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Gene Therapy and GPR6 Inverse Agonist Show Promise in Parkinson's Disease Trials

• AAV-GAD gene therapy demonstrated safety and improved motor scores by boosting GABA levels in the subthalamic nucleus in a Parkinson's disease trial. • CVN424, a GPR6 inverse agonist, was safe and well-tolerated, showing a clinically meaningful reduction in daily "off" time at 150 mg/day in a phase II Parkinson's study. • The MIND diet was associated with slower cognitive decline in older adults, with relationships varying based on lifestyle and vascular factors. • Modafinil, cognitive behavioral therapy, and their combination showed similar reductions in multiple sclerosis fatigue at 12 weeks in the COMBO-MS trial.

MeiraGTx has announced positive data from a small Parkinson's disease trial involving AAV-GAD gene therapy, while a phase II study highlights the potential of CVN424, a GPR6 inverse agonist, in managing "off" time in Parkinson's patients. These findings offer new avenues for treatment in a disease with significant unmet needs.

AAV-GAD Gene Therapy Shows Promise

The investigational gene therapy AAV-GAD, which delivers the glutamic acid decarboxylase (GAD) gene to the subthalamic nucleus, aims to increase GABA levels in the brain. In a recent trial, a high dose of AAV-GAD was found to be safe, well-tolerated, and demonstrated an improvement in motor scores among Parkinson's disease patients. The therapy targets the underlying neurochemical imbalances associated with the disease by enhancing GABAergic neurotransmission.

CVN424 Reduces "Off" Time in Phase II Study

CVN424, a GPR6 inverse agonist, has also shown potential in treating Parkinson's disease. A phase II study revealed that CVN424 at a dose of 150 mg/day led to a clinically meaningful reduction in daily "off" time. The drug was reported to be safe and well-tolerated. These "off" periods, characterized by motor fluctuations and non-motor symptoms, significantly impact the quality of life for individuals with Parkinson's disease. The GPR6 target represents a novel approach to managing these debilitating fluctuations.

MIND Diet and Cognitive Decline

In related research, the MIND diet was associated with slower cognitive decline in both Black and white older adults. However, the relationships appeared to vary with other lifestyle and vascular factors, according to a study published in Alzheimer's and Dementia.

Multiple Sclerosis Fatigue

The COMBO-MS trial, published in Lancet Neurology, indicated that modafinil (Provigil), cognitive behavioral therapy, and a combination of both were associated with similar reductions in the effects of multiple sclerosis (MS) fatigue at 12 weeks.
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Reference News

[1]
MIND Diet and Cognitive Decline; Gene Therapy for Parkinson's; Curbing MS Fatigue
medpagetoday.com · Oct 22, 2024

The MIND diet slowed cognitive decline in older adults, but varied with lifestyle and vascular factors. Genetic effects ...

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