MLC601 in vascular dementia: an efficacy and safety pilot study

Hossein Pakdaman,1 Ali Amini Harandi,1 Koroush Gharagozli,1 Mehdi Abbasi,1 Majid Ghaffarpour,2 Farzad Ashrafi,1 Hosein Delavar Kasmaei,1 Asghar Amini Harandi3 1Brain Mapping Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran; 2Iranian Center of Neurological Research, Imam...

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Autores principales: Pakdaman H, Amini Harandi A, Gharagozli K, Abbasi M, Ghaffarpour M, Ashrafi F, Delavar Kasmaei H
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Publicado: Dove Medical Press 2017
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spelling oai:doaj.org-article:91caa645e2fd48818289c375e4b2a3752021-12-02T04:45:59ZMLC601 in vascular dementia: an efficacy and safety pilot study1178-2021https://doaj.org/article/91caa645e2fd48818289c375e4b2a3752017-10-01T00:00:00Zhttps://www.dovepress.com/mlc601-in-vascular-dementia-an-efficacy-and-safety-pilot-study-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Hossein Pakdaman,1 Ali Amini Harandi,1 Koroush Gharagozli,1 Mehdi Abbasi,1 Majid Ghaffarpour,2 Farzad Ashrafi,1 Hosein Delavar Kasmaei,1 Asghar Amini Harandi3 1Brain Mapping Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran; 2Iranian Center of Neurological Research, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran; 3Department of Biochemistry, School of Medicine, Jiroft University of Medical Sciences, Jiroft, Iran Background and aim: Vascular dementia (VaD) is the second most common cause of dementia and currently there is scarcity of therapies for VaD. We aimed to investigate the efficacy and safety of MLC601 in the treatment of VaD. Methods: In this multicenter, pilot, randomized, double-blind trial, 82 patients with VaD according to DSM-5 criteria received MLC601 or placebo capsules three times a day for 2 years. The primary efficacy end-point was evaluated by comparing Mini-Mental State Examination (MMSE) and Alzheimer’s Disease Assessment Scale-cognitive subscale (ADAS-cog) score between the two groups over 2 years of study. Safety was also assessed by recording adverse events and abnormal laboratory results. Results: Eighty-one patients completed the study and were included in the analysis. One patient was lost to follow-up in the placebo group. After 2 years, mean (±SD) changes in the MMSE score were –3.71 (±4.50) for MLC601 group and –9.33 (±4.80) for placebo group. ADAS-cog score showed (±SD) changes of 7.34 (±9.55) and 19.00 (±11.28) for MLC601 and placebo group, respectively. Repeated measures analyses showed that both MMSE and ADAS-cog scores were significantly better in the treatment group at 24 months (p<0.001). Ten (24.39%) patients reported predominantly transient gastrointestinal adverse events in MLC601 group. No patient left the study due to adverse events. There were no clinically significant abnormalities on laboratory tests. Conclusion: Patients treated with MLC601 over the 2 years showed dramatically better cognitive outcome compared with those treated with placebo. MLC601 was devoid of any serious adverse events and was well-tolerated. Keywords: vascular dementia, MLC601, safety, randomized placebo-controlled trialPakdaman HAmini Harandi AGharagozli KAbbasi MGhaffarpour MAshrafi FDelavar Kasmaei HAmini Harandi ADove Medical PressarticleVascular dementiaMLC601SafetyRandomized Placebo-controlled trialNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 13, Pp 2551-2557 (2017)
institution DOAJ
collection DOAJ
language EN
topic Vascular dementia
MLC601
Safety
Randomized Placebo-controlled trial
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Vascular dementia
MLC601
Safety
Randomized Placebo-controlled trial
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Pakdaman H
Amini Harandi A
Gharagozli K
Abbasi M
Ghaffarpour M
Ashrafi F
Delavar Kasmaei H
Amini Harandi A
MLC601 in vascular dementia: an efficacy and safety pilot study
description Hossein Pakdaman,1 Ali Amini Harandi,1 Koroush Gharagozli,1 Mehdi Abbasi,1 Majid Ghaffarpour,2 Farzad Ashrafi,1 Hosein Delavar Kasmaei,1 Asghar Amini Harandi3 1Brain Mapping Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran; 2Iranian Center of Neurological Research, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran; 3Department of Biochemistry, School of Medicine, Jiroft University of Medical Sciences, Jiroft, Iran Background and aim: Vascular dementia (VaD) is the second most common cause of dementia and currently there is scarcity of therapies for VaD. We aimed to investigate the efficacy and safety of MLC601 in the treatment of VaD. Methods: In this multicenter, pilot, randomized, double-blind trial, 82 patients with VaD according to DSM-5 criteria received MLC601 or placebo capsules three times a day for 2 years. The primary efficacy end-point was evaluated by comparing Mini-Mental State Examination (MMSE) and Alzheimer’s Disease Assessment Scale-cognitive subscale (ADAS-cog) score between the two groups over 2 years of study. Safety was also assessed by recording adverse events and abnormal laboratory results. Results: Eighty-one patients completed the study and were included in the analysis. One patient was lost to follow-up in the placebo group. After 2 years, mean (±SD) changes in the MMSE score were –3.71 (±4.50) for MLC601 group and –9.33 (±4.80) for placebo group. ADAS-cog score showed (±SD) changes of 7.34 (±9.55) and 19.00 (±11.28) for MLC601 and placebo group, respectively. Repeated measures analyses showed that both MMSE and ADAS-cog scores were significantly better in the treatment group at 24 months (p<0.001). Ten (24.39%) patients reported predominantly transient gastrointestinal adverse events in MLC601 group. No patient left the study due to adverse events. There were no clinically significant abnormalities on laboratory tests. Conclusion: Patients treated with MLC601 over the 2 years showed dramatically better cognitive outcome compared with those treated with placebo. MLC601 was devoid of any serious adverse events and was well-tolerated. Keywords: vascular dementia, MLC601, safety, randomized placebo-controlled trial
format article
author Pakdaman H
Amini Harandi A
Gharagozli K
Abbasi M
Ghaffarpour M
Ashrafi F
Delavar Kasmaei H
Amini Harandi A
author_facet Pakdaman H
Amini Harandi A
Gharagozli K
Abbasi M
Ghaffarpour M
Ashrafi F
Delavar Kasmaei H
Amini Harandi A
author_sort Pakdaman H
title MLC601 in vascular dementia: an efficacy and safety pilot study
title_short MLC601 in vascular dementia: an efficacy and safety pilot study
title_full MLC601 in vascular dementia: an efficacy and safety pilot study
title_fullStr MLC601 in vascular dementia: an efficacy and safety pilot study
title_full_unstemmed MLC601 in vascular dementia: an efficacy and safety pilot study
title_sort mlc601 in vascular dementia: an efficacy and safety pilot study
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/91caa645e2fd48818289c375e4b2a375
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