Page last updated: 2024-11-08

alanine and Cognition Disorders

alanine has been researched along with Cognition Disorders in 19 studies

Alanine: A non-essential amino acid that occurs in high levels in its free state in plasma. It is produced from pyruvate by transamination. It is involved in sugar and acid metabolism, increases IMMUNITY, and provides energy for muscle tissue, BRAIN, and the CENTRAL NERVOUS SYSTEM.
alanine : An alpha-amino acid that consists of propionic acid bearing an amino substituent at position 2.

Cognition Disorders: Disorders characterized by disturbances in mental processes related to learning, thinking, reasoning, and judgment.

Research Excerpts

ExcerptRelevanceReference
"Since oral administration of d-alanine, an agonist that binds to the glycine site of N-methyl-d-aspartate (NMDA) receptors, improves the positive and cognitive symptoms of patients with schizophrenia, measurement of endogenous plasma alanine levels could serve as a clinical marker for schizophrenia severity and improvement."9.14Plasma alanine levels increase in patients with schizophrenia as their clinical symptoms improve-Results from the Juntendo University Schizophrenia Projects (JUSP). ( Arai, H; Hanzawa, R; Hatano, T; Maeshima, H; Ohnuma, T; Sakai, Y; Shibata, N; Suzuki, T, 2010)
"Since oral administration of d-alanine, an agonist that binds to the glycine site of N-methyl-d-aspartate (NMDA) receptors, improves the positive and cognitive symptoms of patients with schizophrenia, measurement of endogenous plasma alanine levels could serve as a clinical marker for schizophrenia severity and improvement."5.14Plasma alanine levels increase in patients with schizophrenia as their clinical symptoms improve-Results from the Juntendo University Schizophrenia Projects (JUSP). ( Arai, H; Hanzawa, R; Hatano, T; Maeshima, H; Ohnuma, T; Sakai, Y; Shibata, N; Suzuki, T, 2010)
"Safinamide (Xadago(®)) is an oral α-aminoamide derivative developed by Newron for the treatment of Parkinson's disease (PD)."2.52Safinamide: first global approval. ( Deeks, ED, 2015)
"Alzheimer's disease is thought to be caused by increased formations of neurotoxic amyloid beta (A beta) peptides, which give rise to the hallmark amyloid plaques."2.45Development of semagacestat (LY450139), a functional gamma-secretase inhibitor, for the treatment of Alzheimer's disease. ( Dean, RA; Henley, DB; May, PC; Siemers, ER, 2009)
"An unresolved debate in Alzheimer's disease (AD) is whether amyloid plaques are pathogenic, causing overt physical disruption of neural circuits, or protective, sequestering soluble forms of amyloid-β (Aβ) that initiate synaptic damage and cognitive decline."1.40Genetic modulation of soluble Aβ rescues cognitive and synaptic impairment in a mouse model of Alzheimer's disease. ( Chiang, AC; Cirrito, JR; Fowler, SW; Jankowsky, JL; Larson, ME; Lesné, SE; Savjani, RR; Schuler, DR; Sherman, MA, 2014)
"In these families, FTLD cosegregates with ALS."1.36Amyotrophic lateral sclerosis-frontotemporal lobar dementia in 3 families with p.Ala382Thr TARDBP mutations. ( Borghero, G; Brunetti, M; Calvo, A; Chiò, A; Cistaro, A; Marrosu, MG; Moglia, C; Montuschi, A; Murru, MR; Mutani, R; Ossola, I; Restagno, G; Schymick, JC; Ticca, A; Traynor, BJ, 2010)
"The Timothy syndrome is a multisystem disorder associated with the mutation of a Gly residue (G402 or G406) in the Ca(v)1."1.35Introduction into Ca(v)2.1 of the homologous mutation of Ca(v)1.2 causing the Timothy syndrome questions the role of V421 in the phenotypic definition of P-type Ca(2+) channel. ( Cens, T; Charnet, P; Leyris, JP, 2008)

Research

Studies (19)

