Page last updated: 2024-11-03

riluzole and Acute Confusional Senile Dementia

riluzole has been researched along with Acute Confusional Senile Dementia in 19 studies

Riluzole: A glutamate antagonist (RECEPTORS, GLUTAMATE) used as an anticonvulsant (ANTICONVULSANTS) and to prolong the survival of patients with AMYOTROPHIC LATERAL SCLEROSIS.

Research Excerpts

ExcerptRelevanceReference
"This Editorial highlights a remarkable study in the current issue of the Journal of Neurochemistry in which Hascup and coworkers provide novel data showing that riluzole, an anti-glutamatergic drug, may be a promising early intervention strategy for Alzheimer's disease (AD), aimed at restoring glutamate neurotransmission prior to amyloid beta (Aβ) plaque accumulation and cognitive decline."8.02Hippocampal hyperglutamatergic signaling matters: Early targeting glutamate neurotransmission as a preventive strategy in Alzheimer's disease: An Editorial Highlight for "Riluzole attenuates glutamatergic tone and cognitive decline in AβPP/PS1 mice" on pa ( Gulyaeva, NV, 2021)
"In recent years several new treatments have been introduced in neurology, sumatriptan in migraine, riluzole in amyotrophic lateral sclerosis, interferon-beta in multiple sclerosis and rivastigmine in Alzheimer's disease."4.80[New therapies in neurology, but who benefits?]. ( de Haan, RJ; Vermeulen, M, 1999)
"This Editorial highlights a remarkable study in the current issue of the Journal of Neurochemistry in which Hascup and coworkers provide novel data showing that riluzole, an anti-glutamatergic drug, may be a promising early intervention strategy for Alzheimer's disease (AD), aimed at restoring glutamate neurotransmission prior to amyloid beta (Aβ) plaque accumulation and cognitive decline."4.02Hippocampal hyperglutamatergic signaling matters: Early targeting glutamate neurotransmission as a preventive strategy in Alzheimer's disease: An Editorial Highlight for "Riluzole attenuates glutamatergic tone and cognitive decline in AβPP/PS1 mice" on pa ( Gulyaeva, NV, 2021)
"The neurodegenerative disorders (Parkinson's disease, Alzheimer's dementia, Huntington's disease, cerebellar degeneration) are common medical and social problems."2.40[Neurodegeneration: aging and dementia. Etiopathogenic role of electron transport disorders. Therapeutic possibilities]. ( Klivényi, P; Vécsei, L, 1997)
"Current medications for Alzheimer's disease help manage symptoms and behavioral problems."1.91Riluzole and its prodrugs for the treatment of Alzheimer's disease. ( Al-Horani, RA, 2023)
"Riluzole is a glutamate modulator and used as treatment in amyotrophic lateral sclerosis."1.56Riluzole: a therapeutic strategy in Alzheimer's disease by targeting the WNT/β-catenin pathway. ( Guillevin, R; Lecarpentier, Y; Vallée, A; Vallée, JN, 2020)
"Riluzole is known to increase the glutamate transporter EAAT2's ability to scavenge excess glutamate, regulating synaptic transmission."1.46Age and Alzheimer's disease gene expression profiles reversed by the glutamate modulator riluzole. ( Davidson, RL; Gray, JD; Kogan, JF; McEwen, BS; Morrison, JH; Okamoto, M; Pereira, AC; Rubin, TG, 2017)
"Neurodegenerative diseases including Alzheimer's disease are complex to tackle because of the complexity of the brain, both in structure and function."1.46Using Drugs as Molecular Probes: A Computational Chemical Biology Approach in Neurodegenerative Diseases. ( Emon, MA; Hofmann-Apitius, M; Karki, R; Kodamullil, AT; Younesi, E, 2017)
"Treatment with riluzole restored glutamate regulation and rescued memory deficits in the TauP301L model."1.43Riluzole rescues alterations in rapid glutamate transients in the hippocampus of rTg4510 mice. ( Hickman, JE; Hunsberger, HC; Reed, MN, 2016)
"Riluzole-treated TauP301L mice exhibited improved performance in the water radial arm maze and the Morris water maze, associated with a decrease in glutamate release and an increase in glutamate uptake in the dentate gyrus, cornu ammonis 3 (CA3), and cornu ammonis 1 (CA1) regions of the hippocampus."1.42Riluzole rescues glutamate alterations, cognitive deficits, and tau pathology associated with P301L tau expression. ( Gerhardt, GA; Hickman, JE; Hunsberger, HC; Libell, EM; Reed, MN; Rudy, CC; Speer, RR; Weitzner, DS, 2015)

