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Clot-buster trial reveals long-term benefits for stroke patients

Posted: Published on June 20th, 2013

Public release date: 20-Jun-2013 [ | E-mail | Share ] Contact: Anna Borthwick Anna.Borthwick@ed.ac.uk 44-131-651-6514 University of Edinburgh Patients given a clot-busting drug within six hours of a stroke are more likely to have a long-lasting recovery than those who do not receive the treatment, new research has found. A study of more than 3000 patients reviewed the effects of the drug rt-PA, which is given intravenously to patients who have suffered an ischaemic stroke. The international trial, led by the University of Edinburgh, found that 18 months after being treated with the drug, more stroke survivors were able to look after themselves. Patients who received rt-PA had fewer long-term problems with self-care and mobility, and experienced less pain and discomfort than those who did not. Treatment also reduced the number of patients who needed help from other people from 51 per cent to 43 per cent. An ischaemic stroke happens when the brain's blood supply is interrupted by a blood clot. The damage caused can be permanent or fatal. Stroke symptoms include paralysis down one side and speech problems. The study, published in The Lancet Neurology, builds on the world's largest ever trial of the drug, which was published … Continue reading

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New Risk Assessment Tool to Predict Stroke in Patients with Atrial Fibrillation

Posted: Published on June 20th, 2013

OAKLAND, Calif., June 20, 2013 /PRNewswire/ --A more accurate and reliable stroke prediction model has been developed to help physicians decide whether to start blood-thinning treatment for patients with atrial fibrillation, as described in the current online issue of the Journal of the American Heart Association. Atrial fibrillation affects millions of Americans. Because the heart-rhythm disturbance promotes the formation of blood clots that can travel to the brain and block an artery, atrial fibrillation independently increases the risk of ischemic stroke four-to-five-fold. The condition is highly age-dependent and affects 10 percent of those over age 80. The findings are a result of the Anticoagulation and Risk Factors in Atrial Fibrillation Study conducted within the national Cardiovascular Research Network and led by Kaiser Permanente and Massachusetts General Hospital. "While predicting ischemic stroke and major bleeding are both relevant to the anticoagulation decision, formal decision analyses indicate that for most patients with atrial fibrillation, risk of ischemic stroke is the more important," said senior author Alan Go, MD, of the Kaiser Permanente Division of Research. "Among study participants, 46 percent were categorized by the ATRIA score as having less than a 1 percent per year risk. Such low risk indicates a small … Continue reading

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Stroke Treatment Based on Traditional Chinese Medicine Increases Chances of Recovery

Posted: Published on June 20th, 2013

SINGAPORE, June 20, 2013 /PRNewswire/ -- NeuroAiD, a stroke treatment based on Traditional Chinese Medicine, increases the odds of achieving a better functional outcome, according to research published online in the journal Stroke. The CHIMES study is an academic international double-blind placebo-controlled clinical trial which included 1,100 patients from several countries who had suffered an ischemic stroke of intermediate severity within 72 hours, treated and monitored for 3 months. Researchers found that patients who were taking NeuroAiD at acute stage had an 11% increase in the odds of achieving independence in function and being able to perform daily activities at the end of three months. This effect was even greater when NeuroAiD was started beyond 48 hours after stroke onset, with an increase of 39%. The odds ratio was the highest among recently completed stroke trials of neuroprotective agents. The benefit observed is clinically relevant and might have reached statistical significance with a larger sample size. In addition the study confirmed the excellent safety profile of NeuroAiD. Stroke survivors who were on NeuroAiD had fewer adverse events than those in the control group. Further studies will likely look into the benefits of longer duration of treatment. Prof. Christopher Chen, neurologist … Continue reading

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Drug Compound Attacks Parkinson’s Disease On Two Fronts