TimeframeStudies, this research(%)All Research%
pre-19901 (5.26)18.7374
1990's0 (0.00)18.2507
2000's4 (21.05)29.6817
2010's14 (73.68)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Ochoa, JF1
Alonso, JF1
Duque, JE1
Tobón, CA1
Baena, A1
Lopera, F2
Mañanas, MA1
Hernández, AM1
Koros, C1
Simitsi, A1
Prentakis, A1
Beratis, I1
Papadimitriou, D1
Kontaxopoulou, D1
Fragkiadaki, S1
Papagiannakis, N1
Seibyl, J1
Marek, K1
Papageorgiou, SG1
Trapali, XG1
Stamelou, M1
Stefanis, L1
Venkateswaran, S1
McMillan, HJ1
Doja, A1
Humphreys, P1
Fowler, SW1
Chiang, AC1
Savjani, RR1
Larson, ME1
Sherman, MA1
Schuler, DR1
Cirrito, JR1
Lesné, SE1
Jankowsky, JL1
Deeks, ED1
Liu-Seifert, H1
Siemers, E1
Price, K1
Han, B1
Selzler, KJ1
Henley, D1
Sundell, K1
Aisen, P1
Cummings, J2
Raskin, J1
Mohs, R1
Sydow, A1
Hochgräfe, K1
Könen, S1
Cadinu, D1
Matenia, D1
Petrova, O1
Joseph, M1
Dennissen, FJ1
Mandelkow, EM1
Cens, T1
Leyris, JP1
Charnet, P1
Rönnbäck, A1
Zhu, S1
Dillner, K1
Aoki, M1
Lilius, L1
Näslund, J1
Winblad, B1
Graff, C1
Henley, DB1
May, PC1
Dean, RA1
Siemers, ER1
Hatano, T1
Ohnuma, T2
Sakai, Y2
Shibata, N2
Maeshima, H2
Hanzawa, R2
Suzuki, T1
Arai, H2
Chiò, A1
Calvo, A1
Moglia, C1
Restagno, G1
Ossola, I1
Brunetti, M1
Montuschi, A1
Cistaro, A1
Ticca, A1
Traynor, BJ1
Schymick, JC1
Mutani, R1
Marrosu, MG1
Murru, MR1
Borghero, G1
Peng, Y1
Luo, XJ1
Chen, XP1
Li, LX1
Wan, LY1
He, S1
Chen, XN1
Wu, K1
MacPherson, SE1
Parra, MA1
Moreno, S1
Della Sala, S1
Higa, M1
Kitazawa, M1
Hotta, Y1
Katsuta, N1
Takebayashi, Y1
Evans, ML1
Hopkins, D1
Macdonald, IA1
Amiel, SA1
Yaffe, K1
Kanaya, AM1
Lindquist, K1
Hsueh, WC1
Cummings, SR1
Beamer, B1
Newman, A1
Rosano, C1
Li, R1
Harris, T1
Burns, R1
Thomas, DW1
Barron, VJ1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Effect of γ-Secretase Inhibition on the Progression of Alzheimer's Disease: LY450139 Versus Placebo[NCT00594568]Phase 31,537 participants (Actual)Interventional2008-03-31Completed
Effect of LY450139 a y-Secretase Inhibitor, on the Progression of Alzheimer's Disease as Compared With Placebo[NCT00762411]Phase 31,111 participants (Actual)Interventional2008-09-30Completed
Effect of LY2062430, an Anti-Amyloid Beta Monoclonal Antibody, on the Progression of Alzheimer's Disease as Compared With Placebo[NCT00905372]Phase 31,000 participants (Anticipated)Interventional2009-05-31Completed
Effect of Passive Immunization on the Progression of Alzheimer's Disease: LY2062430 Versus Placebo[NCT00904683]Phase 31,040 participants (Actual)Interventional2009-05-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change From Baseline in Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog11) Score at 16 Weeks After Cessation of Study Drug

ADAS-Cog11 consists of 11 items assessing areas of function most typically impaired in Alzheimer's disease (AD): orientation, verbal memory, language, and praxis. The scale ranges from 0 to 70, with higher scores indicating greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication. (NCT00594568)
Timeframe: Baseline (randomization), 16 weeks following treatment cessation

Interventionunits on a scale (Least Squares Mean)
Placebo6.59
100 mg LY4501397.57
140 mg LY4501397.90

Change From Baseline in Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog11) Score at 76 Weeks

ADAS-Cog11 was used as a primary efficacy measure. It consists of 11 items assessing areas of function most typically impaired in Alzheimer's disease (AD): orientation, verbal memory, language, and praxis. The scale ranges from 0 to 70, with higher scores indicating greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication. (NCT00594568)
Timeframe: Baseline (randomization), 76 weeks

Interventionunits on a scale (Least Squares Mean)
Placebo6.19
100 mg LY4501397.29
140 mg LY4501397.68

Change From Baseline in Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog12) Score at 16 Weeks After Cessation of Study Drug

ADAS-Cog12 is ADAS-Cog11 augmented with delayed free recall measure, resulting in a total score ranging from 0 to 80. Higher scores indicate greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication. (NCT00594568)
Timeframe: Baseline (randomization), 16 weeks following treatment cessation

Interventionunits on a scale (Least Squares Mean)
Placebo6.97
100 mg LY4501398.27
140 mg LY4501398.41

Change From Baseline in Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog12) Score at 76 Weeks

ADAS-Cog12 is ADAS-Cog11 augmented with delayed free recall measure, resulting in a total score ranging from 0 to 80. Higher scores indicate greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication. (NCT00594568)
Timeframe: Baseline (randomization), 76 weeks

Interventionunits on a scale (Least Squares Mean)
Placebo6.52
100 mg LY4501397.98
140 mg LY4501398.33

Change From Baseline in Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog14) Score at 16 Weeks After Cessation of Study Drug

ADAS-Cog14 is ADAS-Cog11 augmented with delayed free recall, digit cancellation, and maze completion measures. A score of 0 to 10 for delayed free recall and a conversion code of 0 to 5 for digit cancellation and maze completion provide total score ranges for this extended ADAS-Cog14 of 0 to 90. Higher scores indicate greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, concomitant standard of care (SOC) medication. (NCT00594568)
Timeframe: Baseline (randomization), 16 weeks following treatment cessation

Interventionunits on a scale (Least Squares Mean)
Placebo7.90
100 mg LY4501399.30
140 mg LY4501399.89

Change From Baseline in Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog14) Score at 76 Weeks

ADAS-Cog14 is ADAS-Cog11 augmented with delayed free recall, digit cancellation, and maze completion measures. A score of 0 to 10 for delayed free recall and a conversion code of 0 to 5 for digit cancellation and maze completion provide total score ranges for this extended ADAS-Cog14 of 0 to 90. Higher scores indicate greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, concomitant standard of care (SOC) medication. (NCT00594568)
Timeframe: Baseline (randomization), 76 weeks

Interventionunits on a scale (Least Squares Mean)
Placebo7.42
100 mg LY4501398.97
140 mg LY4501399.48

Change From Baseline in Alzheimer's Disease Cooperative Study Activities of Daily Living (ADCS-ADL) Inventory Score at 16 Weeks After Cessation of Study Drug

