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Ambroxol Trial Shows Safety and Biomarker Stabilization in Parkinson’s Dementia

Published in JAMA Neurology, the trial results support a larger cognition-focused study this year to test Ambroxol’s neuroprotective potential in Parkinson’s-related dementia.

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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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Overview

  • In a 12-month randomized trial of 55 patients, Ambroxol was safe, well-tolerated and achieved therapeutic brain levels.
  • Patients on Ambroxol maintained stable GFAP levels while the placebo group experienced increases linked to brain cell damage.
  • Neuropsychiatric symptoms worsened under placebo but remained stable among those receiving Ambroxol.
  • Participants with high-risk GBA1 gene variants demonstrated cognitive improvements on Ambroxol compared to placebo.
  • Researchers plan a follow-up cognitive endpoints trial later this year and await regulatory approval in Canada and the United States.