학술논문

RENEWAL: REpurposing study to find NEW compounds with Activity for Lewy body dementia—an international Delphi consensus
Document Type
article
Source
Alzheimer's Research & Therapy. 14(1)
Subject
Acquired Cognitive Impairment
Parkinson's Disease
Brain Disorders
Neurosciences
Dementia
Aging
Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD)
Neurodegenerative
5.1 Pharmaceuticals
Development of treatments and therapeutic interventions
Neurological
Humans
Lewy Body Disease
Drug Repositioning
Delphi Technique
Parkinson Disease
RENEWAL Study Group
Medical and Health Sciences
Language
Abstract
Drug repositioning and repurposing has proved useful in identifying new treatments for many diseases, which can then rapidly be brought into clinical practice. Currently, there are few effective pharmacological treatments for Lewy body dementia (which includes both dementia with Lewy bodies and Parkinson's disease dementia) apart from cholinesterase inhibitors. We reviewed several promising compounds that might potentially be disease-modifying agents for Lewy body dementia and then undertook an International Delphi consensus study to prioritise compounds. We identified ambroxol as the top ranked agent for repurposing and identified a further six agents from the classes of tyrosine kinase inhibitors, GLP-1 receptor agonists, and angiotensin receptor blockers that were rated by the majority of our expert panel as justifying a clinical trial. It would now be timely to take forward all these compounds to Phase II or III clinical trials in Lewy body dementia.