Research

Studies (19)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's3 (15.79)18.2507
2000's0 (0.00)29.6817
2010's9 (47.37)24.3611
2020's7 (36.84)2.80

Authors

AuthorsStudies
Bulic, B1
Pickhardt, M1
Mandelkow, E1
Hroch, L1
Benek, O1
Guest, P1
Aitken, L1
Soukup, O1
Janockova, J1
Musil, K1
Dohnal, V1
Dolezal, R1
Kuca, K1
Smith, TK1
Gunn-Moore, F1
Musilek, K1
Saba, K1
Patel, AB1
Chintha, N1
Jupudi, S1
Palathoti, N1
Bharathi J, J1
Justin, A1
Al-Horani, RA1
Findley, CA1
McFadden, SA1
Cox, MF1
Sime, LN1
Peck, MR1
Quinn, K1
Bartke, A1
Hascup, KN1
Hascup, ER1
Vallée, A1
Vallée, JN1
Guillevin, R1
Lecarpentier, Y1
Gulyaeva, NV1
Matthews, DC1
Mao, X1
Dowd, K1
Tsakanikas, D1
Jiang, CS1
Meuser, C1
Andrews, RD1
Lukic, AS1
Lee, J1
Hampilos, N1
Shafiian, N1
Sano, M1
David Mozley, P1
Fillit, H1
McEwen, BS3
Shungu, DC1
Pereira, AC3
Okamoto, M2
Gray, JD2
Larson, CS1
Kazim, SF1
Soya, H1
Ittner, AA1
Gladbach, A1
Bertz, J1
Suh, LS1
Ittner, LM1
Ren, SC1
Shao, H1
Ji, WG1
Jiang, HH1
Xu, F1
Chen, PZ1
Mi, Z1
Wen, B1
Zhu, GX1
Zhu, ZR1
Hunsberger, HC2
Weitzner, DS1
Rudy, CC1
Hickman, JE2
Libell, EM1
Speer, RR1
Gerhardt, GA1
Reed, MN2
Kogan, JF1
Davidson, RL1
Rubin, TG1
Morrison, JH1
Emon, MA1
Kodamullil, AT1
Karki, R1
Younesi, E1
Hofmann-Apitius, M1
Klivényi, P1
Vécsei, L1
Maloteaux, JM1
Vermeulen, M1
de Haan, RJ1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Glutamatergic Dysfunction in Cognitive Aging: Riluzole in Mild Alzheimer's Disease[NCT01703117]Phase 250 participants (Actual)Interventional2013-11-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

ADCS Activities of Daily Living

"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.~Obtained for correlation with neuroimaging" (NCT01703117)
Timeframe: baseline to 6 months

,
Interventionscore on a scale (Mean)
BASELINE6 MONTHS
Placebo68.050000064.3000000
Riluzole68.363636465.5000000

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

The ADAS comprises two subscales, cognitive and non-cognitive. The Cognitive Subscale (ADAScog) is a psychometric instrument that includes 11 tasks and evaluates memory, attention, reasoning, language, orientation, and praxis, scored from 0 to 70. The full ADAS total is scored by summing the number of errors made on each task on a range from 0 to 150 so that higher scores indicate worse performance.The non-cognitive component was not used in this study. Obtained for correlation with neuroimaging biomarkers. (NCT01703117)
Timeframe: baseline to 6 months

