Movement Disorders (revue)

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Rasagiline improves quality of life in patients with early Parkinson's disease

Identifieur interne : 001B58 ( PascalFrancis/Corpus ); précédent : 001B57; suivant : 001B59

Rasagiline improves quality of life in patients with early Parkinson's disease

Auteurs : Kevin M. Biglan ; Steven Schwid ; Shirley Eberly ; Karen Blindauer ; Stanley Fahn ; Tamar Goren ; Karl Kieburtz ; David Oakes ; Sandra Plumb ; Andrew Siderowf ; Matthew Stern ; Ira Shoulson

Source :

RBID : Pascal:06-0289026

Descripteurs français

English descriptors

Abstract

The objective of this study was to determine the effects of rasagiline as monotherapy on quality of life (QOL) in patients with early Parkinson's disease (PD). Rasagiline, a potent, second-generation, irreversible, selective monoamine oxidase B inhibitor improves PD symptoms in patients with early PD. Patients with early untreated PD were randomly assigned to once-daily rasagiline I mg/day, rasagiline 2 mg/ day, or placebo in a 6-month, double-blind trial (n = 404). At the end of 6 months, patients entered the preplanned, active-treatment phase in which those receiving I mg/day and 2 mg/day of rasagiline continued on their previously assigned dosages and those receiving placebo switched to rasagiline 2 mg/day, while maintaining blinding to treatment assignments. QOL was measured with the Parkinson's Disease Quality of Life questionnaire (PDQUALIF) at 0, 14, 26, and 52 weeks after randomization. Analysis of the change in PDQUALIF scores from baseline to 6 months showed adjusted treatment effects (with 95% confidence interval) favoring rasagiline over placebo of -2.91 units (-5.19, -0.64, P = 0.01) for the 1 mg/day group and -2.74 units (-5.02, -0.45, P = 0.02) for the 2 mg/day. Subscore analysis attributed most of this benefit to the self-image/sexuality domain. At 12 months (n = 266), with all groups receiving rasagiline for at least 6 months, no significant differences in PDQUALIF scores were seen between groups. Rasagiline improved QOL compared with placebo. This QOL improvement appears to be accounted for primarily by the symptomatic benefit of rasagiline.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A03   1    @0 Mov. disord.
A05       @2 21
A06       @2 5
A08 01  1  ENG  @1 Rasagiline improves quality of life in patients with early Parkinson's disease
A11 01  1    @1 BIGLAN (Kevin M.)
A11 02  1    @1 SCHWID (Steven)
A11 03  1    @1 EBERLY (Shirley)
A11 04  1    @1 BLINDAUER (Karen)
A11 05  1    @1 FAHN (Stanley)
A11 06  1    @1 GOREN (Tamar)
A11 07  1    @1 KIEBURTZ (Karl)
A11 08  1    @1 OAKES (David)
A11 09  1    @1 PLUMB (Sandra)
A11 10  1    @1 SIDEROWF (Andrew)
A11 11  1    @1 STERN (Matthew)
A11 12  1    @1 SHOULSON (Ira)
A14 01      @1 Department of Neurology, Johns Hopkins University @2 Baltimore, Maryland @3 USA @Z 1 aut.
A14 02      @1 Department of Neurology, University of Rochester @2 Rochester, New York @3 USA @Z 2 aut. @Z 5 aut. @Z 7 aut. @Z 8 aut. @Z 9 aut. @Z 12 aut.
A14 03      @1 Department of Biostatistics, University of Rochester @2 New York @3 USA @Z 3 aut. @Z 8 aut.
A14 04      @1 Department of Neurology, Medical College of Wisconsin @2 Milwaukee, Wisconsin @3 USA @Z 4 aut.
A14 05      @1 Teva Pharmaceutical Industries, Ltd @2 Netanya @3 ISR @Z 6 aut.
