Induction by dopamine D1 receptor agonist ABT-431 of dyskinesia similar to levodopa in patients with Parkinson disease.
Identifieur interne : 001219 ( PubMed/Curation ); précédent : 001218; suivant : 001220Induction by dopamine D1 receptor agonist ABT-431 of dyskinesia similar to levodopa in patients with Parkinson disease.
Auteurs : O. Rascol [France] ; J G Nutt ; O. Blin ; C G Goetz ; J M Trugman ; C. Soubrouillard ; J H Carter ; L J Currie ; N. Fabre ; C. Thalamas ; W W Giardina ; S. WrightSource :
- Archives of neurology [ 0003-9942 ] ; 2001.
English descriptors
- KwdEn :
- Adult, Aged, Antiparkinson Agents (therapeutic use), Dopamine Agonists (administration & dosage), Dose-Response Relationship, Drug, Double-Blind Method, Dyskinesia, Drug-Induced, Female, Humans, Levodopa (therapeutic use), Male, Middle Aged, Parkinson Disease (drug therapy), Prodrugs (administration & dosage), Prodrugs (adverse effects), Pyridines (administration & dosage), Pyridines (adverse effects), Receptors, Dopamine D1 (drug effects), Tetrahydronaphthalenes (administration & dosage), Tetrahydronaphthalenes (adverse effects).
- MESH :
- chemical , administration & dosage : Dopamine Agonists, Prodrugs, Pyridines, Tetrahydronaphthalenes.
- chemical , adverse effects : Prodrugs, Pyridines, Tetrahydronaphthalenes.
- chemical , drug effects : Receptors, Dopamine D1.
- chemical , therapeutic use : Antiparkinson Agents, Levodopa.
- drug therapy : Parkinson Disease.
- Adult, Aged, Dose-Response Relationship, Drug, Double-Blind Method, Dyskinesia, Drug-Induced, Female, Humans, Male, Middle Aged.
Abstract
Dyskinesias are a frequent adverse effect of long-term levodopa therapy. The relative contribution of dopamine D(1) and D(2) receptor function to the pathophysiology of levodopa-induced dyskinesias remains a matter of controversy.
PubMed: 11176963
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pubmed:11176963Le document en format XML
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<front><div type="abstract" xml:lang="en">Dyskinesias are a frequent adverse effect of long-term levodopa therapy. The relative contribution of dopamine D(1) and D(2) receptor function to the pathophysiology of levodopa-induced dyskinesias remains a matter of controversy.</div>
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<DateCreated><Year>2001</Year>
<Month>02</Month>
<Day>22</Day>
</DateCreated>
<DateCompleted><Year>2001</Year>
<Month>03</Month>
<Day>29</Day>
</DateCompleted>
<DateRevised><Year>2013</Year>
<Month>11</Month>
<Day>21</Day>
</DateRevised>
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<Issue>2</Issue>
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<Month>Feb</Month>
</PubDate>
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<Title>Archives of neurology</Title>
<ISOAbbreviation>Arch. Neurol.</ISOAbbreviation>
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<ArticleTitle>Induction by dopamine D1 receptor agonist ABT-431 of dyskinesia similar to levodopa in patients with Parkinson disease.</ArticleTitle>
<Pagination><MedlinePgn>249-54</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Dyskinesias are a frequent adverse effect of long-term levodopa therapy. The relative contribution of dopamine D(1) and D(2) receptor function to the pathophysiology of levodopa-induced dyskinesias remains a matter of controversy.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To establish whether a selective D(1) dopamine agonist induces more or less dyskinesia than levodopa in primed dyskinetic patients with Parkinson disease.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We studied ABT-431, the prodrug of a fully selective D(1) agonist, in 20 subjects with advanced Parkinson disease and a fluctuating response to levodopa complicated by dyskinesias. Eight patients were studied in a double-blind, randomized design (French centers); 12, in an open, randomized design (US centers). We assessed and compared the antiparkinsonian (Unified Parkinson's Disease Rating Scale) and dyskinetic (response induced by an acute challenge of a suprathreshold dose of levodopa and by 4 different ascending doses (5, 10, 20, and 40 mg) of ABT-431 during the 6 hours after the challenge.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The separate analysis of the double-blind and open data led to the same findings, ie, the antiparkinsonian and dyskinetic responses induced by ABT-431 were dose related. At the most effective doses (20 and 40 mg), ABT-431 exhibited similar antiparkinsonian benefit and produced similar dyskinesias as levodopa.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Dopamine D(1) agonists can induce a full antiparkinsonian response but do not support previous hypotheses suggesting that D(1) agonists are more or less likely to produce dyskinesias than levodopa.</AbstractText>
</Abstract>
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