Improvement of motor function in early Parkinson disease by safinamide

被引:83
作者
Stocchi, F
Arnold, G
Onofrj, M
Kwiecinski, H
Szczudlik, A
Thomas, A
Bonuccelli, U
Van Dijk, A
Cattaneo, C
Sala, P
Fariello, RG
机构
[1] Newron Pharmaceut, I-20091 Milan, Italy
[2] Univ G DAnnunzio, Dept Neurosci, Pescara, Italy
[3] Univ G DAnnunzio, IRCCS Neuromed Pozzilli IS, Pescara, Italy
[4] Univ G DAnnunzio, Movement Disorders Ctr, Dept Neurosci, Pescara, Italy
[5] Univ Pisa, Dept Neurosci, Inst Neurol, I-56100 Pisa, Italy
[6] Kendle Int Res Org, Osp Versilia, UOC Neurol, Saronna, VA, Italy
[7] Humboldt Univ, Fac Med Charite, Dept Neurol, D-10098 Berlin, Germany
[8] Univ Warsaw, Dept Neurol, PL-00325 Krakow, Poland
[9] Jagiellonian Univ, Dept Neurol, Coll Med, Krakow, Poland
关键词
D O I
10.1212/01.WNL.0000134672.44217.F7
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A median safinamide (SAF) dose of 70 mg/day (range 40 to 90 mg/day) increased the percentage of parkinsonian patients improving their motor scores by greater than or equal to30% from baseline (responders) after 3 months from 21.4% (placebo) to 37.5% (p<0.05, calculated by logistic regression analysis). In a subgroup of 101 patients under stable treatment with a single dopamine agonist, addition of SAF magnified the response (47.1% responders, mean 4.7-point motor score decrease; p >= 0.05). These results suggest that doses of SAF exerting ion channel block and glutamate release inhibition add to its symptomatic effect and warrant exploration of higher doses.
引用
收藏
页码:746 / 748
页数:3
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