A14 06      @1 Department of Neurology. University of Pennsylvania @2 Philadelphia, Pennsylvania @3 USA @Z 10 aut. @Z 11 aut.
A17 01  1    @1 Parkinson Study Group @3 USA
A20       @1 616-623
A21       @1 2006
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000142568210040
A44       @0 0000 @1 © 2006 INIST-CNRS. All rights reserved.
A45       @0 20 ref.
A47 01  1    @0 06-0289026
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 The objective of this study was to determine the effects of rasagiline as monotherapy on quality of life (QOL) in patients with early Parkinson's disease (PD). Rasagiline, a potent, second-generation, irreversible, selective monoamine oxidase B inhibitor improves PD symptoms in patients with early PD. Patients with early untreated PD were randomly assigned to once-daily rasagiline I mg/day, rasagiline 2 mg/ day, or placebo in a 6-month, double-blind trial (n = 404). At the end of 6 months, patients entered the preplanned, active-treatment phase in which those receiving I mg/day and 2 mg/day of rasagiline continued on their previously assigned dosages and those receiving placebo switched to rasagiline 2 mg/day, while maintaining blinding to treatment assignments. QOL was measured with the Parkinson's Disease Quality of Life questionnaire (PDQUALIF) at 0, 14, 26, and 52 weeks after randomization. Analysis of the change in PDQUALIF scores from baseline to 6 months showed adjusted treatment effects (with 95% confidence interval) favoring rasagiline over placebo of -2.91 units (-5.19, -0.64, P = 0.01) for the 1 mg/day group and -2.74 units (-5.02, -0.45, P = 0.02) for the 2 mg/day. Subscore analysis attributed most of this benefit to the self-image/sexuality domain. At 12 months (n = 266), with all groups receiving rasagiline for at least 6 months, no significant differences in PDQUALIF scores were seen between groups. Rasagiline improved QOL compared with placebo. This QOL improvement appears to be accounted for primarily by the symptomatic benefit of rasagiline.
C02 01  X    @0 002B17
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C03 01  X  FRE  @0 Système nerveux pathologie @5 01
C03 01  X  ENG  @0 Nervous system diseases @5 01
C03 01  X  SPA  @0 Sistema nervioso patología @5 01
C03 02  X  FRE  @0 Parkinson maladie @5 02
C03 02  X  ENG  @0 Parkinson disease @5 02
C03 02  X  SPA  @0 Parkinson enfermedad @5 02
C03 03  X  FRE  @0 Rasagiline @2 NK @2 FR @5 09
C03 03  X  ENG  @0 Rasagiline @2 NK @2 FR @5 09
C03 03  X  SPA  @0 Rasagilina @2 NK @2 FR @5 09
C03 04  X  FRE  @0 Qualité vie @5 10
C03 04  X  ENG  @0 Quality of life @5 10
C03 04  X  SPA  @0 Calidad vida @5 10
C03 05  X  FRE  @0 Homme @5 11
C03 05  X  ENG  @0 Human @5 11
C03 05  X  SPA  @0 Hombre @5 11
C07 01  X  FRE  @0 Encéphale pathologie @5 37
C07 01  X  ENG  @0 Cerebral disorder @5 37
C07 01  X  SPA  @0 Encéfalo patología @5 37
C07 02  X  FRE  @0 Extrapyramidal syndrome @5 38
C07 02  X  ENG  @0 Extrapyramidal syndrome @5 38
C07 02  X  SPA  @0 Extrapiramidal síndrome @5 38
C07 03  X  FRE  @0 Maladie dégénérative @5 39
C07 03  X  ENG  @0 Degenerative disease @5 39
C07 03  X  SPA  @0 Enfermedad degenerativa @5 39
C07 04  X  FRE  @0 Système nerveux central pathologie @5 40
C07 04  X  ENG  @0 Central nervous system disease @5 40
C07 04  X  SPA  @0 Sistema nervosio central patología @5 40
N21       @1 184
N44 01      @1 OTO
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Format Inist (serveur)

