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Impact of belief in neuroprotection on therapeutic intervention in Parkinson disease

Identifieur interne : 000151 ( Pmc/Checkpoint ); précédent : 000150; suivant : 000152

Impact of belief in neuroprotection on therapeutic intervention in Parkinson disease

Auteurs : Rodger Elble ; Oksana Suchowersky ; Stephanie Shaftman ; William Weiner ; Peng Huang ; Barbara Tilley

Source :

RBID : PMC:2891220

Abstract

We explored the hypotheses that an investigator’s belief in a putative neuroprotective agent might influence the timing of symptomatic intervention and the assessment of signs and symptoms of Parkinson patients with the Unified Parkinson Disease Rating Scale (UPDRS). These hypotheses were tested with Cox and general linear modeling, using data from a previously published double-blind placebo-controlled futility trial of coenzyme Q10 and GPI-1485. We found the investigators’ level of confidence in these agents had no effect on the time to symptomatic therapy or on the change in UPDRS during 12 months of treatment.


Url:
DOI: 10.1002/mds.22997
PubMed: 20131372
PubMed Central: 2891220


Affiliations:


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PMC:2891220

Le document en format XML

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<nlm:aff id="A1"> Department of Neurology, Southern Illinois University School of Medicine</nlm:aff>
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<nlm:aff id="A2"> Departments of Medical Genetics and Clinical Neurosciences, University of Calgary</nlm:aff>
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<nlm:aff id="A3"> Department of Biostatistics, Bioinformatics and Epidemiology, Medical University of South Carolina</nlm:aff>
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<name sortKey="Huang, Peng" sort="Huang, Peng" uniqKey="Huang P" first="Peng" last="Huang">Peng Huang</name>
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<wicri:noCountry code="subfield">Johns Hopkins University</wicri:noCountry>
</affiliation>
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<p id="P1">We explored the hypotheses that an investigator’s belief in a putative neuroprotective agent might influence the timing of symptomatic intervention and the assessment of signs and symptoms of Parkinson patients with the Unified Parkinson Disease Rating Scale (UPDRS). These hypotheses were tested with Cox and general linear modeling, using data from a previously published double-blind placebo-controlled futility trial of coenzyme Q
<sub>10</sub>
and GPI-1485. We found the investigators’ level of confidence in these agents had no effect on the time to symptomatic therapy or on the change in UPDRS during 12 months of treatment.</p>
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<name>
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Department of Neurology, Southern Illinois University School of Medicine</aff>
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Departments of Medical Genetics and Clinical Neurosciences, University of Calgary</aff>
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Department of Biostatistics, Bioinformatics and Epidemiology, Medical University of South Carolina</aff>
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Department of Neurology, University of Maryland School of Medicine</aff>
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Department of Oncology, Johns Hopkins University</aff>
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University of Texas Health Science Center School of Public Health at Houston</aff>
<author-notes>
<corresp id="FN1">Correspondence: Dr. Elble, Rodger J. Elble, MD, PhD, Department of Neurology, Southern Illinois University School of Medicine, PO Box 19643, Springfield, IL 62794-9643, 217-545-7182 (phone), 217-545-1903 (Fax),
<email>relble@siumed.edu</email>
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<abstract>
<p id="P1">We explored the hypotheses that an investigator’s belief in a putative neuroprotective agent might influence the timing of symptomatic intervention and the assessment of signs and symptoms of Parkinson patients with the Unified Parkinson Disease Rating Scale (UPDRS). These hypotheses were tested with Cox and general linear modeling, using data from a previously published double-blind placebo-controlled futility trial of coenzyme Q
<sub>10</sub>
and GPI-1485. We found the investigators’ level of confidence in these agents had no effect on the time to symptomatic therapy or on the change in UPDRS during 12 months of treatment.</p>
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<name sortKey="Elble, Rodger J" sort="Elble, Rodger J" uniqKey="Elble R" first="Rodger" last="Elble">Rodger Elble</name>
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<name sortKey="Shaftman, Stephanie" sort="Shaftman, Stephanie" uniqKey="Shaftman S" first="Stephanie" last="Shaftman">Stephanie Shaftman</name>
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