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j.trci.2016.10.001.pdf | 1.24 MB | Adobe PDF | 見る/開く |
タイトル: | A multicenter, randomized, placebo-controlled trial for cilostazol in patients with mild cognitive impairment: The COMCID study protocol |
著者: | Saito, Satoshi Kojima, Shinsuke Oishi, Naoya https://orcid.org/0000-0002-0778-3381 (unconfirmed) Kakuta, Ryosuke Maki, Takakuni Yasuno, Fumihiko Nagatsuka, Kazuyuki Yamamoto, Haruko Fukuyama, Hidenao Fukushima, Masanori Ihara, Masafumi |
著者名の別形: | 福山, 秀直 眞木, 崇州 |
キーワード: | Alzheimer's disease Cilostazol Clearance Clinical trial Drug repositioning |
発行日: | 1-Nov-2016 |
出版者: | Elsevier Inc |
誌名: | Alzheimer's and Dementia: Translational Research and Clinical Interventions |
巻: | 2 |
開始ページ: | 250 |
終了ページ: | 257 |
抄録: | Introduction There are currently no effective treatments preventing conversion from mild cognitive impairment (MCI) to Alzheimer's disease. Cilostazol is a selective type-3 phosphodiesterase inhibitor that ameliorates accumulation of amyloid-β and has prevented cognitive decline in rodent models. Furthermore, cilostazol is known to suppress platelet aggregation, protect vascular endothelia, dilate vessels, and increase cerebral blood flow. Beneficial effects have also been shown in observational cohort studies, demonstrating the need for a prospective clinical trial. Methods The Cilostazol for prevention of COnversion from MCI to Dementia (COMCID) study is a double-blind, randomized phase II study of patients with MCI. Participants will receive cilostazol or placebo for 96 weeks. The primary objective is to evaluate whether cilostazol slows down cognitive decline measured by the Mini-Mental State Examination. Secondary objectives are assessing time to conversion from MCI to dementia and assessing incremental changes in several psychological assessment scales. Discussion The COMCID trial will identify the therapeutic potential of cilostazol. This trial, which is based on a drug repositioning strategy, may aid the development of a neurovascular treatment for neurocognitive disorders. |
著作権等: | © 2016 The Authors. Published by Elsevier Inc. on behalf of the Alzheimer’s Association. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
URI: | http://hdl.handle.net/2433/218330 |
DOI(出版社版): | 10.1016/j.trci.2016.10.001 |
PubMed ID: | 29067312 |
出現コレクション: | 学術雑誌掲載論文等 |
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