Clinical efficacy of a single afternoon dose of effervescent levodopa-carbidopa preparation (CHF 1512) in fluctuating Parkinson disease

A possible cause of motor fluctuations in patients with Parkinson disease is the erratic drug absorption. In a randomized double-blind double-dummy study of melevodopa (levodopa methyl ester), a highly soluble levodopa pro-drug plus carbidopa (CHF 1512) was compared to a standard formulation of levo...

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Veröffentlicht in:Clinical neuropharmacology 2007-01, Vol.30 (1), p.18-24
Hauptverfasser: Stocchi, Fabrizio, Fabbri, Laura, Vecsei, Laszlo, Krygowska-Wajs, Anna, Monici Preti, Piero Alessandro, Ruggieri, Stefano A
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container_end_page 24
container_issue 1
container_start_page 18
container_title Clinical neuropharmacology
container_volume 30
creator Stocchi, Fabrizio
Fabbri, Laura
Vecsei, Laszlo
Krygowska-Wajs, Anna
Monici Preti, Piero Alessandro
Ruggieri, Stefano A
description A possible cause of motor fluctuations in patients with Parkinson disease is the erratic drug absorption. In a randomized double-blind double-dummy study of melevodopa (levodopa methyl ester), a highly soluble levodopa pro-drug plus carbidopa (CHF 1512) was compared to a standard formulation of levodopa/carbidopa (LD/CD) in 74 fluctuating Parkinson disease patients. The first afternoon, LD/CD tablet was substituted with an equimolar dose of CHF 1512. The study lasted 4 weeks and was followed by an 8-week (optional) open phase. The primary efficacy variable was latency to "on." Patients randomized to receive CHF 1512 had a significative shorter latency to "on" than those randomized to LD/CD and a similar "on" duration. The safety profile of CHF 1512 was also comparable with LD/CD.
doi_str_mv 10.1097/01.WNF.0000236762.77913.C6
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subjects Activities of Daily Living
Aged
Antiparkinson Agents
Carbidopa - therapeutic use
Double-Blind Method
Drug Administration Schedule
Drug Combinations
Female
Humans
Levodopa - analogs & derivatives
Levodopa - therapeutic use
Male
Motor Activity - drug effects
Motor Skills Disorders - etiology
Motor Skills Disorders - prevention & control
Nausea - chemically induced
Parkinson Disease - complications
Parkinson Disease - drug therapy
title Clinical efficacy of a single afternoon dose of effervescent levodopa-carbidopa preparation (CHF 1512) in fluctuating Parkinson disease
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