Alzheimer's disease and public policy issues

Author(s):  
T. Edwin Boling ◽  
Kathy M. Sommers
Author(s):  
Nicholas Kozauer ◽  
Karl Broich

Improvement of cognition by medicinal products is an accepted concept by regulatory agencies. In dementing conditions such as Alzheimer’s disease, improvement of cognition or slowing its deterioration is essential for approval, particularly in early and mild to moderate stages of Alzheimer’s disease. In conditions such as schizophrenia or major depression, treatment of cognitive impairment is not considered as a pseudospecific indication, and specific clinical trials for such an indication are underway. Assessment tools for measurements of change in cognition and its relevance in functional or global outcome parameters must be validated in well-described patient populations. Developers are strongly encouraged to request scientific advice by regulatory agencies early in their programs to avoid delays or setbacks due to methodological or policy issues.


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