La maladie de Parkinson au Canada (serveur d'exploration)

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Longitudinal follow-up of SWEDD subjects in the PRECEPT Study

Identifieur interne : 000021 ( PascalFrancis/Corpus ); précédent : 000020; suivant : 000022

Longitudinal follow-up of SWEDD subjects in the PRECEPT Study

Auteurs : Kenneth Marek ; John Seibyl ; Shirley Eberly ; David Oakes ; Ira Shoulson ; Anthony E. Lang ; Chris Hyson ; Danna Jennings

Source :

RBID : Pascal:14-0154166

Descripteurs français

English descriptors

Abstract

Objective: To compare the clinical and imaging characteristics of those PRECEPT (Parkinson Research Examination of CEP-1347 Trial) subjects with a scan without evidence of dopaminergic deficit (SWEDD) to those with dopamine transporter (DAT) deficit scans at study baseline and during a 22-month follow-up. Methods: Baseline (n = 799) and 22-month follow-up (n = 701) [123|] β-CIT SPECT scans were acquired. The percent change in [123|] β-CIT striatal binding ratio, the percentage of subjects requiring dopaminergic therapy, the change in Unified Parkinson's Disease Rating Scale (UPDRS) score, and the PRECEPT Study investigators' diagnosis at study termination were compared between SWEDD and DAT deficit subjects. Results: SWEDD subjects (n = 91) compared with DAT deficit subjects (n = 708) showed reduced UPDRS score at baseline (18.7 [SD 8.5] vs 25.5 [SD 10.5], p < 0.05) and minimal change in both [123|] β-CIT striatal binding ratio (-0.2% [SD 12.2] vs -8.5% [SD 11.9], p < 0.0001) and UPDRS score (0.5 [SD 6.9] vs 10.5 [SD 8.9], p < 0.0001) at follow-up assessments. At PRECEPT termination, the diagnosis by study investigators was changed from Parkinson disease (PD) to other disorders not associated with DAT deficit in 44% (95% confidence interval 34.2, 54.7) of SWEDD subjects compared with 3.6% (95% confidence interval 2.3, 5.1) of DAT deficit subjects. Conclusion: These results indicate that subjects identified as having a SWEDD, with DAT imaging within the normal range, have minimal evidence of clinical or imaging PD progression. These data strongly suggest that SWEDD subjects are unlikely to have idiopathic PD.

