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Published in: Neurology and Therapy 3/2023

Open Access 05-04-2023 | Alzheimer's Disease | REVIEW

Dementia with Lewy Bodies Drug Therapies in Clinical Trials: Systematic Review up to 2022

Authors: Carla Abdelnour, Maria Camila Gonzalez, Lucy L. Gibson, Kathleen L. Poston, Clive G. Ballard, Jeffrey L. Cummings, Dag Aarsland

Published in: Neurology and Therapy | Issue 3/2023

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Abstract

Introduction

Reviews of randomized clinical trials (RCTs) in dementia with Lewy bodies (DLB) are essential for informing ongoing research efforts of symptomatic therapies and potentially disease-modifying therapies (DMTs).

Methods

We performed a systematic review of all clinical trials conducted until September 27, 2022, by examining 3 international registries: ClinicalTrials.gov, the European Union Drug Regulating Authorities Clinical Trials Database, and the International Clinical Trials Registry Platform, to identify drugs in trials in DLB.

Results

We found 25 agents in 40 trials assessing symptomatic treatments and DMTs for DLB: 7 phase 3, 31 phase 2, and 2 phase 1 trials. We found an active pipeline for drug development in DLB, with most ongoing clinical trials in phase 2. We identified a recent trend towards including participants at the prodromal stages, although more than half of active clinical trials will enroll mild to moderate dementia patients. Additionally, repurposed agents are frequently tested, representing 65% of clinical trials.

Conclusion

Current challenges in DLB clinical trials include the need for disease-specific outcome measures and biomarkers, and improving representation of global and diverse populations.
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Metadata
Title
Dementia with Lewy Bodies Drug Therapies in Clinical Trials: Systematic Review up to 2022
Authors
Carla Abdelnour
Maria Camila Gonzalez
Lucy L. Gibson
Kathleen L. Poston
Clive G. Ballard
Jeffrey L. Cummings
Dag Aarsland
Publication date
05-04-2023
Publisher
Springer Healthcare
Published in
Neurology and Therapy / Issue 3/2023
Print ISSN: 2193-8253
Electronic ISSN: 2193-6536
DOI
https://doi.org/10.1007/s40120-023-00467-8

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