Page last updated: 2024-10-25

cilostazol and Alzheimer Disease

cilostazol has been researched along with Alzheimer Disease in 21 studies

Alzheimer Disease: A degenerative disease of the BRAIN characterized by the insidious onset of DEMENTIA. Impairment of MEMORY, judgment, attention span, and problem solving skills are followed by severe APRAXIAS and a global loss of cognitive abilities. The condition primarily occurs after age 60, and is marked pathologically by severe cortical atrophy and the triad of SENILE PLAQUES; NEUROFIBRILLARY TANGLES; and NEUROPIL THREADS. (From Adams et al., Principles of Neurology, 6th ed, pp1049-57)

Research Excerpts

ExcerptRelevanceReference
"Cilostazol (CSZ) has been shown to be a new treatment for cognitive impairment with limited efficacy."5.72Advancing combination treatment with cilostazol and caffeine for Alzheimer's disease in high fat-high fructose-STZ induced model of amnesia. ( Ahmed, AM; El-Mokhtar, MA; Farghaly, HSM; Gomaa, AA; Hemida, FK, 2022)
"In this randomized clinical trial, cilostazol was well tolerated, although it did not prevent cognitive decline."5.69Efficacy and Safety of Cilostazol in Mild Cognitive Impairment: A Randomized Clinical Trial. ( Aso, T; Fukushima, M; Fukuyama, H; Hattori, Y; Ihara, M; Kagimura, T; Kakuta, C; Kakuta, R; Kanki, R; Kawabata, N; Kitaguchi, H; Kojima, S; Kowa, H; Maki, T; Mizuno, T; Nagatsuka, K; Nakaoku, Y; Ohtani, R; Oishi, N; Oka, N; Saito, S; Shindo, A; Shindo, K; Sudoh, S; Suzuki, K; Tachibana, H; Taguchi, A; Takahashi, R; Takahashi, Y; Taketsuna, M; Tomimoto, H; Tonomura, S; Washida, K; Yamamoto, H; Yamamoto, K; Yamamoto, Y; Yasuno, F, 2023)
"The coexistence of Alzheimer's disease (AD) and cerebrovascular disease pathology increases age-dependently."2.84Comprehensive effects of galantamine and cilostazol combination therapy on patients with Alzheimer's disease with asymptomatic lacunar infarction. ( Abe, K; Fukui, Y; Hishikawa, N; Ohta, Y; Sato, K; Yamashita, T, 2017)
" The effect is expressed through the characteristics of various pharmacokinetic processes."2.72[Pharmacokinetics/Pharmacodynamic Analysis to Link Pharmacokinetics to Efficacy and Drug Interaction of Alzheimer's Disease Drugs]. ( Kiriyama, A, 2021)
"Cilostazol (CSZ) has been shown to be a new treatment for cognitive impairment with limited efficacy."1.72Advancing combination treatment with cilostazol and caffeine for Alzheimer's disease in high fat-high fructose-STZ induced model of amnesia. ( Ahmed, AM; El-Mokhtar, MA; Farghaly, HSM; Gomaa, AA; Hemida, FK, 2022)
"Cilostazol is a selective PDE III inhibitor used as antiplatelet agent through cAMP response element-binding (CREB) protein phosphorylation pathway (cAMP/CREB)."1.72Phosphodiesterase (PDE) III inhibitor, Cilostazol, improved memory impairment in aluminum chloride-treated rats: modulation of cAMP/CREB pathway. ( Abdelsalam, RM; Khalifa, M; Safar, MM; Zaki, HF, 2022)

Research

Studies (21)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's1 (4.76)29.6817
2010's12 (57.14)24.3611
2020's8 (38.10)2.80

