Short-Term Continuous Infusion of Apomorphine Hydrochloride for Treatment of Huntington's Chorea : A Double Blind, Randomized Cross-Over Trial
Identifieur interne : 001359 ( PascalFrancis/Corpus ); précédent : 001358; suivant : 001360Short-Term Continuous Infusion of Apomorphine Hydrochloride for Treatment of Huntington's Chorea : A Double Blind, Randomized Cross-Over Trial
Auteurs : Carmine Vitale ; Stefano Marconi ; Luigi Di Maio ; Giuseppe De Michele ; Katia Longo ; Vincenzo Bonavita ; Paolo BaroneSource :
- Movement disorders [ 0885-3185 ] ; 2007.
Descripteurs français
- Pascal (Inist)
English descriptors
Abstract
We evaluated tolerability and the efficacy of continuous infusion of apomorphine hydrochloride on involuntary movements and mood disorder in Huntington's disease (HD) patients in a pilot, single center, double-blind, randomized, crossover, and controlled versus placebo study. Nine patients with a molecular diagnosis of HD were screened for response to acute apomorphine injection. Four of them, not ameliorating at the acute test, were discontinued. Five patients, responding to acute apomorphine, received continuous infusion of either apomorphine or placebo for 5 days. After 2 days of washout, the alternative treatment was administered. Primary endpoint measures were scores of the Unified Huntington's Disease Rating Scale (UHDRS "motor section") and of the Abnormal Involuntary Movement Scale (AIMS). Secondary endpoint measures were the Hamilton Depression Rating Scale (HAD) score and safety parameters. Both UHDRS and AIMS scores significantly decreased in all patients after apomorphine. The beneficial effect of apomorphine was recorded throughout the 5 treatment days. The HAD score did not change after infusion of either treatment. No serious adverse events were reported by either group during the study. Our results suggest that continuous infusion of apomorphine might be considered for the treatment of involuntary movements in some HD patients.
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Format Inist (serveur)
NO : | PASCAL 08-0147464 INIST |
---|---|
ET : | Short-Term Continuous Infusion of Apomorphine Hydrochloride for Treatment of Huntington's Chorea : A Double Blind, Randomized Cross-Over Trial |
AU : | VITALE (Carmine); MARCONI (Stefano); DI MAIO (Luigi); DE MICHELE (Giuseppe); LONGO (Katia); BONAVITA (Vincenzo); BARONE (Paolo) |
AF : | Department of Neurological Sciences, University "Federico II,"/Naples/Italie (1 aut., 3 aut., 4 aut., 5 aut., 6 aut., 7 aut.); Istituto di Diagnostica e Cura "Hermitage Capodimonte,"/Naples/Italie (1 aut., 6 aut.); Medical Department, Chiesi Farmaceutici S.p.A/Parma/Italie (2 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2007; Vol. 22; No. 16; Pp. 2359-2364; Bibl. 34 ref. |
LA : | Anglais |
EA : | We evaluated tolerability and the efficacy of continuous infusion of apomorphine hydrochloride on involuntary movements and mood disorder in Huntington's disease (HD) patients in a pilot, single center, double-blind, randomized, crossover, and controlled versus placebo study. Nine patients with a molecular diagnosis of HD were screened for response to acute apomorphine injection. Four of them, not ameliorating at the acute test, were discontinued. Five patients, responding to acute apomorphine, received continuous infusion of either apomorphine or placebo for 5 days. After 2 days of washout, the alternative treatment was administered. Primary endpoint measures were scores of the Unified Huntington's Disease Rating Scale (UHDRS "motor section") and of the Abnormal Involuntary Movement Scale (AIMS). Secondary endpoint measures were the Hamilton Depression Rating Scale (HAD) score and safety parameters. Both UHDRS and AIMS scores significantly decreased in all patients after apomorphine. The beneficial effect of apomorphine was recorded throughout the 5 treatment days. The HAD score did not change after infusion of either treatment. No serious adverse events were reported by either group during the study. Our results suggest that continuous infusion of apomorphine might be considered for the treatment of involuntary movements in some HD patients. |
CC : | 002B17 |
FD : | Syndrome choréique; Chorée de Huntington; Pathologie du système nerveux; Court terme; Apomorphine; Traitement |
FG : | Pathologie de l'encéphale; Syndrome extrapyramidal; Mouvement involontaire; Pathologie du système nerveux central; Trouble neurologique; Maladie dégénérative; Maladie héréditaire |
ED : | Chorea; Huntington disease; Nervous system diseases; Short term; Treatment |
EG : | Cerebral disorder; Extrapyramidal syndrome; Involuntary movement; Central nervous system disease; Neurological disorder; Degenerative disease; Genetic disease |
SD : | Corea síndrome; Corea Huntington; Sistema nervioso patología; Corto plazo; Tratamiento |
LO : | INIST-20953.354000162715700090 |
ID : | 08-0147464 |
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Pascal:08-0147464Le document en format XML
