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Ethical considerations for deep brain stimulation trials in patients with early-onset Alzheimer’s disease

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Viana, JN, Bittlinger, M and Gilbert, F ORCID: 0000-0003-0524-8649 2017 , 'Ethical considerations for deep brain stimulation trials in patients with early-onset Alzheimer’s disease' , Journal of Alzheimer's Disease, vol. 58, no. 2 , pp. 289-301 , doi: 10.3233/JAD-161073.

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Abstract

Several studies of deep brain stimulation (DBS) of the fornix or the nucleus basalis of Meynert have been recently conducted in people with Alzheimer’s disease, with several recruiting participants <65 and thus have early-onset Alzheimer’s disease (EOAD). Although EOAD accounts for less than 5.5% of AD cases, ethical considerations must still be made when performing DBS trials including these participants since a portion of people with EOAD, especially those possessing autosomal-dominant mutations, have an atypical and more aggressive disease progression. These considerations include appropriate patient selection and signing of an informed consent for genetic testing; appropriate study design; potential outcomes that people with EOAD could expect; and accurate interpretation and balanced discussion of trial results. Finally, recommendations for future DBS for AD trials will be made to ensure that EOAD patients will not experience avoidable harms should they be enrolled in these experimental studies.

Item Type: Article
Authors/Creators:Viana, JN and Bittlinger, M and Gilbert, F
Keywords: Clinical trials as topic, deep brain stimulation, early onset Alzheimer’s disease, ethical review, ethics, familial Alzheimer’s disease, fornix (brain), nucleus basalis of Meynert
Journal or Publication Title: Journal of Alzheimer's Disease
Publisher: IOS Press
ISSN: 1387-2877
DOI / ID Number: 10.3233/JAD-161073
Copyright Information:

© 2017 – IOS Press and the authors

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