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Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0028-3878
A02 01      @0 NEURAI
A03   1    @0 Neurology
A05       @2 82
A06       @2 20
A08 01  1  ENG  @1 Longitudinal follow-up of SWEDD subjects in the PRECEPT Study
A11 01  1    @1 MAREK (Kenneth)
A11 02  1    @1 SEIBYL (John)
A11 03  1    @1 EBERLY (Shirley)
A11 04  1    @1 OAKES (David)
A11 05  1    @1 SHOULSON (Ira)
A11 06  1    @1 LANG (Anthony E.)
A11 07  1    @1 HYSON (Chris)
A11 08  1    @1 JENNINGS (Danna)
A14 01      @1 Institute for Neurodegenerative Disorders @2 Rochester, NY @3 USA @Z 1 aut. @Z 2 aut. @Z 8 aut.
A14 02      @1 University of Rochester @2 Rochester, NY @3 USA @Z 3 aut. @Z 4 aut.
A14 03      @1 Georgetown University @2 Washington, DC @3 USA @Z 5 aut.
A14 04      @1 University of Toronto @2 London, Ontario @3 CAN @Z 6 aut.
A14 05      @1 Western University @2 London, Ontario @3 CAN @Z 7 aut.
A17 01  1    @1 The Parkinson Study Group PRECEPT Investigators @3 INC
A20       @1 1791-1797
A21       @1 2014
A23 01      @0 ENG
A43 01      @1 INIST @2 6345 @5 354000502741180070
A44       @0 0000 @1 © 2014 INIST-CNRS. All rights reserved.
A45       @0 23 ref.
A47 01  1    @0 14-0154166
A60       @1 P
A61       @0 A
A64 01  1    @0 Neurology
A66 01      @0 USA
C01 01    ENG  @0 Objective: To compare the clinical and imaging characteristics of those PRECEPT (Parkinson Research Examination of CEP-1347 Trial) subjects with a scan without evidence of dopaminergic deficit (SWEDD) to those with dopamine transporter (DAT) deficit scans at study baseline and during a 22-month follow-up. Methods: Baseline (n = 799) and 22-month follow-up (n = 701) [123|] β-CIT SPECT scans were acquired. The percent change in [123|] β-CIT striatal binding ratio, the percentage of subjects requiring dopaminergic therapy, the change in Unified Parkinson's Disease Rating Scale (UPDRS) score, and the PRECEPT Study investigators' diagnosis at study termination were compared between SWEDD and DAT deficit subjects. Results: SWEDD subjects (n = 91) compared with DAT deficit subjects (n = 708) showed reduced UPDRS score at baseline (18.7 [SD 8.5] vs 25.5 [SD 10.5], p < 0.05) and minimal change in both [123|] β-CIT striatal binding ratio (-0.2% [SD 12.2] vs -8.5% [SD 11.9], p < 0.0001) and UPDRS score (0.5 [SD 6.9] vs 10.5 [SD 8.9], p < 0.0001) at follow-up assessments. At PRECEPT termination, the diagnosis by study investigators was changed from Parkinson disease (PD) to other disorders not associated with DAT deficit in 44% (95% confidence interval 34.2, 54.7) of SWEDD subjects compared with 3.6% (95% confidence interval 2.3, 5.1) of DAT deficit subjects. Conclusion: These results indicate that subjects identified as having a SWEDD, with DAT imaging within the normal range, have minimal evidence of clinical or imaging PD progression. These data strongly suggest that SWEDD subjects are unlikely to have idiopathic PD.