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<front><div type="abstract" xml:lang="en">We evaluated tolerability and the efficacy of continuous infusion of apomorphine hydrochloride on involuntary movements and mood disorder in Huntington's disease (HD) patients in a pilot, single center, double-blind, randomized, crossover, and controlled versus placebo study. Nine patients with a molecular diagnosis of HD were screened for response to acute apomorphine injection. Four of them, not ameliorating at the acute test, were discontinued. Five patients, responding to acute apomorphine, received continuous infusion of either apomorphine or placebo for 5 days. After 2 days of washout, the alternative treatment was administered. Primary endpoint measures were scores of the Unified Huntington's Disease Rating Scale (UHDRS "motor section") and of the Abnormal Involuntary Movement Scale (AIMS). Secondary endpoint measures were the Hamilton Depression Rating Scale (HAD) score and safety parameters. Both UHDRS and AIMS scores significantly decreased in all patients after apomorphine. The beneficial effect of apomorphine was recorded throughout the 5 treatment days. The HAD score did not change after infusion of either treatment. No serious adverse events were reported by either group during the study. Our results suggest that continuous infusion of apomorphine might be considered for the treatment of involuntary movements in some HD patients.</div>
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<fC07 i1="04" i2="X" l="ENG"><s0>Central nervous system disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE"><s0>Trouble neurologique</s0>
<s5>42</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG"><s0>Neurological disorder</s0>
<s5>42</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA"><s0>Trastorno neurológico</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE"><s0>Maladie dégénérative</s0>
<s5>43</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG"><s0>Degenerative disease</s0>
<s5>43</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA"><s0>Enfermedad degenerativa</s0>
<s5>43</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE"><s0>Maladie héréditaire</s0>
<s5>44</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG"><s0>Genetic disease</s0>
<s5>44</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA"><s0>Enfermedad hereditaria</s0>
<s5>44</s5>
</fC07>
<fN21><s1>091</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
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<fN82><s1>OTO</s1>
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<server><NO>PASCAL 08-0147464 INIST</NO>
<ET>Short-Term Continuous Infusion of Apomorphine Hydrochloride for Treatment of Huntington's Chorea : A Double Blind, Randomized Cross-Over Trial</ET>
<AU>VITALE (Carmine); MARCONI (Stefano); DI MAIO (Luigi); DE MICHELE (Giuseppe); LONGO (Katia); BONAVITA (Vincenzo); BARONE (Paolo)</AU>
<AF>Department of Neurological Sciences, University "Federico II,"/Naples/Italie (1 aut., 3 aut., 4 aut., 5 aut., 6 aut., 7 aut.); Istituto di Diagnostica e Cura "Hermitage Capodimonte,"/Naples/Italie (1 aut., 6 aut.); Medical Department, Chiesi Farmaceutici S.p.A/Parma/Italie (2 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2007; Vol. 22; No. 16; Pp. 2359-2364; Bibl. 34 ref.</SO>
<LA>Anglais</LA>
<EA>We evaluated tolerability and the efficacy of continuous infusion of apomorphine hydrochloride on involuntary movements and mood disorder in Huntington's disease (HD) patients in a pilot, single center, double-blind, randomized, crossover, and controlled versus placebo study. Nine patients with a molecular diagnosis of HD were screened for response to acute apomorphine injection. Four of them, not ameliorating at the acute test, were discontinued. Five patients, responding to acute apomorphine, received continuous infusion of either apomorphine or placebo for 5 days. After 2 days of washout, the alternative treatment was administered. Primary endpoint measures were scores of the Unified Huntington's Disease Rating Scale (UHDRS "motor section") and of the Abnormal Involuntary Movement Scale (AIMS). Secondary endpoint measures were the Hamilton Depression Rating Scale (HAD) score and safety parameters. Both UHDRS and AIMS scores significantly decreased in all patients after apomorphine. The beneficial effect of apomorphine was recorded throughout the 5 treatment days. The HAD score did not change after infusion of either treatment. No serious adverse events were reported by either group during the study. Our results suggest that continuous infusion of apomorphine might be considered for the treatment of involuntary movements in some HD patients.</EA>
<CC>002B17</CC>
<FD>Syndrome choréique; Chorée de Huntington; Pathologie du système nerveux; Court terme; Apomorphine; Traitement</FD>
<FG>Pathologie de l'encéphale; Syndrome extrapyramidal; Mouvement involontaire; Pathologie du système nerveux central; Trouble neurologique; Maladie dégénérative; Maladie héréditaire</FG>
<ED>Chorea; Huntington disease; Nervous system diseases; Short term; Treatment</ED>
<EG>Cerebral disorder; Extrapyramidal syndrome; Involuntary movement; Central nervous system disease; Neurological disorder; Degenerative disease; Genetic disease</EG>
<SD>Corea síndrome; Corea Huntington; Sistema nervioso patología; Corto plazo; Tratamiento</SD>
<LO>INIST-20953.354000162715700090</LO>
<ID>08-0147464</ID>
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