Background: Memantine is an -methyl--aspartate (NMDA) receptor antagonist that is used to treat moderate to severe Alzheimer's Dementia (AD) and has been speculated to provide clinical benefits in Huntington's disease (HD).

Objective: To assess the effectiveness of memantine on the trajectory of cognitive decline in individuals with manifest HD.

Methods: Using participants from the Enroll-HD study, the primary analysis compared trajectories in cognition over a 5-year period using linear mixed effect models of prevalent and incident memantine users who were propensity-score-matched with non-users on measures of disease progression and demographics.

Results: In the primary analysis there were no significant differences in the trajectories between memantine users and non-users on any primary outcomes of interest.

Conclusions: Memantine use was not associated with any clinical benefit for individuals with manifest HD. Further studies are warranted to assess the impact of memantine on clinical outcomes in HD.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10354618PMC
http://dx.doi.org/10.1002/mdc3.13763DOI Listing

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