ADCS-ADL is a 23-item inventory developed as a Rater-administered questionnaire answered by the participant's caregiver. It measures performance of basic and instrumental activities of daily living by participants. The total score ranges from 0 to 78, with lower scores indicating greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication. (NCT00594568)
Timeframe: Baseline (randomization), 16 weeks following treatment cessation

Interventionunits on a scale (Least Squares Mean)
Placebo-9.26
100 mg LY450139-9.15
140 mg LY450139-11.73

Change From Baseline in Alzheimer's Disease Cooperative Study Activities of Daily Living (ADCS-ADL) Inventory Score at 76 Weeks

ADCS-ADL is a 23-item inventory developed as a Rater-administered questionnaire answered by the participant's caregiver. It measures performance of basic and instrumental activities of daily living by participants. The total score ranges from 0 to 78, with lower scores indicating greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication. (NCT00594568)
Timeframe: Baseline (randomization), 76 weeks

Interventionunits on a scale (Least Squares Mean)
Placebo-8.76
100 mg LY450139-10.13
140 mg LY450139-12.70

Change From Baseline in Amyloid Beta (Aβ) 1-42 Concentration in Spinal Fluid up to 76 Weeks

Concentration of an amino peptide known as Aβ 1-42 in spinal fluid. Least Squares (LS) Mean value was controlled for baseline value, age, and investigator. (NCT00594568)
Timeframe: Baseline (randomization), up to 76 weeks

Interventionpicogram per milliliter (pg/mL) (Least Squares Mean)
Placebo-86.16
100 mg LY45013923.27
140 mg LY450139-40.51

Change From Baseline in Amyloid Imaging Positron Emission Tomography (AV-45 PET) up to 76 Weeks

A radioactive tracer for PET that is a ligand for amyloid called AV-45. This permits the visualization of amyloid in the brains of Alzheimer's participants. The outcome reported is the composite summary of the standard uptake value ratio (SUVR) normalized to the cerebellar gray matter. Least Squares (LS) Mean value was controlled for baseline value, age, and investigator. (NCT00594568)
Timeframe: Baseline (randomization), up to 76 weeks

Interventionratio (Least Squares Mean)
Placebo0.08
100 mg LY4501390.06
140 mg LY4501390.09

Change From Baseline in Clinical Dementia Rating-Sum of Boxes (CDR-SB) Score at 76 Weeks

CDR-SB is a semi-structured interview of participants and their caregivers. Participant's cognitive status is rated across 6 domains of functioning, including memory, orientation, judgment/problem solving, community affairs, home/hobbies, and personal care. Severity score assigned for each of 6 domains; Total score (SB) ranges from 0 to 18. Higher scores indicate greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication. (NCT00594568)
Timeframe: Baseline (randomization), 76 weeks

Interventionunits on a scale (Least Squares Mean)
Placebo2.31
100 mg LY4501392.73
140 mg LY4501393.04

Change From Baseline in EuroQol 5-Dimensional Health-Related Quality of Life Scale Proxy Version (EQ-5D Proxy) Visual Analog Scale (VAS) Score at 76 Weeks

EQ-5D (proxy version) measures mobility, self-care, usual activities, pain/discomfort, anxiety/depression; each has 3 severity levels (no, some, severe problems) coded to a 1-digit number (1-3). Digits are combined into 5-digit number describing health state. Numerals 1-3 are not added for total score. VAS assesses caregiver's impression of participant's overall health state; scores range from 0 to 100; Lower scores indicate greater disease severity. Least Squares (LS) Mean value controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication. (NCT00594568)
Timeframe: Baseline (randomization), 76 weeks

Interventionunits on a scale (Least Squares Mean)
Placebo-1.41
100 mg LY450139-7.49
140 mg LY450139-5.33

Change From Baseline in Mini Mental State Examination (MMSE) Score at 76 Weeks

MMSE is a brief screening instrument used to assess cognitive function (orientation, memory, attention, and ability to name objects, follow verbal and written commands, write a sentence, and copy figures) in elderly participants. The total score ranges from 0 to 30; Lower score indicates greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication. (NCT00594568)
Timeframe: Baseline (randomization), 76 weeks

Interventionunits on a scale (Least Squares Mean)
Placebo-2.95
100 mg LY450139-3.14
140 mg LY450139-3.71

Change From Baseline in Neuropsychiatric Inventory (NPI) Score at 76 Weeks

NPI assesses psychopathology in participants with dementia and other neurologic disorders. Information is obtained from a caregiver familiar with the participant's behavior. Total score ranges from 12 to 144; Higher scores indicate greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication. (NCT00594568)
Timeframe: Baseline (randomization), 76 weeks

Interventionunits on a scale (Least Squares Mean)
Placebo1.92
100 mg LY4501393.31
140 mg LY4501394.15

Change From Baseline in Phosphorylated-Tau (P-Tau) Concentration in Spinal Fluid

Concentration of p-tau in spinal fluid. Least Squares (LS) Mean value was controlled for baseline value, age, and investigator. (NCT00594568)
Timeframe: Baseline (randomization), up to 76 weeks

Interventionpicogram per milliliter (pg/mL) (Least Squares Mean)
Placebo9.75
100 mg LY450139-6.26
140 mg LY450139-5.13

Change From Baseline in Positron Emission Tomography (PET) Using Fluorine-18 Fluorodeoxyglucose (18F-FDG) at 76 Weeks

