Reference : An Observational Study of the Effect of Levodopa-Carbidopa Intestinal Gel on Activiti...
Scientific journals : Article
Human health sciences : Neurology
http://hdl.handle.net/10993/32461
An Observational Study of the Effect of Levodopa-Carbidopa Intestinal Gel on Activities of Daily Living and Quality of Life in Advanced Parkinson's Disease Patients.
English
Krüger, Rejko mailto [University of Luxembourg > Faculty of Science, Technology and Communication (FSTC) > Life Science Research Unit]
Lingor, Paul [> >]
Doskas, Triantafyllos [> >]
Henselmans, Johanna M. L. [> >]
Danielsen, Erik H. [> >]
de Fabregues, Oriol [> >]
Stefani, Alessandro [> >]
Sensken, Sven-Christian [> >]
Parra, Juan Carlos [> >]
Onuk, Koray [> >]
Yegin, Ashley [> >]
Antonini, Angelo [> >]
19-Jun-2017
Advances in therapy
Yes
International
0741-238X
1865-8652
United States
[en] Activities of daily living ; Levodopa-carbidopa intestinal gel ; Parkinson's disease ; Percutaneous endoscopic gastrojejunostomy ; Quality of life
[en] INTRODUCTION: Continuous delivery of levodopa-carbidopa intestinal gel (LCIG) by percutaneous endoscopic gastrojejunostomy (PEG-J) in advanced Parkinson's disease (PD) patients reduces variability in plasma levels, providing better control of motor fluctuations ("on" and "off" states). The MONOTREAT study assessed the effect of LCIG on activities of daily living, motor and non-motor symptoms, and quality of life in advanced PD patients. METHODS: This prospective, observational study included patients with advanced, levodopa-responsive PD with either 2-4 h of "off" time or 2 h of dyskinesia daily. Patients received LCIG via PEG-J for 16 h continuously. Effectiveness was assessed using Unified PD Rating Scale parts II and III, the Non-Motor Symptom Scale, and the PD Questionnaire-8. RESULTS: The mean (SD) treatment duration was 275 (157) days. Patients experienced significant improvement from baseline in activities of daily living at final visit (p < 0.05) as well as at months 3 and 6 (p < 0.0001). Patients also experienced significant improvements from baseline in quality of life and non-motor symptoms at all time points (p < 0.001 for all). Specifically, patients manifested significant improvements in mean change from baseline at every study visit in five of nine non-motor symptom score domains: sleep/fatigue, mood/cognition, gastrointestinal tract, urinary, and miscellaneous. One-third of patients (32.8%) experienced an adverse event; 21.9% experienced a serious adverse event; 11.1% discontinued because of an adverse event. CONCLUSION: This study demonstrated significant and clinically relevant improvements in measures of activities of daily living, quality of life, and a specific subset of non-motor symptoms after treatment with LCIG. FUNDING: AbbVie Inc.
Luxembourg Centre for Systems Biomedicine (LCSB): Clinical & Experimental Neuroscience (Krüger Group) ; Centre Hospitalier de Luxembourg, Luxembourg (Krueger) ; Centre for Neurology, University of Tubingen, Germany
Abbvie Inc.
http://hdl.handle.net/10993/32461
10.1007/s12325-017-0571-2

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