Stamouli S S, Tzanakaki M, Giatas S, Georgiadis G, Papalexi E, Parashos I A
1st Psychiatric Department, University of Athens, Eginition Hospital, Athens.
Dement Geriatr Cogn Dis Extra. 2011 Jan;1(1):10-9. doi: 10.1159/000322882. Epub 2011 Jan 5.
BACKGROUND/AIMS: In this post-marketing observational study, the safety and effectiveness of memantine were evaluated in patients with Alzheimer's disease (AD).
In a 6-month, observational, open-label study at 202 specialist sites in Greece, the effectiveness of memantine was evaluated using the Mini-Mental State Examination (MMSE) and the Instrumental Activities of Daily Living (IADL) scale at baseline, and after 3 and 6 months. Discontinuation rates and adverse drug reactions (ADRs) were also recorded to evaluate the safety profile of memantine.
2,570 patients participated in the study. Three and 6 months after baseline, MMSE and IADL scores were significantly improved compared to baseline. At the end of the study, 67% of the patients had improved their MMSE score; 7.1% of the patients reported ≥1 ADRs, and treatment was discontinued due to ADR in 0.7%.
Memantine was well tolerated and had a positive effect on the patient's cognitive and functional ability in real-life clinical practice, in agreement with randomized, controlled trials.
背景/目的:在这项上市后观察性研究中,对美金刚在阿尔茨海默病(AD)患者中的安全性和有效性进行了评估。
在希腊202个专科地点进行的一项为期6个月的观察性开放标签研究中,在基线时以及3个月和6个月后,使用简易精神状态检查表(MMSE)和日常生活活动能力量表(IADL)对美金刚的有效性进行了评估。还记录了停药率和药物不良反应(ADR),以评估美金刚的安全性。
2570名患者参与了该研究。与基线相比,基线后3个月和6个月时,MMSE和IADL评分显著改善。在研究结束时,67%的患者MMSE评分有所提高;7.1%的患者报告了≥1次ADR,0.7%的患者因ADR而停药。
与随机对照试验一致,在实际临床实践中,美金刚耐受性良好,对患者的认知和功能能力有积极影响。