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Levodopa-carbidopa intestinal gel in advanced Parkinson's: Final results of the GLORIA registry

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F17%3A10366124" target="_blank" >RIV/00216208:11110/17:10366124 - isvavai.cz</a>

  • Alternative codes found

    RIV/00064165:_____/17:10366124

  • Result on the web

    <a href="http://dx.doi.org/10.1016/j.parkreldis.2017.09.018" target="_blank" >http://dx.doi.org/10.1016/j.parkreldis.2017.09.018</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1016/j.parkreldis.2017.09.018" target="_blank" >10.1016/j.parkreldis.2017.09.018</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Levodopa-carbidopa intestinal gel in advanced Parkinson's: Final results of the GLORIA registry

  • Original language description

    Introduction: This registry evaluated the 24-month safety and efficacy of levodopa-carbidopa intestinal gel (LCIG) treatment in advanced Parkinson&apos;s disease (PD) patients under routine clinical care. Methods: Motor fluctuations, dyskinesia, non-motor symptoms, quality of life, and safety were evaluated. Observations were fully prospective for treatment-naive patients (60% of patients) and partially retrospective for patients with &lt;=12 months of pre-treatment with LCIG (40% of patients). Hours of &quot;On&quot; and &quot;Off&quot; time were assessed with a modified version of the Unified Parkinson&apos;s Disease Rating Scale part IV items 32 and 39. Results: Overall, 375 patients were enrolled by 75 movement disorder centers in 18 countries and 258 patients completed the registry. At 24 months LCIG treatment led to significant reductions from baseline in &quot;Off&quot; time (hours/day) (mean +- SD = -4.1 +- 3.5, P &lt; 0.001), &quot;On&quot; time with dyskinesia (hours/day) (-1.1 +- 4.8, P = 0.006), Non-Motor Symptom Scale total (-16.7 +- 43.2, P &lt; 0.001) and individual domains scores, and Parkinson&apos;s Disease Questionnaire-8 item total score (-7.1 +- 21.0, P &lt; 0.001). Adverse events deemed to have a possible/probable causal relationship to treatment drug/device were reported in 194 (54%) patients; the most frequently reported were decreased weight (6.7%), device related infections (5.9%), device dislocations (4.8%), device issues (4.8%), and polyneuropathy (4.5%). Conclusions: LCIG treatment led to sustained improvements in motor fluctuations, non-motor symptoms particularly sleep/fatigue, mood/cognition and gastrointestinal domains, as well as quality of life in advanced PD patients over 24 months. Safety events were consistent with the established safety profile of LCIG.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30103 - Neurosciences (including psychophysiology)

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2017

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Parkinsonism and Related Disorders

  • ISSN

    1353-8020

  • e-ISSN

  • Volume of the periodical

    45

  • Issue of the periodical within the volume

    December

  • Country of publishing house

    GB - UNITED KINGDOM

  • Number of pages

    8

  • Pages from-to

    13-20

  • UT code for WoS article

    000419811700003

  • EID of the result in the Scopus database

    2-s2.0-85031330718