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

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A controlled, randomized, delayed-start study of rasagiline in early Parkinson disease.

Identifieur interne : 001338 ( PubMed/Checkpoint ); précédent : 001337; suivant : 001339

A controlled, randomized, delayed-start study of rasagiline in early Parkinson disease.

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Source :

RBID : pubmed:15096406

English descriptors

Abstract

Treatment with rasagiline mesylate, an irreversible monoamine oxidase type B inhibitor, improves symptoms of early Parkinson disease (PD). Preclinical studies suggest that this compound may also modify the progression of PD.

DOI: 10.1001/archneur.61.4.561
PubMed: 15096406


Affiliations:


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pubmed:15096406

Le document en format XML

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<term>Activities of Daily Living (classification)</term>
<term>Aged</term>
<term>Antiparkinson Agents (administration & dosage)</term>
<term>Antiparkinson Agents (adverse effects)</term>
<term>Cohort Studies</term>
<term>Disability Evaluation</term>
<term>Disease Progression</term>
<term>Dose-Response Relationship, Drug</term>
<term>Double-Blind Method</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Indans (administration & dosage)</term>
<term>Indans (adverse effects)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Monoamine Oxidase Inhibitors (administration & dosage)</term>
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<div type="abstract" xml:lang="en">Treatment with rasagiline mesylate, an irreversible monoamine oxidase type B inhibitor, improves symptoms of early Parkinson disease (PD). Preclinical studies suggest that this compound may also modify the progression of PD.</div>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Treatment with rasagiline mesylate, an irreversible monoamine oxidase type B inhibitor, improves symptoms of early Parkinson disease (PD). Preclinical studies suggest that this compound may also modify the progression of PD.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To compare the effects of early and later initiation of rasagiline on progression of disability in patients with PD.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Double-blind, parallel-group, randomized, delayed-start clinical trial.</AbstractText>
<AbstractText Label="SETTINGS AND PATIENTS" NlmCategory="METHODS">Four hundred four subjects with early PD, not requiring dopaminergic therapy, enrolled at 32 sites in the United States and Canada.</AbstractText>
<AbstractText Label="INTERVENTIONS" NlmCategory="METHODS">Subjects were randomized to receive rasagiline, 1 or 2 mg/d, for 1 year or placebo for 6 months followed by rasagiline, 2 mg/d, for 6 months.</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURE" NlmCategory="METHODS">Change in total Unified Parkinson's Disease Rating Scale score from baseline to 12 months.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Three hundred seventy-one subjects were included in the 1-year efficacy analysis. Subjects treated with rasagiline, 2 mg/d, for 1 year had a 2.29-unit smaller increase in mean adjusted total Unified Parkinson's Disease Rating Scale score compared with subjects treated with placebo for 6 months followed by rasagiline, 2 mg/d, for 6 months (P =.01). The mean adjusted difference between the placebo/rasagiline, 2 mg/d, group and those receiving rasagiline, 1 mg/d, for 1 year was -1.82 unit on the Unified Parkinson's Disease Rating Scale score (P =.05).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Subjects treated with rasagiline, 2 and 1 mg/d, for 12 months showed less functional decline than subjects whose treatment was delayed for 6 months.</AbstractText>
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<RefSource>Arch Neurol. 2005 Aug;62(8):1320; author reply 1321</RefSource>
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