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

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Sublingual apomorphine (APL-130277) for the acute conversion of OFF to ON in Parkinson's disease.

Identifieur interne : 000168 ( PubMed/Curation ); précédent : 000167; suivant : 000169

Sublingual apomorphine (APL-130277) for the acute conversion of OFF to ON in Parkinson's disease.

Auteurs : Robert A. Hauser [États-Unis] ; C Warren Olanow [États-Unis] ; Bruce Dzyngel [Canada] ; Thierry Bilbault [Canada] ; Holly Shill [États-Unis] ; Stuart Isaacson [États-Unis] ; Jordan Dubow [Canada] ; Albert Agro [Canada]

Source :

RBID : pubmed:27430123

Abstract

OFF episodes negatively impact quality of life in patients with Parkinson's disease (PD). There remains a need for an acute, effective, noninvasive treatment.

DOI: 10.1002/mds.26697
PubMed: 27430123

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pubmed:27430123

Le document en format XML

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<nlm:affiliation>University of South Florida Health Byrd Parkinson's Disease and Movement Disorders Center of Excellence, Tampa, Florida, USA. rhauser@health.usf.edu.</nlm:affiliation>
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<title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">OFF episodes negatively impact quality of life in patients with Parkinson's disease (PD). There remains a need for an acute, effective, noninvasive treatment.</AbstractText>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">APL-130277 is a sublingually administered apomorphine oral strip.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The authors conducted a phase 2, open-label, proof-of-concept study. Patients presented to clinic in the morning in the practically defined OFF state and were dosed with APL-130277 10 mg. Assessments of OFF or ON state and MDS-UPDRS part III were conducted predose and at 15, 30, 45, 60, and 90 minutes. If a full ON was not achieved within 3 hours, the dose was increased in 5 mg increments until a full ON was achieved or to a maximum dose of 30 mg. Patients could be dosed up to two times a day over 3 days. Patients were pretreated with trimethobenzamide for 3 days, which was continued during the study.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Of 19 patients, 15 (78.9%) achieved a full ON response. All 15 achieved a full ON response within 30 minutes and 6 of the 15 patients (40.0%) achieved a full ON response within 15 minutes. The mean (SD) duration of ON was 50 (19.4) minutes. Of the 15 patients, 9 (60.0%) remained fully ON for ≥90 minutes. There were no discontinuations as a result of an adverse event. The most common adverse events were dizziness (36.8%), somnolence (31.6%), and nausea (21.1%).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This was the first study of a new sublingual apomorphine formulation in PD patients. In this open-label study, APL-130277 appeared to provide a convenient, rapid, and reliable method for treating OFF episodes. © 2016 The Authors. Movement Disorders published by Wiley Periodicals, Inc. on behalf of International Parkinson and Movement Disorder Society.</AbstractText>
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