Long‐term safety and efficacy of preladenant in subjects with fluctuating Parkinson's disease
Identifieur interne : 001081 ( Istex/Corpus ); précédent : 001080; suivant : 001082Long‐term safety and efficacy of preladenant in subjects with fluctuating Parkinson's disease
Auteurs : Stewart A. Factor ; Kenneth Wolski ; Daniel M. Togasaki ; Susan Huyck ; Marc Cantillon ; T. W. Ho ; Robert A. Hauser ; Emmanuelle PourcherSource :
- Movement Disorders [ 0885-3185 ] ; 2013-06.
Abstract
Preladenant is a selective adenosine A2A receptor antagonist under investigation for Parkinson's disease treatment.
Url:
DOI: 10.1002/mds.25395
Links to Exploration step
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<abstract><p>A phase 2 36‐week open‐label follow‐up of a double‐blind study using preladenant 5 mg twice a day as a levodopa adjunct in 140 subjects with fluctuating Parkinson's disease was conducted. The primary end point was adverse event (AE) assessment. Secondary (efficacy) analyses included hours/day spent in OFF and ON states and dyskinesia prevalence/severity.</p>
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<abstract><p>The 36‐week open‐label phase was completed by 106 of 140 subjects (76%). AE‐related treatment discontinuations occurred in 19 subjects (14%). Treatment‐emergent AEs, reported by ≥15% of subjects, were dyskinesia (33%) and constipation (19%). Preladenant 5 mg twice a day provided OFF time reductions (1.4–1.9 hours/day) and ON time increases (1.2–1.5 hours/day) throughout the 36‐week treatment relative to the baseline of the double‐blind study.</p>
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<abstract><p>Long‐term preladenant treatment (5 mg twice a day) was generally well tolerated and provided sustained OFF time reductions and ON time increases. © 2013 Movement Disorder Society</p>
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<correspondenceTo>Correspondence to: Dr. Stewart A. Factor, Emory University School of Medicine, Department of Neurology, 1841 Clifton Road NE, Atlanta, GA 30329, USA; <email>sfactor@emory.edu</email>
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<creator affiliationRef="#mds25395-aff-0005" creatorRole="author" xml:id="mds25395-cr-0008"><personName><givenNames>Emmanuelle</givenNames>
<familyName>Pourcher</familyName>
<degrees>MD</degrees>
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<affiliationGroup><affiliation countryCode="US" type="organization" xml:id="mds25395-aff-0001"><orgName>Emory University</orgName>
<address><city>Atlanta</city>
<countryPart>Georgia</countryPart>
<country>USA</country>
</address>
</affiliation>
<affiliation countryCode="US" type="organization" xml:id="mds25395-aff-0002"><orgName>Merck Sharp & Dohme Corp.</orgName>
<address><city>Whitehouse Station</city>
<countryPart>New Jersey</countryPart>
<country>USA</country>
</address>
</affiliation>
<affiliation countryCode="US" type="organization" xml:id="mds25395-aff-0003"><orgName>University of Southern California</orgName>
<address><city>Los Angeles</city>
<countryPart>California</countryPart>
<country>USA</country>
</address>
</affiliation>
<affiliation countryCode="US" type="organization" xml:id="mds25395-aff-0004"><orgName>University of South Florida</orgName>
<address><city>Tampa</city>
<countryPart>Florida</countryPart>
<country>USA</country>
</address>
</affiliation>
<affiliation countryCode="CA" type="organization" xml:id="mds25395-aff-0005"><orgName>Laval University</orgName>
<address><city>Quebec City</city>
<countryPart>Quebec</countryPart>
<country>Canada</country>
</address>
</affiliation>
<affiliation countryCode="US" type="organization" xml:id="mds25395-aff-0006"><orgName>Wellness Managements Inc</orgName>
<address><city>Livingston</city>
<countryPart>New Jersey</countryPart>
<country>USA</country>
</address>
</affiliation>
<affiliation countryCode="US" type="organization" xml:id="mds25395-aff-0007"><orgName>AstraZeneca Pharmaceuticals LP</orgName>
<address><city>Wilmington</city>
<countryPart>Delaware</countryPart>
<country>USA</country>
</address>
</affiliation>
</affiliationGroup>
<keywordGroup type="author"><keyword xml:id="mds25395-kwd-0001">adenosine A<sub>2A</sub>
receptor antagonist</keyword>
<keyword xml:id="mds25395-kwd-0002">Parkinson's disease</keyword>
<keyword xml:id="mds25395-kwd-0003">fluctuations</keyword>
<keyword xml:id="mds25395-kwd-0004">OFF time</keyword>
<keyword xml:id="mds25395-kwd-0005">clinical trial</keyword>
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<abstractGroup><abstract type="main"><title type="main">ABSTRACT</title>
<section xml:id="mds25395-sec-0001"><title type="main">Background</title>
<p>Preladenant is a selective adenosine A<sub>2A</sub>
receptor antagonist under investigation for Parkinson's disease treatment.</p>
</section>
<section xml:id="mds25395-sec-0002"><title type="main">Methods</title>
<p>A phase 2 36‐week open‐label follow‐up of a double‐blind study using preladenant 5 mg twice a day as a levodopa adjunct in 140 subjects with fluctuating Parkinson's disease was conducted. The primary end point was adverse event (AE) assessment. Secondary (efficacy) analyses included hours/day spent in OFF and ON states and dyskinesia prevalence/severity.</p>
</section>
<section xml:id="mds25395-sec-0003"><title type="main">Results</title>