,
Interventionscore on a scale (Mean)
BASELINE6 MONTHS
Placebo17.900500018.8495000
Riluzole22.498181821.8022727

Glutamate Levels Measured Through 1H MRS

In vivo measurement of glutamate with 1H magnetic resonance spectroscopy (MRS) (a neuroimaging study) in posterior cingulate as a marker of target engagement at three and six months compared to baseline.In vivo brain levels of glutamate, tCr and other major metabolites were obtained using 1H MRS and a 2x2x2-cm3 Posterior Cingulate Cortex voxel of interest in approximately 6.5 minutes using the constant-time point-resolved spectroscopy (CT-PRESS) technique with TE 30 ms, 129 constant-time increments (t1) of 0.8ms, and TR 1500 ms and a receive-only 8-channel phased-array head coil.The levels of glutamate and other metabolites were expressed semi-quantitatively as ratios of peak areas relative to that of the unsuppressed water signal (W) from the same voxels. For consistency with earlier MRS literature, levels of the same metabolites were also expressed as peak ratios relative to tCr area in the same voxel. (NCT01703117)
Timeframe: Change from baseline to 6 months

,
InterventionRatios (Mean)
BASELINE (Glu/W)3 MONTHS (Glu/W)6 MONTHS (Glu/W)BASELINE (Glu/tCr)3 MONTHS (Glu/tCr)6 MONTHS (Glu/tCr)
Placebo0.06779060.06461620.06334530.23675670.22856440.2162526
Riluzole0.05980590.05798990.06099850.22801860.20806470.2339366

Imaging Biomarkers FDG-PET SUVR in Regions of Interest

"Change from baseline to 6 months in cerebral glucose metabolism measured with FDG PET in posterior cingulate cortex, hippocampus, precuneus, and medial temporal, lateral temporal, inferior parietal, and frontal lobes, referred to collectively as our pre-specified regions of interest.~Fluorodeoxyglucose (FDG)-positron emission tomography (PET) is an imaging procedure that measures glucose metabolism in the brain.It is a well-established Alzheimer's disease biomarker and predictor of disease progression. For each FDG PET scan, 5 mCi of fluorodeoxyglucose was administered followed by a 40 minute uptake period during which the participant was in a resting state. Images were acquired on a Siemens Biograph 64mCT scanner as a series of 4 frames of 5 minutes each. Using SPM12 (Wellcome Trust), motion correction was performed and frames averaged into a static image. Each 6 month scan was coregistered to the baseline FDG scan, which was co-registered to the participant's T1-weighted MRI scan." (NCT01703117)
Timeframe: Change from baseline to 6 months

,
InterventionStandardized Uptake Value Ratios (SUVRs) (Mean)
Posterior cingulatePrecuneusTemporalFrontalParietalHippocampusRight HippocampusAD Progression scorePost Cing - PrecuneusOrbitofrontal
Placebo-0.048-0.032-0.023-0.129-0.020-0.018-0.0210.579-0.041-0.019
Riluzole-0.005-0.0070.002-0.077-0.005-0.0020.0020.245-0.0060.014

Imaging Biomarkers N-acetylaspartate (NAA) in Posterior Cingulate (PC) Measured Through 1H MRS

N-acetylaspartate (NAA) is a neuronal viability marker measured through magnetic resonance spectroscopy (1H MRS).In vivo brain levels of NAA, glutamate, tCr and other major metabolites were obtained using 1H MRS and a 2x2x2-cm3 Posterior Cingulate Cortex (PC) voxel of interest in approximately 6.5 minutes using the constant-time point-resolved spectroscopy (CT-PRESS) technique with TE 30 ms, 129 constant-time increments (t1) of 0.8ms, and TR 1500 ms and a receive-only 8-channel phased-array head coil.The levels of NAA and other metabolites were expressed semi-quantitatively as ratios of peak areas relative to that of the unsuppressed water signal (W) from the same voxels. For consistency with earlier MRS literature, levels of the same metabolites were also expressed as peak ratios relative to tCr area in the same voxel. (NCT01703117)
Timeframe: Changes from baseline to 6 months

