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The talk about Memantine

 

SUMMER 2004

New Directions
by
Dr. Charles DeCarli MD
Director, Alzheimer’s Disease Center

This year has brought a number of new developments to the ADC. After nearly 20 years of dedicated service to the Alzheimer’s disease community, Dr. William Jagust has moved on to become Professor of Public Health at the University of California at Berkeley. Simultaneously, Ms. Mary Beth Stamps chose a new career path while Dr. Roberta Wallace and Jean Clark both retired. Each of these individuals contributed tremendously to the Center and they will be missed.


With change, however, comes opportunity. I have assumed the Directorship at the Center and I am happy to announce that Ms. Jayne LaGrande has kindly accepted the position as our new Center Administrator. Together, we are working on a proposal to hire another Alzheimer’s disease specialist for the Center. In addition, Dr. Chris Higginson recently joined the ADC to fill in for Dr. Wallace. We hope to hire a new Social Worker very soon. Finally, I am happy to announce that Dr. William Seavey, a Geriatrician trained at UC Davis, has assumed the new role of Director of the Clinical Trials Unit. He will lead several new clinical treatment trials for Alzheimer’s disease currently ongoing at the Center. Throughout this transition period, I was frequently reminded of all the other remarkable people who work at the Center. I particularly wish to thank Dr. Dan Mungas, Dr. Bruce Reed, Ms. Jean Coleman, Ms. Esther Lara, Ms. Barbara Henk, Ms. Carol Bibeau and Ms. Rebecca Kovacs for their unfailing support.


The Center remains committed to the diagnosis, treatment and active pursuit of research in Alzheimer’s disease and related dementing disorders. Fortunately, Dr. Jagust oversaw tremendous growth in the Center with nearly a doubling of Federal dollars for research support over the last few years. I hope to follow his leadership by further expanding the activities of the Center. In this regard, we are pleased to announce the expansion of our research activities to the new clinical research unit at Mather Veterans Administration hospital. Not only will this give us the opportunity to better serve some of our older Veterans, but the new facility offers a more pleasant and unhurried atmosphere for those of you who participate in our longitudinal research studies.


NEW TREATMENTS FOR ALZHEIMER’S DISEASE


Many of you may have already heard about Memantine (Nemenda ™) the new medication licensed this year for the treatment of moderate to severely advanced Alzheimer’s disease. Nemenda works through a mechanism of action different from the currently available medications. Moreover, there is some early evidence that Nemenda may have added benefit to currently available medications when given in combination. It also has few side effects. Please ask your doctor or call the Center at (916) 734-5496 if you have any questions about this new medication.


The ADC is also pleased to announce a new study for patients with Mild Cognitive Impairment. This study is based on new research that suggests that ‘brain exercise’ may help ward off Alzheimer’s disease. In collaboration with Dr. Michael Merzenich at UCSF, the ADC has embarked on a clinical trial to test the whether a computer based form of ‘brain execise’ will improve the memory and thinking capacity of individuals with mild impairments. The Center will enroll 20 subjects for this pilot study. We hope to have preliminary results by this fall.


NEW RESEACH ACTIVITIES


The National Institute on Aging has just announced the award of a large research grant to study biological markers of normal brain aging and change with Alzheimer’s disease. The hope is that new imaging techniques will be able to detect the onset and monitor the progression of Alzheimer’s disease, offering the research community new tools to test potential medications. The Neuroimaging Initiative will involve the collaboration of over 40 ADCs across the country and in Canada and is spearheaded by Dr. Michael Weiner at UCSF. Our Center is involved with this study at a number of levels and hopes to begin recruitment of normal volunteers and patients with mild cognitive impairment or early Alzheimer’s disease for the three-year study sometime this fall.


The Center has also embarked on two other important studies. Dr. Dan Mungas has received a grant from the National Institute on Aging to study mild cognitive impairment and dementia across ethnic and cultural boundaries. This community based study will last five years and help him to develop better tests to detect Alzheimer’s disease and associated dementias. Dr. Charles DeCarli has also received a grant from the National Institute on Aging to study vascular causes of mild cognitive impairment. Alzheimer’s disease remains the most common cause of dementia, but silent cerebrovascular disease may make older individuals more vulnerable to Alzheimer’s disease. Dr. DeCarli’s study hopes to examine the interaction of these two diseases.


ALZHEIMER’S MEETING IN PHILADELPHIA


Thousands of scientists and concerned individuals will converge on Philadelphia this summer for the 9th International Meeting of Alzheimer’s disease and related disorders. This is one of the foremost research meetings of Alzheimer’s disease research in the world. Expected highlights of this meeting include reporting of treatment trials for Mild Cognitive Impairment, use of new tools to detect Alzheimer’s disease and newly developed treatment strategies. I will summarize the highlights of this meeting in our next newsletter.


A REMINDER


As you see, there have been a number of changes at the Center, but some things never change. The success of the Alzheimer’s Disease Center still depends on you the volunteers, as well as your friends and families who support your efforts. Thank all of you for your tremendous help in making our ADC such a success as we strive to better understand and treat this devastating disease.



 

 

 

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Telephone: (925) 372-2485

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Lawrence J. Ellison Ambulatory Care Center
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