<p>The 36‐week open‐label phase was completed by 106 of 140 subjects (76%). AE‐related treatment discontinuations occurred in 19 subjects (14%). Treatment‐emergent AEs, reported by ≥15% of subjects, were dyskinesia (33%) and constipation (19%). Preladenant 5 mg twice a day provided OFF time reductions (1.4–1.9 hours/day) and ON time increases (1.2–1.5 hours/day) throughout the 36‐week treatment relative to the baseline of the double‐blind study.</p>
</section>
<section xml:id="mds25395-sec-0004"><title type="main">Conclusions</title>
<p>Long‐term preladenant treatment (5 mg twice a day) was generally well tolerated and provided sustained OFF time reductions and ON time increases. © 2013 <i>Movement</i>
Disorder Society</p>
</section>
</abstract>
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<noteGroup><note xml:id="mds25395-note-0001"><p><b>Funding agencies:</b>
The study was funded by Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Whitehouse Station, New Jersey.</p>
</note>
<note xml:id="mds25395-note-0002"><p><b>Relevant conflicts of interest/financial disclosures:</b>
Stewart A. Factor has not received any remuneration in relation to preladenant from Schering‐Plough or Merck & Co., Inc. Susan Huyck is an employee of Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Whitehouse Station, New Jersey. Kenneth Wolski, T.W. Ho, and Marc Cantillon are former employees of Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Whitehouse Station, New Jersey. Robert A. Hauser has received remuneration for consultative and advisory services related to preladenant. Emmanuelle Pourcher has received honoraria for consultancy related to preladenant.</p>
</note>
<note xml:id="mds25395-note-0003"><p>Full financial disclosures and author roles may be found in the online version of this article.</p>
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<titleInfo type="alternative" contentType="CDATA" lang="en"><title>Long‐term safety and efficacy of preladenant in subjects with fluctuating Parkinson's disease</title>
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<name type="personal"><namePart type="given">Stewart A.</namePart>
<namePart type="family">Factor</namePart>
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<affiliation>Emory University, Georgia, Atlanta, USA</affiliation>
<affiliation>E-mail: sfactor@emory.edu</affiliation>
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<name type="personal"><namePart type="given">Kenneth</namePart>
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<name type="personal"><namePart type="given">Daniel M.</namePart>
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<affiliation>University of Southern California, California, Los Angeles, USA</affiliation>
<role><roleTerm type="text">author</roleTerm>
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<name type="personal"><namePart type="given">Susan</namePart>
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<name type="personal"><namePart type="given">Emmanuelle</namePart>
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<dateIssued encoding="w3cdtf">2013-06</dateIssued>
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<dateCaptured encoding="w3cdtf">2012-10-19</dateCaptured>
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<abstract>Preladenant is a selective adenosine A2A receptor antagonist under investigation for Parkinson's disease treatment.</abstract>
<abstract>A phase 2 36‐week open‐label follow‐up of a double‐blind study using preladenant 5 mg twice a day as a levodopa adjunct in 140 subjects with fluctuating Parkinson's disease was conducted. The primary end point was adverse event (AE) assessment. Secondary (efficacy) analyses included hours/day spent in OFF and ON states and dyskinesia prevalence/severity.</abstract>
<abstract>The 36‐week open‐label phase was completed by 106 of 140 subjects (76%). AE‐related treatment discontinuations occurred in 19 subjects (14%). Treatment‐emergent AEs, reported by ≥15% of subjects, were dyskinesia (33%) and constipation (19%). Preladenant 5 mg twice a day provided OFF time reductions (1.4–1.9 hours/day) and ON time increases (1.2–1.5 hours/day) throughout the 36‐week treatment relative to the baseline of the double‐blind study.</abstract>
<abstract>Long‐term preladenant treatment (5 mg twice a day) was generally well tolerated and provided sustained OFF time reductions and ON time increases. © 2013 Movement Disorder Society</abstract>
<subject><genre>keywords</genre>
<topic>adenosine A2A receptor antagonist</topic>
<topic>Parkinson's disease</topic>
<topic>fluctuations</topic>
<topic>OFF time</topic>
<topic>clinical trial</topic>
</subject>
<relatedItem type="host"><titleInfo><title>Movement Disorders</title>
</titleInfo>
<titleInfo type="abbreviated"><title>Mov Disord.</title>
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<genre type="journal">journal</genre>
<subject><genre>article-category</genre>
<topic>Brief Report</topic>
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<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part><date>2013</date>
<detail type="volume"><caption>vol.</caption>
<number>28</number>
</detail>
<detail type="issue"><caption>no.</caption>
<number>6</number>
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<extent unit="pages"><start>817</start>
<end>820</end>
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