C02 01  X    @0 002B17
C02 02  X    @0 002B18D04B
C03 01  X  FRE  @0 Pathologie du système nerveux @5 01
C03 01  X  ENG  @0 Nervous system diseases @5 01
C03 01  X  SPA  @0 Sistema nervioso patología @5 01
C03 02  X  FRE  @0 Homme @5 09
C03 02  X  ENG  @0 Human @5 09
C03 02  X  SPA  @0 Hombre @5 09
N21       @1 195
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 14-0154166 INIST
ET : Longitudinal follow-up of SWEDD subjects in the PRECEPT Study
AU : MAREK (Kenneth); SEIBYL (John); EBERLY (Shirley); OAKES (David); SHOULSON (Ira); LANG (Anthony E.); HYSON (Chris); JENNINGS (Danna)
AF : Institute for Neurodegenerative Disorders/Rochester, NY/Etats-Unis (1 aut., 2 aut., 8 aut.); University of Rochester/Rochester, NY/Etats-Unis (3 aut., 4 aut.); Georgetown University/Washington, DC/Etats-Unis (5 aut.); University of Toronto/London, Ontario/Canada (6 aut.); Western University/London, Ontario/Canada (7 aut.)
DT : Publication en série; Niveau analytique
SO : Neurology; ISSN 0028-3878; Coden NEURAI; Etats-Unis; Da. 2014; Vol. 82; No. 20; Pp. 1791-1797; Bibl. 23 ref.
LA : Anglais
EA : Objective: To compare the clinical and imaging characteristics of those PRECEPT (Parkinson Research Examination of CEP-1347 Trial) subjects with a scan without evidence of dopaminergic deficit (SWEDD) to those with dopamine transporter (DAT) deficit scans at study baseline and during a 22-month follow-up. Methods: Baseline (n = 799) and 22-month follow-up (n = 701) [123|] β-CIT SPECT scans were acquired. The percent change in [123|] β-CIT striatal binding ratio, the percentage of subjects requiring dopaminergic therapy, the change in Unified Parkinson's Disease Rating Scale (UPDRS) score, and the PRECEPT Study investigators' diagnosis at study termination were compared between SWEDD and DAT deficit subjects. Results: SWEDD subjects (n = 91) compared with DAT deficit subjects (n = 708) showed reduced UPDRS score at baseline (18.7 [SD 8.5] vs 25.5 [SD 10.5], p < 0.05) and minimal change in both [123|] β-CIT striatal binding ratio (-0.2% [SD 12.2] vs -8.5% [SD 11.9], p < 0.0001) and UPDRS score (0.5 [SD 6.9] vs 10.5 [SD 8.9], p < 0.0001) at follow-up assessments. At PRECEPT termination, the diagnosis by study investigators was changed from Parkinson disease (PD) to other disorders not associated with DAT deficit in 44% (95% confidence interval 34.2, 54.7) of SWEDD subjects compared with 3.6% (95% confidence interval 2.3, 5.1) of DAT deficit subjects. Conclusion: These results indicate that subjects identified as having a SWEDD, with DAT imaging within the normal range, have minimal evidence of clinical or imaging PD progression. These data strongly suggest that SWEDD subjects are unlikely to have idiopathic PD.
CC : 002B17; 002B18D04B
FD : Pathologie du système nerveux; Homme
ED : Nervous system diseases; Human
SD : Sistema nervioso patología; Hombre
LO : INIST-6345.354000502741180070
ID : 14-0154166

