Findings From First Cohort of SPG302 in Phase 2 Alzheimer Disease Trial: Sharron Gargosky, PhD
August 1st 2025The chief development officer at Spinogenix shared initial results from the first cohort of the company’s phase 2 trial assessing SPG302 in Alzheimer disease presented at AAIC 2025. [WATCH TIME: 6 minutes]
Narcolepsy Treatment Trends and Change in Alerting Agent Use After Low-Sodium Oxybate Initiation
July 29th 2025In this final episode, the sleep experts analyze real-world prescribing data to understand how low-sodium oxybate impacts the use of traditional alerting agents in narcolepsy. [WATCH TIME: 4 minutes]
Using the Syn-One Test for Earlier Detection in Neurodegenerative Diseases: Todd Levine, MD
July 28th 2025At AAIC 2025, the chief medical officer at CND Life Sciences discussed recent progress in detecting neurodegenerative diseases earlier using tools like the Syn-One Test. [WATCH TIME: 3 minutes]
Risk Factors for Development of EDS in Patients With OSA
July 28th 2025Panelists discuss how the traditional profile of older, overweight men with thick necks remains valid for OSA risk, but clinicians must also recognize that less obvious cases in younger, smaller individuals can be easily missed and require more sensitive screening approaches.
Patient Case: Treatment Options for Advanced Parkinson Disease
July 28th 2025Panelists discuss how treatment options for advanced Parkinson disease patients like the 54-year-old woman include deep brain stimulation (DBS) as an excellent choice given her young age and cognitive status, with amantadine delayed-release/extended-release showing robust effects comparable to DBS (about 3 hours of increased good “on” time) in patients meeting DBS criteria, while newer infusion therapies may offer potential benefits through both pharmacokinetic effects from reducing peak-trough levels and a theoretical "deep priming" process that could reset hypersensitive dopamine receptors by providing continuous stimulation, though more research data is needed to confirm these hypothetical benefits.
Delayed-Release/Extended-Release Amantadine for Dyskinesia and Off Time in Parkinson Disease
July 28th 2025Panelists discuss how delayed-release/extended-release amantadine represents a unique treatment option for patients like the 54-year-old woman with both dyskinesia and “off” time, as it is the only FDA-approved medication that addresses both conditions simultaneously, with its bedtime dosing and pharmacokinetic profile providing overnight absorption and sustained daytime levels that resulted in phase 3 trials showing a 40% reduction in dyskinesia and 2.4 hours of increased good “on” time, making it an ideal first-line treatment for patients who have both troublesome dyskinesia and motor fluctuations rather than simply reducing dopaminergic medications which would worsen motor symptoms.
Prevalence and Symptoms of EDS in Patients With OSA
July 28th 2025Panelists discuss how obstructive sleep apnea affects potentially up to 1 billion people globally, with excessive daytime sleepiness being a common but often underreported presenting complaint that patients may not recognize or admit to experiencing.
Social Determinants of Health and Clinical Burden in Narcolepsy: A Retrospective Cohort Analysis
July 26th 2025In episode 3, Drs. Olson and Shelgikar break down a retrospective study exploring how social determinants of health impact the clinical experience of patients with narcolepsy. [WATCH TIME: 6 minutes]
Expert Perspectives on Chronic Insomnia Management
July 25th 2025A panelist discusses the importance of obtaining a comprehensive sleep history before prescribing medication for chronic insomnia and highlights the growing role of dual orexin receptor antagonists (DORAs) as a safer, first-line treatment option with fewer adverse effects compared to older sleep medications like benzodiazepines.
Donanemab Label Update: What the Modified Titration Data Means for Clinicians: John Sims, MD
July 22nd 2025The head of medical development for donanemab at Eli Lilly and Company explained how donanemab’s modified titration dosing regimen could reduce ARIA risk and improve clinical decision-making following the drug’s FDA label update. [WATCH TIME: 3 minutes]
Overviewing the Conduct and Rationale Behind Donanemab’s TRAILBLAZER-ALZ 6 Study: John Sims, MD
July 21st 2025The head of medical development for donanemab at Eli Lilly and Company provided insights on the structure of TRAILBLAZER-ALZ 6, a study comparing numerous different dosing regimens of donanemab. [WATCH TIME: 3 minutes]
A Case of a 54-Year-Old Woman With Parkinson Disease and Dyskinesia
July 21st 2025Panelists discuss how a 54-year-old woman with early-onset Parkinson disease presenting with troublesome peak-dose dyskinesia affecting her work performance illustrates the challenge of managing patients who have both dyskinesia and likely "off" episodes, requiring careful assessment of functional impacts through targeted questioning about daily activities, work performance, and social interactions, since patients often minimize or remain unaware of their dyskinesia's true impact while caregivers may provide crucial insights into how the involuntary movements affect not only the patient but also family dynamics and professional relationships.
Prevalence and Quality of Life Impact of Dyskinesia in Parkinson Disease
July 21st 2025Panelists discuss how dyskinesia affects 30% to 50% of Parkinson patients by 5 years and over 90% by 10 years, creating significant functional limitations including impaired writing, eating, and dressing abilities, increased fall risk, job performance challenges, social isolation due to embarrassment about abnormal movements, and restrictions on therapeutic options since increasing levodopa doses to manage "off" time would worsen dyskinesia, ultimately impacting both patients' basic human dignity and their caregivers' quality of life.
The Evolving Diagnosis and Treatment Strategies for Stiff Person Syndrome: Marinos C. Dalakas, MD
July 20th 2025The professor of neurology at Thomas Jefferson University discussed the shifting diagnostic challenges of stiff person syndrome and reviewed current and emerging treatment options. [WATCH TIME: 6 minutes]
Preparing the Neurology Workforce for an AI-Integrated Future: Elisabeth Marsh, MD
July 19th 2025The associate professor of neurology at Johns Hopkins detailed how artificial intelligence is shaping the future of neurology through its integration in clinical care, research, and medical education. [WATCH TIME: 4 minutes]
Exploring the Association Between Large Breast Size and Headache Disorders: Kristyn Pocock, MD
July 18th 2025The assistant professor of neurology at Wake Forest Baptist Atrium Health discussed emerging research on how breast size may contribute to headache disorders, including migraine. [WATCH TIME: 5 minutes]