Test Tells Whether Drug Works, Helps Treat Alzheimer's Disease

ST. LOUIS -- Scientists at Washington University here say they have developed a test that quickly can assess how effective a drug is at treating Alzheimer's disease.

Until now, determining whether a drug is working has meant measuring a patient's mental functioning over a long period of time. The new measurement tool -- called stable isotope-lined kinetics (SILK) -- takes just 36 hours, which should accelerate the development of new treatments, the scientists say.

Researchers recently developed the test to find whether an Alzheimer's drug given to healthy volunteers could reduce production of a substance known as amyloid beta. Called A-beta for short, the substance is a normal byproduct of human metabolism that builds up to unhealthy levels and forms plaques in the brains of Alzheimer's patients. Scientists believe it is this buildup of plaque tangles that causes the disease's characteristic mental deterioration.

The drug currently being tested is made by Eli Lilly and is in the third phase of clinical trials. Using SILK, researchers found the drug reduced the production of the troublesome A-beta.

"Bringing a new Alzheimer's disease drug into clinical trials from tests in animal models has always been challenging," said Dr. Randall Bateman, the Washington University neurologist who led the study.

"We haven't had a way to quickly and accurately assess a drug's effects, and that meant there always had to be some degree of educated guesswork when it came to setting the optimal dosage for humans. SILK should help eliminate much of that guesswork." The study was released todayin the online version of Annals of Neurology. The study was funded through an Eli Lilly grant; five of the paper's 12 authors are Eli Lilly employees. Washington University licensed its pending patents on SILK to C2N Diagnostics, a St. Louis company started by Bateman and Dr. David Holzman, the school's chair of neurology.
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