,
InterventionRatios (Mean)
BASELINE (NAA/W)3 MONTHS (NAA/W)6 MONTHS (NAA/W)BASELINE (NAA/tCr)3 MONTHS (NAA/tCr)6 MONTHS (NAA/tCr)
Placebo0.42745460.42484290.44159261.48026201.47661251.4811814
Riluzole0.38438740.39966550.37841811.44888091.42718891.4594796

Neuropsychiatry Inventory - NPI

"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 0 to 144; Higher scores indicate greater disease severity.~Obtained for correlation with neuroimaging" (NCT01703117)
Timeframe: baseline to 6 months

,
Interventionscore on a scale (Mean)
BASELINE6 MONTHS
Placebo10.200000014.0500000
Riluzole9.63636369.0909091

Reviews

3 reviews available for riluzole and Acute Confusional Senile Dementia

ArticleYear
Progress and developments in tau aggregation inhibitors for Alzheimer disease.
    Journal of medicinal chemistry, 2013, Jun-13, Volume: 56, Issue:11

    Topics: Alzheimer Disease; Animals; Clinical Trials as Topic; Humans; Hydrogen Bonding; Models, Molecular; P

2013
[Neurodegeneration: aging and dementia. Etiopathogenic role of electron transport disorders. Therapeutic possibilities].
    Orvosi hetilap, 1997, Feb-09, Volume: 138, Issue:6

    Topics: Aged; Aging; Alzheimer Disease; Calcium Channel Blockers; Cerebellar Diseases; Dementia; Electron Tr

1997
[New therapies in neurology, but who benefits?].
    Nederlands tijdschrift voor geneeskunde, 1999, Aug-28, Volume: 143, Issue:35

    Topics: Alzheimer Disease; Amyotrophic Lateral Sclerosis; Antiviral Agents; Carbamates; Humans; Interferon-b

1999

Trials

1 trial available for riluzole and Acute Confusional Senile Dementia

ArticleYear
Riluzole, a glutamate modulator, slows cerebral glucose metabolism decline in patients with Alzheimer's disease.
    Brain : a journal of neurology, 2021, 12-31, Volume: 144, Issue:12

    Topics: Aged; Aged, 80 and over; Alzheimer Disease; Brain; Double-Blind Method; Female; Glucose; Humans; Mal

2021

Other Studies

15 other studies available for riluzole and Acute Confusional Senile Dementia

ArticleYear
Design, synthesis and in vitro evaluation of benzothiazole-based ureas as potential ABAD/17β-HSD10 modulators for Alzheimer's disease treatment.
    Bioorganic & medicinal chemistry letters, 2016, 08-01, Volume: 26, Issue:15

    Topics: 3-Hydroxyacyl CoA Dehydrogenases; Alzheimer Disease; Animals; Benzothiazoles; Cell Survival; CHO Cel

2016
Riluzole restores memory and brain energy metabolism in AβPP-PS1 mouse model of Alzheimer's disease.
    Biochemical and biophysical research communications, 2022, 06-25, Volume: 610

    Topics: Alzheimer Disease; Amyloid beta-Protein Precursor; Animals; Brain; Disease Models, Animal; Energy Me

2022
    Journal of biomolecular structure & dynamics, 2023, Volume: 41, Issue:22

    Topics: Acetylcholinesterase; Alzheimer Disease; Cholinesterase Inhibitors; Humans; Molecular Docking Simula

2023
Riluzole and its prodrugs for the treatment of Alzheimer's disease.
    Pharmaceutical patent analyst, 2023, Volume: 12, Issue:2

    Topics: Alzheimer Disease; Humans; Neuroprotective Agents; Prodrugs; Riluzole

2023
Prodromal Glutamatergic Modulation with Riluzole Impacts Glucose Homeostasis and Spatial Cognition in Alzheimer's Disease Mice.
    Journal of Alzheimer's disease : JAD, 2023, Volume: 94, Issue:1