NO : PASCAL 06-0289026 INIST
ET : Rasagiline improves quality of life in patients with early Parkinson's disease
AU : BIGLAN (Kevin M.); SCHWID (Steven); EBERLY (Shirley); BLINDAUER (Karen); FAHN (Stanley); GOREN (Tamar); KIEBURTZ (Karl); OAKES (David); PLUMB (Sandra); SIDEROWF (Andrew); STERN (Matthew); SHOULSON (Ira)
AF : Department of Neurology, Johns Hopkins University/Baltimore, Maryland/Etats-Unis (1 aut.); Department of Neurology, University of Rochester/Rochester, New York/Etats-Unis (2 aut., 5 aut., 7 aut., 8 aut., 9 aut., 12 aut.); Department of Biostatistics, University of Rochester/New York/Etats-Unis (3 aut., 8 aut.); Department of Neurology, Medical College of Wisconsin/Milwaukee, Wisconsin/Etats-Unis (4 aut.); Teva Pharmaceutical Industries, Ltd/Netanya/Israël (6 aut.); Department of Neurology. University of Pennsylvania/Philadelphia, Pennsylvania/Etats-Unis (10 aut., 11 aut.)
DT : Publication en série; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2006; Vol. 21; No. 5; Pp. 616-623; Bibl. 20 ref.
LA : Anglais
EA : The objective of this study was to determine the effects of rasagiline as monotherapy on quality of life (QOL) in patients with early Parkinson's disease (PD). Rasagiline, a potent, second-generation, irreversible, selective monoamine oxidase B inhibitor improves PD symptoms in patients with early PD. Patients with early untreated PD were randomly assigned to once-daily rasagiline I mg/day, rasagiline 2 mg/ day, or placebo in a 6-month, double-blind trial (n = 404). At the end of 6 months, patients entered the preplanned, active-treatment phase in which those receiving I mg/day and 2 mg/day of rasagiline continued on their previously assigned dosages and those receiving placebo switched to rasagiline 2 mg/day, while maintaining blinding to treatment assignments. QOL was measured with the Parkinson's Disease Quality of Life questionnaire (PDQUALIF) at 0, 14, 26, and 52 weeks after randomization. Analysis of the change in PDQUALIF scores from baseline to 6 months showed adjusted treatment effects (with 95% confidence interval) favoring rasagiline over placebo of -2.91 units (-5.19, -0.64, P = 0.01) for the 1 mg/day group and -2.74 units (-5.02, -0.45, P = 0.02) for the 2 mg/day. Subscore analysis attributed most of this benefit to the self-image/sexuality domain. At 12 months (n = 266), with all groups receiving rasagiline for at least 6 months, no significant differences in PDQUALIF scores were seen between groups. Rasagiline improved QOL compared with placebo. This QOL improvement appears to be accounted for primarily by the symptomatic benefit of rasagiline.
CC : 002B17; 002B17G; 002B17F
FD : Système nerveux pathologie; Parkinson maladie; Rasagiline; Qualité vie; Homme
FG : Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Système nerveux central pathologie
ED : Nervous system diseases; Parkinson disease; Rasagiline; Quality of life; Human
EG : Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease
SD : Sistema nervioso patología; Parkinson enfermedad; Rasagilina; Calidad vida; Hombre
LO : INIST-20953.354000142568210040
ID : 06-0289026

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Pascal:06-0289026

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<div type="abstract" xml:lang="en">The objective of this study was to determine the effects of rasagiline as monotherapy on quality of life (QOL) in patients with early Parkinson's disease (PD). Rasagiline, a potent, second-generation, irreversible, selective monoamine oxidase B inhibitor improves PD symptoms in patients with early PD. Patients with early untreated PD were randomly assigned to once-daily rasagiline I mg/day, rasagiline 2 mg/ day, or placebo in a 6-month, double-blind trial (n = 404). At the end of 6 months, patients entered the preplanned, active-treatment phase in which those receiving I mg/day and 2 mg/day of rasagiline continued on their previously assigned dosages and those receiving placebo switched to rasagiline 2 mg/day, while maintaining blinding to treatment assignments. QOL was measured with the Parkinson's Disease Quality of Life questionnaire (PDQUALIF) at 0, 14, 26, and 52 weeks after randomization. Analysis of the change in PDQUALIF scores from baseline to 6 months showed adjusted treatment effects (with 95% confidence interval) favoring rasagiline over placebo of -2.91 units (-5.19, -0.64, P = 0.01) for the 1 mg/day group and -2.74 units (-5.02, -0.45, P = 0.02) for the 2 mg/day. Subscore analysis attributed most of this benefit to the self-image/sexuality domain. At 12 months (n = 266), with all groups receiving rasagiline for at least 6 months, no significant differences in PDQUALIF scores were seen between groups. Rasagiline improved QOL compared with placebo. This QOL improvement appears to be accounted for primarily by the symptomatic benefit of rasagiline.</div>
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