Measurement of local cerebral glucose metabolism by PET using the radioactive tracer 18F-FDG. The outcome reported is the composite summary of the standard uptake value ratio (SUVR) normalized to the Pons. Least Squares (LS) Mean value was controlled for baseline value, age, and investigator. (NCT00594568)
Timeframe: Baseline (randomization), 76 weeks

Interventionratio (Least Squares Mean)
Placebo-0.08
100 mg LY450139-0.12
140 mg LY450139-0.11

Change From Baseline in Resource Utilization in Dementia-Lite (RUD-Lite) Score (Number of Hospitalizations) up to 76 Weeks

Assesses healthcare resource utilization (formal and informal care). Information gathered on both caregivers (caregiving time, work status) and participants (accommodation and healthcare resource utilization) was collected from baseline and follow-up interviews; Reported number of hospitalizations per participant up to 76 weeks. Least Squares (LS) Mean value was controlled for age and investigator. (NCT00594568)
Timeframe: Baseline (randomization), up to 76 weeks

Interventionhospitalizations/participant (Least Squares Mean)
Placebo0.55
100 mg LY4501390.66
140 mg LY4501390.83

Change From Baseline in Tau Concentration in Spinal Fluid up to 76 Weeks

Concentration of total tau in spinal fluid. Least Squares (LS) Mean value was controlled for baseline value, age, and investigator. (NCT00594568)
Timeframe: Baseline (randomization), up to 76 weeks

Interventionpicogram per milliliter (pg/mL) (Least Squares Mean)
Placebo75.11
100 mg LY45013920.50
140 mg LY45013961.00

LY450139 Population Pharmacokinetics: Clearance of LY450139

Model estimated apparent oral clearance. Clearance is defined as the volume of plasma that is completely cleared of drug (LY450139) per unit time. (NCT00594568)
Timeframe: 6 weeks, 12 weeks, and 52 weeks

Interventionliter per hour (L/h) (Geometric Mean)
LY45013918.8

LY450139 Population Pharmacokinetics: Volume of Distribution of LY450139

Model-estimated apparent volume of distribution. Volume of distribution is a measure of the extent to which the drug distributes in the body. (NCT00594568)
Timeframe: 6 weeks, 12 weeks, and 52 weeks

Interventionliter (L) (Geometric Mean)
LY45013966.8

Percent Change From Baseline in Amyloid Beta (Aβ) 1-42 Plasma Concentration at 52 Weeks

Concentration of amino acid peptide, known as Aβ 1-42, in plasma. Least Squares (LS) Mean value was controlled for baseline value, age, and investigator. (NCT00594568)
Timeframe: Baseline (randomization), 52 weeks

Interventionpicogram per milliliter (pg/mL) (Least Squares Mean)
Placebo3.86
100 mg LY450139-5.97
140 mg LY450139-19.95

Change From Baseline in Hippocampal Volume Using Volumetric Magnetic Resonance Imaging (vMRI) up to 76 Weeks

The vMRI assessment of left and right hippocampal volume is reported. Least Squares (LS) Mean value was controlled for baseline value, age, and investigator. (NCT00594568)
Timeframe: Baseline (randomization), up to 76 weeks

,,
Interventioncubic millimeter (mm^3) (Least Squares Mean)
Left Hippocampal VolumeRight Hippocampal Volume
100 mg LY450139-75.34-93.89
140 mg LY450139-107.62-112.40
Placebo-96.54-108.69

Change From Baseline in Alzheimer's Disease Assessment Scale (ADAS-Cog14) at 16 Weeks After Cessation of Study Drug

ADAS-Cog14 is ADAS-Cog11 augmented with delayed free recall, digit cancellation, and maze completion measures. A score of 0 to 10 for delayed free recall and a conversion code of 0 to 5 for digit cancellation and maze completion provide total score ranges for this extended ADAS-Cog14 of 0 to 90. Higher scores indicate greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, concomitant standard of care (SOC) medication. (NCT00762411)
Timeframe: Baseline (randomization), 16 weeks following treatment cessation

Interventionunits on a scale (Least Squares Mean)
140 mg LY4501396.00
Placebo5.89

Change From Baseline in Alzheimer's Disease Assessment Scale (ADAS-Cog14) at 76 Weeks

ADAS-Cog14 is ADAS-Cog11 augmented with delayed free recall, digit cancellation, and maze completion measures. A score of 0 to 10 for delayed free recall and a conversion code of 0 to 5 for digit cancellation and maze completion provide total score ranges for this extended ADAS-Cog14 of 0 to 90. Higher scores indicate greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication. (NCT00762411)
Timeframe: Baseline (randomization), 76 weeks

Interventionunits on a scale (Least Squares Mean)
140 mg LY4501399.23
Placebo8.32

Change From Baseline in Alzheimer's Disease Assessment Scale- Cognitive Subscale (ADAS-Cog11) at 16 Weeks After Cessation of Study Drug

The cognitive subscale of ADAS (ADAS Cog11) consists of 11 items assessing areas of function most typically impaired in Alzheimer's disease (AD): orientation, verbal memory, language, and praxis. The scale ranges from 0 to 70, with higher scores indicating greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication. (NCT00762411)
Timeframe: Baseline (randomization), 16 weeks following treatment cessation

Interventionunits on a scale (Least Squares Mean)
140 mg LY4501394.81
Placebo4.85

Change From Baseline in Alzheimer's Disease Assessment Scale- Cognitive Subscale (ADAS-Cog11) at 76 Weeks

The cognitive subscale of the ADAS (ADAS Cog11) was used as a primary efficacy measure and consists of 11 items assessing areas of function most typically impaired in Alzheimer's disease (AD): orientation, verbal memory, language, and praxis. The scale ranges from 0 to 70, with higher scores indicating greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication. (NCT00762411)
Timeframe: Baseline (randomization), 76 weeks

