyck CH, Tariot PN, Meyers B, Resnick ME, MemantineMEM-MD-01 Study Group (2007) A 24-week randomized, controlled trial of memantine in patients with moderate-to-severe Alzheimer disease. Alzheimer Dis Assoc Disord 21:136–143PubMedCrossRef van Dyck CH, Tariot PN, Meyers B, Resnick ME, MemantineMEM-MD-01 Study Group (2007) A 24-week randomized, controlled trial of memantine in patients with moderate-to-severe Alzheimer disease. Alzheimer Dis Assoc Disord 21:136–143PubMedCrossRef
Zurück zum Zitat Wilkinson D, Andersen HF (2007) Analysis of the effect of memantine in reducing the worsening of clinical symptoms in patients with moderate to severe Alzheimer’s disease. Dement Geriatr Cogn Disord 24:138–145PubMedCrossRef Wilkinson D, Andersen HF (2007) Analysis of the effect of memantine in reducing the worsening of clinical symptoms in patients with moderate to severe Alzheimer’s disease. Dement Geriatr Cogn Disord 24:138–145PubMedCrossRef
Zurück zum Zitat Winblad B, Jones RW, Wirth Y et al (2007) Memantine in moderate to severe Alzheimer’s disease: a meta-analysis of randomised clinical trials. Dement Geriatr Cogn Disord 24:20–27PubMedCrossRef Winblad B, Jones RW, Wirth Y et al (2007) Memantine in moderate to severe Alzheimer’s disease: a meta-analysis of randomised clinical trials. Dement Geriatr Cogn Disord 24:20–27PubMedCrossRef
Metadaten
Titel
Memantine in moderate to severe Alzheimer’s disease: an observational post-marketing study
verfasst von
Michael Rainer
A. Wuschitz
C. Jagsch
C. Erb
J.-J. Chirikdjian
H. A. M. Mucke
Publikationsdatum
01.08.2011
Verlag
Springer Vienna
Erschienen in
Journal of Neural Transmission / Ausgabe 8/2011
Print ISSN: 0300-9564
Elektronische ISSN: 1435-1463
DOI
https://doi.org/10.1007/s00702-011-0623-8

Weitere Artikel der Ausgabe 8/2011

Journal of Neural Transmission 8/2011 Zur Ausgabe

Basic Neurosciences, Genetics and Immunology - CONy Pro/Con debate

Should mechanical embolectomy devices be used in routine clinical practice?

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Frühe Alzheimertherapie lohnt sich

25.04.2024 AAN-Jahrestagung 2024 Nachrichten

Ist die Tau-Last noch gering, scheint der Vorteil von Lecanemab besonders groß zu sein. Und beginnen Erkrankte verzögert mit der Behandlung, erreichen sie nicht mehr die kognitive Leistung wie bei einem früheren Start. Darauf deuten neue Analysen der Phase-3-Studie Clarity AD.

Viel Bewegung in der Parkinsonforschung

25.04.2024 Parkinson-Krankheit Nachrichten

Neue arznei- und zellbasierte Ansätze, Frühdiagnose mit Bewegungssensoren, Rückenmarkstimulation gegen Gehblockaden – in der Parkinsonforschung tut sich einiges. Auf dem Deutschen Parkinsonkongress ging es auch viel um technische Innovationen.

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.