Evidence map›Paper›PMID 27425586›Full record

SynthesisEuropean journal of neurology2016

Impulse control disorder related behaviours during long-term rotigotine treatment: a post hoc analysis.

A Antonini, K R Chaudhuri, B Boroojerdi, M Asgharnejad, L Bauer, F Grieger, D Weintraub

Open access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis in European journal of neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
6.5field-weighted citation impact, top 3% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Guideline
  2. A meta-analysis evaluating effects of the rotigotine in Parkinson's disease, focusing on sleep disturbances and activities of daily living.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Pooled it
  3. Impulse control and related behavioral disorders in Parkinson's disease. Risk factors, diagnosis, and management. Is there a possible role for non-invasive brain stimulation?Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Genetic prediction of impulse control disorders in Parkinson's disease.Annals of clinical and translational neurology · 2022
    Article
  12. Article
  13. Review
  14. Review
  15. Management of psychiatric disorders in Parkinson's disease : Neurotherapeutics - Movement Disorders Therapeutics.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2020
    Review
  16. Observational
  17. Article
  18. The Neuropsychiatry of Parkinson Disease: A Perfect Storm.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2019
    Review
  19. Review
  20. Review
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

7 authors at 5 institutions in 4 countries.

A AntoniniParkinson Unit, IRCCS Hospital San Camillo, Venice, Italy. angelo3000@yahoo.com.
K R ChaudhuriNational Parkinson Foundation International Centre of Excellence, King's College Hospital, King's College, London, UK.
B BoroojerdiUCB Pharma, Monheim am Rhein, Germany.
M AsgharnejadUCB Pharma, Raleigh, NC, USA.
L BauerUCB Pharma, Monheim am Rhein, Germany.
F GriegerUCB Pharma, Monheim am Rhein, Germany.
D WeintraubDepartments of Psychiatry and Neurology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
UCB Pharma (Germany) · DEIRCCS San Camillo Hospital · ITKing's College London · GBUCB Pharma (United States) · USUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeDopamine agonists in Parkinson's disease (PD) are associated with impulse control disorders (ICDs) and other compulsive behaviours (together called ICD behaviours). The frequency of ICD behaviours reported as adverse events (AEs) in long-term studies of rotigotine transdermal patch in PD was evaluated.

methodsThis was a post hoc analysis of six open-label extension studies up to 6 years in duration. Analyses included patients treated with rotigotine for at least 6 months and administered the modified Minnesota Impulse Disorders Interview. ICD behaviours reported as AEs were identified and categorized.

resultsFor 786 patients, the mean (±SD) exposure to rotigotine was 49.4 ± 17.6 months. 71 (9.0%) patients reported 106 ICD AEs cumulatively. Occurrence was similar across categories: 2.5% patients reported 'compulsive sexual behaviour', 2.3% 'buying disorder', 2.0% 'compulsive gambling', 1.7% 'compulsive eating' and 1.7% 'punding behaviour'. Examining at 6-month intervals, the incidence was relatively low during the first 30 months; it was higher over the next 30 months, peaking in the 54-60-month period. No ICD AEs were serious, and 97% were mild or moderate in intensity. Study discontinuation occurred in seven (9.9%) patients with ICD AEs; these then resolved in five patients. Dose reduction occurred for 23 AEs, with the majority (73.9%) resolving.

conclusionsIn this analysis of >750 patients with PD treated with rotigotine, the frequency of ICD behaviour AEs was 9.0%, with a specific incidence timeline observed. Active surveillance as duration of treatment increases may help early identification and management; once ICD behaviours are present rotigotine dose reduction may be considered.

Indexed as

AgedDisruptive, Impulse Control, and Conduct DisordersDopamine AgonistsFemaleHumansMaleMiddle AgedParkinson DiseaseTetrahydronaphthalenesThiophenesDopamine AgonistsrotigotineTetrahydronaphthalenesThiophenesclinical trialdopamine agonistsimpulse control disorderslong-term treatmentParkinson's diseaserotigotine transdermal patch

Identifiers

PMID27425586
PMCPMC5096013
OpenAlexW2504162177

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.