Saturday, March 21, 2015

A New Hope for Alzheimer's Patients

            Alzheimer’s disease claims 60% to 70% of cases of dementia. The most common form of dementia, it is a concerning brain disease that progressively gets worse over time and is hard to diagnose in its early stages. My father, who’s a doctor, says that Alzheimer’s is a disease that troubles and confuses even the most intelligent and respected doctors. A decent size of the elderly population is affected by the tragic illness that is still not fully understood in the medical field. Symptoms include memory loss, short term at first and then long term as time progresses, mood swings, behavioral issues, and the gradual decline of bodily function. An up and coming pharmaceutical company has made groundbreaking discoveries that could revolutionize treatment for those suffering from Alzheimer’s. Biogen Idec is a global biotechnology company specialized in the development of therapeutic medicine used for neurodegerative (or the progressive failure of functioning from neurons or other nervous processes) illnesses based in Cambridge, Massachesetts, has found new discoveries from experimental studies on patients with Alzheimer’s.
Normal brain activity compared to that of a patient with Alzheimer's disease
 340 × 191 - abc.net.au
            Biogen, a David among many pharmaceutical Goliaths, is entering a field among many medical market juggernauts such as Pfizer Inc. Biogen is competing with companies that have cost patients a fortune because of the high cost in treatment and medicinal care. According to ALZ.org, 1 in 9 older Americans has Alzheimer’s, with 44% of those 74-84 years old suffering from the illness.  A simple one-time cure would not do pharmaceutical companies any good with a sole purpose of profit. Many of these big time companies, like Pfizer, are criticized for having ill-minded priorities: profit over overall patient well being. Biogen, however, seems to have a different philosophy. What’s interesting is how Biogen selected candidates for it’s experimental clinical studies of aducanumab. Patients were evaluated and chosen with accuracy in order to prevent recruitment of patients with other forms of dementia that are often mistaken for Alzheimer’s.  Biogen was also strict in the sense that they only selected patients that were in the early stages of Alzheimer’s. Biogen CEO Geroge Scangos said in an interview that “We images every patient coming into study, so we knew that every patient had Alzheimer’s disease and (amyoid) plaque.” With this selectiveness with their experiment, other medical researchers in the neuroscience field will be reassured that the experiment was conducted with accuracy.
Amyloid plaques
 526 × 407 - brightfocus.org 
Biogen conducted an 166 patient trial, four groups and a placebo group, using their own drug called aducanumab. The treatment was aimed at reducing a brain plaque, which is widely believed to cause Alzheimer’s. The plaque, called an amyloid, cause unnatural reactions in the brain which can lead to many different neurodegenerative disorders. While the reasons for amyloids are unclear, it is known that they disrupt tissue architecture and disrupt the function of the tissues. The more the drug increased, the more the amyloid plaque was reduced in the brain. In fact, it marks the first time that amyloid plaque was reduced from the cause of an experimental drug according to Biogen. The success was so high that Phase III trials for the drug are in the works, which could lead to an approval of the drug. Results were recorded later on in the course of the trial. Using imaging technology to scan the patients’ brains, researchers found that plaque levels were unchanged within the placebo group. For the patients received dosages ranging from 3 milligrams per kilogram of weight, 6 mg or 10 mg, of aducanumab, plaque reduction was seen at 26 weeks and later on during testing at 54 weeks.
The experimental trial also used two other measureable tests for cognition. A 30 point questionnaire used to rate mental acuteness and an 18 point “Clinical Dementia Rating scale.”  The placebo group saw the worst results from the two groups, with a high decrease of points in both tests. The experimental groups had a significantly lower decrease in points. The higher the dosage, the lower the decrease in points.
As medical research advances, the public’s general hope of experiencing the eradication and cure for Alzheimer’s disease may finally become a reality. Hopefully the priority of patient care trumps the desire for profit and stockholder interests. Perhaps other pharmaceutical companies may follow Biogen’s example and seek the development of a cure for not only Alzheimer’s but other diseases and illnesses such as HIV or cancer.