Interventionunits on a scale (Least Squares Mean)
140 mg LY4501397.37
Placebo6.77

Change From Baseline in Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog12) at 16 Weeks After Cessation of Study Drug

ADAS-Cog12 is ADAS-Cog11 augmented with delayed free recall measure, resulting in a total score ranging from 0 to 80. Higher scores indicate greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication. (NCT00762411)
Timeframe: Baseline (randomization), 16 weeks following treatment cessation

Interventionunits on a scale (Least Squares Mean)
140 mg LY4501395.33
Placebo5.14

Change From Baseline in Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog12) at 76 Weeks

ADAS-Cog12 is ADAS-Cog11 augmented with delayed free recall measure, resulting in a total score ranging from 0 to 80. Higher scores indicate greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication. (NCT00762411)
Timeframe: Baseline (randomization), 76 weeks

Interventionunits on a scale (Least Squares Mean)
140 mg LY45013910.09
Placebo10.34

Change From Baseline in Alzheimer's Disease Cooperative Study Activities of Daily Living Inventory (ADCS-ADL) at 16 Weeks After Cessation of Study Drug

The ADCS-ADL is a 23-item inventory developed as a rater-administered questionnaire answered by the participant's caregiver. The ADCS-ADL measures both basic and instrumental activities of daily living by participants. The total score ranges from 0 to 78, with lower scores indicating greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication. (NCT00762411)
Timeframe: Baseline (randomization), 16 weeks following treatment cessation

Interventionunits on a scale (Least Squares Mean)
140 mg LY450139-8.88
Placebo-7.68

Change From Baseline in Alzheimer's Disease Cooperative Study Activities of Daily Living Inventory (ADCS-ADL) at 76 Weeks

The ADCS-ADL is a 23-item inventory developed as a rater-administered questionnaire answered by the participant's caregiver. The ADCS-ADL measures both basic and instrumental activities of daily living by participants. The total score ranges from 0 to 78, with lower scores indicating greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication. (NCT00762411)
Timeframe: Baseline (randomization), 76 weeks

Interventionunits on a scale (Least Squares Mean)
140 mg LY450139-10.49
Placebo-9.77

Change From Baseline in Amyloid Beta (Aβ) 1-42 Concentration in Spinal Fluid up to 76 Weeks

Concentration of an amino acid peptide known as Aβ 1-42 in spinal fluid. Least Squares (LS) Mean value was controlled for baseline value, age, and investigator. (NCT00762411)
Timeframe: Baseline (randomization), up to 76 weeks

Interventionpicogram per milliliter (pg/mL) (Least Squares Mean)
140 mg LY45013919.20
Placebo-21.39

Change From Baseline in Amyloid Imaging Positron Emission Tomography (AV-45 PET) up to 76 Weeks

A radioactive tracer for PET that is a ligand for amyloid called [18F]-AV-45. This permits the visualization of amyloid in the brains of Alzheimer's participants. The outcome reported is the composite summary of the standard uptake value ratio (SUVR) normalized to the cerebellar gray matter. Least Squares (LS) Mean value was controlled for baseline value, age, and investigator. (NCT00762411)
Timeframe: Baseline (randomization), up to 76 weeks

Interventionratio (Least Squares Mean)
140 mg LY450139-0.36
Placebo0.16

Change From Baseline in Clinical Dementia Rating Sum of Boxes (CDR-SB) at 76 Weeks

CDR-SB is a semi-structured interview of participants and their caregivers. Participant's cognitive status is rated across 6 domains of functioning, including memory, orientation, judgment/problem solving, community affairs, home/hobbies, and personal care. Severity score assigned for each of 6 domains; total score (SB) ranges from 0 to 18. Higher scores indicate greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication. (NCT00762411)
Timeframe: Baseline (randomization), 76 weeks

Interventionunits on a scale (Least Squares Mean)
140 mg LY4501393.05
Placebo4.00

Change From Baseline in Mini Mental State Examination (MMSE) at 76 Weeks

MMSE is a brief screening instrument used to assess cognitive function (orientation, memory, attention, ability to name objects, follow verbal/written commands, write a sentence, and copy figures) in elderly participants. Total score ranges from 0 to 30; lower score indicates greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication (NCT00762411)
Timeframe: Baseline (randomization), 76 weeks

Interventionunits on a scale (Least Squares Mean)
140 mg LY450139-3.56
Placebo-3.35

Change From Baseline in Neuropsychiatric Inventory (NPI) at 76 Weeks

NPI assesses psychopathology in participants with dementia and other neurologic disorders. Information is obtained from a caregiver familiar with the participant's behavior. Total score ranges from 12 to 144; higher scores indicate greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication. (NCT00762411)
Timeframe: Baseline (randomization), 76 weeks

Interventionunits on a scale (Least Squares Mean)
140 mg LY4501392.94
Placebo3.84

Change From Baseline in Phosphorylated-Tau (P-tau) Concentration in Spinal Fluid up to 76 Weeks

Concentration of p-tau in spinal fluid. Least Squares (LS) Mean value was controlled for baseline value, age, and investigator. (NCT00762411)
Timeframe: Baseline (randomization), up to 76 weeks

Interventionpicogram per milliliter (pg/mL) (Least Squares Mean)
140 mg LY4501397.94
Placebo14.75

Change From Baseline in Positron Emission Tomography (PET) Using Fluorine-18 Fluorodeoxyglucose (18F-FDG) at 76 Weeks

