Therapeutic development paths for cognitive impairment in Parkinson's disease: Report of a regulatory roundtable

作者: Jamie Eberling , Lona Vincent , Jennifer G. Goldman , Daniel Weintraub , Jaime Kulisevsky

DOI: 10.3233/JPD-140385

关键词: DementiaPsychiatryCognitive declineDiseasePhysical medicine and rehabilitationClinical trialPsychologyQuality of lifeCognitionCognitive impairmentParkinson's disease

摘要: Cognitive impairment is a common occurrence in Parkinson's disease (PD), although the severity and specific presentation varies across patients. Initial deficits, including mild cognitive (PD-MCI), may remain stable or many cases, progress over variable lengths of time to dementia (PDD). As there are currently no marketed treatments for milder forms impairment, an opportunity exists define path therapeutic development this area. In absence well-defined approval therapies that target PD-MCI, pharmaceutical companies unlikely pursue indication. order move forward improve quality life PD patients, it imperative field have consensus on definition best instruments measure decline, strategy future clinical trials.

参考文章(26)
Connie Marras, Alexander I. Tröster, Jaime Kulisevsky, Glenn T. Stebbins, The tools of the trade: a state of the art "How to Assess Cognition" in the patient with Parkinson's disease. Movement Disorders. ,vol. 29, pp. 584- 596 ,(2014) , 10.1002/MDS.25874
Brit Mollenhauer, Lynn Rochester, Alice Chen-Plotkin, David Brooks, What can biomarkers tell us about cognition in Parkinson's disease? Movement Disorders. ,vol. 29, pp. 622- 633 ,(2014) , 10.1002/MDS.25846
Jennifer G. Goldman, Caroline Williams-Gray, Roger A. Barker, John E. Duda, James E. Galvin, The spectrum of cognitive impairment in Lewy body diseases Movement Disorders. ,vol. 29, pp. 608- 621 ,(2014) , 10.1002/MDS.25866
Marshal F. Folstein, Susan E. Folstein, Paul R. McHugh, “Mini-mental state” Journal of Psychiatric Research. ,vol. 12, pp. 189- 198 ,(1975) , 10.1016/0022-3956(75)90026-6
John V. Hindle, Annette Petrelli, Linda Clare, Elke Kalbe, Nonpharmacological enhancement of cognitive function in Parkinson's disease: a systematic review. Movement Disorders. ,vol. 28, pp. 1034- 1049 ,(2013) , 10.1002/MDS.25377
A new rating scale for Alzheimer's disease. American Journal of Psychiatry. ,vol. 141, pp. 1356- 1364 ,(1984) , 10.1176/AJP.141.11.1356
Jaime Kulisevsky, Ramón Fernández de Bobadilla, Javier Pagonabarraga, Saül Martínez-Horta, Antonia Campolongo, Carmen García-Sánchez, Berta Pascual-Sedano, Roser Ribosa-Nogué, Carolina Villa-Bonomo, Measuring functional impact of cognitive impairment: Validation of the Parkinson's Disease Cognitive Functional Rating Scale Parkinsonism & Related Disorders. ,vol. 19, pp. 812- 817 ,(2013) , 10.1016/J.PARKRELDIS.2013.05.007
Caroline H. Williams-Gray, Jonathan R. Evans, An Goris, Thomas Foltynie, Maria Ban, Trevor W. Robbins, Carol Brayne, Bhaskar S. Kolachana, Daniel R. Weinberger, Stephen J. Sawcer, Roger A. Barker, The distinct cognitive syndromes of Parkinson's disease: 5 year follow-up of the CamPaIGN cohort Brain. ,vol. 132, pp. 2958- 2969 ,(2009) , 10.1093/BRAIN/AWP245
H. Feldman, A. Sauter, A. Donald, I. Gélinas, S. Gauthier, K. Torfs, W. Parys, A. Mehnert, The disability assessment for dementia scale: a 12-month study of functional ability in mild to moderate severity Alzheimer disease. Alzheimer Disease & Associated Disorders. ,vol. 15, pp. 89- 95 ,(2001) , 10.1097/00002093-200104000-00008
Emily Rosenthal, Laura Brennan, Sharon Xie, Howard Hurtig, Joshua Milber, Daniel Weintraub, Jason Karlawish, Andrew Siderowf, Association Between Cognition and Function in Patients With Parkinson Disease With and Without Dementia Movement Disorders. ,vol. 25, pp. 1170- 1176 ,(2010) , 10.1002/MDS.23073