Movement Disorders (revue)

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PREPARED: Comparison of prolonged and immediate release ropinirole in advanced Parkinson's disease.

Identifieur interne : 003101 ( Ncbi/Merge ); précédent : 003100; suivant : 003102

PREPARED: Comparison of prolonged and immediate release ropinirole in advanced Parkinson's disease.

Auteurs : Fabrizio Stocchi [Italie] ; Luigi Giorgi ; Brian Hunter ; Anthony H V. Schapira

Source :

RBID : pubmed:21469195

English descriptors

Abstract

PREPARED was a randomized, parallel-group, double-blind, multicenter study to evaluate the efficacy of adjunctive ropinirole prolonged release (PR) versus immediate release (IR) in patients with advanced Parkinson's disease (PD).

DOI: 10.1002/mds.23498
PubMed: 21469195

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pubmed:21469195

Le document en format XML

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<title xml:lang="en">PREPARED: Comparison of prolonged and immediate release ropinirole in advanced Parkinson's disease.</title>
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<name sortKey="Stocchi, Fabrizio" sort="Stocchi, Fabrizio" uniqKey="Stocchi F" first="Fabrizio" last="Stocchi">Fabrizio Stocchi</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Neurology, Institute of Research and Medical Care, IRCCS San Raffaele Roma, Rome, Italy. fabrizio.stocchi@fastwebnet.it</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Neurology, Institute of Research and Medical Care, IRCCS San Raffaele Roma, Rome</wicri:regionArea>
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<name sortKey="Giorgi, Luigi" sort="Giorgi, Luigi" uniqKey="Giorgi L" first="Luigi" last="Giorgi">Luigi Giorgi</name>
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<name sortKey="Hunter, Brian" sort="Hunter, Brian" uniqKey="Hunter B" first="Brian" last="Hunter">Brian Hunter</name>
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<name sortKey="Schapira, Anthony H V" sort="Schapira, Anthony H V" uniqKey="Schapira A" first="Anthony H V" last="Schapira">Anthony H V. Schapira</name>
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<title xml:lang="en">PREPARED: Comparison of prolonged and immediate release ropinirole in advanced Parkinson's disease.</title>
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<name sortKey="Hunter, Brian" sort="Hunter, Brian" uniqKey="Hunter B" first="Brian" last="Hunter">Brian Hunter</name>
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<title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<term>Delayed-Action Preparations (administration & dosage)</term>
<term>Delayed-Action Preparations (adverse effects)</term>
<term>Drug Administration Schedule</term>
<term>Drug Therapy, Combination</term>
<term>Female</term>
<term>Humans</term>
<term>Indoles (administration & dosage)</term>
<term>Indoles (adverse effects)</term>
<term>Levodopa (administration & dosage)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Severity of Illness Index</term>
<term>Treatment Outcome</term>
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<keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en">
<term>Antiparkinson Agents</term>
<term>Delayed-Action Preparations</term>
<term>Indoles</term>
<term>Levodopa</term>
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<term>Antiparkinson Agents</term>
<term>Delayed-Action Preparations</term>
<term>Indoles</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Parkinson Disease</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Drug Administration Schedule</term>
<term>Drug Therapy, Combination</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Severity of Illness Index</term>
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<div type="abstract" xml:lang="en">PREPARED was a randomized, parallel-group, double-blind, multicenter study to evaluate the efficacy of adjunctive ropinirole prolonged release (PR) versus immediate release (IR) in patients with advanced Parkinson's disease (PD).</div>
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<Year>2011</Year>
<Month>06</Month>
<Day>21</Day>
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<Month>11</Month>
<Day>02</Day>
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<Day>21</Day>
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<Volume>26</Volume>
<Issue>7</Issue>
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<Year>2011</Year>
<Month>Jun</Month>
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<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
<ISOAbbreviation>Mov. Disord.</ISOAbbreviation>
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<ArticleTitle>PREPARED: Comparison of prolonged and immediate release ropinirole in advanced Parkinson's disease.</ArticleTitle>
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<MedlinePgn>1259-65</MedlinePgn>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">PREPARED was a randomized, parallel-group, double-blind, multicenter study to evaluate the efficacy of adjunctive ropinirole prolonged release (PR) versus immediate release (IR) in patients with advanced Parkinson's disease (PD).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Patients received once-daily PR (2-24 mg/d; n = 177) or three-times-daily IR (0.75-24 mg/d; n = 173) for 24 weeks. The primary endpoint was the proportion of patients maintaining ≥ 20% reduction from baseline in "off" time over two consecutive visits at Week 24 last observation carried forward (LOCF).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">At Week 24 LOCF, PR significantly increased the proportion of patients maintaining ≥ 20% reduction in "off" time versus IR (adjusted odds ratio: 1.82; 95% CI: 1.16, 2.86; P = 0.009). Mean (SD) doses at Week 24 LOCF were: PR, 18.6 (6.5) mg/d; IR, 10.4 (6.4) mg/d; mean (SD) reductions from baseline in levodopa (L-dopa) dose were -162 (226) mg and -113 (138) mg, respectively. Adverse events (AEs) were reported by 72% of patients in the PR group and 61% in the IR group; 12% and 9% of patients, respectively, withdrew from the study due to an AE, and 6% and 5%, respectively, reported serious AEs.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Adjunctive PR provided a significantly greater improvement in symptom control in terms of the odds of achieving ≥ 20% maintained reduction in time spent "off" compared with IR. Interpretation may be confounded by the higher doses of PR versus IR that were achieved, in combination with lower doses of L-dopa by the study end. Despite dosing differences, the PR titration regimen was generally well tolerated, with an AE profile similar to that of IR.</AbstractText>
<CopyrightInformation>Copyright © 2011 Movement Disorder Society.</CopyrightInformation>
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