Evidence map›Paper›PMID 37632656›Full record

ArticleNeurology and therapy2023

Continuous Subcutaneous Foslevodopa/Foscarbidopa in Parkinson's Disease: Safety and Efficacy Results From a 12-Month, Single-Arm, Open-Label, Phase 3 Study.

Jason Aldred, Eric Freire-Alvarez, Alexander V Amelin, Angelo Antonini, Bruno Bergmans, Filip Bergquist, Manon Bouchard, Kumar Budur, Camille Carroll, K Ray Chaudhuri and 12 more

Erratum issued 2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Neurology and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 2 registered trials, which are not on this map. Cited by 91 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed, 6 pooled it
19.3field-weighted citation impact, top 1% 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.

NCT03781167 phase3completednot on this map

A 52-Week, Open-label, Single-arm Study to Evaluate the Safety and Tolerability of 24-hour Daily Exposure of Continuous Subcutaneous Infusion of ABBV-951 in Subjects With Parkinson's Disease

TypeinterventionalSponsorAbbVieRan2019 to 2022Enrolled244ConditionsParkinson's Disease (PD)ArmsABBV-951
NCT04380142 phase3completednot on this map

A Randomized, Double-Blind, Double-Dummy, Active-Controlled Study Comparing the Efficacy, Safety and Tolerability of ABBV-951 to Oral Carbidopa/Levodopa in Advanced Parkinson's Disease Patients

TypeinterventionalSponsorAbbVieRan2020 to 2021Enrolled174ConditionsParkinson's Disease (PD)ArmsABBV-951, Placebo for Levodopa/Carbidopa (LD/CD), Levodopa/Carbidopa (LD/CD), Placebo for ABBV-951
3 · Its place in the literature

Who cites it

91 citing papers in PubMed, 6 syntheses or guidelines pooled it, 94 citations in OpenAlex.

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31 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 17 institutions in 12 countries.

