Riluzole and Cerebral Glucose Metabolism in Alzheimer Disease

Riluzole, a Glutamate Modulator, Slows Cerebral Glucose Metabolism Decline in Patients With Alzheimer's Disease

Dawn C. Matthews; Xiangling Mao; Kathleen Dowd; Diamanto Tsakanikas; Caroline S. Jiang; Caroline Meuser; Randolph D. Andrews; Ana S. Lukic; Jihyun Lee; Nicholas Hampilos; Neeva Shafiian; Mary Sano; P. David Mozley; Howard Fillit; Bruce S. McEwen; Dikoma C. Shungu; Ana C. Pereira

Disclosures

Brain. 2022;144(12):3742-3755. 

In This Article

Abstract and Introduction

Abstract

Dysregulation of glutamatergic neural circuits has been implicated in a cycle of toxicity, believed among the neurobiological underpinning of Alzheimer's disease. Previously, we reported preclinical evidence that the glutamate modulator riluzole, which is FDA approved for the treatment of amyotrophic lateral sclerosis, has potential benefits on cognition, structural and molecular markers of ageing and Alzheimer's disease. The objective of this study was to evaluate in a pilot clinical trial, using neuroimaging biomarkers, the potential efficacy and safety of riluzole in patients with Alzheimer's disease as compared to placebo.

A 6-month phase 2 double-blind, randomized, placebo-controlled study was conducted at two sites. Participants consisted of males and females, 50 to 95 years of age, with a clinical diagnosis of probable Alzheimer's disease, and Mini-Mental State Examination between 19 and 27

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