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Ambroxol Demonstrates Brain Protective Effects in Parkinson’s Disease Dementia Trial

JAMA Neurology’s June 30 report sets the stage for a cognition-focused trial later this year.

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St. Joseph’s Health Care on Grosvenor Street in London. Photo taken on Monday June 5, 2023. 
(Mike Hensen/The London Free Press)
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Ball-and-stick model of ambroxol molecule. Image credit: Marina Vladivostok / ChemSpider.

Overview

  • The 12-month randomized Phase II study of 55 Parkinson’s dementia patients found Ambroxol to be safe, well-tolerated and able to reach therapeutic levels in the brain.
  • Participants receiving Ambroxol showed stable psychiatric symptoms while those on placebo experienced worsening neuropsychiatric scores.
  • High-risk GBA1 gene variant carriers treated with Ambroxol exhibited measurable improvements in cognitive tests.
  • GFAP blood levels, a marker of brain cell damage, remained unchanged in the Ambroxol group but rose in placebo participants, indicating potential neuroprotective effects.
  • Researchers at Lawson Research Institute plan to begin a larger, cognition-focused clinical trial later in 2025 based on these findings.