Authors

AuthorsStudies
Wu, Y1
Li, Z1
Huang, YY1
Wu, D1
Luo, HB1
Cao, Z1
Song, Q1
Yu, G1
Liu, Z1
Cong, S1
Tan, Z1
Deng, Y1
Xi, M1
Sun, T1
Chai, S1
Xie, M1
Chen, S1
Deng, L1
Du, K1
Shen, R1
Sun, H1
Gomaa, AA1
Farghaly, HSM1
Ahmed, AM1
El-Mokhtar, MA1
Hemida, FK1
Khalifa, M1
Abdelsalam, RM1
Safar, MM1
Zaki, HF1
Chien, CF1
Huang, LC1
Li, KY1
Yang, YH2
Saito, S4
Suzuki, K1
Ohtani, R1
Maki, T1
Kowa, H1
Tachibana, H1
Washida, K1
Kawabata, N1
Mizuno, T1
Kanki, R1
Sudoh, S1
Kitaguchi, H1
Shindo, K1
Shindo, A1
Oka, N1
Yamamoto, K1
Yasuno, F1
Kakuta, C1
Kakuta, R1
Yamamoto, Y2
Hattori, Y1
Takahashi, Y1
Nakaoku, Y1
Tonomura, S1
Oishi, N1
Aso, T1
Taguchi, A1
Kagimura, T1
Kojima, S1
Taketsuna, M1
Tomimoto, H1
Takahashi, R1
Fukuyama, H1
Nagatsuka, K1
Yamamoto, H1
Fukushima, M1
Ihara, M4
Tanaka, M1
Inoue, T1
Satoh-Asahara, N1
Kiriyama, A1
Shozawa, H1
Oguchi, T1
Tsuji, M1
Yano, S1
Kiuchi, Y1
Ono, K1
Lee, JY1
Lee, H1
Yoo, HB1
Choi, JS1
Jung, HY1
Yoon, EJ1
Kim, H1
Jung, YH1
Lee, HY1
Kim, YK1
Lee, HR1
Shin, HK2
Park, SY1
Kim, HY1
Lee, WS1
Rhim, BY1
Hong, KW2
Kim, CD1
Manousopoulou, A1
Al-Daghri, NM1
Carare, RO1
Garbis, SD1
Hishikawa, N1
Fukui, Y1
Sato, K1
Ohta, Y1
Yamashita, T1
Abe, K1
Nomoto, H1
Matsubara, Y1
Ichimiya, Y1
Arai, H2
Tai, SY1
Chen, CH1
Chien, CY1
Takahashi, T1
Hiramatsu, M1
Takiguchi, O1
Nishiyama, A1
Mori, H1
Park, SH1
Kim, JH1
Bae, SS1
Lee, DS1
Leem, JY1
Choi, BT1
Sakurai, H1
Hanyu, H1
Sato, T1
Kume, K1
Hirao, K1
Kanetaka, H1
Iwamoto, T1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Cilostazol Augmentation Study In Dementia (CASID): A Randomized, Placebo-controlled Pilot Study to Compare the Efficacy Between Donepezil Monotherapy and Cilostazol Augmentation Therapy in Alzheimer's Disease Patients With Subcortical White Matter Hyperin[NCT01409564]Phase 446 participants (Actual)Interventional2010-05-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Activities of Daily Living (ADCS-ADL)

"The caregiver answered to the questions given to measure the cognitive function level of the patients in daily living. Lower scores indicate greater severity.~23 questions Score Scale: 0-78 (min-MAX)" (NCT01409564)
Timeframe: Baseline, 12-month, 24-month

,
Interventionunits on a scale (Mean)
Baseline12-week24-week
Cilostazol50.1748.0046.33
Placebo53.5649.3351.17

Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-cog)

"The ADAS-Cog score is measured by the number of questions answered incorrectly, therefore the higher is the worse.~Score Scale: 0-75 (min-MAX)~Each subcategory scores are summed.~Word-recall test (0-10)~Commands (0-5)~Constructional praxis (0-5)~Naming Objects/ Fingers (0-5)~Ideational Praxis (0-5)~Orientation (0-8)~Word Recognition (0-12)~Remembering Test Instructions (0-5)~Spoken Language Ability (0-5)~Word Finding Difficulty (0-5)~Comprehension (0-5)" (NCT01409564)
Timeframe: Baseline, 12-week, 24-week

,
Interventionunits on a scale (Mean)
Baseline12-week24-week
Cilostazol29.2826.3325.78
Placebo27.7824.8324.78

Clinical Dementia Rating Scale-Sum of Boxes (CDR-SB)

"Measured by professionally trained clinicians. Higher score indicates more severe AD symptoms.~Score Scale: 0-18 (min-MAX)" (NCT01409564)
Timeframe: Baseline, 12-month, 24-month

,
Interventionunits on a scale (Mean)
Baseline12-week24-week
Cilostazol5.115.425.44
Placebo4.725.285.33

Fazekas Scale

"Level of severity of white matter lesions in AD patients who can be legitimately administered with cilostazol. Measured by professionally trained clinicians.~The higher score indicates more severe white matter lesion. Max-min: 0-3" (NCT01409564)
Timeframe: Baseline

