J 2024

Progress in the Treatment of Alzheimer's Disease Is Needed - Position Statement of European Alzheimer's Disease Consortium (EADC) Investigators

JESSEN, Frank, M. G. KRAMBERGER, D. ANGIONI, D. AARSLAND, M. BALASA et. al.

Základní údaje

Originální název

Progress in the Treatment of Alzheimer's Disease Is Needed - Position Statement of European Alzheimer's Disease Consortium (EADC) Investigators

Autoři

JESSEN, Frank, M. G. KRAMBERGER, D. ANGIONI, D. AARSLAND, M. BALASA, K. BENNYS, M. BOADA, M. BOBAN, A. CHINCARINI, L. EXALTO, A. FELBECKER, K. FLIESSBACH, G. B. FRISONI, A. J. GARZA-MARTINEZ, T. GRIMMER, B. HANSEEUW, J. HORT, A. IVANOIU, S. KLOPPEL, Lenka KRAJČOVIČOVÁ (703 Slovensko, domácí), B. MCGUINNESS, P. MECOCCI, A. DE MENDONCA, A. NOUS, P -j. OUSSET, C. PAQUET, R. PERNECZKY, O. PETERS, M. TABUAS-PEREIRA, F. PIAZZA, D. PLANTONE, M. RIVEROL, A. RUIZ, G. SACCO, I. SANTANA, N. SCARMEAS, E. SOLJE, E. STEFANOVA, S. SUTOVSKY, W. VAN DER FLIER, T. WELSH, A. WIMO, B. WINBLAD, L. FROELICH a S. ENGELBORGHS

Vydání

JPAD-JOURNAL OF PREVENTION OF ALZHEIMERS DISEASE, BASEL, SPRINGER BASEL AG, 2024, 2274-5807

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30210 Clinical neurology

Stát vydavatele

Švýcarsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 6.400 v roce 2022

Organizační jednotka

Lékařská fakulta

UT WoS

001290671000001

Klíčová slova anglicky

Alzheimer's disease; mild cognitive impairment; disease modifying treatment; beta-amyloid-targeting treatment; amyloid imaging related abnormalities

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 5. 11. 2024 14:36, Mgr. Tereza Miškechová

Anotace

V originále

Beta-amyloid-targeting antibodies represent the first generation of effective causal treatment of Alzheimer's disease (AD) and can be considered historical research milestones. Their effect sizes, side effects, implementation challenges and costs, however, have stimulated debates about their overall value. In this position statement academic clinicians of the European Alzheimer's Disease Consortium (EADC) discuss the critical relevance of introducing these new treatments in clinical care now. Given the complexity of AD it is unlikely that molecular single-target treatments will achieve substantially larger effects than those seen with current beta-amyloid-targeting antibodies. Larger effects will most likely only be achieved incrementally by continuous optimization of molecular approaches, patient selection and combinations therapies. To be successful in this regard, drug development must be informed by the use of innovative treatments in real world practice, because full understanding of all facets of novel treatments requires experience and data of real-world care beyond those of clinical trials. Regarding the antibodies under discussion we consider their effects meaningful and potential side effects manageable. We assume that the number of eventually treated patient will only be a fraction of all early AD patients due to narrow eligibility criteria and barriers of access. We strongly endorse the use of these new compound in clinical practice in selected patients with treatment documentation in registries. We understand this as a critical step in advancing the field of AD treatment, and in shaping the health care systems for the new area of molecular-targeted treatment of neurodegenerative diseases.