Senolytic Therapy to Modulate the Progression of Alzheimer's Disease (SToMP-AD): A Pilot Clinical Trial.

Preclinical studies indicate an age-associated accumulation of senescent cells across multiple organ systems. Emerging evidence suggests that tau protein accumulation, which closely correlates with cognitive decline in Alzheimer's disease and other tauopathies, drives cellular senescence in the brain. Pharmacologically clearing senescent cells in mouse models of tauopathy reduced brain pathogenesis. Compared to vehicle treated mice, intermittent senolytic administration reduced tau accumulation and neuroinflammation, preserved neuronal and synaptic density, restored aberrant cerebral blood flow, and reduced ventricular enlargement. Intermittent dosing of the senolytics, dasatinib plus quercetin, has shown an acceptable safety profile in clinical studies for other senescence-associated conditions. With these data, we proposed and herein describe the objectives and methods for a clinical vanguard study. This initial open-label clinical trial pilots an intermittent senolytic combination therapy of dasatinib plus quercetin in five older adults with early-stage Alzheimer's disease. The primary objective is to evaluate the central nervous system penetration of dasatinib and quercetin through analysis of cerebrospinal fluid collected at baseline and after 12 weeks of treatment. Further, through a series of secondary outcome measures to assess target engagement of the senolytic compounds and Alzheimer's disease-relevant cognitive, functional, and physical outcomes, we will collect preliminary data on safety, feasibility, and efficacy. The results of this study will be used to inform the development of a randomized, double-blind, placebo-controlled multicenter phase II trial to further explore of the safety, feasibility, and efficacy of senolytics for modulating the progression of Alzheimer's disease. Clinicaltrials.gov registration number and date: NCT04063124 (08/21/2019).

Systematic comparison between line integrated densities measured with interferometry and polarimetry at JET.

A systematic comparison between the line integrated electron density derived from interferometry and polarimetry at JET has been carried out. For the first time the reliability of the measurements of the Cotton-Mouton effect has been analyzed for a wide range of main plasma parameters and the possibility to evaluate the electron density directly from polarimetric data has been studied. The purpose of this work is to recover the interferometric data with the density derived from the measured Cotton-Mouton effect, when the fringe jump phenomena occur. The results show that the difference between the line integrated electron density from interferometry and polarimetry is with one fringe (1.143 x 10(19) m(-2)) for more than 90% of the cases. It is possible to consider polarimetry as a satisfactory alternative method to interferometry to measure the electron density and it could be used to recover interferometric signal when a fringe jumps occurs, preventing difficulties for the real-time control of many experiments at the JET machine.