Measurement of local cerebral glucose metabolism by PET using the radioactive tracer 18F-FDG. The outcome reported is the composite summary of the standard uptake value ratio (SUVR) normalized to the Pons. Least Squares (LS) Mean value was controlled for baseline value, age, and investigator. (NCT00762411)
Timeframe: Baseline (randomization), 76 weeks

Interventionratio (Least Squares Mean)
140 mg LY450139-0.13
Placebo-0.08

Change From Baseline in Quality of Life in Alzheimer's Disease (QoL-AD) at 76 Weeks

Assess QoL for AD: participant rates mood, relationships, memory, finances, physical condition, and overall QoL assessment. Each of 13 items, rated on a 4-point scale. Sum of items=total score (range: 13 to 52). Higher scores indicate greater QoL. Participant's primary caregiver asked to complete same measure. Least Squares (LS) Mean value controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication. (NCT00762411)
Timeframe: Baseline (randomization), 76 weeks

Interventionunits on a scale (Least Squares Mean)
140 mg LY450139-1.83
Placebo-1.05

Change From Baseline in Tau Concentration in Spinal Fluid up to 76 Weeks

Concentration of total tau in spinal fluid. Least Squares (LS) Mean value was controlled for baseline value, age, and investigator. (NCT00762411)
Timeframe: Baseline (randomization), up to 76 weeks

Interventionpicogram per milliliter (pg/mL) (Least Squares Mean)
140 mg LY450139-11.60
Placebo117.88

Change From Baseline in the EuroQol 5-Dimensional Health-Related Quality of Life Scale Proxy Version (EQ-5D Proxy) Visual Analog Scale (VAS) at 76 Weeks

EQ-5D (proxy version) measures mobility, self-care, usual activities, pain/discomfort, anxiety/depression; each has 3 severity levels (no, some, severe problems) coded to a 1-digit number (1-3). Digits are combined into 5-digit number describing health state. Numerals 1-3 are not added for total score. VAS assesses caregiver's impression of participant's overall health state; scores range: 0 to 100. Lower scores indicate greater disease severity. Least Squares (LS) Mean value controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication. (NCT00762411)
Timeframe: Baseline (randomization), 76 weeks

Interventionunits on a scale (Least Squares Mean)
140 mg LY450139-4.46
Placebo-3.38

Change From Baseline in the Resource Utilization in Dementia-Lite (RUD-Lite) up to 76 Weeks

Assesses healthcare resource utilization (formal and informal care). Information gathered on both caregivers (care-giving time, work status) and participants (accommodation and healthcare resource utilization) was gathered from baseline and follow-up interviews. Reported number of hospitalizations per participant up to 76 weeks. Least Squares (LS) Mean value was controlled for age and investigator. (NCT00762411)
Timeframe: Baseline (randomization), up to 76 weeks

Interventionnumber of hospitalizations (Least Squares Mean)
140 mg LY4501390.72
Placebo0.82

LY450139 Population Pharmacokinetics: Clearance of LY450139

Model estimated apparent oral clearance. Clearance is defined as the volume of plasma which is completely cleared of drug (LY450139) per unit time. (NCT00762411)
Timeframe: 6 weeks, 12 weeks, and 52 weeks

Interventionliters per hour (L/h) (Geometric Mean)
140 mg LY45013918.9

LY450139 Population Pharmacokinetics: Volume of Distribution of LY450139

Model-estimated apparent volume of distribution. Volume of distribution is a measure of the extent to which drug distributes in the body. (NCT00762411)
Timeframe: 6 weeks, 12 weeks, and 52 weeks

Interventionliters (L) (Geometric Mean)
140 mg LY45013966.1

Percent Change From Baseline in Amyloid Beta (Aβ) 1-42 Plasma Concentration at 52 Weeks

Concentration of amino acid peptide known as Aβ 1-42 in plasma. Least Squares (LS) Mean value was controlled for baseline value, age, and investigator. (NCT00762411)
Timeframe: Baseline (randomization), 52 weeks

Interventionpicogram per milliliter (pg/mL) (Least Squares Mean)
140 mg LY450139-16.03
Placebo76.37

Change From Baseline in Hippocampal Volume Using Volumetric Magnetic Resonance Imaging (vMRI) up to 76 Weeks

The vMRI assessment of right and left hippocampal volume is reported. Least Squares (LS) Mean value was controlled for baseline value, age, and investigator. (NCT00762411)
Timeframe: Baseline (randomization), up to 76 weeks

,
Interventioncubic millimeter (mm^3) (Least Squares Mean)
Right Hippocampal VolumeLeft Hippocampal Volume
140 mg LY450139-158.50-84.41
Placebo-73.60-111.27

Reviews

2 reviews available for alanine and Cognition Disorders

ArticleYear
Safinamide: first global approval.
    Drugs, 2015, Volume: 75, Issue:6

    Topics: Alanine; Animals; Antiparkinson Agents; Benzylamines; Cognition Disorders; Drug Approval; Dyskinesia

2015
Development of semagacestat (LY450139), a functional gamma-secretase inhibitor, for the treatment of Alzheimer's disease.
    Expert opinion on pharmacotherapy, 2009, Volume: 10, Issue:10

    Topics: Alanine; Alzheimer Disease; Amyloid Precursor Protein Secretases; Animals; Azepines; Cholinesterase

2009

Trials

2 trials available for alanine and Cognition Disorders

ArticleYear
Cognitive Impairment Precedes and Predicts Functional Impairment in Mild Alzheimer's Disease.
    Journal of Alzheimer's disease : JAD, 2015, Volume: 47, Issue:1

