Levodopa-carbidopa intestinal gel in advanced Parkinson's: Final results of the GLORIA registry
Identifikátory výsledku
Kód výsledku v 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>
Nalezeny alternativní kódy
RIV/00064165:_____/17:10366124
Výsledek na webu
<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>
Alternativní jazyky
Jazyk výsledku
angličtina
Název v původním jazyce
Levodopa-carbidopa intestinal gel in advanced Parkinson's: Final results of the GLORIA registry
Popis výsledku v původním jazyce
Introduction: This registry evaluated the 24-month safety and efficacy of levodopa-carbidopa intestinal gel (LCIG) treatment in advanced Parkinson'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 <=12 months of pre-treatment with LCIG (40% of patients). Hours of "On" and "Off" time were assessed with a modified version of the Unified Parkinson'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 "Off" time (hours/day) (mean +- SD = -4.1 +- 3.5, P < 0.001), "On" time with dyskinesia (hours/day) (-1.1 +- 4.8, P = 0.006), Non-Motor Symptom Scale total (-16.7 +- 43.2, P < 0.001) and individual domains scores, and Parkinson's Disease Questionnaire-8 item total score (-7.1 +- 21.0, P < 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.
Název v anglickém jazyce
Levodopa-carbidopa intestinal gel in advanced Parkinson's: Final results of the GLORIA registry
Popis výsledku anglicky
Introduction: This registry evaluated the 24-month safety and efficacy of levodopa-carbidopa intestinal gel (LCIG) treatment in advanced Parkinson'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 <=12 months of pre-treatment with LCIG (40% of patients). Hours of "On" and "Off" time were assessed with a modified version of the Unified Parkinson'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 "Off" time (hours/day) (mean +- SD = -4.1 +- 3.5, P < 0.001), "On" time with dyskinesia (hours/day) (-1.1 +- 4.8, P = 0.006), Non-Motor Symptom Scale total (-16.7 +- 43.2, P < 0.001) and individual domains scores, and Parkinson's Disease Questionnaire-8 item total score (-7.1 +- 21.0, P < 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.
Klasifikace
Druh
J<sub>imp</sub> - Článek v periodiku v databázi Web of Science
CEP obor
—
OECD FORD obor
30103 - Neurosciences (including psychophysiology)
Návaznosti výsledku
Projekt
—
Návaznosti
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Ostatní
Rok uplatnění
2017
Kód důvěrnosti údajů
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Údaje specifické pro druh výsledku
Název periodika
Parkinsonism and Related Disorders
ISSN
1353-8020
e-ISSN
—
Svazek periodika
45
Číslo periodika v rámci svazku
December
Stát vydavatele periodika
GB - Spojené království Velké Británie a Severního Irska
Počet stran výsledku
8
Strana od-do
13-20
Kód UT WoS článku
000419811700003
EID výsledku v databázi Scopus
2-s2.0-85031330718