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SLU Researcher Finds Help for Alzheimer鈥檚-Associated Agitation with New FDA-Approved Treatment

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ST. LOUIS 鈥 A Saint 直播自慰视频 University researcher was instrumental in developing the first and only Food and Drug Administration (FDA) approved treatment for agitation associated with Alzheimer鈥檚 dementia. 

In a paper published in , senior author and the inaugural Henry & Amelia Nasrallah Endowed Professor and Director of Geriatric Psychiatry at Saint 直播自慰视频 University George T. Grossberg, M.D., and colleagues shared the results of a national clinical trial. They discovered that REXULTI, also called brexpiprazole, significantly reduced agitation in patients with Alzheimer鈥檚 disease and was well tolerated with few side effects.  

George Grossberg, M.D.

George Grossberg, M.D. Photo by Sarah Conroy.

Earlier this year, became the first FDA-approved treatment of agitation-associated Alzheimer鈥檚 dementia.

Of the 6.7 million people 65 and older in the US with Alzheimer鈥檚 dementia, multiple studies show that about half or more develop agitation.

Agitation associated with Alzheimer鈥檚 dementia may include activities like restlessness or more aggressive behavior, like screaming, destroying objects or fighting. Frequent and severe behavioral symptoms can be extremely distressing to the person with Alzheimer鈥檚 disease, as well as their families and caregivers.

Antipsychotic drugs are commonly prescribed 鈥渙ff-label鈥 to treat symptoms like aggression and agitation. While these antipsychotics seem to show a modest benefit in treating aggression in the short term, they have adverse effects and other health risks that limit their use over more extended periods.

鈥淲hen patients with Alzheimer鈥檚 dementia develop agitation symptoms, they can become increasingly difficult to manage,鈥 said Grossberg, who is also director of geriatric psychiatry at SLU. 鈥淚鈥檓 encouraged by the findings of this study which show that brexpiprazole is an effective and well-tolerated medication that can treat the often-debilitating symptoms of agitation associated with dementia due to Alzheimer鈥檚 disease.鈥

In the multicenter Phase 3 clinical trial, researchers evaluated the efficacy and safety of brexpiprazole, a medication used for the treatment of major depressive disorder and schizophrenia, for patients with agitation associated with Alzheimer鈥檚.

The clinical trial was a 12-week, double-blind, placebo-controlled, fixed-dose, parallel-arm trial that enrolled 345 participants at 123 clinical trial sites in Europe and the United States.

Investigators enrolled participants between the ages of 55 to 90 with a diagnosis of probable Alzheimer鈥檚 disease and clinically significant symptoms of agitation who lived in a care facility or community-based setting.

Participants were randomly assigned to receive the study drug or a placebo. To participate in the clinical trial, participants had to be stable and have a caregiver who could comply with the study procedures.

鈥淚t can be extremely challenging to care for patients with Alzheimer鈥檚 disease,鈥 said Grossberg. 鈥淗aving new medications to help patients who are suffering will enormously benefit patients, healthcare providers, and those caring for their loved ones.鈥

The clinical trial was supported by Otsuka Pharmaceutical Development & Commercialization and H. Lundbeck.

For more information about the trial, visit . The study鈥檚 Clinical Trials Identifier is NCT03548584.