La maladie de Parkinson en France (serveur d'exploration)

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Withdrawing amantadine in dyskinetic patients with Parkinson disease: the AMANDYSK trial.

Identifieur interne : 000627 ( PubMed/Corpus ); précédent : 000626; suivant : 000628

Withdrawing amantadine in dyskinetic patients with Parkinson disease: the AMANDYSK trial.

Auteurs : Fabienne Ory-Magne ; Jean-Christophe Corvol ; Jean-Philippe Azulay ; Anne-Marie Bonnet ; Christine Brefel-Courbon ; Philippe Damier ; Estelle Dellapina ; Alain Destée ; Franck Durif ; Monique Galitzky ; Thibaud Lebouvier ; Wassilios Meissner ; Claire Thalamas ; François Tison ; Alexandrine Salis ; Agnès Sommet ; François Viallet ; Marie Vidailhet ; Olivier Rascol

Source :

RBID : pubmed:24371304

English descriptors

Abstract

The AMANDYSK trial was designed to assess long-term efficacy of chronic treatment with amantadine in patients with Parkinson disease (PD) and levodopa-induced dyskinesia (LID).

DOI: 10.1212/WNL.0000000000000050
PubMed: 24371304

Links to Exploration step

pubmed:24371304

Le document en format XML

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<name sortKey="Tison, Francois" sort="Tison, Francois" uniqKey="Tison F" first="François" last="Tison">François Tison</name>
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<name sortKey="Salis, Alexandrine" sort="Salis, Alexandrine" uniqKey="Salis A" first="Alexandrine" last="Salis">Alexandrine Salis</name>
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<name sortKey="Sommet, Agnes" sort="Sommet, Agnes" uniqKey="Sommet A" first="Agnès" last="Sommet">Agnès Sommet</name>
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<term>Double-Blind Method</term>
<term>Dyskinesia, Drug-Induced (drug therapy)</term>
<term>Female</term>
<term>Humans</term>
<term>Levodopa (adverse effects)</term>
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<term>Aged</term>
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<term>Humans</term>
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<div type="abstract" xml:lang="en">The AMANDYSK trial was designed to assess long-term efficacy of chronic treatment with amantadine in patients with Parkinson disease (PD) and levodopa-induced dyskinesia (LID).</div>
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<Year>2014</Year>
<Month>01</Month>
<Day>28</Day>
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<Year>2014</Year>
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<Title>Neurology</Title>
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<ArticleTitle>Withdrawing amantadine in dyskinetic patients with Parkinson disease: the AMANDYSK trial.</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The AMANDYSK trial was designed to assess long-term efficacy of chronic treatment with amantadine in patients with Parkinson disease (PD) and levodopa-induced dyskinesia (LID).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">This was a 3-month, multicenter, randomized, double-blind, placebo-controlled, parallel-group, wash-out study conducted in 57 amantadine-treated (≥200 mg/d for ≥6 months) dyskinetic patients with PD. The primary outcome measure was the change from baseline in a Unified Parkinson's Disease Rating Scale (UPDRS) dyskinesia subscore (items 32 [duration] + 33 [severity]). Secondary outcomes included other LID measurements ("responders" analysis, premature dropout for LID, Abnormal Involuntary Movement Scale). Exploratory outcomes included time with troublesome dyskinesia as measured by diaries, UPDRS Motor Examination (part III) for motor symptoms of PD, and fatigue and apathy scores for nonmotor symptoms.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">UPDRS items 32 + 33 deteriorated more in patients switched to placebo ("discontinuing" group) (+1.7 ± 2.0 units; 95% confidence interval 0.9, 2.4) as compared with those maintained on amantadine ("continuing" group) (+0.2 ± 1.5 units; 95% confidence interval -0.4, 0.8; p = 0.003). Secondary outcomes confirmed this difference because there were significantly more responders, more dropouts for LID, greater increase in "ON" time with troublesome dyskinesia, and greater worsening of Abnormal Involuntary Movement Scale score in the discontinuing group. There were no between-group differences in the UPDRS Motor Examination, whereas apathy (as measured by caregivers) and fatigue scores tended to worsen more in patients randomized to placebo.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Wash-out of amantadine in dyskinetic patients with PD significantly worsened LID. No significant effect was observed on motor parkinsonian symptoms, while exploratory outcomes suggested that amantadine might improve apathy and fatigue in such patients.</AbstractText>
