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Overnight switch from oral dopaminergic agonists to transdermal rotigotine patch in subjects with Parkinson disease.

Identifieur interne : 000153 ( PubMed/Corpus ); précédent : 000152; suivant : 000154

Overnight switch from oral dopaminergic agonists to transdermal rotigotine patch in subjects with Parkinson disease.

Auteurs : Peter. Lewitt ; Babak Boroojerdi ; Douglas Macmahon ; James Patton ; Joseph Jankovic

Source :

RBID : pubmed:17909303

English descriptors

Abstract

To assess safety, tolerability, and efficacy outcomes of an overnight switch from oral ropinirole, pramipexole, or cabergoline to rotigotine, a dopaminergic agonist with transdermal delivery over 24 hours in subjects with established Parkinson disease (PD).

DOI: 10.1097/wnf.0b013e318154c7c4
PubMed: 17909303

Links to Exploration step

pubmed:17909303

Le document en format XML

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<title xml:lang="en">Overnight switch from oral dopaminergic agonists to transdermal rotigotine patch in subjects with Parkinson disease.</title>
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<name sortKey="Lewitt, Peter A" sort="Lewitt, Peter A" uniqKey="Lewitt P" first="Peter" last="Lewitt">Peter. Lewitt</name>
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<nlm:affiliation>Department of Neurology, Wayne State University School of Medicine, and Henry Ford Hospital-Franklin Pointe Medical Center, 26400 West 12 Mile Road, Southfield, MI 48034, USA. plewitt@ameritech.net</nlm:affiliation>
</affiliation>
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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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<name sortKey="Macmahon, Douglas" sort="Macmahon, Douglas" uniqKey="Macmahon D" first="Douglas" last="Macmahon">Douglas Macmahon</name>
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<author>
<name sortKey="Patton, James" sort="Patton, James" uniqKey="Patton J" first="James" last="Patton">James Patton</name>
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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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<title xml:lang="en">Overnight switch from oral dopaminergic agonists to transdermal rotigotine patch in subjects with Parkinson disease.</title>
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<name sortKey="Lewitt, Peter A" sort="Lewitt, Peter A" uniqKey="Lewitt P" first="Peter" last="Lewitt">Peter. Lewitt</name>
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<nlm:affiliation>Department of Neurology, Wayne State University School of Medicine, and Henry Ford Hospital-Franklin Pointe Medical Center, 26400 West 12 Mile Road, Southfield, MI 48034, USA. plewitt@ameritech.net</nlm:affiliation>
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<name sortKey="Macmahon, Douglas" sort="Macmahon, Douglas" uniqKey="Macmahon D" first="Douglas" last="Macmahon">Douglas Macmahon</name>
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<name sortKey="Patton, James" sort="Patton, James" uniqKey="Patton J" first="James" last="Patton">James Patton</name>
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<term>Administration, Oral</term>
<term>Aged</term>
<term>Dopamine Agonists (administration & dosage)</term>
<term>Dose-Response Relationship, Drug</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Patient Satisfaction (statistics & numerical data)</term>
<term>Severity of Illness Index</term>
<term>Tetrahydronaphthalenes (administration & dosage)</term>
<term>Thiophenes (administration & dosage)</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en">
<term>Dopamine Agonists</term>
<term>Tetrahydronaphthalenes</term>
<term>Thiophenes</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Patient Satisfaction</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Administration, Cutaneous</term>
<term>Administration, Oral</term>
<term>Aged</term>
<term>Dose-Response Relationship, Drug</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Severity of Illness Index</term>
<term>Treatment Outcome</term>
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<front>
<div type="abstract" xml:lang="en">To assess safety, tolerability, and efficacy outcomes of an overnight switch from oral ropinirole, pramipexole, or cabergoline to rotigotine, a dopaminergic agonist with transdermal delivery over 24 hours in subjects with established Parkinson disease (PD).</div>
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<DateCreated>
<Year>2007</Year>
<Month>10</Month>
<Day>02</Day>
</DateCreated>
<DateCompleted>
<Year>2008</Year>
<Month>01</Month>
<Day>09</Day>
</DateCompleted>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0362-5664</ISSN>
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<Volume>30</Volume>
<Issue>5</Issue>
<PubDate>
<MedlineDate>2007 Sep-Oct</MedlineDate>
</PubDate>
</JournalIssue>
<Title>Clinical neuropharmacology</Title>
<ISOAbbreviation>Clin Neuropharmacol</ISOAbbreviation>
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<ArticleTitle>Overnight switch from oral dopaminergic agonists to transdermal rotigotine patch in subjects with Parkinson disease.</ArticleTitle>
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<MedlinePgn>256-65</MedlinePgn>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To assess safety, tolerability, and efficacy outcomes of an overnight switch from oral ropinirole, pramipexole, or cabergoline to rotigotine, a dopaminergic agonist with transdermal delivery over 24 hours in subjects with established Parkinson disease (PD).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">In this open-label multicenter study, we hypothesized that the selected doses of transdermal rotigotine would provide at least equivalent antiparkinsonian actions in subjects with idiopathic PD not adequately controlled with oral ropinirole (up to 9 mg/d), pramipexole (up to 2 mg/d), or cabergoline (up to 3 mg/d). The tolerability of the rotigotine switch was evaluated by the number of subjects completing the scheduled 28-day treatment period, need for rotigotine dose reductions, and dropouts due to adverse events. Efficacy assessment relied on changes in Unified Parkinson's Disease Rating Scale from the baseline to the end of treatment in PD symptoms and subject preference of dopaminergic agonist.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Of 116 PD subjects enrolled, 104 completed the 28-day rotigotine treatment. Fifteen subjects required rotigotine dose adjustment; of these, 11 completed the trial. The most common adverse events (generally mild or moderate in intensity) were application site reactions, nausea, and somnolence. The change to rotigotine was well tolerated. Rotigotine was preferred by 77% of subjects who were not adequately controlled by their previous oral dopaminergic agonist. The predetermined rotigotine substitutions provided improvements over baseline in Unified Parkinson's Disease Rating Scale II and III subscales.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Subjects and clinicians found the overnight switch to rotigotine convenient, well tolerated, and effective for control of PD signs and symptoms for subjects previously receiving low-to-moderate doses of oral dopaminergic agonists.</AbstractText>
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