期刊
EXPERT OPINION ON PHARMACOTHERAPY
卷 20, 期 11, 页码 1405-1411出版社
TAYLOR & FRANCIS LTD
DOI: 10.1080/14656566.2019.1614167
关键词
Adenosine A(2A) receptor antagonist; freezing of gait; gait disorders; istradefylline; Parkinson's disease
资金
- Kyowa Hakko Kirin Co., Ltd., Japan
Background: Gait disorders are common in Parkinson's disease patients who respond poorly to dopaminergic treatment. Blockade of adenosine A(2A) receptors is expected to improve gait disorders. Istradefylline is a first-in-class selective adenosine A(2A) receptor antagonist with benefits for motor complications associated with Parkinson's disease. Research design and methods: This multicenter, open-label, single-group, prospective interventional study evaluated changes in total gait-related scores of the Part II/III Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) and Freezing of Gait Questionnaire (FOG-Q) in 31 Parkinson's disease patients treated with istradefylline. Gait analysis by portable gait rhythmogram was performed. Results: MDS-UPDRS Part III gait-related total scores significantly decreased at Weeks 4-12 from baseline with significant improvements in gait, freezing of gait, and postural stability. Significant decreases in MDS-UPDRS Part II total scores and individual item scores at Week 12 indicated improved daily living activities. At Week 12, there were significant improvements in FOG-Q, new FOG-Q, and overall movement per 48 h measured by portable gait rhythmogram. Adverse events occurred in 7/31 patients. Conclusions: Istradefylline improved gait disorders in Parkinson's disease patients complicated with freezing of gait, improving their quality of life. No unexpected adverse drug reactions were identified.
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