Long-Term Efficacy of Rasagiline in Early Parkinson's Disease

被引:32
作者
Lew, Mark F. [1 ]
Hauser, Robert A. [2 ]
Hurtig, Howard I. [3 ]
Ondo, William G. [4 ]
Wojcieszek, Joanne [5 ]
Goren, Tamar [6 ]
Fitzer-Attas, Cheryl J. [6 ]
机构
[1] Keck Univ So Calif, Sch Med, Dept Neurol, Los Angeles, CA 90033 USA
[2] Univ S Florida, Dept Neurol, Tampa, FL 33620 USA
[3] Univ Penn Hlth Syst, Dept Neurol, Penn Hosp, Philadelphia, PA USA
[4] Baylor Coll Med, Dept Neurol, Houston, TX 77030 USA
[5] Indiana Univ, Sch Med, Dept Neurol, Indianapolis, IN 46202 USA
[6] Teva Pharmaceut Ind Ltd, Petah Tiqwa, Israel
关键词
dopamine agonists; efficacy; levodopa; long-term; monotherapy; rasagiline; DOPAMINE AGONIST USE; DELAYED-START; ASSOCIATION; INITIATION;
D O I
10.3109/00207451003778744
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
This study was designed to follow the long-term efficacy, safety, and tolerability of rasagiline for Parkinson's disease (PD) with data collected from all patients who had ever taken rasagiline during the 12-month TEMPO monotherapy trial (N = 398) and subsequent open-label extension. Patients were followed for up to 6.5 years with a mean of 3.5 +/- 2.1 years. After 12 months, additional PD medications were added as required. Of patients remaining in the trial at 2 years, 46% were maintained on rasagiline monotherapy. The majority of patients received a dopamine agonist prior to levodopa as the first additional dopaminergic agent. Analysis using a Kaplan-Meier method indicated that by 5.4 years only 25% of patients progressed to Hoehn & Yahr stage III. Rasagiline was well tolerated, with 11.3% of patients (45/398) withdrawing because of an adverse event. Rasagiline therapy for PD was effective, well tolerated, and safe in this long-term trial.
引用
收藏
页码:404 / 408
页数:5
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