Memantine for AIDS dementia complex: Open-label report of actg 301

Yu Zhao, Bradford A. Navia, Christina M. Marra, Elyse J. Singer, Linda Chang, Joseph Berger, Ronald J. Ellis, Dennis L. Kolson, David Simpson, Eric N. Miller, Stuart A. Lipton, Scott R. Evans, Giovanni Schifitto

Research output: Contribution to journalArticlepeer-review

50 Scopus citations

Abstract

Objective: To evaluate the long-term safety and efficacy of memantine use as treatment of HIV-associated cognitive impairment.Background: The results of a 20-week, randomized, double-blind, placebo-controlled trial of memantine in HIV-infected participants with cognitive impairment (ACTG 301) were previously reported. We report the results of the up-to-60-week open-label phase following the double-blind phase.Method: Participants received open-label memantine and were escalated to a 40 mg/day dose or their maximum tolerated dose in the double- blind phase. Adverse experiences were used to evaluate safety, and changes in the mean of eight neuropsychological test scores (NPZ-8) were used to evaluate efficacy.Results: Ninety-nine participants entered the initial 12-week openlabel phase and 45 in the additional 48-week extension. Twenty-seven participants reported severe adverse experiences. During the initial 12-week open-label phase, participants randomized to memantine in the double-blind phase had a statistically significant higher improvement in NPZ-8 compared to those randomized to placebo in the double-blind phase. No statistically significant NPZ-8 changes were detected during the 48-week extension.Conclusion: Long-term use of memantine appears safe and tolerable. Future randomized studies with longer follow-up are necessary to establish efficacy of memantine for the treatment of HIV-associated cognitive impairment.

Original languageEnglish
Pages (from-to)59-67
Number of pages9
JournalHIV Clinical Trials
Volume11
Issue number1
DOIs
StatePublished - 1 Jan 2010

Keywords

  • AIDS dementia
  • Cognitive impairment
  • HIV
  • Memantine

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