Serveur d'exploration autour de Joseph Jankovic

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Transdermal rotigotine: double-blind, placebo-controlled trial in Parkinson disease.

Identifieur interne : 000152 ( PubMed/Checkpoint ); précédent : 000151; suivant : 000153

Transdermal rotigotine: double-blind, placebo-controlled trial in Parkinson disease.

Auteurs : Joseph Jankovic [États-Unis] ; Ray. Watts ; Wayne Martin ; Babak Boroojerdi

Source :

RBID : pubmed:17502466

English descriptors

Abstract

To assess the response to the rotigotine transdermal system (Neupro; Schwarz Pharma Ltd, Monheim, Germany), a nonergolinic dopamine agonist, in patients with early Parkinson disease.

DOI: 10.1001/archneur.64.5.676
PubMed: 17502466


Affiliations:


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pubmed:17502466

Le document en format XML

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<title xml:lang="en">Transdermal rotigotine: double-blind, placebo-controlled trial in Parkinson disease.</title>
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<name sortKey="Jankovic, Joseph" sort="Jankovic, Joseph" uniqKey="Jankovic J" first="Joseph" last="Jankovic">Joseph Jankovic</name>
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<nlm:affiliation>Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, Texas 77030, USA. josephj@bcm.tmc.edu</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, Texas 77030</wicri:regionArea>
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<name sortKey="Watts, Ray L" sort="Watts, Ray L" uniqKey="Watts R" first="Ray" last="Watts">Ray. Watts</name>
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<name sortKey="Martin, Wayne" sort="Martin, Wayne" uniqKey="Martin W" first="Wayne" last="Martin">Wayne Martin</name>
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<name sortKey="Boroojerdi, Babak" sort="Boroojerdi, Babak" uniqKey="Boroojerdi B" first="Babak" last="Boroojerdi">Babak Boroojerdi</name>
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<term>Double-Blind Method</term>
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<term>Humans</term>
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<term>Parkinson Disease (epidemiology)</term>
<term>Severity of Illness Index</term>
<term>Tetrahydronaphthalenes (administration & dosage)</term>
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<term>Thiophenes</term>
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<term>Parkinson Disease</term>
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<div type="abstract" xml:lang="en">To assess the response to the rotigotine transdermal system (Neupro; Schwarz Pharma Ltd, Monheim, Germany), a nonergolinic dopamine agonist, in patients with early Parkinson disease.</div>
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<Day>15</Day>
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<DateCompleted>
<Year>2007</Year>
<Month>06</Month>
<Day>21</Day>
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<Year>2008</Year>
<Month>01</Month>
<Day>02</Day>
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<ISSN IssnType="Print">0003-9942</ISSN>
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<Volume>64</Volume>
<Issue>5</Issue>
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<Year>2007</Year>
<Month>May</Month>
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<Title>Archives of neurology</Title>
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<ArticleTitle>Transdermal rotigotine: double-blind, placebo-controlled trial in Parkinson disease.</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To assess the response to the rotigotine transdermal system (Neupro; Schwarz Pharma Ltd, Monheim, Germany), a nonergolinic dopamine agonist, in patients with early Parkinson disease.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Randomized, double-blind, multicenter, placebo-controlled study.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Fifty sites in the United States and Canada.</AbstractText>
<AbstractText Label="PATIENTS" NlmCategory="METHODS">Two hundred seventy-seven patients with early Parkinson disease. Eligibility was assessed by means of routine clinical and neurological examinations. Patients were randomized 2:1 to receive either rotigotine therapy or placebo.</AbstractText>
<AbstractText Label="INTERVENTION" NlmCategory="METHODS">Treatment with the rotigotine transdermal system, 2, 4, or 6 mg during 24 hours, for 24 weeks.</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURE" NlmCategory="METHODS">Percentage of subjects achieving a 20% response or greater (reduction) as assessed with the Unified Parkinson Disease Rating Scale subtotal (parts II [activities of daily living] and III [motor function]) from baseline to the end of the maintenance phase.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Significant differences were observed between the rotigotine-treated and placebo groups for the 20% responder rate (48% for the rotigotine group and 19% for the placebo group; P<.001), least squares mean change in Unified Parkinson Disease Rating Scale subtotal (parts II and III) score (-941 for rotigotine vs -157 for placebo; P<.001), and percentage changes in Unified Parkinson Disease Rating Scale subtotal (parts II and III) score (-15.1% for rotigotine vs 7.3% for placebo; P<.001). Rotigotine treatment significantly increased the patients' Clinical Global Impression Scale scores (57% for rotigotine vs 30% for placebo; P<.001) and had a positive effect on their quality of life. The most common adverse events were application site reactions, nausea, and somnolence. Twenty-five (14%) of 181 patients in the rotigotine group withdrew from the study because of adverse effects.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The rotigotine transdermal system consistently demonstrated statistically significant and clinically relevant efficacy over placebo in patients with early Parkinson disease and was well tolerated.</AbstractText>
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<RefSource>Arch Neurol. 2007 Dec;64(12):1800-1; author reply 1801</RefSource>
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