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A 6-month, open-label study of memantine in patients with frontotemporal dementia

✍ Scribed by Janine Diehl-Schmid; Hans Förstl; Robert Perneczky; Corina Pohl; Alexander Kurz


Publisher
John Wiley and Sons
Year
2008
Tongue
English
Weight
72 KB
Volume
23
Category
Article
ISSN
0885-6230

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✦ Synopsis


Abstract

Objective

To evaluate safety and effects on cognition and behavior of memantine 20 mg/day in the treatment of patients with frontotemporal dementia (FTD).

Methods

This was a single‐center, 6‐month, open, uncontrolled study. Sixteen outpatients with a diagnosis of FTD were enrolled.

Results

On the CIBIC plus 26 weeks after baseline four of the 16 patients were minimally improved, four were unchanged, seven were minimally worse and one patient was moderately worse. Neither the Neuropsychiatric Inventory nor the Frontal Behavioral Inventory demonstrated statistically significant differences in behavior between baseline and final visit. There was an increase in the total Alzheimer's Disease Assessment Scale score, reflecting a decline in cognitive performance. Executive functions as well as activities of daily living and extrapyramidal motor symptoms (EPMS) remained unchanged during the trial.

Conclusion

The number of patients was small, so that the evidence given by statistical tests is limited. Thus, the present study can only show trends regarding drug effects. As memantine is well‐tolerated, further randomized and controlled studies should be conducted to evaluate drug efficacy. Copyright © 2008 John Wiley & Sons, Ltd.


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