Posted: Published on June 20th, 2013

Editor's Choice Academic Journal Main Category: Parkinson's Disease Also Included In: Neurology / Neuroscience Article Date: 20 Jun 2013 - 11:00 PDT Current ratings for: Drug Compound Attacks Parkinson's Disease On Two Fronts Study leader, Professor Phil LoGrasso explained that the two proteins (enzymes) tend to amply each others' effect. "What we were looking for is a high-affinity, high-selectivity treatment that is additive or synergistic in its effect - a one-two punch." The scientists believe that is exactly what they have found - a one-two punch. The new dual inhibitor attacks two enzymes - JNK (c-jun-N-terminal kinase) and LRRK2 (leucine-rich repeat kinase 2). After testing many thousands of Parkinson's patients, those with mutations in the LRRK2 gene had a much higher risk of developing Parkinson's disease. On the other hand, JNK plays a major role in nerve cell (neuron) survival in several neurodegenerative diseases. Hence, they have become popular targets for medications to treat Parkinson's disease and other neurodegenerative disorders. A dual inhibitor, i.e. one with both HNK and LRRK2 inhibitors, is more preferable to having two separate medications because there would be no risk of drug-drug interactions, as well as having to adjust individual inhibitor doses for best efficacy. … Continue reading

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PBT434 Drug Candidate Shows Potential as "Next-Generation" Disease-Modifying Treatment in Parkinson’s Disease

Posted: Published on June 20th, 2013

MELBOURNE, AUSTRALIA--(Marketwired - Jun 20, 2013) - Melbourne-based Prana Biotechnology (ASX: PBT) (NASDAQ: PRAN) today welcomed the release of data which indicates its drug candidate PBT434 shows significant disease-modifying capability in multiple animal models of Parkinson's Disease (PD) with potential utility in a range of movement disorders. PD is caused by the death of specialized neurons in the region of the brain called the substantia nigra. This is the only part of the brain where iron, dopamine (a neurotransmitter) and the alpha synuclein protein are all present at high concentrations. In PD, iron binds to dopamine, preventing it from functioning normally, and creating toxic free radicals. Iron also binds to alpha synuclein, causing it to aggregate. The aggregation of this protein is a well-established pathological feature of PD, and a target for new disease-modifying therapies. PBT434 prevents alpha synuclein from aggregating and also prevents the toxic consequences of iron combining with dopamine. In a further sign of the potential of PBT434 as an effective treatment, its therapeutic benefits were seen to be dose-dependent. Increasing increments of the drug resulted in increased preservation of neurons and increased improvement in motor function. "These data are highly positive and support the advancement of … Continue reading

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NeuroDerm reports good trial results for double Parkinson’s treatment

Posted: Published on June 20th, 2013

NeuroDerm, which has developed a method of administering drugs via the skin, has announced good results in a trial of its product that combines two treatments for Parkinson's disease administered dermally. This is the second product in the company's pipeline, and it is now completing the Phase IIa stage of trials, the initial efficacy stage. The product at the most advanced stage of development is a single treatement for Parkinson's disease administered via the skin, which has already successfully undergone a Phase IIIb multi-center efficacy trial. 54 healthy volunteers aged 18-40 took part in the current trial. It was found that the material does not cause side-effects beyond those expected, that the level of the drug in the blood remains uniform, and that the company succeeded in controlling the levels of the drug, making them higher during the day and lower, but still at the desired level, during the night, and again higher the following morning, so that the person being tested would awake in a state in which he or she was already capable of movement. According to NeuroDerm CEO Dr. Oded Lieberman, the new product is especially efficacious in comparison with products administered by swallowing, in that it … Continue reading

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Parkinson Society to host July gala fundraiser

Posted: Published on June 20th, 2013

X-ray of a skull during treatment of Parkinson's disease by electric stimulation of electrodes implanted in the thalamus. THE CANADIAN PRESS/PHOTOTAKE The Parkinson Society will host its 22nd annual gala fundraiser in downtown Toronto next month. The group, formally known as the Parkinson Society Central & Northern Ontario, will hold the Pitch In! gala dinner on July 21. New this year is a silent auction, Parkinson Society spokesperson Alineh Haidery told CityNews.ca, with prizes like a round of golf at the world-renowned Glen Abbey course and tickets to a Toronto Blue Jays game on Aug. 15, where the team will take on the Chicago Red Sox. Former Blue Jays catcher and current Sportsnet analyst Gregg Zaun will host the evening. We chose Gregg because his mother is currently living with the disease, Haidery said. Guests will be able to speak with him over the course of the night. The event is held in partnership with Parkinson Society Canada and will help raise funds for research as well as support services, education and advocacy for people living with Parkinsons. Parkinsons is a neurodegenerative disease that can cause tremors, slowness, stiffness and impaired balance. The society estimates nearly 100,000 Canadians have the … Continue reading

