Effects of GV1001 on Language Dysfunction in Patients With Moderate-to-Severe Alzheimer's Disease: Post Hoc Analysis of Severe Impairment Battery Subscales.

Dementia and neurocognitive disorders Pub Date : 2023-07-01 Epub Date: 2023-07-11 DOI:10.12779/dnd.2023.22.3.100
Hyuk Sung Kwon, Seong-Ho Koh, Seong Hye Choi, Jee Hyang Jeong, Hae Ri Na, Chan Nyoung Lee, YoungSoon Yang, Ae Young Lee, Jae-Hong Lee, Kyung Won Park, Hyun Jeong Han, Byeong C Kim, Jinse Park, Jee-Young Lee, Kyu-Yong Lee, Sangjae Kim
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Abstract

Background and purpose: The efficacy and safety of GV1001 have been demonstrated in patients with moderate-to-severe Alzheimer's disease (AD). In this study, we aimed to further demonstrate the effectiveness of GV1001 using subscales of the Severe Impairment Battery (SIB), which is a validated measure to assess cognitive function in patients with moderate-to-severe AD.

Methods: We performed a post hoc analysis of data from a 6 month, multicenter, phase 2, randomized, double-blind, placebo-controlled trial with GV1001 (ClinicalTrials.gov, NCT03184467). Patients were randomized to receive either GV1001 or a placebo for 24 weeks. In the current study, nine subscales of SIB-social interaction, memory, orientation, language, attention, praxis, visuospatial ability, construction, and orientation to name- were compared between the treatment (GV1001 1.12 mg) and placebo groups at weeks 12 and 24. The safety endpoints for these patients were also determined based on adverse events.

Results: In addition to the considerable beneficial effect of GV1001 on the SIB total score, GV1001 1.12 mg showed the most significant effect on language function at 24 weeks compared to placebo in both the full analysis set (FAS) and per-protocol set (PPS) (p=0.017 and p=0.011, respectively). The rate of adverse events did not differ significantly between the 2 groups.

Conclusions: Patients with moderate-to-severe AD receiving GV1001 had greater language benefits than those receiving placebo, as measured using the SIB language subscale.

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GV1001 对中重度阿尔茨海默病患者语言功能障碍的影响:对严重障碍量表子量表的事后分析。
背景和目的:GV1001 在中重度阿尔茨海默病(AD)患者中的疗效和安全性已得到证实。在本研究中,我们旨在使用严重损害电池(SIB)的子量表进一步证明GV1001的有效性,SIB是评估中重度阿尔茨海默病患者认知功能的有效方法:我们对GV1001为期6个月的多中心2期随机、双盲、安慰剂对照试验(ClinicalTrials.gov,NCT03184467)的数据进行了事后分析。患者被随机分配接受 GV1001 或安慰剂治疗,为期 24 周。在目前的研究中,治疗组(GV1001 1.12 毫克)和安慰剂组在第 12 周和第 24 周比较了 SIB 的 9 个分量表--社交互动、记忆、定向力、语言、注意力、练习、视觉空间能力、构图和对名称的定向力。此外,还根据不良事件确定了这些患者的安全性终点:除了 GV1001 对 SIB 总分的显著疗效外,在 24 周时,GV1001 1.12 mg 对语言功能的疗效在全分析集 (FAS) 和按方案集 (PPS) 中均高于安慰剂(分别为 p=0.017 和 p=0.011)。两组患者的不良反应发生率无显著差异:结论:根据SIB语言分量表测量,接受GV1001治疗的中重度AD患者比接受安慰剂治疗的患者在语言方面获益更大。
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