A pilot study of prednisone in Alzheimer's disease.

P S Aisen, D Marin, L Altstiel, C Goodwin, B Baruch, R Jacobson, T Ryan, K L Davis
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引用次数: 50

Abstract

Preliminary to a multicenter trial, an open-label study was conducted of prednisone treatment in Alzheimer's disease. Prednisone was given at an initial dose of 10 mg (part 1) or 20 mg (part 2) and tapered over 7 weeks. There were no serious adverse events attributed to the medication, and there were no significant changes in either mean cognitive or behavioral assessment scores with treatment during either part. Serum levels of the acute phase proteins alpha-1-antichymotrypsin and C-reactive protein did not change significantly during part 1, but were suppressed by the higher dose given in part 2. Thus, a prednisone regimen with an initial dose of 20 mg is tolerable and results in suppression of the acute phase response in Alzheimer's disease.

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强的松治疗阿尔茨海默病的初步研究。
作为一项多中心试验的前期准备,一项关于强的松治疗阿尔茨海默病的开放标签研究进行了进行。泼尼松的初始剂量为10mg(第1部分)或20mg(第2部分),并在7周内逐渐减少。没有严重的不良事件归因于药物,并且在两部分治疗期间,平均认知或行为评估得分没有显著变化。急性期α -1-抗凝乳胰蛋白酶和c反应蛋白的血清水平在第1部分没有显著变化,但在第2部分给予较高剂量时受到抑制。因此,初始剂量为20mg的强的松方案是可耐受的,并可抑制阿尔茨海默病的急性期反应。
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