Evidence map›Paper›PMID 33772855›Full record

ArticleAnnals of neurology2021

Foslevodopa/Foscarbidopa: A New Subcutaneous Treatment for Parkinson's Disease.

Matthew Rosebraugh, Eric A Voight, Ehab M Moussa, Feroz Jameel, Xiaochun Lou, Geoff G Z Zhang, Peter T Mayer, Deanne Stolarik, Robert A Carr, Brian P Enright and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Annals of neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
5.0field-weighted citation impact, top 4% 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

49 citing papers in PubMed, 2 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. Pooled it
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  8. On-demand therapies-emergency medication or daily routine?Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
  9. Do We Need to Monitor B-Vitamins and Homocysteine During Initiation of Foslevodopa/Foscarbidopa Therapy?Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
  10. Review
  11. Review
  12. Device aided therapies in Parkinson disease: an expert view on apomorphine.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Advanced Therapeutics in Parkinson's Disease: What's New?Current neurology and neuroscience reports · 2026
    Review
  18. Review
  19. Review
  20. 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

13 authors at 1 institution in 1 country.

Matthew RosebraughClinical Pharmacology and Pharmacometrics, AbbVie Inc., North Chicago, IL.ORCID 0000-0002-8333-7738
Eric A VoightDiscovery Centralized Medicinal Chemistry, AbbVie Inc., North Chicago, IL.
Ehab M MoussaDrug Product Development, AbbVie Inc., North Chicago, IL.
Feroz JameelDrug Product Development, AbbVie Inc., North Chicago, IL.
Xiaochun LouDrug Product Development, AbbVie Inc., North Chicago, IL.
Geoff G Z ZhangDrug Product Development, AbbVie Inc., North Chicago, IL.
Peter T MayerClinical Drug Supply Management, AbbVie Inc., North Chicago, IL.
Deanne StolarikDrug Metabolism Pharmacokinetics and Bioanalysis, AbbVie Inc., North Chicago, IL.
Robert A CarrDrug Metabolism Pharmacokinetics and Bioanalysis, AbbVie Inc., North Chicago, IL.
Brian P EnrightPreclinical Safety, AbbVie Inc., North Chicago, IL.
Wei LiuClinical Pharmacology and Pharmacometrics, AbbVie Inc., North Chicago, IL.
Maurizio F FacherisNeuroscience Development, AbbVie Inc., North Chicago, IL.
Philip R KymDiscovery Centralized Medicinal Chemistry, AbbVie Inc., North Chicago, IL.
AbbVie (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim was to demonstrate that continuous s.c. infusion of a soluble levodopa (LD)/carbidopa (CD) phosphate prodrug combination effectively delivers stable LD exposure via a minimally invasive and convenient mode and has the potential to treat Parkinson's disease (PD) patients who are not well controlled on oral medication.

methodsFoslevodopa and foscarbidopa were prepared and the equilibrium solubility and chemical stability examined in aqueous media with different values of pH. Solutions of foslevodopa/foscarbidopa (ratios ranging from 4:1 to 20:1) were prepared by dissolving pH-adjusted lyophilized materials in water and infused s.c. in healthy volunteers for ≤72 hours. Frequent blood samples were collected to measure LD and CD exposure, and safety was monitored throughout the study.

resultsFoslevodopa/foscarbidopa (ABBV-951) demonstrates high water solubility and excellent chemical stability near physiological pH, enabling continuous s.c. infusion therapy. After s.c. infusion, a stable LD pharmacokinetic (PK) profile was maintained for ≤72 hours, and the infusion was well tolerated.

interpretationPreparation of foslevodopa and foscarbidopa enables preclinical and clinical PK, safety, and tolerability studies in support of their advancement for the treatment of PD. In phase 1 clinical trials, foslevodopa/foscarbidopa demonstrates consistent and stable LD plasma exposure, supporting further studies of this treatment as a potentially transformational option for those suffering from PD. ANN NEUROL 2021;90:52-61.

Indexed as

Antiparkinson AgentsCarbidopaDrug CombinationsHumansLevodopaParkinson DiseaseAntiparkinson AgentsCarbidopacarbidopa, levodopa drug combinationDrug CombinationsLevodopa

Identifiers

PMID33772855
PMCPMC8251848
OpenAlexW3152099035

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.