Abstract | OBJECTIVE: METHODS: Patients were randomized to receive placebo (n = 96) or rotigotine (n = 181), starting at 2 mg/24 h (10-cm(2) patch size; 4.5-mg total drug content), titrated weekly up to 6 mg/24 h (30-cm(2) patch size; 13.5-mg total drug content), and then maintained for 6 months. The primary efficacy measures were 1) the change in the Unified Parkinson's Disease Rating Scale (UPDRS) scores (parts II and III) from baseline to end of treatment and 2) responder rates (patients with > or =20% improvement). RESULTS: Patients receiving rotigotine had a mean absolute difference of 5.28 (+/-1.18) points lower in UPDRS subtotal scores compared with those receiving placebo (p < 0.0001). The mean change in part III motor scores was -3.50 (+/-7.26) (n = 177) and was the greatest contributor to UPDRS improvement. The rotigotine group had more responders (48 vs 19%; p < 0.0001). The most commonly reported adverse events were application site reactions (44% rotigotine vs 12% placebo), nausea (41 vs17%), somnolence (33 vs 20%), and dizziness (19 vs 13%), and most were mild or moderate in intensity. CONCLUSIONS: Transdermal rotigotine, when titrated to a dosage of 6 mg/24 h, was effective for the treatment of early-stage Parkinson disease in this trial. Adverse events were similar to those found with other transdermal systems and dopamine agonists.
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Authors | R L Watts, J Jankovic, C Waters, A Rajput, B Boroojerdi, J Rao |
Journal | Neurology
(Neurology)
Vol. 68
Issue 4
Pg. 272-6
(Jan 23 2007)
ISSN: 1526-632X [Electronic] United States |
PMID | 17202432
(Publication Type: Clinical Trial, Phase III, Comparative Study, Journal Article, Multicenter Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Chemical References |
- Dopamine Agonists
- Tetrahydronaphthalenes
- Thiophenes
- rotigotine
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Topics |
- Administration, Cutaneous
- Aged
- Dopamine Agonists
(administration & dosage)
- Double-Blind Method
- Female
- Humans
- Male
- Middle Aged
- Parkinson Disease
(drug therapy, epidemiology, physiopathology)
- Tetrahydronaphthalenes
(administration & dosage)
- Thiophenes
(administration & dosage)
- Time Factors
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