Rotigotine improves restless legs syndrome: A 6‐month randomized, double‐blind, placebo‐controlled trial in the United States
Identifieur interne : 001A22 ( Main/Exploration ); précédent : 001A21; suivant : 001A23Rotigotine improves restless legs syndrome: A 6‐month randomized, double‐blind, placebo‐controlled trial in the United States
Auteurs : Wayne A. Hening [États-Unis] ; Richard P. Allen [États-Unis] ; William G. Ondo [États-Unis] ; Arthur S. Walters [États-Unis] ; John W. Winkelman [États-Unis] ; Philip Becker [États-Unis] ; Richard Bogan [États-Unis] ; June M. Fry [États-Unis] ; David B. Kudrow [États-Unis] ; Kurt W. Lesh [États-Unis] ; Andreas Fichtner [Allemagne] ; Erwin Schollmayer [Allemagne]Source :
- Movement Disorders [ 0885-3185 ] ; 2010-08-15.
Descripteurs français
- Pascal (Inist)
- Wicri :
- geographic : États-Unis.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Dopamine Agonists (therapeutic use), Dose-Response Relationship, Drug, Double-Blind Method, Female, Humans, Male, Middle Aged, Nervous system diseases, Placebo, Restless Legs Syndrome (drug therapy), Restless legs syndrome, Rotigotine, Severity of Illness Index, Tetrahydronaphthalenes (therapeutic use), Thiophenes (therapeutic use), Transdermal Patch, Treatment Outcome, United States, United States (epidemiology), Young Adult, daytime/nighttime symptoms, dopamine agonist, quality of life, restless legs syndrome, rotigotine transdermal patch.
- MESH :
- chemical , therapeutic use : Dopamine Agonists, Tetrahydronaphthalenes, Thiophenes.
- geographic , epidemiology : United States.
- drug therapy : Restless Legs Syndrome.
- Adolescent, Adult, Aged, Dose-Response Relationship, Drug, Double-Blind Method, Female, Humans, Male, Middle Aged, Severity of Illness Index, Transdermal Patch, Treatment Outcome, Young Adult.
Abstract
This randomized, double‐blinded, placebo‐controlled trial (NCT00135993) assessed efficacy and safety of the dopamine agonist rotigotine in the treatment of idiopathic restless legs syndrome (RLS) over a 6‐month maintenance period. A total of 505 eligible participants with moderate to severe RLS (IRLS sum score ≥ 15) were randomly assigned to five groups to receive either placebo or rotigotine (0.5, 1, 2, or 3 mg/24 hr) delivered by once‐daily transdermal patch (fixed‐dose regimen). The two co‐primary efficacy parameters decreased from baseline to end of maintenance in IRLS sum score and in clinical global impressions (CGI‐1) score. On both primary measures, 2 and 3 mg/24 hr rotigotine was superior to placebo (P < 0.001). Adjusted treatment differences to placebo for the IRLS sum score were −4.5 (95% CI: −6.9, −2.2) for 2 mg/24 hr rotigotine, −5.2 (95% CI: −7.5, −2.9) for 3 mg/24 hr rotigotine, and for CGI item 1 −0.65 (95% CI: −1.0, −0.3) and −0.9 (95% CI: −1.3, −0.5) for the 2 and 3 mg/24 hr doses, respectively. Skin reactions (27%) and known dopaminergic side effects such as nausea (18.1%) and headache (11.6%) were mostly mild or moderate in rotigotine subjects. Rotigotine transdermal patches releasing 2 to 3 mg/24 hr significantly reduced the severity of RLS symptoms. Treatment efficacy was maintained throughout the 6‐month double‐blind period. © 2010 Movement Disorder Society
Url:
DOI: 10.1002/mds.23157
Affiliations:
- Allemagne, États-Unis
- Californie, Caroline du Sud, Colorado, Maryland, Massachusetts, New Jersey, Pennsylvanie, Tennessee, Texas
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Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Dopamine Agonists (therapeutic use)</term>
<term>Dose-Response Relationship, Drug</term>
<term>Double-Blind Method</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Nervous system diseases</term>
<term>Placebo</term>
<term>Restless Legs Syndrome (drug therapy)</term>
<term>Restless legs syndrome</term>
<term>Rotigotine</term>
<term>Severity of Illness Index</term>
<term>Tetrahydronaphthalenes (therapeutic use)</term>
<term>Thiophenes (therapeutic use)</term>
<term>Transdermal Patch</term>
<term>Treatment Outcome</term>
<term>United States</term>
<term>United States (epidemiology)</term>
<term>Young Adult</term>
<term>daytime/nighttime symptoms</term>
<term>dopamine agonist</term>
<term>quality of life</term>
<term>restless legs syndrome</term>
<term>rotigotine transdermal patch</term>
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<term>Tetrahydronaphthalenes</term>
<term>Thiophenes</term>
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<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>United States</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Restless Legs Syndrome</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Dose-Response Relationship, Drug</term>
<term>Double-Blind Method</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Severity of Illness Index</term>
<term>Transdermal Patch</term>
<term>Treatment Outcome</term>
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<term>Pathologie du système nerveux</term>
<term>Placebo</term>
<term>Rotigotine</term>
<term>Syndrome des jambes sans repos</term>
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<front><div type="abstract" xml:lang="en">This randomized, double‐blinded, placebo‐controlled trial (NCT00135993) assessed efficacy and safety of the dopamine agonist rotigotine in the treatment of idiopathic restless legs syndrome (RLS) over a 6‐month maintenance period. A total of 505 eligible participants with moderate to severe RLS (IRLS sum score ≥ 15) were randomly assigned to five groups to receive either placebo or rotigotine (0.5, 1, 2, or 3 mg/24 hr) delivered by once‐daily transdermal patch (fixed‐dose regimen). The two co‐primary efficacy parameters decreased from baseline to end of maintenance in IRLS sum score and in clinical global impressions (CGI‐1) score. On both primary measures, 2 and 3 mg/24 hr rotigotine was superior to placebo (P < 0.001). Adjusted treatment differences to placebo for the IRLS sum score were −4.5 (95% CI: −6.9, −2.2) for 2 mg/24 hr rotigotine, −5.2 (95% CI: −7.5, −2.9) for 3 mg/24 hr rotigotine, and for CGI item 1 −0.65 (95% CI: −1.0, −0.3) and −0.9 (95% CI: −1.3, −0.5) for the 2 and 3 mg/24 hr doses, respectively. Skin reactions (27%) and known dopaminergic side effects such as nausea (18.1%) and headache (11.6%) were mostly mild or moderate in rotigotine subjects. Rotigotine transdermal patches releasing 2 to 3 mg/24 hr significantly reduced the severity of RLS symptoms. Treatment efficacy was maintained throughout the 6‐month double‐blind period. © 2010 Movement Disorder Society</div>
</front>
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<name sortKey="Ondo, William G" sort="Ondo, William G" uniqKey="Ondo W" first="William G." last="Ondo">William G. Ondo</name>
<name sortKey="Walters, Arthur S" sort="Walters, Arthur S" uniqKey="Walters A" first="Arthur S." last="Walters">Arthur S. Walters</name>
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