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December 18, 2002

CELEBREX WORKS WELL IN ALS MOUSE MODELS

A commonly-used drug for arthritis may be of benefit to ALS patients, if first-stage animal studies are any sign. In an article in this month's Annals of Neurology, scientists with Johns Hopkins and with the Robert Packard Center for ALS Research at Johns Hopkins report that the drug Celebrex significantly delayed the onset of weakness and weight loss in mouse models of the disease. As important, the drug increased the animals' life span by 25 percent.

"We've also shown that, at this dosage, Celebrex does its work in precisely the place you'd want it to: in the animals' spinal cords and brains," says Packard Center director, Jeffrey Rothstein, M.D., Ph.D., senior author of the report. In the near future, adds Daniel Drachman, M.D., who led the research team, "We hope it may become part of a new, multi-therapy approach to the disease in humans."

Whether used for human arthritis or for ALS, the principle behind Celebrex is the same: it inhibits a key enzyme, called COX-2, that's part of the body's inflammatory and other pathways.

In ALS, three destructive processes play a strong part in the downward spiral of patients' motor neurons. The first, excitotoxicity, refers to an excess of the nerve transmitter glutamate, which overstimulates neurons, causing harm. The second is the production of toxic free radical molecules and the third is inflammation. The inspiration for the study came when Drachman realized Celebrex could, in theory, damp down all three.

The researchers gave Celebrex-laced chow to mouse models of ALS and followed their progress by monitoring motor function, weight and general activity. At intervals, the scientists also examined and analyzed animal tissues, comparing the drug-fed mice with model mice that didn't get Celebrex. "The treated mice had a notable delay in symptom onset," says Rothstein, "and lived significantly longer as well." No human treatment, so far, has extended life span as dramatically as did Celebrex in the model mice.

"The availability of potent COX-2 inhibitors that readily reach target tissues and that are generally safe to take has led us to undertake a multicenter human trial," says Drachman, "using high-doses in ALS patients."

 

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