PMID- 29805383 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220317 IS - 1664-5464 (Print) IS - 1664-5464 (Electronic) IS - 1664-5464 (Linking) VI - 8 IP - 1 DP - 2018 Jan-Apr TI - Efficacy and Safety of MLC601 in Patients with Mild to Moderate Alzheimer Disease: An Extension 4-Year Follow-Up Study. PG - 174-179 LID - 10.1159/000488482 [doi] AB - BACKGROUND AND AIM: Alzheimer disease (AD) is the most common cause of dementia. Currently, there is no disease-modifying therapy for AD. We aimed to evaluate the long-term efficacy and safety of MLC601 in the treatment of AD. METHODS: In this open-label extension study, patients with mild to moderate AD according to DSM-IV criteria were recruited. Patients received MLC601 capsules 3 times a day for 4 years. Cognitive function was assessed every 6 months using Mini-Mental State Examination (MMSE) and Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog) scores. Safety profiles, including adverse events (AEs), and treatment-related abnormality in laboratory tests were also reported. RESULTS: Of a total of 122 patients, 105 completed the study. The mean age was 66.8 +/- 6.3 years at the beginning of the study. Sixty-five (61.9%) were female. The mean (+/-SD) change in MMSE and ADAS-Cog scores at the end of the study was 2.1 (+/-3.8) and -5.1 (+/-8.7), respectively. Repeated measure analysis revealed a statistically significant change in both scores (p < 0.001). No patient left the study due to an AE. No abnormality was noted in lab tests. Gastrointestinal symptoms were the most commonly reported AEs. CONCLUSION: The efficacy of treating AD patients with MLC601 over 4 years has been demonstrated in the present study. Overall, it seems that the safety and efficacy of MLC601 is promising compared to currently prescribed treatments. FAU - Pakdaman, Hossein AU - Pakdaman H AD - Brain Mapping Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Gharagozli, Koroush AU - Gharagozli K AD - Brain Mapping Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Abbasi, Mehdi AU - Abbasi M AD - Brain Mapping Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Sobhanian, Ali AU - Sobhanian A AD - Brain Mapping Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Bakhshandehpour, Ali AU - Bakhshandehpour A AD - Health and Human Physiology School, University of Iowa, Iowa City, Iowa, USA. FAU - Ashrafi, Farzad AU - Ashrafi F AD - Brain Mapping Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Khalilzad, Mitra AU - Khalilzad M AD - Brain Mapping Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Amini Harandi, Ali AU - Amini Harandi A AD - Brain Mapping Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. LA - eng PT - Journal Article DEP - 20180426 PL - Switzerland TA - Dement Geriatr Cogn Dis Extra JT - Dementia and geriatric cognitive disorders extra JID - 101564825 PMC - PMC5968230 OTO - NOTNLM OT - Alzheimer disease OT - Follow-up study OT - MLC601 OT - Safety EDAT- 2018/05/29 06:00 MHDA- 2018/05/29 06:01 PMCR- 2018/04/26 CRDT- 2018/05/29 06:00 PHST- 2018/01/08 00:00 [received] PHST- 2018/03/12 00:00 [accepted] PHST- 2018/05/29 06:00 [entrez] PHST- 2018/05/29 06:00 [pubmed] PHST- 2018/05/29 06:01 [medline] PHST- 2018/04/26 00:00 [pmc-release] AID - dee-0008-0174 [pii] AID - 10.1159/000488482 [doi] PST - epublish SO - Dement Geriatr Cogn Dis Extra. 2018 Apr 26;8(1):174-179. doi: 10.1159/000488482. eCollection 2018 Jan-Apr.