A comparison of sumanirole versus placebo or ropinirole for the treatment of patients with early Parkinson's disease

To assess the safety and efficacy of sumanirole, a highly selective dopamine agonist, versus placebo and demonstrate its noninferiority to ropinirole, 614 patients with early Parkinson's disease (PD) were treated with sumanirole, 1 to 16 mg/day; ropinirole, 0.75 to 24 mg/day; or placebo. Primary end point in this flexible-dose, double-blind, double-dummy, parallel-group study of 40 weeks was the change in total sum of the United Parkinson's Disease Rating Scale (UPDRS) Parts II + III scores from baseline to end of maintenance. Approximately half the subjects in the sumanirole and placebo groups withdrew early from the study, most (51.8% and 68.5%, respectively) due to lack of efficacy. Of the ropinirole subjects who withdrew (50.5%), most discontinued because of adverse events. In sumanirole and ropinirole groups, mean changes from baseline of -2.48 and -5.20 in UPDRS II + III mean scores were significant versus 0.38 in the placebo group (P <= 0.006). Sumanirole and ropinirole are effective in the treatment of patients with early PD when compared with placebo. Non-inferiority of sumanirole to ropinirole was not demonstrated, with a difference of 2.70 (90% Cl, 0.92-4.49). Sumanirole was better tolerated than ropinirole. (c) 2007 Movement Disorder Society.