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Articles
by
Joan Amatniek |
Total Records (
2 ) for
Joan Amatniek |
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Ronald Black
,
Barry Greenberg
,
J. Michael Ryan
,
Holly Posner
,
Jeffrey Seeburger
,
Joan Amatniek
,
Malca Resnick
,
Richard Mohs
,
David S. Miller
,
Daniel Saumier
,
Maria C. Carrillo
and
Yaakov Stern
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The assessment of patient outcomes in clinical trials of new therapeutics for Alzheimer's disease (AD) continues to evolve. In addition to assessing drugs for symptomatic relief, an increasing number of trials are focusing on potential disease-modifying agents. Moreover, participants with AD are being studied earlier in their course of disease. As a result, the limitations of current outcome measures have become more apparent, as has the need for better instruments. In recognition of the need to review and possibly revise current assessment measures, the Alzheimer's Association, in cooperation with industry leaders and academic investigators, convened a Research Roundtable meeting devoted to scales as outcome measures for AD clinical trials. The meeting included a discussion of methodological issues in the use of scales in AD clinical trials, including cross-cultural issues. Specific topics related to the use of cognitive, functional, global, and neuropsychiatric scales were also presented. Speakers also addressed academic and industry initiatives for pooling data from untreated and placebo-treated patients in clinical trials. A number of regulatory topics were also discussed with agency representatives. Panel discussions highlighted areas of controversy, in an effort to gain consensus on various topics. |
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Constantine G. Lyketsos
,
Maria C. Carrillo
,
J. Michael Ryan
,
Ara S. Khachaturian
,
Paula Trzepacz
,
Joan Amatniek
,
Jesse Cedarbaum
,
Robert Brashear
and
David S. Miller
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Neuropsychiatric symptoms (NPS) are core features of Alzheimers disease and related dementias. Once thought to emerge primarily in people with late-stage disease, these symptoms are currently known to manifest commonly in very early disease and in prodromal phases, such as mild cognitive impairment. Despite decades of research, reliable treatments for dementia-associated NPS have not been found, and those that are in widespread use present notable risks for people using these medications. An Alzheimers Association Research Roundtable was convened in the spring of 2010 to review what is known about NPS in Alzheimers disease, to discuss classification and underlying neuropathogenesis and vulnerabilities, and to formulate recommendations for new approaches to tailored therapeutics. |
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