Vinpocetine, cognition, and epilepsy

Kimford J. Meador, Beth Leeman-Markowski, Alexandre E. Medina, Sílvia M. Illamola, Jordan Seliger, Gloria Novak, Christine Lin, Mirjana Ivanisevic, Babak Razavi, Susan Marino, Alan Boyd, David W. Loring

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: Vinpocetine has been shown to enhance memory in animal models, with possible cognitive benefit in humans. The present study sought to demonstrate if vinpocetine can enhance cognition in healthy volunteers or patients with epilepsy. In addition, we compare blood levels of vinpocetine and its active metabolite (apovincaminic acid; AVA) in humans and animals to further characterize factors related to possible therapeutic benefit. Methods: The cognitive effects of vinpocetine were assessed in healthy adult volunteers (n = 8) using a double-blind, randomized, crossover design at single doses (placebo, 10, 20, and 60 mg oral). Cognitive effects of vinpocetine in patients with focal epilepsy (n = 8) were tested using a double-blind, randomized, crossover design at single doses (placebo, 20 mg oral) followed by one-month open label at 20 mg oral three times a day. The neuropsychological battery included both computerized and non-computerized tests. Levels of vinpocetine and AVA in the human studies were compared to levels in 45 mice across time dosed at 5–20 mg/kg intraperitoneal of vinpocetine. Results: No significant cognitive benefits were seen in healthy volunteers or patients with epilepsy. No appreciable side effects occurred. Vinpocetine and AVA levels were lower in humans than animals. Conclusions: Vinpocetine was well tolerated, but was not associated with positive cognitive effects. However, blood levels obtained in humans were substantially less than levels in animals obtained from dosages known to be effective in one model. This suggests that higher dosages are needed in humans to assess vinpocetine's cognitive efficacy.

Original languageEnglish (US)
Article number107988
JournalEpilepsy and Behavior
Volume119
DOIs
StatePublished - Jun 2021

Bibliographical note

Funding Information:
Dr. Meador has received research support from the National Institutes of Health and Sunovion Pharmaceuticals, and travel support from UCB Pharma. The Epilepsy Study Consortium pays Dr. Meador’s university for his research consultant time related to Eisai, GW Pharmaceuticals, NeuroPace, Novartis, Supernus, Upsher-Smith Laboratories, and UCB Pharma. Dr. Leeman-Markowski reports nothing to disclose; Dr. Medina reports nothing to disclose; Dr. Illamola reports nothing to disclose; Mr. Seliger reports nothing to disclose; Ms. Novak reports reports nothing to disclose; Ms. Lin reports nothing to disclose; Dr. Ivanisevic reports nothing to disclose; Dr. Razavi reports research support from NeuoPace and holds stock ownership in CortexXus; Dr. Marino reports nothing to disclose; Mr. Boyd is the CEO of CNS Vital Signs; and Dr. Loring reports support for research from NIMH and NINDS, consultant from NeuroPace, editorial stipends from Epilepsia and Neuropsychology Review, and book royalties from Oxford University Press.

Funding Information:
This study was sponsored in part by James and Jen Jacoby, and by Stanford University . The sponsors were not involved in study design, data collection, analyses, or writing of the report.

Publisher Copyright:
© 2021 Elsevier Inc.

Keywords

  • Antiseizure medication
  • Cognition
  • Epilepsy
  • Memory
  • Vinpocetine

PubMed: MeSH publication types

  • Journal Article

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