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Early treatment benefits of ropinirole prolonged release in Parkinson's disease patients with motor fluctuations

Identifieur interne : 002722 ( Main/Corpus ); précédent : 002721; suivant : 002723

Early treatment benefits of ropinirole prolonged release in Parkinson's disease patients with motor fluctuations

Auteurs : Bonnie P. Hersh ; Nancy L. Earl ; Robert A. Hauser ; Mark Stacy

Source :

RBID : ISTEX:60626F07D831C78DFBBA7E5D3C622E3C4ECBBFB2

English descriptors

Abstract

We performed a retrospective analysis of the Efficacy And Safety Evaluation in Parkinson's Disease (EASE‐PD) Adjunct Study, assessing the minimum time to symptom improvement after initiation of ropinirole prolonged release (2–24 mg/day) versus placebo in patients with moderate‐to‐advanced PD not optimally controlled with levodopa. Ropinirole prolonged release was superior to placebo at Week 2 for change from baseline in “off” time (adjusted mean treatment difference [AMTD] – 0.7 hours; 95% confidence interval [CI], –1.1, –0.2; P = 0.0029), and “on” time without troublesome dyskinesia (0.4 hours; 95%CI, 0.01, 0.88; P = 0.0444). At Week 4, improvements were seen in change from baseline in Unified Parkinson's Disease Rating Scale total motor score (AMTD, –3.1; 95%CI, –4.4, –1.8; P < 0.0001), activities of daily living score (AMTD, –1.1; 95%CI, –1.7, –0.5; P = 0.0004), and the cardinal symptoms of PD compared with placebo. These analyses indicate that once‐daily, adjunctive ropinirole prolonged release can offer PD symptom control 2 weeks after treatment initiation. © 2010 Movement Disorder Society

