Serveur d'exploration autour de Joseph Jankovic

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Randomized, blind, controlled trial of transdermal rotigotine in early Parkinson disease.

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

Randomized, blind, controlled trial of transdermal rotigotine in early Parkinson disease.

Auteurs : R Watts ; J. Jankovic ; C. Waters ; A. Rajput ; B. Boroojerdi ; J. Rao

Source :

RBID : pubmed:17202432

English descriptors

Abstract

This multicenter, randomized, double-blind study was performed to compare the safety and efficacy of the once-daily dopamine agonist rotigotine, in a continuous-dosing transdermal-patch formulation, vs placebo in patients with early-stage Parkinson disease (PD).

DOI: 10.1212/01.wnl.0000252355.79284.22
PubMed: 17202432

Links to Exploration step

pubmed:17202432

Le document en format XML

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<title xml:lang="en">Randomized, blind, controlled trial of transdermal rotigotine in early Parkinson disease.</title>
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<name sortKey="Watts, R L" sort="Watts, R L" uniqKey="Watts R" first="R" last="Watts">R Watts</name>
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<nlm:affiliation>Department of Neurology, University of Alabama at Birmingham, Birmingham, AL 35233-0017, USA. rlwatts@uab.edu</nlm:affiliation>
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<name sortKey="Jankovic, J" sort="Jankovic, J" uniqKey="Jankovic J" first="J" last="Jankovic">J. Jankovic</name>
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<name sortKey="Waters, C" sort="Waters, C" uniqKey="Waters C" first="C" last="Waters">C. Waters</name>
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<name sortKey="Rajput, A" sort="Rajput, A" uniqKey="Rajput A" first="A" last="Rajput">A. Rajput</name>
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<name sortKey="Boroojerdi, B" sort="Boroojerdi, B" uniqKey="Boroojerdi B" first="B" last="Boroojerdi">B. Boroojerdi</name>
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<name sortKey="Rao, J" sort="Rao, J" uniqKey="Rao J" first="J" last="Rao">J. Rao</name>
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<term>Humans</term>
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<term>Middle Aged</term>
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<term>Aged</term>
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<div type="abstract" xml:lang="en">This multicenter, randomized, double-blind study was performed to compare the safety and efficacy of the once-daily dopamine agonist rotigotine, in a continuous-dosing transdermal-patch formulation, vs placebo in patients with early-stage Parkinson disease (PD).</div>
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<Day>21</Day>
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<Month>01</Month>
<Day>02</Day>
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<ISSN IssnType="Electronic">1526-632X</ISSN>
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<Volume>68</Volume>
<Issue>4</Issue>
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<Month>Jan</Month>
<Day>23</Day>
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<Title>Neurology</Title>
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<ArticleTitle>Randomized, blind, controlled trial of transdermal rotigotine in early Parkinson disease.</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">This multicenter, randomized, double-blind study was performed to compare the safety and efficacy of the once-daily dopamine agonist rotigotine, in a continuous-dosing transdermal-patch formulation, vs placebo in patients with early-stage Parkinson disease (PD).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Patients were randomized to receive placebo (n = 96) or rotigotine (n = 181), starting at 2 mg/24 h (10-cm(2) patch size; 4.5-mg total drug content), titrated weekly up to 6 mg/24 h (30-cm(2) patch size; 13.5-mg total drug content), and then maintained for 6 months. The primary efficacy measures were 1) the change in the Unified Parkinson's Disease Rating Scale (UPDRS) scores (parts II and III) from baseline to end of treatment and 2) responder rates (patients with > or =20% improvement).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Patients receiving rotigotine had a mean absolute difference of 5.28 (+/-1.18) points lower in UPDRS subtotal scores compared with those receiving placebo (p < 0.0001). The mean change in part III motor scores was -3.50 (+/-7.26) (n = 177) and was the greatest contributor to UPDRS improvement. The rotigotine group had more responders (48 vs 19%; p < 0.0001). The most commonly reported adverse events were application site reactions (44% rotigotine vs 12% placebo), nausea (41 vs17%), somnolence (33 vs 20%), and dizziness (19 vs 13%), and most were mild or moderate in intensity.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Transdermal rotigotine, when titrated to a dosage of 6 mg/24 h, was effective for the treatment of early-stage Parkinson disease in this trial. Adverse events were similar to those found with other transdermal systems and dopamine agonists.</AbstractText>
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