Evidence map›Paper›PMID 38924384›Full record

ArticleNeuropsychopharmacology reports2024

Brexpiprazole: A new option in treating agitation in Alzheimer's dementia-Insights from transgenic mouse models.

Naoki Amada, Shinji Sato, Dai Ishikawa, Mai Nakamura, Mikio Suzuki, Takashi Futamura, Kenji Maeda

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Article in Neuropsychopharmacology reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Naoki AmadaOtsuka Pharmaceutical Co., Ltd., Tokushima, Japan.ORCID 0000-0002-9625-6240
Shinji SatoOtsuka Pharmaceutical Co., Ltd., Tokyo, Japan.
Dai IshikawaOtsuka Pharmaceutical Co., Ltd., Tokushima, Japan.
Mai NakamuraOtsuka Pharmaceutical Co., Ltd., Tokushima, Japan.
Mikio SuzukiOtsuka Pharmaceutical Co., Ltd., Tokushima, Japan.
Takashi FutamuraOtsuka Pharmaceutical Co., Ltd., Tokushima, Japan.
Kenji MaedaOtsuka Pharmaceutical Co., Ltd., Tokyo, Japan.

Funding

Otsuka Pharmaceutical
6 · The paper itself

Abstract

aimBrexpiprazole is the first FDA-approved treatment for agitation associated with dementia due to Alzheimer's disease. Agitation in Alzheimer's dementia (AAD) occurs in high prevalence and is a great burden for patients and caregivers. Efficacy, safety, and tolerability of brexpiprazole were demonstrated in the AAD clinical trials. To demonstrate the agitation-ameliorating effect of brexpiprazole in animals, we evaluated brexpiprazole in two AAD mouse models.

methodsThe resident-intruder test was conducted in 5- to 6-month-old Tg2576 mice, given vehicle or brexpiprazole (0.01 or 0.03 mg/kg) orally 1 h before the test. Locomotor activity was measured in 6-month-old APPSL-Tg mice given vehicle or brexpiprazole (0.01 or 0.03 mg/kg) orally the evening before the start of locomotor measurement for 3 days.

resultsIn the resident-intruder test, Tg2576 mice showed significantly higher attack number and shorter latency to first attack compared to non-Tg mice. In the Tg mice, brexpiprazole treatment (0.03 mg/kg) significantly delayed the latency to first attack and showed a trend toward a decrease in attack number. APPSL-Tg mice (≧6 months old) showed significantly higher locomotion during dark period Phase II (Zeitgeber time [ZT] 16-20) and Phase III (ZT20-24) compared to non-Tg mice, correlating with the clinical observations of late afternoon agitation in Alzheimer's disease. Brexpiprazole treatment (0.01 and 0.03 mg/kg) significantly decreased hyperlocomotion during the Phase III in APPSL-Tg mice.

conclusionThe suppression of attack behavior and the reduction of nocturnal hyperlocomotion in these Tg mice may be indicative of the therapeutic effect of brexpiprazole on AAD, as demonstrated in the clinical trials.

Indexed as

Alzheimer DiseaseDisease Models, AnimalMice, TransgenicPsychomotor AgitationQuinolonesThiophenesAnimalsLocomotionMaleMiceMotor ActivitybrexpiprazoleQuinolonesThiophenesaggressionagitationAlzheimer's diseasebehavioral and psychological symptoms associated with dementia (BPSD)brexpiprazole

Identifiers

PMID38924384
PMCPMC11544443

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.