Evidence map›Paper›PMID 32986682›Full record

Trial reportJournal of Parkinson's disease2020

The D1/D5 Dopamine Partial Agonist PF-06412562 in Advanced-Stage Parkinson's Disease: A Feasibility Study.

Xuemei Huang, Mechelle M Lewis, Lauren Jodi Van Scoy, Sol De Jesus, Paul J Eslinger, Amy C Arnold, Amanda J Miller, Julio Fernandez-Mendoza, Bethany Snyder, William Harrington and 8 more

Open access · greenAbstract readClinical Trial, Phase IComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of Parkinson's disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 11% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. The Signaling and Pharmacology of the Dopamine D1 Receptor.Frontiers in cellular neuroscience · 2021
    Pooled it
  2. Dopamine DBiomolecules · 2023
    Trial
  3. Cardiovascular pharmacology of dopaminergic agents in humans: a review.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Review
  4. Review
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Role of dopamine agonists in Parkinson's disease therapy.Journal of neural transmission (Vienna, Austria : 1996) · 2023
    Review
  11. Review
  12. A Dopamine DThe Journal of pharmacology and experimental therapeutics · 2022
    Article
  13. Dopamine DThe international journal of biochemistry & cell biology · 2022
    Article
  14. Article
  15. Functional Selectivity of Dopamine DInternational journal of molecular sciences · 2021
    Review
  16. Review
  17. DEuropean journal of pharmacology · 2021
    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

18 authors at 4 institutions in 1 country.

Xuemei HuangDepartment of Neurology, Penn State College of Medicine, Hershey, PA, USA.
Mechelle M LewisDepartment of Neurology, Penn State College of Medicine, Hershey, PA, USA.
Lauren Jodi Van ScoyDepartment of Medicine, Penn State College of Medicine, Hershey, PA, USA.
Sol De JesusDepartment of Neurology, Penn State College of Medicine, Hershey, PA, USA.
Paul J EslingerDepartment of Neurology, Penn State College of Medicine, Hershey, PA, USA.
Amy C ArnoldDepartment of Neural and Behavioral Sciences, Penn State College of Medicine, Hershey, PA, USA.
Amanda J MillerDepartment of Neural and Behavioral Sciences, Penn State College of Medicine, Hershey, PA, USA.
Julio Fernandez-MendozaDepartment of Neural and Behavioral Sciences, Penn State College of Medicine, Hershey, PA, USA.
Bethany SnyderDepartment of Neurology, Penn State College of Medicine, Hershey, PA, USA.
William HarringtonDepartment of Neurology, Penn State College of Medicine, Hershey, PA, USA.
Lan KongDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, PA, USA.
Xi WangDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, PA, USA.
Dongxiao SunDepartment of Pharmacology, Penn State College of Medicine, Hershey, PA, USA.
Marielle DelnomdedieuPfizer Inc., Cambridge, MA, USA.
Sridhar DuvvuriCerevel Neurosciences LLC., Boston, MA, USA.
Susan E MahoneyPfizer Inc., Cambridge, MA, USA.
David L GrayCerevel Neurosciences LLC., Boston, MA, USA.
Richard B MailmanDepartment of Neurology, Penn State College of Medicine, Hershey, PA, USA.
Penn State Milton S. Hershey Medical Center · USCerevel Therapeutics (United States) · USPennsylvania State University · USPfizer (United States) · US

