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[Memory: therapeutic approach. Clinical evaluation].

F Pasquier1

  • 1Centre de la Mémoire, Clinique Neurologique, CHRU 59037 Lille, France.

Therapie
|December 1, 2000
PubMed
Summary
This summary is machine-generated.

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Pharmaceutical trials primarily assess episodic memory in Alzheimer's disease, following agency guidelines. However, other memory types like autobiographical and prospective memory remain underexplored in drug development.

Area of Science:

  • Neuroscience
  • Psychology
  • Clinical Trials

Context:

  • Memory assessment is crucial in pharmaceutical trials, particularly for Alzheimer's disease.
  • Regulatory agencies provide guidelines for memory test selection, emphasizing simplicity, brevity, and sensitivity.
  • Existing memory tests must possess inter-rater reliability, face validity, cross-cultural adaptability, and parallel forms to prevent training effects.

Purpose:

  • To review current practices in memory assessment for pharmaceutical trials.
  • To highlight the limitations of existing memory tests in capturing the full spectrum of memory functions.
  • To identify underexplored memory domains in drug development research.

Summary:

  • Current pharmaceutical trials predominantly focus on episodic memory assessment, often using the ADAS-Cog scale, which has been instrumental in approving Alzheimer's disease treatments.

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  • While guidelines exist for test selection, they primarily address episodic memory and do not encompass other critical memory systems.
  • Autobiographical, remote, prospective memory, and metamemory have not been adequately explored in pharmaceutical trial settings.
  • Impact:

    • This review underscores the need for broader memory assessment in pharmaceutical trials beyond episodic memory.
    • Expanding assessment to include autobiographical, remote, prospective memory, and metamemory could lead to more comprehensive drug efficacy evaluations.
    • Future research should focus on developing and validating instruments to assess these under-explored memory domains for improved clinical trial design.