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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&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.

  • 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&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.

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