Funding

Penn State Clinical and Translational Science InstituteUL1TR002014 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KRASCHNEWSKI, JENNIFER L. · 2016 to 2025
$33.7M
Regional Brain Manganese Accumulation and Functional Consequences in WeldersR01ES019672 · NIEHS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI HUANG, XUEMEI · 2011 to 2021
$5.9M
Discovery of Multimodal Biomarkers for Parkinsonian Syndromes, Their Progression, and Pathological RelevanceU01NS112008 · NINDS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI HUANG, XUEMEI, KANTHASAMY, ANUMANTHA GOUNDER · 2019 to 2023
$5.5M
Multimodal MRI Markers of Nigrostriatal Pathology in Parkinson's DiseaseU01NS082151 · NINDS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI HUANG, XUEMEI · 2012 to 2016
$4.2M
Preparing Family Caregivers of Very Ill Patients for End-of-Life Decision MakingR01NR012757 · NINR · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI GREEN, MICHAEL J., LEVI, BENJAMIN H. · 2012 to 2019
$4.0M
The Penn State Child Sleep Cohort: Cardiometabolic and Neurocognitive Risk in Young AdulthoodR01HL136587 · NHLBI · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI FERNANDEZ-MENDOZA, JULIO · 2018 to 2022
$3.7M
Structural MRI marker(s) of Parkinson's Disease's ProgressionR01NS060722 · NINDS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI HUANG, XUEMEI · 2009 to 2013
$2.9M
Sleep Cortical Dynamics and Neurobehavioral Risk in Children and Adolescents: A Longitudinal StudyR01MH118308 · NIMH · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI FERNANDEZ-MENDOZA, JULIO · 2019 to 2021
$1.2M
In vivo agonist molecular probes for the dopamine D1 receptorR01NS105471 · NINDS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI MAILMAN, RICHARD B, SHARMA, ARUN K · 2018 to 2020
$1.0M
Autonomic: Angiotensin-(1-7) Interactions in HypertensionR00HL122507 · NHLBI · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI ARNOLD, AMY CHRISTINE · 2016 to 2018
$741k
Communication quality analysis of end-of-life discussions by cliniciansR21NR017259 · NINR · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI VAN SCOY, LAUREN JODI · 2018 to 2019
$442k
NCATS NIH HHS UL1 TR002014NHLBI NIH HHS R00 HL122507NHLBI NIH HHS R01 HL136587NIEHS NIH HHS R01 ES019672NIMH NIH HHS R01 MH118308NINDS NIH HHS R01 NS060722NINDS NIH HHS R01 NS105471NINDS NIH HHS U01 NS082151NINDS NIH HHS U01 NS112008NINR NIH HHS R01 NR012757NINR NIH HHS R21 NR017259
6 · The paper itself

Abstract

backgroundCurrent drug treatments have little efficacy in advanced-to-end-stage Parkinson's disease (advPD), yet there are no reports of interventional trials in advPD. D1 dopamine agonists have the potential to provide benefit.

objectiveTo determine the feasibility and safety of the selective D1/D5 dopamine partial agonist PF 06412562 in advPD.

methodsA two-week, randomized, double blind, crossover phase Ib study in advPD patients compared standard-of-care (SoC) carbidopa/levodopa with PF 06412562. Each week, there was a Day 1 baseline evaluation with overnight levodopa washout, then treatment on Days 2 and 3 with either SoC or PF-06412562 (split dose 25 + 20 mg), followed by discharge on Day 4. Primary endpoints were safety and tolerability. Secondary endpoints were global clinical impression of change (GCI-C) rated by clinicians and caregivers.

resultsEight advPD patients and their caregivers consented to participate and six were randomized (average disease duration: 22 y). None withdrew voluntarily. One participant with baseline Day 1 dehydration, pre-renal kidney injury, and autonomic dysfunction experienced symptomatic and serious hypotension after receiving PF-06412562 in Week 1 and was discontinued from the study. All other adverse events were rated mild (PF-06412562: n = 1, SoC: n = 0), moderate (PF-06412562: n = 1, SoC: n = 1), or severe but non-serious (PF-06412562: n = 3, SoC: n = 2). No clinically meaningful laboratory changes were observed. Among the five participants who completed the study, GCI-C favored PF-06412562 in two per clinicians' and four participants per caregivers' rating.

conclusionPF-06412562 was tolerated in advPD patients. This study provides the feasibility for future safety and efficacy studies in this population with unmet needs.

Indexed as

AgedCarbidopaCross-Over StudiesDopamine AgonistsDouble-Blind MethodDrug CombinationsFeasibility StudiesFemaleHumansLevodopaMaleMiddle AgedOutcome Assessment, Health CareParkinson DiseaseReceptors, Dopamine D1Receptors, Dopamine D5Carbidopacarbidopa, levodopa drug combinationDopamine AgonistsDrug CombinationsLevodopaReceptors, Dopamine D1Receptors, Dopamine D5advanced Parkinson’s diseaseD1 dopamine receptordopamine D1 agonistsfeasibilityTrial Registration#: ClinicalTrials.gov:NCT03665454levodopasafety

Identifiers

PMID32986682
PMCPMC8640973
OpenAlexW3089057524

What OpenQuestion holds

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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.