Links to Exploration step

Pascal:14-0154166

Le document en format XML

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<div type="abstract" xml:lang="en">Objective: To compare the clinical and imaging characteristics of those PRECEPT (Parkinson Research Examination of CEP-1347 Trial) subjects with a scan without evidence of dopaminergic deficit (SWEDD) to those with dopamine transporter (DAT) deficit scans at study baseline and during a 22-month follow-up. Methods: Baseline (n = 799) and 22-month follow-up (n = 701) [
<sup>123</sup>
|] β-CIT SPECT scans were acquired. The percent change in [
<sup>123</sup>
|] β-CIT striatal binding ratio, the percentage of subjects requiring dopaminergic therapy, the change in Unified Parkinson's Disease Rating Scale (UPDRS) score, and the PRECEPT Study investigators' diagnosis at study termination were compared between SWEDD and DAT deficit subjects. Results: SWEDD subjects (n = 91) compared with DAT deficit subjects (n = 708) showed reduced UPDRS score at baseline (18.7 [SD 8.5] vs 25.5 [SD 10.5], p < 0.05) and minimal change in both [
<sup>123</sup>
|] β-CIT striatal binding ratio (-0.2% [SD 12.2] vs -8.5% [SD 11.9], p < 0.0001) and UPDRS score (0.5 [SD 6.9] vs 10.5 [SD 8.9], p < 0.0001) at follow-up assessments. At PRECEPT termination, the diagnosis by study investigators was changed from Parkinson disease (PD) to other disorders not associated with DAT deficit in 44% (95% confidence interval 34.2, 54.7) of SWEDD subjects compared with 3.6% (95% confidence interval 2.3, 5.1) of DAT deficit subjects. Conclusion: These results indicate that subjects identified as having a SWEDD, with DAT imaging within the normal range, have minimal evidence of clinical or imaging PD progression. These data strongly suggest that SWEDD subjects are unlikely to have idiopathic PD.</div>
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<s0>Objective: To compare the clinical and imaging characteristics of those PRECEPT (Parkinson Research Examination of CEP-1347 Trial) subjects with a scan without evidence of dopaminergic deficit (SWEDD) to those with dopamine transporter (DAT) deficit scans at study baseline and during a 22-month follow-up. Methods: Baseline (n = 799) and 22-month follow-up (n = 701) [
<sup>123</sup>
|] β-CIT SPECT scans were acquired. The percent change in [
<sup>123</sup>
|] β-CIT striatal binding ratio, the percentage of subjects requiring dopaminergic therapy, the change in Unified Parkinson's Disease Rating Scale (UPDRS) score, and the PRECEPT Study investigators' diagnosis at study termination were compared between SWEDD and DAT deficit subjects. Results: SWEDD subjects (n = 91) compared with DAT deficit subjects (n = 708) showed reduced UPDRS score at baseline (18.7 [SD 8.5] vs 25.5 [SD 10.5], p < 0.05) and minimal change in both [
<sup>123</sup>
|] β-CIT striatal binding ratio (-0.2% [SD 12.2] vs -8.5% [SD 11.9], p < 0.0001) and UPDRS score (0.5 [SD 6.9] vs 10.5 [SD 8.9], p < 0.0001) at follow-up assessments. At PRECEPT termination, the diagnosis by study investigators was changed from Parkinson disease (PD) to other disorders not associated with DAT deficit in 44% (95% confidence interval 34.2, 54.7) of SWEDD subjects compared with 3.6% (95% confidence interval 2.3, 5.1) of DAT deficit subjects. Conclusion: These results indicate that subjects identified as having a SWEDD, with DAT imaging within the normal range, have minimal evidence of clinical or imaging PD progression. These data strongly suggest that SWEDD subjects are unlikely to have idiopathic PD.</s0>
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<NO>PASCAL 14-0154166 INIST</NO>
<ET>Longitudinal follow-up of SWEDD subjects in the PRECEPT Study</ET>
<AU>MAREK (Kenneth); SEIBYL (John); EBERLY (Shirley); OAKES (David); SHOULSON (Ira); LANG (Anthony E.); HYSON (Chris); JENNINGS (Danna)</AU>
<AF>Institute for Neurodegenerative Disorders/Rochester, NY/Etats-Unis (1 aut., 2 aut., 8 aut.); University of Rochester/Rochester, NY/Etats-Unis (3 aut., 4 aut.); Georgetown University/Washington, DC/Etats-Unis (5 aut.); University of Toronto/London, Ontario/Canada (6 aut.); Western University/London, Ontario/Canada (7 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Neurology; ISSN 0028-3878; Coden NEURAI; Etats-Unis; Da. 2014; Vol. 82; No. 20; Pp. 1791-1797; Bibl. 23 ref.</SO>
<LA>Anglais</LA>
<EA>Objective: To compare the clinical and imaging characteristics of those PRECEPT (Parkinson Research Examination of CEP-1347 Trial) subjects with a scan without evidence of dopaminergic deficit (SWEDD) to those with dopamine transporter (DAT) deficit scans at study baseline and during a 22-month follow-up. Methods: Baseline (n = 799) and 22-month follow-up (n = 701) [
<sup>123</sup>
|] β-CIT SPECT scans were acquired. The percent change in [
<sup>123</sup>
|] β-CIT striatal binding ratio, the percentage of subjects requiring dopaminergic therapy, the change in Unified Parkinson's Disease Rating Scale (UPDRS) score, and the PRECEPT Study investigators' diagnosis at study termination were compared between SWEDD and DAT deficit subjects. Results: SWEDD subjects (n = 91) compared with DAT deficit subjects (n = 708) showed reduced UPDRS score at baseline (18.7 [SD 8.5] vs 25.5 [SD 10.5], p < 0.05) and minimal change in both [
<sup>123</sup>
|] β-CIT striatal binding ratio (-0.2% [SD 12.2] vs -8.5% [SD 11.9], p < 0.0001) and UPDRS score (0.5 [SD 6.9] vs 10.5 [SD 8.9], p < 0.0001) at follow-up assessments. At PRECEPT termination, the diagnosis by study investigators was changed from Parkinson disease (PD) to other disorders not associated with DAT deficit in 44% (95% confidence interval 34.2, 54.7) of SWEDD subjects compared with 3.6% (95% confidence interval 2.3, 5.1) of DAT deficit subjects. Conclusion: These results indicate that subjects identified as having a SWEDD, with DAT imaging within the normal range, have minimal evidence of clinical or imaging PD progression. These data strongly suggest that SWEDD subjects are unlikely to have idiopathic PD.</EA>
<CC>002B17; 002B18D04B</CC>
<FD>Pathologie du système nerveux; Homme</FD>
<ED>Nervous system diseases; Human</ED>
<SD>Sistema nervioso patología; Hombre</SD>
<LO>INIST-6345.354000502741180070</LO>
<ID>14-0154166</ID>
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