    Topics: Aged; Aged, 80 and over; Alanine; Alzheimer Disease; Antibodies, Monoclonal, Humanized; Antipsychoti

2015
Cognitive Impairment Precedes and Predicts Functional Impairment in Mild Alzheimer's Disease.
    Journal of Alzheimer's disease : JAD, 2015, Volume: 47, Issue:1

    Topics: Aged; Aged, 80 and over; Alanine; Alzheimer Disease; Antibodies, Monoclonal, Humanized; Antipsychoti

2015
Cognitive Impairment Precedes and Predicts Functional Impairment in Mild Alzheimer's Disease.
    Journal of Alzheimer's disease : JAD, 2015, Volume: 47, Issue:1

    Topics: Aged; Aged, 80 and over; Alanine; Alzheimer Disease; Antibodies, Monoclonal, Humanized; Antipsychoti

2015
Cognitive Impairment Precedes and Predicts Functional Impairment in Mild Alzheimer's Disease.
    Journal of Alzheimer's disease : JAD, 2015, Volume: 47, Issue:1

    Topics: Aged; Aged, 80 and over; Alanine; Alzheimer Disease; Antibodies, Monoclonal, Humanized; Antipsychoti

2015
Cognitive Impairment Precedes and Predicts Functional Impairment in Mild Alzheimer's Disease.
    Journal of Alzheimer's disease : JAD, 2015, Volume: 47, Issue:1

    Topics: Aged; Aged, 80 and over; Alanine; Alzheimer Disease; Antibodies, Monoclonal, Humanized; Antipsychoti

2015
Cognitive Impairment Precedes and Predicts Functional Impairment in Mild Alzheimer's Disease.
    Journal of Alzheimer's disease : JAD, 2015, Volume: 47, Issue:1

    Topics: Aged; Aged, 80 and over; Alanine; Alzheimer Disease; Antibodies, Monoclonal, Humanized; Antipsychoti

2015
Cognitive Impairment Precedes and Predicts Functional Impairment in Mild Alzheimer's Disease.
    Journal of Alzheimer's disease : JAD, 2015, Volume: 47, Issue:1

    Topics: Aged; Aged, 80 and over; Alanine; Alzheimer Disease; Antibodies, Monoclonal, Humanized; Antipsychoti

2015
Cognitive Impairment Precedes and Predicts Functional Impairment in Mild Alzheimer's Disease.
    Journal of Alzheimer's disease : JAD, 2015, Volume: 47, Issue:1

    Topics: Aged; Aged, 80 and over; Alanine; Alzheimer Disease; Antibodies, Monoclonal, Humanized; Antipsychoti

2015
Cognitive Impairment Precedes and Predicts Functional Impairment in Mild Alzheimer's Disease.
    Journal of Alzheimer's disease : JAD, 2015, Volume: 47, Issue:1

    Topics: Aged; Aged, 80 and over; Alanine; Alzheimer Disease; Antibodies, Monoclonal, Humanized; Antipsychoti

2015
Cognitive Impairment Precedes and Predicts Functional Impairment in Mild Alzheimer's Disease.
    Journal of Alzheimer's disease : JAD, 2015, Volume: 47, Issue:1

    Topics: Aged; Aged, 80 and over; Alanine; Alzheimer Disease; Antibodies, Monoclonal, Humanized; Antipsychoti

2015
Cognitive Impairment Precedes and Predicts Functional Impairment in Mild Alzheimer's Disease.
    Journal of Alzheimer's disease : JAD, 2015, Volume: 47, Issue:1

    Topics: Aged; Aged, 80 and over; Alanine; Alzheimer Disease; Antibodies, Monoclonal, Humanized; Antipsychoti

2015
Cognitive Impairment Precedes and Predicts Functional Impairment in Mild Alzheimer's Disease.
    Journal of Alzheimer's disease : JAD, 2015, Volume: 47, Issue:1

    Topics: Aged; Aged, 80 and over; Alanine; Alzheimer Disease; Antibodies, Monoclonal, Humanized; Antipsychoti

2015
Cognitive Impairment Precedes and Predicts Functional Impairment in Mild Alzheimer's Disease.
    Journal of Alzheimer's disease : JAD, 2015, Volume: 47, Issue:1

    Topics: Aged; Aged, 80 and over; Alanine; Alzheimer Disease; Antibodies, Monoclonal, Humanized; Antipsychoti

2015
Cognitive Impairment Precedes and Predicts Functional Impairment in Mild Alzheimer's Disease.
    Journal of Alzheimer's disease : JAD, 2015, Volume: 47, Issue:1

    Topics: Aged; Aged, 80 and over; Alanine; Alzheimer Disease; Antibodies, Monoclonal, Humanized; Antipsychoti

2015
Cognitive Impairment Precedes and Predicts Functional Impairment in Mild Alzheimer's Disease.
    Journal of Alzheimer's disease : JAD, 2015, Volume: 47, Issue:1

    Topics: Aged; Aged, 80 and over; Alanine; Alzheimer Disease; Antibodies, Monoclonal, Humanized; Antipsychoti

2015
Cognitive Impairment Precedes and Predicts Functional Impairment in Mild Alzheimer's Disease.
    Journal of Alzheimer's disease : JAD, 2015, Volume: 47, Issue:1

    Topics: Aged; Aged, 80 and over; Alanine; Alzheimer Disease; Antibodies, Monoclonal, Humanized; Antipsychoti

2015
Plasma alanine levels increase in patients with schizophrenia as their clinical symptoms improve-Results from the Juntendo University Schizophrenia Projects (JUSP).
    Psychiatry research, 2010, May-15, Volume: 177, Issue:1-2

