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

  • Dementias - Short Communication
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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.

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References

  • 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):209–221

    Article  PubMed  CAS  Google Scholar 

  • 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 11:471–479

    PubMed  CAS  Google Scholar 

  • Calabrese P, Essner U, Förstl H (2007) Memantine (Ebixa®) in clinical practice–results of an observational study. Dement Geriatr Cogn Disord 24:111–117

    Article  PubMed  CAS  Google Scholar 

  • 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):227–232

    Article  PubMed  CAS  Google Scholar 

  • 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):369–374

    Article  PubMed  CAS  Google Scholar 

  • 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 12:189–198

    Article  PubMed  CAS  Google Scholar 

  • 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):459–464

    Article  PubMed  CAS  Google Scholar 

  • Georges J, Jansen S, Jackson J et al (2008) Alzheimer’s disease in real life–the dementia carer’s survey. Int J Geriatr Psychiatry 23:546–551

    Article  PubMed  Google Scholar 

  • Herrmann N, Gauthier S (2008) Diagnosis and treatment of dementia: 6. Management of severe Alzheimer disease. CMAJ 179:1279–1287

    Article  PubMed  Google Scholar 

  • 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):256–257

    Article  Google Scholar 

  • 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

    Google Scholar 

  • 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):600–607

    Article  PubMed  CAS  Google Scholar 

  • 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 34:939–944

    PubMed  CAS  Google Scholar 

  • 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):532–538

    Article  PubMed  Google Scholar 

  • Merz Pharmaceuticals GmbH (August 2007) Axura® Tablets. Summary of Product Characteristics (SPC)

  • National Institute for Mental Health (1976) 028 CGI: clinical global impressions. In: Guy W (ed) ECDEU assessment manual for psychopharmacology. Rockville, USA

    Google Scholar 

  • 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 14:704–715

    Article  PubMed  Google Scholar 

  • 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 5:83–89

    Article  PubMed  CAS  Google Scholar 

  • 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

    Google Scholar 

  • Reisberg B, Doody R, Stöffler A et al (2003) Memantine in moderate-to-severe Alzheimer’s disease. N Engl J Med 348:1333–1341

    Article  PubMed  CAS  Google Scholar 

  • 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):817–824

    Article  PubMed  Google Scholar 

  • 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 291:317–324

    Article  PubMed  CAS  Google Scholar 

  • 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 21:136–143

    Article  PubMed  Google Scholar 

  • 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 24:138–145

    Article  PubMed  CAS  Google Scholar 

  • 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 24:20–27

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

This work was supported by a grant from Merz Pharmaceuticals GmbH, Germany.

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Correspondence to Michael Rainer.

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Rainer, M., Wuschitz, A., Jagsch, C. et al. Memantine in moderate to severe Alzheimer’s disease: an observational post-marketing study. J Neural Transm 118, 1255–1259 (2011). https://doi.org/10.1007/s00702-011-0623-8

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  • DOI: https://doi.org/10.1007/s00702-011-0623-8

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