P4‐125: Cognitive Event‐Related Potentials Used As Biomarkers in Pleodial‐I Study: First Evidence of a Neurophysiological Effect of PXT864 in Mild Alzheimer’s Disease Patients Article Swipe
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· 2016
· Open Access
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· DOI: https://doi.org/10.1016/j.jalz.2016.06.2216
Cognitive event related potential (ERP) is a usefull biomarker for the diagnosis of Alzheimer's Disease (AD), even from the preclinical stage. We report here the use of ERP in a phase IIa clinical study to explore in mild AD patients the symptomatic effect of PXT864, an under-development fixed combination of low doses of acamprosate and baclofen, which has shown multiple reversions of pathological alteration in cellular and animal models of AD. PLEODIAL-I is a pilot phase IIa study to assess the safety and preliminary evidence of efficacy on cognitive impairment and function of PXT864 in patients with mild AD. PXT864 was taken in single blind during 4 weeks, followed by placebo during 4 weeks, and then PXT864 during 4 last weeks. With this challenge/de-challenge/re-challenge original design, two doses of PXT864 were tested by two sets of patients. Efficacy was assessed through the 11-item Alzheimer's Disease Assessment Scale cognitive subscale (ADAS-Cog). In one of the 6 participating investigational centers, a sub-study was added to assess also PXT864 efficacy with the ERP method. Recordings were performed on Cz, Fz, and Pz at baseline (V1, before first drug administration) and at each 4-week visit (V2, V3, and V4). 3 patients under the lower dose and 3 under the higher dose of PXT864 had completed their 4-visit ERP sessions. An improvement during the 2 periods under active drug, and a worsening during the placebo period were observed in all cases in terms of latencies and amplitudes of P3b on Cz, Fz, and Pz for both doses tested. This expected "challenge, de-challenge, re-challenge" pattern was also found in a spatio-temporal principal component analysis performed on ERP raw data. These ERP results show first evidence of PXT864 neurophysiological activity to restore the balance between glutamate and GABA signaling disrupted by toxic Aß oligomeric peptides, which seemed also to be coupled to a global cognitive improvement in 4-week treatment periods.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1016/j.jalz.2016.06.2216
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1016/j.jalz.2016.06.2216
- OA Status
- bronze
- Cited By
- 2
- Related Works
- 10
- OpenAlex ID
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Raw OpenAlex JSON
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https://openalex.org/W2532739215Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1016/j.jalz.2016.06.2216Digital Object Identifier
- Title
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P4‐125: Cognitive Event‐Related Potentials Used As Biomarkers in Pleodial‐I Study: First Evidence of a Neurophysiological Effect of PXT864 in Mild Alzheimer’s Disease PatientsWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2016Year of publication
- Publication date
-
2016-07-01Full publication date if available
- Authors
-
Karim Bennys, Raphaël Haddad, Catherine Scart Grès, Peter A. Schmitt, Jacques TouchonList of authors in order
- Landing page
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https://doi.org/10.1016/j.jalz.2016.06.2216Publisher landing page
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1016/j.jalz.2016.06.2216Direct link to full text PDF
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YesWhether a free full text is available
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bronzeOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1016/j.jalz.2016.06.2216Direct OA link when available
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Neurophysiology, Event-related potential, Disease, Cognition, Psychology, Neuroscience, Medicine, Audiology, Internal medicineTop concepts (fields/topics) attached by OpenAlex
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2Total citation count in OpenAlex
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2018: 1, 2017: 1Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.found | 261 |
| abstract_inverted_index.lower | 199 |
| abstract_inverted_index.phase | 30, 75 |
| abstract_inverted_index.pilot | 74 |
| abstract_inverted_index.shown | 58 |
| abstract_inverted_index.study | 33, 77 |
| abstract_inverted_index.taken | 101 |
| abstract_inverted_index.terms | 237 |
| abstract_inverted_index.their | 211 |
| abstract_inverted_index.toxic | 294 |
| abstract_inverted_index.under | 197, 203, 221 |
| abstract_inverted_index.visit | 190 |
| abstract_inverted_index.which | 56, 298 |
| abstract_inverted_index.4-week | 189, 310 |
