Movement Disorders (revue)

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Long‐term tolerability of tetrabenazine in the treatment of hyperkinetic movement disorders

Identifieur interne : 001A85 ( Istex/Corpus ); précédent : 001A84; suivant : 001A86

Long‐term tolerability of tetrabenazine in the treatment of hyperkinetic movement disorders

Auteurs : Christopher Kenney ; Christine Hunter ; Joseph Jankovic

Source :

RBID : ISTEX:D1E7C7713EC67AFBC3CB52E2FA24CACA4DF3D5CF

English descriptors

Abstract

We sought to review the long‐term tolerability of tetrabenazine (TBZ) and seek determinants of tolerability in the treatment of hyperkinetic movement disorders. A retrospective chart review was performed on patients treated with TBZ between 1997 and 2004. Efficacy of TBZ was assessed by a 1‐ to 5‐point response scale (1 = marked reduction in abnormal movements, 5 = worsening). All adverse events (AEs) were captured according to their relationship with study drug. A total of 448 patients (42% male) were treated for a variety of hyperkinesias, including tardive dyskinesia (n = 149), dystonia (n = 132), chorea (n = 98), tics (n = 92), and myoclonus (n = 19). The mean age at onset of the movement disorder was 43.0 ± 24.2 years, with TBZ starting at a mean age of 50.0 ± 22.3 years. Patients remained on treatment for a mean of 2.3 ± 3.4 years. An efficacy response rating of 1 or 2 was sustained in the majority of patients between the first and last visit. Common AEs included drowsiness (25.0%), Parkinsonism (15.4%), depression (7.6%), and akathisia (7.6%). Comparison of log‐likelihood ratios revealed that age was a reliable predictor of Parkinsonism (P < 0.0001). TBZ is a safe and effective drug for the long‐term treatment of hyperkinetic movement disorders. © 2006 Movement Disorder Society

Url:
DOI: 10.1002/mds.21222

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<affiliation>Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, Texas, USA</affiliation>
<description>Correspondence: Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, 6550 Fannin, Suite 1801, Houston, TX 77030</description>
<role>
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</name>
<name type="personal">
<namePart type="given">Christine</namePart>
<namePart type="family">Hunter</namePart>
<namePart type="termsOfAddress">RN</namePart>
<affiliation>Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, Texas, USA</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Joseph</namePart>
<namePart type="family">Jankovic</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, Texas, USA</affiliation>
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<place>
<placeTerm type="text">Hoboken</placeTerm>
</place>
<dateIssued encoding="w3cdtf">2007-01-15</dateIssued>
<dateCaptured encoding="w3cdtf">2006-05-12</dateCaptured>
<dateValid encoding="w3cdtf">2006-08-10</dateValid>
<copyrightDate encoding="w3cdtf">2007</copyrightDate>
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<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
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<extent unit="tables">3</extent>
<extent unit="references">46</extent>
<extent unit="words">3643</extent>
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<abstract lang="en">We sought to review the long‐term tolerability of tetrabenazine (TBZ) and seek determinants of tolerability in the treatment of hyperkinetic movement disorders. A retrospective chart review was performed on patients treated with TBZ between 1997 and 2004. Efficacy of TBZ was assessed by a 1‐ to 5‐point response scale (1 = marked reduction in abnormal movements, 5 = worsening). All adverse events (AEs) were captured according to their relationship with study drug. A total of 448 patients (42% male) were treated for a variety of hyperkinesias, including tardive dyskinesia (n = 149), dystonia (n = 132), chorea (n = 98), tics (n = 92), and myoclonus (n = 19). The mean age at onset of the movement disorder was 43.0 ± 24.2 years, with TBZ starting at a mean age of 50.0 ± 22.3 years. Patients remained on treatment for a mean of 2.3 ± 3.4 years. An efficacy response rating of 1 or 2 was sustained in the majority of patients between the first and last visit. Common AEs included drowsiness (25.0%), Parkinsonism (15.4%), depression (7.6%), and akathisia (7.6%). Comparison of log‐likelihood ratios revealed that age was a reliable predictor of Parkinsonism (P < 0.0001). TBZ is a safe and effective drug for the long‐term treatment of hyperkinetic movement disorders. © 2006 Movement Disorder Society</abstract>
<subject lang="en">
<genre>Keywords</genre>
<topic>tetrabenazine</topic>
<topic>tolerability</topic>
<topic>chorea</topic>
<topic>tardive dyskinesia</topic>
<topic>tics</topic>
</subject>
<relatedItem type="host">
<titleInfo>
<title>Movement Disorders</title>
<subTitle>Official Journal of the Movement Disorder Society</subTitle>
</titleInfo>
<titleInfo type="abbreviated">
<title>Mov. Disord.</title>
</titleInfo>
<subject>
<genre>article category</genre>
<topic>Research Article</topic>
</subject>
<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part>
<date>2007</date>
<detail type="volume">
<caption>vol.</caption>
<number>22</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>2</number>
</detail>
<extent unit="pages">
<start>193</start>
<end>197</end>
<total>5</total>
</extent>
</part>
</relatedItem>
<identifier type="istex">D1E7C7713EC67AFBC3CB52E2FA24CACA4DF3D5CF</identifier>
<identifier type="DOI">10.1002/mds.21222</identifier>
<identifier type="ArticleID">MDS21222</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2006 Movement Disorder Society</accessCondition>
<recordInfo>
<recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin>
<recordContentSource>WILEY</recordContentSource>
</recordInfo>
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