    Topics: Alzheimer Disease; Amyloid beta-Peptides; Amyloid beta-Protein Precursor; Animals; Cognition; Diseas

2023
Riluzole: a therapeutic strategy in Alzheimer's disease by targeting the WNT/β-catenin pathway.
    Aging, 2020, 02-08, Volume: 12, Issue:3

    Topics: Alzheimer Disease; beta Catenin; Gene Expression Regulation; Humans; Neuroprotective Agents; Riluzol

2020
Hippocampal hyperglutamatergic signaling matters: Early targeting glutamate neurotransmission as a preventive strategy in Alzheimer's disease: An Editorial Highlight for "Riluzole attenuates glutamatergic tone and cognitive decline in AβPP/PS1 mice" on pa
    Journal of neurochemistry, 2021, Volume: 156, Issue:4

    Topics: Alzheimer Disease; Amyloid beta-Peptides; Amyloid beta-Protein Precursor; Animals; Cognitive Dysfunc

2021
Riluzole reduces amyloid beta pathology, improves memory, and restores gene expression changes in a transgenic mouse model of early-onset Alzheimer's disease.
    Translational psychiatry, 2018, 08-14, Volume: 8, Issue:1

    Topics: Alzheimer Disease; Animals; Astrocytes; Cognition; Disease Models, Animal; Gene Expression; Hippocam

2018
p38 MAP kinase-mediated NMDA receptor-dependent suppression of hippocampal hypersynchronicity in a mouse model of Alzheimer's disease.
    Acta neuropathologica communications, 2014, Oct-21, Volume: 2

    Topics: Alzheimer Disease; Animals; Disease Models, Animal; Dizocilpine Maleate; Electrodes, Implanted; Elec

2014
Riluzole prevents soluble Aβ1-42 oligomers-induced perturbation of spontaneous discharge in the hippocampal CA1 region of rats.
    Amyloid : the international journal of experimental and clinical investigation : the official journal of the International Society of Amyloidosis, 2015, Volume: 22, Issue:1

    Topics: Action Potentials; Alzheimer Disease; Amyloid beta-Peptides; Animals; CA1 Region, Hippocampal; Drug

2015
Riluzole rescues glutamate alterations, cognitive deficits, and tau pathology associated with P301L tau expression.
    Journal of neurochemistry, 2015, Volume: 135, Issue:2

    Topics: Alzheimer Disease; Animals; Brain Chemistry; Cognition Disorders; Excitatory Amino Acid Antagonists;

2015
Riluzole rescues alterations in rapid glutamate transients in the hippocampus of rTg4510 mice.
    Metabolic brain disease, 2016, Volume: 31, Issue:3

    Topics: Alzheimer Disease; Animals; Disease Models, Animal; Glutamic Acid; Hippocampus; Memory Disorders; Mi

2016
Age and Alzheimer's disease gene expression profiles reversed by the glutamate modulator riluzole.
    Molecular psychiatry, 2017, Volume: 22, Issue:2

    Topics: Age Factors; Aging; Alzheimer Disease; Animals; Cognition; Cognitive Aging; Disease Models, Animal;

2017
Using Drugs as Molecular Probes: A Computational Chemical Biology Approach in Neurodegenerative Diseases.
    Journal of Alzheimer's disease : JAD, 2017, Volume: 56, Issue:2

    Topics: Alzheimer Disease; Amyotrophic Lateral Sclerosis; Computational Biology; Computer Simulation; Cyclos

2017
[Clinical pharmacology and therapeutic aspects in certain degenerative neurological diseases].
    Bulletin et memoires de l'Academie royale de medecine de Belgique, 1996, Volume: 151, Issue:10-11

    Topics: Alzheimer Disease; Amyotrophic Lateral Sclerosis; Antiparkinson Agents; Cholinesterase Inhibitors; H

1996