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A28    SCIENCE
                      Tuesday 31 July 2018
            Hopes rise again for a drug to slow Alzheimer's disease



            By MARILYNN MARCHIONE                                                                  the  companies  said  the  percent  of  people  on  the
             AP Chief Medical Writer                                                               drug didn't meet statistical  highest  dose  saw  all  signs
            CHICAGO  (AP)  —  Hopes                                                                goals. But after 18 months,  of  them  disappear  after
            are rising again for a drug to                                                         they  saw  a  benefit  in  the  18  months,  an  Eisai  official
            alter the course of Alzheim-                                                           highest dose group.          said.
            er's  disease  after  decades                                                          What    makes    it   tricky,  Side  effects  leading  to
            of failures. An experimental                                                           though, is that they used a  discontinuation  of  treat-
            therapy slowed mental de-                                                              new way to measure men-      ment  occurred  in  19  per-
            cline  by  30  percent  in  pa-                                                        tal  decline,  a  scale  that  cent  of  those  on  the  high
            tients  who  got  the  highest                                                         combines  parts  of  three  dose and 6 percent of the
            dose in a mid-stage study,                                                             other widely used tests. This  dummy  treatment  group.
            and  it  removed  much  of                                                             is the first study to use that  Cases  of  brain  swelling,
            the sticky plaque gumming                                                              measure,  and  it's  unclear  which  have  been  seen  in
            up  their  brains,  the  drug's                                                        how much of a difference  other  treatments  targeting
            makers said Wednesday.                                                                 a 30 percent slowing of de-  the  plaques  in  the  brain,
            The results have been high-                                                            cline  makes  —  whether  it  occurred  in  two  people  in
            ly  anticipated  and  have                                                             allows  someone  to  contin-  the placebo group and 16
            sent  the  stock  of  the  two   This Oct. 7, 2003 file photo shows a section of a human   ue to bathe or feed himself,  of  those  in  the  high  dose
            companies  involved  soar-   brain with Alzheimer's disease on display at the Museum of   for instance.             group.
            ing in recent weeks.         Neuroanatomy at the University at Buffalo, in Buffalo, N.Y.   "It's intriguing, but these are  Other  dementia  experts
            The  drug  from  Eisai  and                                           Associated Press  designs  we're  not  used  to  were encouraged.
            Biogen  did  not  meet  its                                                            seeing,"  and  it  will  require  "That's  a  very  hopeful  out-
            main goal in a study of 856  with  more  work,  dementia  worldwide have dementia,  more  study  for  doctors  to  come. It means we may be
            participants,   so   overall,  experts  said.  But  they  wel-  and Alzheimer's is the most  feel  comfortable  with  this  on the right track," said an-
            it  was  considered  a  flop.  comed any glimmer of suc-  common  type.  There  is  no  as  a  measure  of  success,  other  scientist  with  no  role
            But  company  officials  said  cess after multiple failures.  cure—  current  medicines  said  one  independent  ex-  in  the  work,  Dr.  Stephen
            that  161  people  who  got  "We're  cautiously  optimis-  just  ease  symptoms.  Some  pert,  Dr.  Julie  Schneider  Salloway,  neurology  chief
            the highest dose every two  tic,"  said  Maria  Carrillo,  previous efforts to develop  of  Rush  University  Medical  at Brown University in Provi-
            weeks  for  18  months  did  chief science officer of the  a drug to slow the disease  Center in Chicago.           dence, Rhode Island.
            significantly better than 245  Alzheimer's   Association,  may  have  been  tried  too  On one traditional measure  Dr. Reisa Sperling, a neurol-
            people  who  were  given  a  whose international confer-  late,  after  much  damage  of thinking skills, those at the  ogist  at  Harvard-affiliated
            dummy treatment.             ence  in  Chicago  featured  had already occurred. The  highest  dose  declined  47  Brigham and Women's Hos-
            There  are  lots  of  caveats  the results.               new drug aimed sooner, in  percent  less  than  people  pital  in  Boston,  said  it's  im-
            about the work, which was  "A 30 percent slowing of de-   people with early Alzheim-   given a dummy treatment.     portant  to  realize  that  this
            led  by  company  scien-     cline  is  something  I  would  er's, and the drug works at  Brain  scans  added  evi-  is not a cure, just possibly a
            tists  rather  than  academic  want my family member to  an earlier step in formation  dence that the drug might  slowing of decline.
            researchers  and  not  re-   have," and the drug's ability  of the sticky brain plaques.  be  effective.  All  partici-  "We're not suddenly return-
            viewed by outside experts.  to  clear  the  brain  plaques  Study  participants  were  pants  had  signs  of  the  ing  people  back  to  their
            The study also was too small  "looks pretty amazing," she  given  one  of  five  doses  of  sticky plaques that are the  pre-Alzheimer's   baseline,"
            to be definitive and the re-  said.                       BAN2401 or a dummy treat-    hallmark  of  Alzheimer's  at  she said.q
            sults need to be confirmed  About  50  million  people  ment via IV. After one year,  the start of the study, but 81

                                                                      Algae blooms force Poland to


                                                                      shut down 50 Baltic Sea beaches



                                                                      WARSAW,  Poland  (AP)  —  unusually warm sea. Baltic  teria  colonies  have  grown
                                                                      Thinking of a dip in the Bal-  Sea  water  temperatures  and pose a health threat.
                                                                      tic Sea to cool off from the  exceeded 23 degrees Cel-   Regional  sanitation  au-
                                                                      unusually  scorching  Euro-  sius (73.4F) in some places  thorities have issued warn-
                                                                      pean summer? It's too hot  Thursday.                     ings  that  contact  with  the
                                                                      for that.                    Emergency  water  rescu-    bacteria  may  cause  aller-
                                                                      Authorities  in  Poland  this  ers told vacationers on hot  gies  and  rashes.  Drinking
                                                                      week  banned  swimming  sandy  beaches  —  from  contaminated  water  can
             In this photo taken Wednesday July 25, 2018, the waters of   at over 50 beaches along  Swinoujscie  in  the  west  to  also  lead  to  serious  diges-
             Zegrze Reservoir made green by cyanobacteria bloom that   its  Baltic  coast,  after  hot  Gdynia in the east — not to  tive problems.
             has led authorities to ban bathers from getting into the water,   weather  led  to  the  toxic  enter the sea, where thick  The Baltic Sea has not seen
             in Zegrze, near Warsaw, Poland.                          growth  of  bacteria  in  the  green-brown   cyanobac-   such intense growth of cy-
                                                     Associated Press                                                          anobacteria  for  12  years.
                                                                                                                               It  results  from  exception-
                                                                                                                               ally  high  air  temperatures
                                                                                                                               of 34 degrees Celsius (93.2
                                                                                                                               degrees  Fahrenheit)  that
                                                                                                                               have  raised  the  tempera-
                                                                                                                               tures  of  the  usually  cold
                                                                                                                               Baltic.  A  similar  ban  has
                                                                                                                               been  issued  for  some  in-
                                                                                                                               land  lakes  and  reservoirs,
                                                                                                                               such as the Zegrze Resevoir
                                                                                                                               near Warsaw.q
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