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In longest study to date, Exelon (rivastigmine) has demonstrated
sustained benefits for Alzheimer's patients for at least two years,
according to presenters at the Seventh International Geneva/Springfield
Symposium on Advances in Alzheimer's Therapy.
"These
are important results because they are the first to confirm the
benefits of Exelon over such a long period of time and in a large
number of patients," said Dr. George Grossberg, Director
of Geriatric Psychiatry at St. Louis University School of Medicine
in Missouri.
"The
finding of a sustained benefit is good news for individuals with
Alzheimer's disease and for the family members who care for them,"
Grossberg said.
The study
included 2,010 Exelon-treated patients from 113 centers in the
United States and other countries. The data were from open-label
extension studies of four-six month, randomized, placebo-controlled
trials.
Patients in
the extension studies received one to six milligrams of Exelon
twice daily. Cognitive performance was compared to a projected
performance if they were untreated, and to published data of patients
receiving a placebo.
Standardized
tests measured cognitive performance, and clinician's overall
assessment of patient condition.
On a scale
of 0 to 70, patients receiving Exelon deteriorated an average
of five points less than untreated or placebo-treated patients
(8.6 vs. 13.6 points, respectively), surpassing researchers' expectations.
Those findings
corresponded to smaller-than-expected declines in clinicians'
assessments of patients' all-around function as well.
Exelon, a
cholinesterase inhibitor, currently is approved for the treatment
of mild to moderate Alzheimer's disease (see earlier Alzheimer
Week story).
Other
Sources: Novartis
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