,
Interventionparticipants (Number)
Number of Patients Scored 1Number of Patients Scored 2Number of Patients Scored 3
Cilostazol1332
Placebo1152

Mini-Mental State Examination (MMSE) in the Korean Version of the CERAD Assessment Packet)

Basic cognitive functions are checked. (0-30) The score is better when higher. (NCT01409564)
Timeframe: Baseline, 12-month, 24-month

,
Interventionunits on a scale (Mean)
Baseline12-week24-week
Cilostazol15.1116.6715.39
Placebo15.4415.8316.22

Regionally Averaged Cerebral Glucose Uptake Changes Measured by FDG PET Uptake With Voxel-based Method

Regional cerebral glucose uptake level was measured as the ratio value of FDG uptake of the each unit level to the global mean uptake value. (NCT01409564)
Timeframe: Baseline, 24-week

,,,
InterventionBq/Bq (no unit) (Mean)
Left Parietal LobeRight Parietal LobeLeft Inferior Frontal GyrusRight Inferior Frontal Gyrus
Cilostazol, 24-week80.4079.0086.8271.39
Cilostazol, Baseline81.7080.0385.7472.11
Placebo, 24-week81.3381.9183.1271.44
Placebo, Baseline84.6085.2985.9774.02

Reviews

4 reviews available for cilostazol and Alzheimer Disease

ArticleYear
Novel Phosphodiesterase Inhibitors for Cognitive Improvement in Alzheimer's Disease.
    Journal of medicinal chemistry, 2018, 07-12, Volume: 61, Issue:13

    Topics: Alzheimer Disease; Animals; Cognition; Humans; Phosphodiesterase Inhibitors

2018
Therapeutic potential of phosphodiesterase inhibitors for cognitive amelioration in Alzheimer's disease.
    European journal of medicinal chemistry, 2022, Mar-15, Volume: 232

    Topics: 3',5'-Cyclic-AMP Phosphodiesterases; Alzheimer Disease; Animals; Cognition; Cyclic GMP; Phosphodiest

2022
Potential Therapeutic Approaches for Cerebral Amyloid Angiopathy and Alzheimer's Disease.
    International journal of molecular sciences, 2020, Mar-14, Volume: 21, Issue:6

    Topics: Alzheimer Disease; Amyloid beta-Peptides; Amyloid Precursor Protein Secretases; Animals; Aspartic Ac

2020
[Pharmacokinetics/Pharmacodynamic Analysis to Link Pharmacokinetics to Efficacy and Drug Interaction of Alzheimer's Disease Drugs].
    Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan, 2021, Volume: 141, Issue:6

    Topics: Acetylcholine; Alzheimer Disease; Animals; Cholinesterase Inhibitors; Cilostazol; Donepezil; Drug Co

2021

Trials

6 trials available for cilostazol and Alzheimer Disease

ArticleYear
Efficacy and Safety of Cilostazol in Mild Cognitive Impairment: A Randomized Clinical Trial.
    JAMA network open, 2023, Dec-01, Volume: 6, Issue:12

    Topics: Adult; Aged; Alzheimer Disease; Amyloid beta-Peptides; Cilostazol; Cognitive Dysfunction; Dementia;

2023
Efficacy of Cilostazol Administration in Alzheimer's Disease Patients with White Matter Lesions: A Positron-Emission Tomography Study.
    Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics, 2019, Volume: 16, Issue:2

    Topics: Activities of Daily Living; Aged; Aged, 80 and over; Alzheimer Disease; Brain; Cilostazol; Cognition

2019
Comprehensive effects of galantamine and cilostazol combination therapy on patients with Alzheimer's disease with asymptomatic lacunar infarction.
    Geriatrics & gerontology international, 2017, Volume: 17, Issue:10

    Topics: Aged; Alzheimer Disease; Asymptomatic Diseases; Brain; Cholinesterase Inhibitors; Cilostazol; Cognit

2017
Cilostazol as an add-on therapy for patients with Alzheimer's disease in Taiwan: a case control study.
    BMC neurology, 2017, Feb-23, Volume: 17, Issue:1

    Topics: Aged; Aged, 80 and over; Alzheimer Disease; Apolipoproteins E; Case-Control Studies; Cholinesterase

2017
A combination therapy of donepezil and cilostazol for patients with moderate Alzheimer disease: pilot follow-up study.
    The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2009, Volume: 17, Issue:4

