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Lewy Body Dementia: An Overview of Promising Therapeutics
Irina A Skylar-Scott1, Sharon J Sha2
1Memory Disorders Division, Department of Neurology and Neurological Sciences, Stanford University School of Medicine, 213 Quarry Road, Palo Alto, CA, 94305, USA. iskylarscott@stanford.edu.
This review explores new treatments for Lewy body dementia (LBD), focusing on disease-modifying therapies and symptomatic options for cognitive issues and psychosis. Promising trials are underway for LBD patients and caregivers.
Area of Science:
- Neuroscience
- Pharmacology
- Geriatrics
Background:
- Lewy body dementia (LBD) includes dementia with Lewy bodies (DLB) and Parkinson's disease dementia (PDD).
- Non-motor symptoms like cognitive impairment and psychosis significantly burden LBD patients and caregivers.
Purpose of the Study:
- To review potential disease-modifying therapies (DMTs) for LBD.
- To evaluate investigative symptomatic treatments for cognitive impairment and psychosis in LBD.
Main Methods:
- Comprehensive review of prospective disease-modifying therapies (DMTs) with available clinical trial data.
- Appraisal of symptomatic therapies for cognitive impairment and psychosis in LBD.
Main Results:
- Eleven prospective DMTs are under investigation, with some having Phase 2 data (e.g., neflamapimod, nilotinib).
- Limited data exists for other DMTs in symptomatic populations (e.g., ambroxol, clenbuterol).
- NYX-458 shows promise for cognitive impairment; pimavanserin is promising for psychosis in LBD.
Conclusions:
- Despite challenges, ongoing and upcoming trials indicate progress in developing novel therapeutics for LBD.
- Further research is crucial for effective disease-modifying and symptomatic treatments for LBD.
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