Evidence map›Paper›PMID 26779024›Full record

ReviewFrontiers in pharmacology2015

The Human Experience with Intravenous Levodopa.

Shan H Siddiqi, Natalia K Abraham, Christopher L Geiger, Morvarid Karimi, Joel S Perlmutter, Kevin J Black

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Frontiers in pharmacology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03205956 (Dopamine Buffering Capacity Measured by phMRI as a Novel Biomarker of Disease Progression in PD), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03205956 phase1completednot on this mapstarted 2017, after this paper: background citation

Dopamine Buffering Capacity Measured by phMRI as a Novel Biomarker of Disease Progression in PD

TypeinterventionalSponsorKevin J. Black, MDRan2017 to 2019Enrolled31ConditionsParkinson's DiseaseArmsLevodopa
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
  2. The Treatment of Older Patients with Parkinson's Disease.Deutsches Arzteblatt international · 2025
    Review
  3. Stem Cell-Based Approaches in Parkinson's Disease Research.International journal of stem cells · 2025
    Review
  4. Interaction of silver nanoparticles with catecholBiochemistry and biophysics reports · 2021
    Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Shan H SiddiqiDepartment of Psychiatry, Washington University School of Medicine St. Louis, MO, USA.
Natalia K AbrahamSchool of Epidemiology, Public Health and Preventive Medicine, University of Ottawa Ottawa, ON, Canada.
Christopher L GeigerDepartment of Internal Medicine, University of Washington Seattle, WA, USA.
Morvarid KarimiDepartment of Neurology, Washington University School of Medicine St. Louis, MO, USA.
Joel S PerlmutterPrograms in Occupational Therapy and Physical Therapy, Division of Biology and Biomedical Sciences, Departments of Neurology, Radiology, and Anatomy and Neurobiology, Washington University School of Medicine St. Louis, MO, USA.
Kevin J BlackDivision of Biology and Biomedical Sciences, Departments of Psychiatry, Neurology, Radiology, and Anatomy and Neurobiology, Washington University School of Medicine St. Louis, MO, USA.
Washington University in St. Louis · USUniversity of Ottawa · CAUniversity of Washington · US

Funding

INVESTIGATIONS OF DEMENTIA IN PARKINSON DISEASER01NS075321 · NINDS · WASHINGTON UNIVERSITY · PI CAMPBELL, MEGHAN C, PERLMUTTER, JOEL SYNES · 2011 to 2021
$8.2M
MECHANISMS OF DEEP BRAIN STIMULATIONR01NS041509 · NINDS · WASHINGTON UNIVERSITY · PI PERLMUTTER, JOEL SYNES · 2001 to 2015
$6.8M
VALIDATION OF NEUROIMAGING BIOMARKERS FOR NIGROSTRIATAL NEURONSR01NS058714 · NINDS · WASHINGTON UNIVERSITY · PI PERLMUTTER, JOEL SYNES · 2008 to 2016
$4.4M
Training New Investigators in Neuroimaging and in the Neuropsychiatry of MovementK24MH087913 · NIMH · WASHINGTON UNIVERSITY · PI BLACK, KEVIN J · 2010 to 2014
$818k
NIMH NIH HHS K24 MH087913NINDS NIH HHS R01 NS041509NINDS NIH HHS R01 NS058714NINDS NIH HHS R01 NS075321
6 · The paper itself

Abstract

objectiveTo compile a comprehensive summary of published human experience with levodopa given intravenously, with a focus on information required by regulatory agencies.

backgroundWhile safe intravenous (IV) use of levodopa has been documented for over 50 years, regulatory supervision for pharmaceuticals given by a route other than that approved by the U.S. Food and Drug Administration (FDA) has become increasingly cautious. If delivering a drug by an alternate route raises the risk of adverse events, an investigational new drug (IND) application is required, including a comprehensive review of toxicity data.

methodsOver 200 articles referring to IV levodopa were examined for details of administration, pharmacokinetics, benefit, and side effects.

resultsWe identified 142 original reports describing IVLD use in humans, beginning with psychiatric research in 1959-1960 before the development of peripheral decarboxylase inhibitors. At least 2760 subjects have received IV levodopa, and reported outcomes include parkinsonian signs, sleep variables, hormone levels, hemodynamics, CSF amino acid composition, regional cerebral blood flow, cognition, perception and complex behavior. Mean pharmacokinetic variables were summarized for 49 healthy subjects and 190 with Parkinson's disease. Side effects were those expected from clinical experience with oral levodopa and dopamine agonists. No articles reported deaths or induction of psychosis.

conclusionAt least 2760 patients have received IV levodopa with a safety profile comparable to that seen with oral administration.

Indexed as

carbidopaDOPAFDAINDintravenouslevodopaParkinsonpharmacokinetics

Identifiers

PMID26779024
PMCPMC4701937
OpenAlexW2258937294

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.