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JAMA Netw Open. 2018 Aug 3;1(4):e181152. doi: 10.1001/jamanetworkopen.2018.1152.
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J Intellect Disabil Res. 2019 May;63(5):418-428. doi: 10.1111/jir.12584. Epub 2019 Jan 4.
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J Clin Pharmacol. 2018 Nov;58(11):1418-1426. doi: 10.1002/jcph.1271. Epub 2018 Jun 19.
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Meta-analysis of central and peripheral γ-aminobutyric acid levels in patients with unipolar and bipolar depression.单相和双相抑郁症患者中枢和外周 γ-氨基丁酸水平的荟萃分析。
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一种γ-氨基丁酸能药物(Gamalate® B6)的疗效和安全性:对边缘型至轻度智力发育障碍及注意力缺陷多动障碍的年轻成年人行为和认知的影响

Efficacy and safety of a GABAergic drug (Gamalate® B6): effects on behavior and cognition in young adults with borderline-to-mild intellectual developmental disabilities and ADHD.

作者信息

Novell Ramón, Esteba-Castillo Susanna, Rodriguez Emili

机构信息

Specialized Service in Mental Health and Intellectual Disability (SEMSDI), Parc Hospitalàri Martí i Julià, Instituto de Asistencia Sanitaria, Girona, Spain.

出版信息

Drugs Context. 2020 Jan 23;9:212601. doi: 10.7573/dic.212601. eCollection 2020.

DOI:10.7573/dic.212601
PMID:32158489
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7048157/
Abstract

BACKGROUND

We evaluated Gamalate® B6 (GB6) in patients with borderline intellectual functioning (BIF) or mild intellectual development disability (IDD).

PATIENTS AND METHODS

This was a prospective phase IV observational pilot study in 30 patients who underwent neuropsychological evaluation during treatment with GB6 for 12 weeks.

RESULTS

In comparison with baseline, the responses were positive, with a significant improvement in hyperactivity (51.7%), irritability (35.5%), and logorrhea (50%), and no sedative effect. The Clinical Global Impressions - Severity (CGI-S) score was much improved or very much improved in 73% of cases. Reaction time was better with fewer errors, thus indicating an improvement in attentional processes. A statistically significant result was obtained for the number of movements used to solve the problem and for the total number of correctly solved problems.

CONCLUSION

In this pilot study, GB6 was effective and well tolerated in cases of ADHD and challenging behavior in young adults with borderline-to-mild BIF/IDD. However, given the small number of patients involved and the uncontrolled nature of the study, these results should be viewed cautiously.

摘要

背景

我们对患有边缘智力功能(BIF)或轻度智力发育障碍(IDD)的患者评估了Gamalate® B6(GB6)。

患者与方法

这是一项前瞻性IV期观察性试点研究,纳入30例患者,这些患者在接受GB6治疗12周期间接受了神经心理学评估。

结果

与基线相比,反应呈阳性,多动(51.7%)、易怒(35.5%)和多语症(50%)有显著改善,且无镇静作用。73%的病例中临床总体印象-严重程度(CGI-S)评分有很大改善或非常大的改善。反应时间更佳,错误更少,从而表明注意力过程有所改善。解决问题所用动作的数量和正确解决问题的总数获得了具有统计学意义的结果。

结论

在这项试点研究中,GB6在患有边缘至轻度BIF/IDD的年轻成人的多动症和挑战性行为病例中有效且耐受性良好。然而,鉴于所涉及的患者数量较少且研究的非对照性质,应谨慎看待这些结果。