International (NL-UK) double-blind study of Sinemet CR and standard Sinemet (25/100) in 170 patients with fluctuating Parkinson's disease

被引：29

作者：

Wolters, EC ^{[1
]}

Tesselaar, HJM ^{[1
]}

Bussemaker, FEAM ^{[1
]}

Dammers, JWHH ^{[1
]}

Haas, JA ^{[1
]}

Horstink, MWIM ^{[1
]}

Jansen, ENH ^{[1
]}

Korten, JJ ^{[1
]}

Lakke, JPWF ^{[1
]}

deCoul, AAWO ^{[1
]}

Peperkamp, JPC ^{[1
]}

Roos, RAC ^{[1
]}

Rutgers, AWF ^{[1
]}

Tijssen, CC ^{[1
]}

vanderZwan, A ^{[1
]}

vanLaar, T ^{[1
]}

vanLeusden, JA ^{[1
]}

vanRossum, J ^{[1
]}

Verbiest, HBC ^{[1
]}

Vermeij, AJ ^{[1
]}

Bakheit, J ^{[1
]}

Bates, D ^{[1
]}

Capildeo, R ^{[1
]}

Chand, J ^{[1
]}

Kennedy, P ^{[1
]}

Lees, A ^{[1
]}

Park, D ^{[1
]}

Sturman, S ^{[1
]}

Turjanski, N ^{[1
]}

Williams, A ^{[1
]}

机构：

[1] MERCK SHARP & DOHME LTD,DEPT MED,HAARLEM,NETHERLANDS

来源：

JOURNAL OF NEUROLOGY | 1996年 / 243卷 / 03期

关键词：

Parkinson's disease; motor fluctuations; Sinemet CR;

D O I：

10.1007/BF00868520

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

One hundred and seventy patients with fluctuating Parkinson's disease participated in an international clinical trial to compare the effects of controlled-released Sinemet 50/200 (mg carbidopa/mg levodopa; Sinemet CR) with standard Sinemet 25/100 (Sinemet STD). The study design involved an 8-week open-label titration (dose-finding) phase (STD and CR preparations given individually during weeks 1-4 and 5-8 respectively) followed by a 24-week double-blind, double-dummy (placebo) treatment period. Drug efficacy was assessed using: (a) data from patients' diaries (i.e. ''on-off' periods) (b) the functional disability profile (Northwestern University Disability Scale), (c) the neurological signs and symptoms (New York University Parkinson's Disease Scale, NYUPDS), (d) global evaluations made by the patient and treating physician and (e) the patient's evaluation of sleep. The results indicate that the number of ''off'' periods and the total NYUPDS score decreased significantly in the patients treated with Sinemet CR compared with those treated with Sinemet STD. Furthermore, the patient's global evaluation was significantly better in the Sinemet CR group. The number of drug-related adverse experiences was similar in the two groups, and only one serious event of this nature was reported.

引用

页码：235 / 240

页数：6

共 19 条

[1]

BUSH DF, 1989, NEUROLOGY, V39, P101

[2]

DELEU D, 1989, NEUROLOGY, V39, P88

[3] ON-OFF PHENOMENON WITH LEVODOPA THERAPY IN PARKINSONISM - CLINICAL AND PHARMACOLOGIC CORRELATIONS AND EFFECT OF INTRAMUSCULAR PYRIDOXINE [J].