    Topics: Adolescent; Adult; Alanine; Case-Control Studies; Chromatography, High Pressure Liquid; Cluster Anal

2010

Other Studies

15 other studies available for alanine and Cognition Disorders

ArticleYear
Precuneus Failures in Subjects of the PSEN1 E280A Family at Risk of Developing Alzheimer's Disease Detected Using Quantitative Electroencephalography.
    Journal of Alzheimer's disease : JAD, 2017, Volume: 58, Issue:4

    Topics: Adult; Alanine; Alzheimer Disease; Brain Mapping; Brain Waves; Cognition Disorders; Electroencephalo

2017
123I-FP-CIT SPECT [(123) I-2β-carbomethoxy-3β-(4-iodophenyl)-N-(3-fluoropropyl) nortropane single photon emission computed tomography] Imaging in a p.A53T α-synuclein Parkinson's disease cohort versus Parkinson's disease.
    Movement disorders : official journal of the Movement Disorder Society, 2018, Volume: 33, Issue:11

    Topics: Adult; Alanine; alpha-Synuclein; Cognition Disorders; Cohort Studies; Corpus Striatum; Dopamine; Fem

2018
Adolescent onset cognitive regression and neuropsychiatric symptoms associated with the A140V MECP2 mutation.
    Developmental medicine and child neurology, 2014, Volume: 56, Issue:1

    Topics: Activities of Daily Living; Adolescent; Adolescent Development; Age of Onset; Alanine; Cognition; Co

2014
Genetic modulation of soluble Aβ rescues cognitive and synaptic impairment in a mouse model of Alzheimer's disease.
    The Journal of neuroscience : the official journal of the Society for Neuroscience, 2014, Jun-04, Volume: 34, Issue:23

    Topics: Alanine; Alzheimer Disease; Amyloid beta-Protein Precursor; Amyloid Precursor Protein Secretases; An

2014
Age-dependent neuroinflammation and cognitive decline in a novel Ala152Thr-Tau transgenic mouse model of PSP and AD.
    Acta neuropathologica communications, 2016, Feb-25, Volume: 4

    Topics: Age Factors; Aging; Alanine; Alzheimer Disease; Animals; Astrocytes; Cognition Disorders; Cytokines;

2016
Introduction into Ca(v)2.1 of the homologous mutation of Ca(v)1.2 causing the Timothy syndrome questions the role of V421 in the phenotypic definition of P-type Ca(2+) channel.
    Pflugers Archiv : European journal of physiology, 2008, Volume: 457, Issue:2

    Topics: Alanine; Animals; Arginine; Arrhythmias, Cardiac; Calcium; Calcium Channels, L-Type; Calcium Channel

2008
Progressive neuropathology and cognitive decline in a single Arctic APP transgenic mouse model.
    Neurobiology of aging, 2011, Volume: 32, Issue:2

    Topics: Age Factors; Alanine; Alzheimer Disease; Amyloid beta-Peptides; Amyloid beta-Protein Precursor; Anim

2011
Amyotrophic lateral sclerosis-frontotemporal lobar dementia in 3 families with p.Ala382Thr TARDBP mutations.
    Archives of neurology, 2010, Volume: 67, Issue:8

    Topics: Adult; Aged; Alanine; Amyotrophic Lateral Sclerosis; Brain; Cognition Disorders; DNA-Binding Protein

2010
What can be inferred from the interruption of the semagacestat trial for treatment of Alzheimer's disease?
    Biological psychiatry, 2010, Nov-15, Volume: 68, Issue:10

    Topics: Alanine; Alzheimer Disease; Amyloid; Amyloid Precursor Protein Secretases; Azepines; Cognition Disor

2010
[Association of PPARgamma2 Pro12Ala polymorphism and cognitive dysfunction in hypertension patients].
    Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition, 2010, Volume: 41, Issue:6

    Topics: Aged; Alanine; Alleles; Cognition Disorders; Female; Gene Frequency; Humans; Hypertension; Male; Mid

2010
Dual task abilities as a possible preclinical marker of Alzheimer's disease in carriers of the E280A presenilin-1 mutation.
    Journal of the International Neuropsychological Society : JINS, 2012, Volume: 18, Issue:2

    Topics: Adult; Alanine; Alzheimer Disease; Analysis of Variance; Biomarkers; Cognition Disorders; Female; Gl

2012
No correlation between plasma NMDA-related glutamatergic amino acid levels and cognitive function in medicated patients with schizophrenia.
    International journal of psychiatry in medicine, 2012, Volume: 44, Issue:1

    Topics: Adolescent; Adult; Aged; Alanine; Antipsychotic Agents; Basal Ganglia Diseases; Biomarkers; Brief Ps

2012
Alanine infusion during hypoglycaemia partly supports cognitive performance in healthy human subjects.
    Diabetic medicine : a journal of the British Diabetic Association, 2004, Volume: 21, Issue:5

    Topics: Adult; Alanine; Blood Glucose; Cognition Disorders; Glucose Clamp Technique; Hormones; Humans; Hypog

2004
PPAR-gamma Pro12Ala genotype and risk of cognitive decline in elders.
    Neurobiology of aging, 2008, Volume: 29, Issue:1

    Topics: Aged; Aging; Alanine; Black People; Cognition Disorders; Female; Genotype; Humans; Longitudinal Stud

2008
Reversible encephalopathy possibly associated with bismuth subgallate ingestion.
    British medical journal, 1974, Feb-09, Volume: 1, Issue:5901

    Topics: Adult; Aged; Alanine; Arginine; Bismuth; Brain Diseases; Cerebellum; Chromatography; Cognition Disor

1974