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MS support group kicks off Friday

Posted: Published on June 20th, 2013

SWEA CITY, Iowa - "MS is a bizarre disease," admits Julie Hansen, who was diagnosed with multiple sclerosis 17 years ago. "It hits everybody differently, and it's tough to find ... someone who's been through it too." Hansen, of Swea City, and friend Sara Winkelman, are starting the support group after Winkelman was diagnosed with Multiple Sclerosis late last year. "We've been trained by the National MS Society, because there is nothing in the line of support groups in our area of Iowa. The closest ones are in Mason City or Fort Dodge, and one in Mankato" Hansen said. Sara Winkelman, left, and Julie Hansen, with unofficial mascot Diesel, are starting a MS support group for the region called the MS Warriors. The support group kicks off Friday with an evening picnic at Smith Lake, north of Algona. The group will travel once it's established, going where members are located. "We realize that with MS, mobility is a big issue," she said. "The national society is there to help us with information. ... We're trying to be the voice out there and provide a place for people to go." Multiple Sclerosis is a progressive autoimmune disorder that targets the coating … Continue reading

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New Data Highlight Use of Tirosint® (levothyroxine sodium) Capsules in Patients with T4 Malabsorption Due to Gastric …

Posted: Published on June 20th, 2013

CRANFORD, N.J., June 20, 2013 /PRNewswire/ --Akrimax Pharmaceuticals, LLC, a privately-held, innovative specialty pharmaceutical company, today announced data that show a lower dose of Tirosint (levothyroxine sodium) capsules is required as compared with standard T4 tablets for hypothyroidism patients with impaired gastric acid secretion to reach their target thyroid-stimulating hormone (TSH) levels. The American Association of Clinical Endocrinologist (AACE) Guidelines for Clinical Practice for Evaluation and Treatment of Hypothyroidism call for physicians to treat hypothyroidism with oral levothyroxine replacement therapy. Careful dose titration and monitoring is necessary in order to maintain a euthyroid state, while avoiding adverse events due to overtreatment.1 TSH levels in patients receiving levothyroxine should be no more than 4.0 mU/L.2 Azeez Farooki, MD, Assistant Attending Physician, Endocrinology Service, Memorial Sloan-Kettering Cancer Center, said, "Dose titration can be cumbersome for patients with hypothyroidism who suffer from gastrointestinal disorders like H.pylori infection, lactose intolerance or celiac disease. These patients often require higher doses of T4 due to malabsorption issues. Such patients may endure frequent dose changing and lab tests, which is less than ideal. These data are encouraging because they suggest that, in many patients with malabsorptive disorders, Tirosint improves upon the absorption of traditional levothyroxine (T4) tablets." … Continue reading

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Women’s health: Women in their 50s face changes, choices like hormone therapy

Posted: Published on June 20th, 2013

For women in their 50s, lower estrogen levels lead to menopause and a whole set of health concerns. "This is the beginning of the aging process," says Kate Beadle, a Kaiser Permanente nurse practitioner who specializes in menopause. Dr. Audrey Curtis, who's helping start a women's health clinic at Legacy Meridian Park, says: "A lot of women feel like they're on a roller coaster. Their hormone levels are doing what they did in the teenage years, really up and down." For some women, the answer is hormone replacement therapy to deal with symptoms of menopause. But the 50-year history of HRT has been as wild as the mood swings it is supposed to prevent. And the changing recommendations for women, as well as cancer fears, have led to confusion and stress. Introduced in the 1960s, long-term estrogen treatment was marketed as a wonder therapy to combat aging, disease and depression. Two 1975 studies indicating increased cancer risk made a temporary dent in sales, but it didn't last as other hormones like progestin were added to the therapy, supposedly eliminating the added cancer risk. In 2002, a major study by the federal Women's Health Initiative made a much bigger impression, linking … Continue reading

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