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No effect of one-year treatment with indomethacin on Alzheimer's disease progression: a randomized controlled trial.

No effect of one-year treatment with indomethacin on Alzheimer's disease progression: a randomized controlled trial. Research Abstract Details 

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  • No effect of one-year treatment with indomethacin on Alzheimer's disease progression: a randomized controlled trial. Abstract Text:

     de jong de Jong, jansen Jansen,willibrord hoefnagelsWillibrord Hoefnagels,marja jellesma-eggenkampMarja Jellesma-Eggenkamp,marcel verbeekMarcel Verbeek,george bormGeorge Borm,berry kremerBerry Kremer,

    BACKGROUND: The objective of this study was to determine whether treatment with the nonselective nonsteroidal anti-inflammatory drug (NSAID) indomethacin slows cognitive decline in patients with Alzheimer's disease (AD). METHODOLOGY/PRINCIPAL FINDINGS: This double-blind, randomized, placebo-controlled trial was conducted between May 2000 and September 2005 in two hospitals in the Netherlands. 51 patients with mild to moderate AD were enrolled into the study. Patients received 100 mg indomethacin or placebo daily for 12 months. Additionally, all patients received omeprazole. The primary outcome measure was the change from baseline after one year of treatment on the cognitive subscale of the AD Assessment Scale (ADAS-cog). Secondary outcome measures included the Mini-Mental State Examination, the Clinician's Interview Based Impression of Change with caregiver input, the noncognitive subscale of the ADAS, the Neuropsychiatric Inventory, and the Interview for Deterioration in Daily life in Dementia. Considerable recruitment problems of participants were encountered, leading to an underpowered study. In the placebo group, 19 out of 25 patients completed the study, and 19 out of 26 patients in the indomethacin group. The deterioration on the ADAS-cog was less in the indomethacin group (7.8+/-7.6), than in the placebo group (9.3+/-10.0). This difference (1.5 points; CI -4.5-7.5) was not statistically significant, and neither were any of the secondary outcome measures. CONCLUSIONS/SIGNIFICANCE: The results of this study are inconclusive with respect to the hypothesis that indomethacin slows the progression of AD. TRIAL REGISTRATION: ClinicalTrials.gov NCT00432081.

    No effect of one-year treatment with indomethacin on Alzheimer's disease progression: a randomized controlled trial. Publishing Authors By Initials

    d de jongD de Jong,r jansenR Jansen,w hoefnagelsW Hoefnagels,m jellesma-eggenkampM Jellesma-Eggenkamp,m verbeekM Verbeek,g bormG Borm,b kremerB Kremer,

    For similar abstracts research abstracts see: abstracts research

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    No effect of one-year treatment with indomethacin on Alzheimer's disease progression: a randomized controlled trial. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: PLoS ONE

    VOLUME: 3

    Page Numbers: e1475

    Journal Abbreviation: PLoS ONE

    ISSN: 1932-6203

    DAY: 23

    MONTH: 01

    YEAR: 2008

    No effect of one-year treatment with indomethacin on Alzheimer's disease progression: a randomized controlled trial. Information

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    LANGUAGE: eng

    NlmUniqueID: 101285081

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    Grant and Affiliation Information for No effect of one-year treatment with indomethacin on Alzheimer's disease progression: a randomized controlled trial.

    AFFILIATION: Department of Neurology, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands.

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: PLoS ONE

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