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Down syndrome is a chromosomal disease, and is the most common neurological development and neurodegenerative disease
.
In a trial of young people with Down’s syndrome, memantine (a drug approved for the treatment of Alzheimer’s disease) was able to detect imagery memory (memory imagery is the perception that is stored in the human mind).
Related indicators show obvious effects
Down syndrome is a chromosomal disease, and is the most common neurological development and neurodegenerative disease
The study used a parallel design and stratified by age and gender.
Participants (15-32 years old) with trisomy 21 syndrome or a complete unbalanced translocation of chromosome 21 were recruited from the community in Brazil and the United States
.
Participants were randomly assigned (1:1) to receive memantine (20 mg/d orally) or placebo for 16 weeks
.
From May 13, 2015 to July 22, 2020, 185 Down syndrome participants were assessed as eligible, and 160 (86%) were randomly assigned to memantine (n=81) or placebo (n =79)
.
All participants received their assigned treatment
.
Changes in the scores of CVLT-II-sf scale during follow-up
Changes in the scores of CVLT-II-sf scale during follow-upIn general, the main outcome indicators did not differ between the groups (CVLT-II-sf free recall total score, 0.
34 points change from baseline [95% CI -0.
98 to 1.
67], P=0.
61)
.
The memantine group was well tolerated, with mild to moderate adverse events infrequently, the most common being viral upper respiratory tract infections (9 people in the memantine group [11%], 12 people in the placebo group [15%]) And transient dizziness (8 people in the memantine group [10%] and 6 people in the placebo group [8%])
.
In general, the main outcome indicators did not differ between the groups (CVLT-II-sf free recall total score, 0.
In summary, although it is well tolerated, memantine has no cognitive enhancement effects in adolescents and young adults with Down syndrome
references:
Safety, efficacy, and tolerability of memantine for cognitive and adaptive outcome measures in adolescents and young adults with Down syndrome: a randomised, double-blind, placebo-controlled phase 2 trial.
https://doi.
Safety, efficacy, and tolerability of memantine for cognitive and adaptive outcome measures in adolescents and young adults with Down syndrome: a randomised, double-blind, placebo-controlled phase 2 trial.
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