Url:
DOI: 10.1002/mds.23040

Links to Exploration step

ISTEX:60626F07D831C78DFBBA7E5D3C622E3C4ECBBFB2

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<keyword xml:id="kwd5">Unified Parkinson's Disease Rating Scale</keyword>
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<fundingAgency>GlaxoSmithKline and SkyePharma</fundingAgency>
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<p>We performed a retrospective analysis of the Efficacy And Safety Evaluation in Parkinson's Disease (EASE‐PD) Adjunct Study, assessing the minimum time to symptom improvement after initiation of ropinirole prolonged release (2–24 mg/day) versus placebo in patients with moderate‐to‐advanced PD not optimally controlled with levodopa. Ropinirole prolonged release was superior to placebo at Week 2 for change from baseline in “off” time (adjusted mean treatment difference [AMTD] – 0.7 hours; 95% confidence interval [CI], –1.1, –0.2;
<i>P</i>
= 0.0029), and “on” time without troublesome dyskinesia (0.4 hours; 95%CI, 0.01, 0.88;
<i>P</i>
= 0.0444). At Week 4, improvements were seen in change from baseline in Unified Parkinson's Disease Rating Scale total motor score (AMTD, –3.1; 95%CI, –4.4, –1.8;
<i>P</i>
< 0.0001), activities of daily living score (AMTD, –1.1; 95%CI, –1.7, –0.5;
<i>P</i>
= 0.0004), and the cardinal symptoms of PD compared with placebo. These analyses indicate that once‐daily, adjunctive ropinirole prolonged release can offer PD symptom control 2 weeks after treatment initiation. © 2010 Movement Disorder Society</p>
</abstract>
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<note xml:id="fn1">
<p>Potential conflict of interest: BH has received research support, honoraria, and consulting fees from GlaxoSmithKline. Nancy Earl is a former employee and shareholder at GlaxoSmithKline. Robert Hauser has received funds for speaking and consulting from GlaxoSmithKline. Duke University has received research and unrestricted educational grant funding attributed to Dr. Stacy from Allergan, Ceregene, Eisai, Merck, NIH, Novartis, Parkinson Study Group, Solvay, and Schering‐Plough.</p>
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<title>Early treatment benefits of ropinirole prolonged release in Parkinson's disease patients with motor fluctuations</title>
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<title>Ropinirole Prolonged Release: Early Efficacy</title>
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<title>Early treatment benefits of ropinirole prolonged release in Parkinson's disease patients with motor fluctuations</title>
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<namePart type="given">Bonnie P.</namePart>
<namePart type="family">Hersh</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Neurology, Harvard Vanguard Medical Associates, Boston Massachusetts, USA</affiliation>
<description>Correspondence: Harvard Vanguard Medical Associates, Boston 133 Brookline Ave, MA 02215</description>
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<name type="personal">
<namePart type="given">Nancy L.</namePart>
<namePart type="family">Earl</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Clinical Neurosciences, GlaxoSmithKline, Research Triangle Park, North Carolina, USA</affiliation>
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<name type="personal">
<namePart type="given">Robert A.</namePart>
<namePart type="family">Hauser</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Neurology, University of South Florida, Tampa, Florida, USA</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Mark</namePart>
<namePart type="family">Stacy</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Division of Neurology, Department of Medicine, Duke University, Durham, North Carolina, USA</affiliation>
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<dateValid encoding="w3cdtf">2010-01-18</dateValid>
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<abstract lang="en">We performed a retrospective analysis of the Efficacy And Safety Evaluation in Parkinson's Disease (EASE‐PD) Adjunct Study, assessing the minimum time to symptom improvement after initiation of ropinirole prolonged release (2–24 mg/day) versus placebo in patients with moderate‐to‐advanced PD not optimally controlled with levodopa. Ropinirole prolonged release was superior to placebo at Week 2 for change from baseline in “off” time (adjusted mean treatment difference [AMTD] – 0.7 hours; 95% confidence interval [CI], –1.1, –0.2; P = 0.0029), and “on” time without troublesome dyskinesia (0.4 hours; 95%CI, 0.01, 0.88; P = 0.0444). At Week 4, improvements were seen in change from baseline in Unified Parkinson's Disease Rating Scale total motor score (AMTD, –3.1; 95%CI, –4.4, –1.8; P < 0.0001), activities of daily living score (AMTD, –1.1; 95%CI, –1.7, –0.5; P = 0.0004), and the cardinal symptoms of PD compared with placebo. These analyses indicate that once‐daily, adjunctive ropinirole prolonged release can offer PD symptom control 2 weeks after treatment initiation. © 2010 Movement Disorder Society</abstract>
<note type="content">*Potential conflict of interest: BH has received research support, honoraria, and consulting fees from GlaxoSmithKline. Nancy Earl is a former employee and shareholder at GlaxoSmithKline. Robert Hauser has received funds for speaking and consulting from GlaxoSmithKline. Duke University has received research and unrestricted educational grant funding attributed to Dr. Stacy from Allergan, Ceregene, Eisai, Merck, NIH, Novartis, Parkinson Study Group, Solvay, and Schering‐Plough.</note>
<note type="funding">GlaxoSmithKline and SkyePharma</note>
<note type="funding">GlaxoSmithKline</note>
<subject lang="en">
<genre>Keywords</genre>
<topic>efficacy</topic>
<topic>motor fluctuations</topic>
<topic>Parkinson's disease</topic>
<topic>ropinirole prolonged release</topic>
<topic>Unified Parkinson's Disease Rating Scale</topic>
</subject>
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<title>Movement Disorders</title>
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<title>Mov. Disord.</title>
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<genre type="Journal">journal</genre>
<subject>
<genre>article category</genre>
<topic>Brief Report</topic>
</subject>
<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part>
<date>2010</date>
<detail type="volume">
<caption>vol.</caption>
<number>25</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>7</number>
</detail>
<extent unit="pages">
<start>927</start>
<end>931</end>
<total>6</total>
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<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2010 Movement Disorder Society</accessCondition>
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