    Topics: Aged; Alzheimer Disease; Cholinesterase Inhibitors; Cilostazol; Donepezil; Drug Therapy, Combination

2009
Effects of cilostazol on cognition and regional cerebral blood flow in patients with Alzheimer's disease and cerebrovascular disease: a pilot study.
    Geriatrics & gerontology international, 2013, Volume: 13, Issue:1

    Topics: Aged; Aged, 80 and over; Alzheimer Disease; Analysis of Variance; Aspirin; Cerebrovascular Circulati

2013

Other Studies

11 other studies available for cilostazol and Alzheimer Disease

ArticleYear
Novel 3-benzylidene/benzylphthalide Mannich base derivatives as potential multifunctional agents for the treatment of Alzheimer's disease.
    Bioorganic & medicinal chemistry, 2021, 04-01, Volume: 35

    Topics: Acetylcholinesterase; Alzheimer Disease; Amyloid beta-Peptides; Animals; Antioxidants; Benzofurans;

2021
Advancing combination treatment with cilostazol and caffeine for Alzheimer's disease in high fat-high fructose-STZ induced model of amnesia.
    European journal of pharmacology, 2022, Apr-15, Volume: 921

    Topics: Alzheimer Disease; Amnesia; Amyloid beta-Peptides; Animals; Caffeine; Cilostazol; Diabetes Mellitus,

2022
Phosphodiesterase (PDE) III inhibitor, Cilostazol, improved memory impairment in aluminum chloride-treated rats: modulation of cAMP/CREB pathway.
    Inflammopharmacology, 2022, Volume: 30, Issue:6

    Topics: Acetylcholinesterase; Aluminum Chloride; Alzheimer Disease; Animals; Cilostazol; Cyclic AMP Response

2022
Cognitive effects of cilostazol in Alzheimer's dementia patients with peripheral arterial occlusive disease: A case-control study.
    Geriatrics & gerontology international, 2023, Volume: 23, Issue:3

    Topics: Acetylcholinesterase; Alzheimer Disease; Case-Control Studies; Cilostazol; Cognition; Cognitive Dysf

2023
[Drug Repositioning for Alzheimer's Disease].
    Brain and nerve = Shinkei kenkyu no shinpo, 2019, Volume: 71, Issue:9

    Topics: Alzheimer Disease; Cilostazol; Dabigatran; Drug Repositioning; Humans; Insulin; Probucol; Telmisarta

2019
Supratherapeutic concentrations of cilostazol inhibits β-amyloid oligomerization in vitro.
    Neuroscience letters, 2018, 06-11, Volume: 677

    Topics: Alzheimer Disease; Amyloid beta-Peptides; Cilostazol; Humans; Peptide Fragments; Phosphodiesterase 3

2018
Attenuation of β-amyloid-induced tauopathy via activation of CK2α/SIRT1: targeting for cilostazol.
    Journal of neuroscience research, 2014, Volume: 92, Issue:2

    Topics: Alzheimer Disease; Amyloid beta-Peptides; Amyloid beta-Protein Precursor; Animals; Blotting, Western

2014
Hemisphere Asymmetry of Response to Pharmacologic Treatment in an Alzheimer's Disease Mouse Model.
    Journal of Alzheimer's disease : JAD, 2016, Volume: 51, Issue:2

    Topics: Alzheimer Disease; Animals; Brain; Cilostazol; Disease Models, Animal; Functional Laterality; Male;

2016
Acute renal failure caused by cilostazol in a patient with Alzheimer's disease.
    Geriatrics & gerontology international, 2017, Volume: 17, Issue:1

    Topics: Acute Kidney Injury; Aged; Alzheimer Disease; Cilostazol; Humans; Male; Neuroprotective Agents; Tetr

2017
Cilostazol prevents amyloid β peptide(25-35)-induced memory impairment and oxidative stress in mice.
    British journal of pharmacology, 2010, Volume: 161, Issue:8

    Topics: Alzheimer Disease; Amyloid beta-Peptides; Animals; Aspirin; Avoidance Learning; Cilostazol; Cytokine

2010
Protective effect of the phosphodiesterase III inhibitor cilostazol on amyloid β-induced cognitive deficits associated with decreased amyloid β accumulation.
    Biochemical and biophysical research communications, 2011, May-20, Volume: 408, Issue:4

    Topics: Alzheimer Disease; Amyloid beta-Peptides; Animals; Cell Line, Tumor; Cilostazol; Cognition Disorders

2011