A controlled trial of remacemide hydrochloride in Huntington's disease.

Abstract

We conducted a randomized, double-blind, placebo-controlled tolerability study of a N-methyl-D-aspartate (NMDA) glutamate receptor ion-channel blocker, remacemide hydrochloride, in 31 independently ambulatory patients (18 men, 13 women) with Huntington's disease (HD). Subjects were randomized to receive either placebo or active remacemide at dosages of 200 mg/day or 600 mg/day. The primary outcome measure was the proportion of subjects able to complete the study with the assigned treatment. Remacemide was generally well tolerated, and no significant differences between the treatment arms were found in the primary outcome measure. A trend toward improvement in chorea was observed among subjects administered remacemide 200 mg/day. Based on the tolerability and safety demonstrated during this short-term trial, remacemide warrants more extended controlled investigation in patients with HD.

• Authors: K Kieburtz, A Feigin, M McDermott, P Como, D Abwender, C Zimmerman, C Hickey, C Orme, K Claude, J Sotack, J T Greenamyre, C Dunn, I Shoulson
• Journal: Movement disorders : official journal of the Movement Disorder Society (Mov Disord) Vol. 11 Issue 3 Pg. 273-7 (May 1996) ISSN: 0885-3185 [Print] United States
• PMID: 8723144 (Publication Type: Clinical Trial, Comparative Study, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)

Chemical References

• Acetamides
• Neuroprotective Agents
• Receptors, N-Methyl-D-Aspartate
• remacemide

Topics

• Acetamides (administration & dosage, adverse effects)
• Adult
• Dose-Response Relationship, Drug
• Double-Blind Method
• Drug Administration Schedule
• Female
• Humans
• Huntington Disease (diagnosis, drug therapy, physiopathology)
• Male
• Middle Aged
• Neurologic Examination (drug effects)
• Neuroprotective Agents (administration & dosage, adverse effects)
• Neuropsychological Tests
• Receptors, N-Methyl-D-Aspartate (analysis, physiology)
• Treatment Outcome