Effects of statins on cognitive function in patients with Alzheimer's disease in galantamine clinical trials.

BACKGROUND AND OBJECTIVE: A number of reports have been published on the possible involvement of changes in brain cholesterol metabolism in the origin of Alzheimer's disease (AD) and the potential for influencing these changes by administration of HMG-CoA reductase inhibitors ('statins'). The aim of...

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Publicado en:Drugs & Aging Vol. 24; no. 1; pp. 57 - 62
Autores principales: Winblad B, Jelic V, Kershaw P, Amatniek J
Formato: research Journal Article
Publicado: Springer Nature 2007
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2007
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      pub: Springer Nature
      place: New York, New York
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        atl: Effects of statins on cognitive function in patients with Alzheimer's disease in galantamine clinical trials.
      aug:
        au:
          Winblad B
          Jelic V
          Kershaw P
          Amatniek J
      sug:
        subj:
          Alzheimer's Disease Drug Therapy
          Antilipemic Agents
          Cognition Disorders Drug Therapy
          Galanthamine Therapeutic Use
          Nootropic Agents Therapeutic Use
          Aged
          Double-Blind Studies
          Drug Interactions
          Drug Therapy, Combination
          Female
          Male
          Human
          Aged: 65+ years
          Female
          Male
      ab: BACKGROUND AND OBJECTIVE: A number of reports have been published on the possible involvement of changes in brain cholesterol metabolism in the origin of Alzheimer's disease (AD) and the potential for influencing these changes by administration of HMG-CoA reductase inhibitors ('statins'). The aim of this study was to evaluate a potential association between use of statins and maintenance of cognitive function in patients with AD in galantamine clinical trials. METHOD: A posthoc analysis was conducted on data pooled from three double-blind, placebo-controlled, clinical trials of galantamine in patients with AD. Patients were divided into four treatment groups: statin plus galantamine (n = 42), statin alone (n = 50), galantamine alone (n = 614) or neither galantamine nor statin (n = 619). RESULTS: Galantamine was associated with a significant beneficial effect on cognitive status (p < 0.001). The association of use of statins with changes in cognitive status was not significant (p = 0.083). There was no significant interaction between the effects on cognition of statins and galantamine (p = 0.183) and no statistically significant changes in adverse effect rates were observed. CONCLUSION: These findings suggest the need for larger long-term trials to confirm or refute possible effects of statins on cognitive function and the potential interaction of statins with acetylcholinesterase inhibitors in the treatment of AD.
      pubtype: Academic Journal
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        research
        Journal Article
      ougenre: Article
    language: English
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