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| Research article summary (published 18 Jun 2003): |
A multicenter, randomized, placebo controlled, multiple-dose, safety and pharmacokinetic study of AIT-082 (Neotrofin) in mild Alzheimer's disease patients.
Full Abstract
A phase 1, randomized, double-blind, placebo-controlled, dose escalation study of the purine derivative, AIT-082 (Neotrofin, NeoTherapeutics) was conducted in mild Alzheimer's disease (AD) patients to evaluate multiple-dose safety, tolerability, and pharmacokinetics. Possible short-term effects of AIT-082 on cognition and memory were preliminarily investigated. AIT-082 is currently being developed as a potential treatment for Alzheimer's disease and other neurological disorders. Pre-clinical studies indicate that AIT-082 has memory enhancing properties, stimulates neuritogenesis and the production of neurotrophic factors. Patients received an oral dose of AIT-082 or placebo daily for one week. Thirty-six AD patients were divided into three dose cohorts; each dose cohort consisted of twelve patients with 8 patients randomized to AIT-082 and 4 to placebo. The 3 doses of AIT-082 evaluated in this study were 100 mg/day, 500 mg/day, and 2,000 mg/day. There were no serious adverse events at any dose and the drug was well tolerated without significant side effects. AIT-082 was orally and rapidly absorbed, resulting in peak serum concentrations within 2 hours with an elimination half-life of approximately 20 hours. Higher doses resulted in corresponding increases in peak concentrations and areas under the curve (AUC). There was an approximate 2-fold accumulation in AIT-082 with daily dosing (as reflected by the AUC) at steady state. There were no significant differences by treatment arm on the clinical or neuropsychological evaluations. AIT-082 was rapidly absorbed by the oral route with a half-life suitable for dosing once or twice daily. No problems with tolerability or safety were found. AIT-082 appears suitable for testing in larger clinical trials for the treatment of AD and other neurologic disorders.
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Author information
Author/s: Grundman, M (M); Capparelli, E (E); Kim, H T (HT); Morris, J C (JC); Farlow, M (M); Rubin, E H (EH); Heidebrink, J (J); Hake, A (A); Ho, G (G); Schultz, A N (AN); Schafer, K (K); Houston, W (W); Thomas, R (R); Thal, L J (LJ); Alzheimer's Disease Cooperative Study;
Affiliation: Department of Neurosciences, University of California-San Diego, 9500 Gilman, La Jolla, CA 92093, USA. mgrundman(-atsign-)ucsd.edu
Grants: M01 RR 00827 (Agency:United States NCRR) ; P50 AG 05131 (Agency:United States NIA) ; U01 AG 10483 (Agency:United States NIA)
Journal and publication information
Publication Type: Clinical Trial; Clinical Trial, Phase I; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.
Journal: Life sciences (Life Sci), published in England. (Language: eng)
Reference: 2003-Jun; vol 73 (issue 5) : pp 539-53
Dates: Created 2003/05/28; Completed 2003/06/26; Revised 2007/11/14;
PMID: 12770610, status: MEDLINE (last retrieval date: 11/6/2008)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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