| abstract_inverted_index.PXT864 | 93, 99, 116, 129, 165, 208, 280 |
| abstract_inverted_index.active | 222 |
| abstract_inverted_index.animal | 67 |
| abstract_inverted_index.assess | 79, 163 |
| abstract_inverted_index.before | 182 |
| abstract_inverted_index.during | 105, 111, 117, 217, 227 |
| abstract_inverted_index.effect | 42 |
| abstract_inverted_index.global | 306 |
| abstract_inverted_index.higher | 205 |
| abstract_inverted_index.models | 68 |
| abstract_inverted_index.period | 230 |
| abstract_inverted_index.report | 22 |
| abstract_inverted_index.safety | 81 |
| abstract_inverted_index.seemed | 299 |
| abstract_inverted_index.single | 103 |
| abstract_inverted_index.stage. | 20 |
| abstract_inverted_index.tested | 131 |
| abstract_inverted_index.weeks, | 107, 113 |
| abstract_inverted_index.weeks. | 120 |
| abstract_inverted_index.11-item | 142 |
| abstract_inverted_index.4-visit | 212 |
| abstract_inverted_index.Disease | 14, 144 |
| abstract_inverted_index.PXT864, | 44 |
| abstract_inverted_index.balance | 286 |
| abstract_inverted_index.between | 287 |
| abstract_inverted_index.coupled | 303 |
| abstract_inverted_index.design, | 125 |
| abstract_inverted_index.explore | 35 |
| abstract_inverted_index.method. | 170 |
| abstract_inverted_index.pattern | 258 |
| abstract_inverted_index.periods | 220 |
| abstract_inverted_index.placebo | 110, 229 |
| abstract_inverted_index.related | 2 |
| abstract_inverted_index.restore | 284 |
| abstract_inverted_index.results | 275 |
| abstract_inverted_index.tested. | 252 |
| abstract_inverted_index.through | 140 |
| abstract_inverted_index.usefull | 7 |
| abstract_inverted_index.Efficacy | 137 |
| abstract_inverted_index.activity | 282 |
| abstract_inverted_index.analysis | 267 |
| abstract_inverted_index.assessed | 139 |
| abstract_inverted_index.baseline | 180 |
| abstract_inverted_index.cellular | 65 |
| abstract_inverted_index.centers, | 157 |
| abstract_inverted_index.clinical | 32 |
| abstract_inverted_index.efficacy | 86, 166 |
| abstract_inverted_index.evidence | 84, 278 |
| abstract_inverted_index.expected | 254 |
| abstract_inverted_index.followed | 108 |
| abstract_inverted_index.function | 91 |
| abstract_inverted_index.multiple | 59 |
| abstract_inverted_index.observed | 232 |
| abstract_inverted_index.original | 124 |
| abstract_inverted_index.patients | 39, 95, 196 |
| abstract_inverted_index.periods. | 312 |
| abstract_inverted_index.subscale | 148 |
| abstract_inverted_index.Cognitive | 0 |
| abstract_inverted_index.baclofen, | 55 |
| abstract_inverted_index.biomarker | 8 |
| abstract_inverted_index.cognitive | 88, 147, 307 |
| abstract_inverted_index.completed | 210 |
| abstract_inverted_index.component | 266 |
| abstract_inverted_index.diagnosis | 11 |
| abstract_inverted_index.disrupted | 292 |
| abstract_inverted_index.glutamate | 288 |
| abstract_inverted_index.latencies | 239 |
| abstract_inverted_index.patients. | 136 |
| abstract_inverted_index.peptides, | 297 |
| abstract_inverted_index.performed | 173, 268 |
| abstract_inverted_index.potential | 3 |
| abstract_inverted_index.principal | 265 |
| abstract_inverted_index.sessions. | 214 |
| abstract_inverted_index.signaling | 291 |
| abstract_inverted_index.sub-study | 159 |
| abstract_inverted_index.treatment | 311 |
| abstract_inverted_index.worsening | 226 |
| abstract_inverted_index.Assessment | 145 |
| abstract_inverted_index.PLEODIAL-I | 71 |
| abstract_inverted_index.Recordings | 171 |
| abstract_inverted_index.alteration | 63 |
| abstract_inverted_index.amplitudes | 241 |
| abstract_inverted_index.impairment | 89 |
| abstract_inverted_index.oligomeric | 296 |
| abstract_inverted_index.reversions | 60 |
| abstract_inverted_index."challenge, | 255 |
| abstract_inverted_index.(ADAS-Cog). | 149 |
| abstract_inverted_index.Alzheimer's | 13, 143 |
| abstract_inverted_index.acamprosate | 53 |
| abstract_inverted_index.combination | 48 |
| abstract_inverted_index.improvement | 216, 308 |
| abstract_inverted_index.preclinical | 19 |
| abstract_inverted_index.preliminary | 83 |
| abstract_inverted_index.symptomatic | 41 |
| abstract_inverted_index.pathological | 62 |
| abstract_inverted_index.de-challenge, | 256 |
| abstract_inverted_index.participating | 155 |
| abstract_inverted_index.re-challenge" | 257 |
| abstract_inverted_index.administration) | 185 |
| abstract_inverted_index.investigational | 156 |
| abstract_inverted_index.spatio-temporal | 264 |
| abstract_inverted_index.under-development | 46 |
| abstract_inverted_index.neurophysiological | 281 |
| abstract_inverted_index.challenge/de-challenge/re-challenge | 123 |
| cited_by_percentile_year.max | 94 |
| cited_by_percentile_year.min | 90 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 5 |
| citation_normalized_percentile.value | 0.69473699 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |