Experts Prioritize 3 Drugs for Alzheimer's
A global expert consensus identifies three repurposed drugs, including the shingles vaccine, as top candidates for Alzheimer disease clinical trials
A Delphi consensus involving 23 international experts identified the live attenuated herpes zoster vaccine (Zostavax), sildenafil, and riluzole as high-priority candidates for Alzheimer's disease clinical trials. The analysis emphasized Zostavax for its proven benefit-risk balance, which includes a 20% reduction in new dementia diagnoses in vaccinated individuals. Sildenafil demonstrated promising cognitive enhancements in mouse models, while riluzole has shown potential in preserving brain metabolism in early-phase trials. The findings advocate for pragmatic phase 2b and phase 3 trials to facilitate efficient drug repurposing.
1. Delphi consensus identified three high-priority candidates: Zostavax, sildenafil, and riluzole. 2. Zostavax has shown a 20% reduction in dementia diagnoses. 3. Sildenafil is linked to cognitive benefits in preclinical models. 4. Riluzole preserved brain glucose metabolism in a phase 2a trial. 5. Pragmatic trials recommended for further evaluation of these agents.