<AbstractText Label="CLASSIFICATION OF EVIDENCE" NlmCategory="METHODS">This article provides Class II evidence that in patients with PD, withdrawing amantadine significantly aggravates LID in a median time of 7 days.</AbstractText>
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<ForeName>Fabienne</ForeName>
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<Affiliation>From INSERM, Clinical Investigation Center 9302 (F.O.-M., C.B.-C., E.D., M.G., C.T., A.S., O.R.), and Department of Neurology (F.O.-M., C.B.-C., O.R.), University Hospital of Toulouse; INSERM, Clinical Investigation Center 9503 (J.-C.C., A.-M.B., M.V.), and AP-HP, Department of Neurology (J.-C.C., A.-M.B., M.V.), Pitié-Salpêtrière Hospital, Paris; CRICM UPMC/INSERM UMR_S975 CNRS UMR7225 (J.-C.C., M.V.), Institut de la Moelle et du Cerveau, Université Pierre Marie Curie Paris-6, Salpêtrière, Paris; AP-HM (J.-P.A.), Department of Neurology, Timone Hospital, Marseille; Department of Clinical Pharmacology (C.B.-C., C.T., A.S., O.R.), University of Medicine, Toulouse; INSERM (C.B.-C., O.R.), and Université de Toulouse, UPS (C.B.-C., O.R.), Imagerie cérébrale et handicaps neurologiques, UMR 825, Toulouse; Department of Neurology (P.D., T.L.), University Hospital of Nantes; Department of Neurology (A.D.), University Hospital of Lille; Department of Neurology (F.D.), University Hospital of Clermont-Ferrand; Department of Neurology (W.M., F.T.), University Hospital of Bordeaux; and Department of Neurology (F.V.), Pays-d'Aix Hospital, Aix-en-Provence, France.</Affiliation>
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<LastName>Corvol</LastName>
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<ForeName>Wassilios</ForeName>
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<LastName>Thalamas</LastName>
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<LastName>Salis</LastName>
<ForeName>Alexandrine</ForeName>
<Initials>A</Initials>
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<LastName>Sommet</LastName>
<ForeName>Agnès</ForeName>
<Initials>A</Initials>
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<LastName>Viallet</LastName>
<ForeName>François</ForeName>
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<LastName>Vidailhet</LastName>
<ForeName>Marie</ForeName>
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</Author>
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<LastName>Rascol</LastName>
<ForeName>Olivier</ForeName>
<Initials>O</Initials>
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<Author ValidYN="Y">
<CollectiveName>NS-Park CIC Network</CollectiveName>
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<Year>2013</Year>
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<RefSource>Neurology. 2014 Sep 9;83(11):1035-6</RefSource>
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<CommentsCorrections RefType="CommentIn">
<RefSource>Neurology. 2014 Sep 9;83(11):1036</RefSource>
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<MeshHeading>
<DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
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<DescriptorName UI="D000547" MajorTopicYN="N">Amantadine</DescriptorName>
<QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName>
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<DescriptorName UI="D000978" MajorTopicYN="N">Antiparkinson Agents</DescriptorName>
<QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName>
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<MeshHeading>
<DescriptorName UI="D004311" MajorTopicYN="N">Double-Blind Method</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D004409" MajorTopicYN="N">Dyskinesia, Drug-Induced</DescriptorName>
<QualifierName UI="Q000188" MajorTopicYN="Y">drug therapy</QualifierName>
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<MeshHeading>
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<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D010300" MajorTopicYN="N">Parkinson Disease</DescriptorName>
<QualifierName UI="Q000188" MajorTopicYN="Y">drug therapy</QualifierName>
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