Jason AldredSelkirk Neurology and Inland Northwest Research, 610 S Sherman St, Spokane, WA, 99202, USA. JAldred@selkirkneurology.com.ORCID http://orcid.org/0000-0001-7441-0967
Eric Freire-AlvarezNeurology Department, University General Hospital of Elche, Carrer Almazara, 11, 03203, Elche, Spain.ORCID http://orcid.org/0000-0002-1748-0325
Alexander V AmelinDepartment of Neurology and Neurosurgery, Pavlov First Saint Petersburg State Medical University, Ulitsa L'va Tolstogo, 6-8, St. Petersburg, 197022, Russia.ORCID http://orcid.org/0000-0001-6437-232X
Angelo AntoniniParkinson and Movement Disorders Unit, Department of Neuroscience, Padua University, Via VIII Febbraio, 2, 35122, Padua, Italy.ORCID http://orcid.org/0000-0003-1040-2807
Bruno BergmansDepartment of Neurology, AZ St-Jan Brugge-Oostende AV, Ruddershove 10, 8000, Brugge, Belgium.ORCID http://orcid.org/0000-0002-1463-8262
Filip BergquistDepartment of Pharmacology, University of Gothenburg, Universitetsplatsen 1, 405 30, Gothenburg, Sweden.ORCID http://orcid.org/0000-0002-3437-0267
Manon BouchardClinique Neuro-Lévis, 1190 A Rue de Courchevel #301, Lévis, QC, G6W 0M5, Canada.
Kumar BudurAbbVie Inc., 1 N. Waukegan Road, North Chicago, IL, 60064, USA.
Camille CarrollFaculty of Health, University of Plymouth, Drake Circus, Plymouth, PL4 8AA, UK.ORCID http://orcid.org/0000-0001-7472-953X
K Ray ChaudhuriParkinson's Foundation International Centre of Excellence, King's College Hospital, Denmark Hill, London, SE5 9RS, UK.ORCID http://orcid.org/0000-0003-2815-0505
Susan R CriswellDepartment of Neurology, Washington University in St. Louis, 1 Brookings Dr, St. Louis, MO, 63130, USA.ORCID http://orcid.org/0000-0001-8467-371X
Erik H DanielsenDepartment of Neurology, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200, Aarhus, Denmark.
Florin GandorMovement Disorders Hospital, Straße Nach Fichtenwalde 16, 14547, Beelitz-Heilstätten, Germany.ORCID http://orcid.org/0000-0003-2874-9817
Jia JiaAbbVie Inc., 1 N. Waukegan Road, North Chicago, IL, 60064, USA.
Thomas E KimberDepartment of Neurology, Royal Adelaide Hospital, Port Road, Adelaide, SA, 5000, Australia.ORCID http://orcid.org/0000-0002-6496-7400
Hideki MochizukiDepartment of Neurology, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.ORCID http://orcid.org/0000-0002-0874-7542
Weining Z RobiesonAbbVie Inc., 1 N. Waukegan Road, North Chicago, IL, 60064, USA.ORCID http://orcid.org/0000-0003-0557-1075
Amy M SpiegelAbbVie Inc., 1 N. Waukegan Road, North Chicago, IL, 60064, USA.
David G StandaertDepartment of Neurology, Heersink School of Medicine, University of Alabama at Birmingham, 1670 University Blvd, Birmingham, AL, 35233, USA.ORCID http://orcid.org/0000-0003-2921-8348
Saritha TalapalaAbbVie Inc., 1 N. Waukegan Road, North Chicago, IL, 60064, USA.
Maurizio F FacherisAbbVie Inc., 1 N. Waukegan Road, North Chicago, IL, 60064, USA.
Victor S C FungMovement Disorders Unit, Westmead Hospital, Cnr Hawkesbury Road and Darcy Rd, Westmead, NSW, 2145, Australia.ORCID http://orcid.org/0000-0003-3085-2282
AbbVie (United States) · USAarhus University Hospital · DKCégep de Lévis · CAFirst Pavlov State Medical University of St. Petersburg · RUGhent University Hospital · BEHospital General Universitario de Elche · ESInland Northwest Health Services · USKing's College London · GBNeurologisches Fachkrankenhaus für Bewegungsstörungen/Parkinson · DERoyal Adelaide Hospital · AUThe University of Osaka · JPThe University of Sydney · AUUniversity of Alabama at Birmingham · USUniversity of Gothenburg · SEUniversity of Padua · ITUniversity of Plymouth · GBWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFoslevodopa/foscarbidopa, a soluble formulation of levodopa/carbidopa (LD/CD) prodrugs for the treatment of Parkinson's disease (PD), is administered as a 24-hour/day continuous subcutaneous infusion (CSCI) with a single infusion site. The efficacy and safety of foslevodopa/foscarbidopa versus oral immediate-release LD/CD was previously demonstrated in patients with PD in a 12-week, randomized, double-blind, phase 3 trial (NCT04380142). We report the results of a separate 52-week, open-label, phase 3 registrational trial (NCT03781167) that evaluated the safety/tolerability and efficacy of 24-hour/day foslevodopa/foscarbidopa CSCI in patients with advanced PD.

methodsMale and female patients with levodopa-responsive PD and ≥ 2.5 hours of "Off" time/day received 24-hour/day foslevodopa/foscarbidopa CSCI at individually optimized therapeutic doses (approximately 700-4250 mg of LD per 24 hours) for 52 weeks. The primary endpoint was safety/tolerability. Secondary endpoints included changes from baseline in normalized "Off" and "On" time, percentage of patients reporting morning akinesia, Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS), Parkinson's Disease Sleep Scale-2 (PDSS-2), 39-item Parkinson's Disease Questionnaire (PDQ-39), and EuroQol 5-dimension questionnaire (EQ-5D-5L).

resultsOf 244 enrolled patients, 107 discontinued, and 137 completed treatment. Infusion site events were the most common adverse events (AEs). AEs were mostly nonserious (25.8% of patients reported serious AEs) and mild/moderate in severity. At week 52, "On" time without troublesome dyskinesia and "Off" time were improved from baseline (mean [standard deviation (SD)] change in normalized "On" time without troublesome dyskinesia, 3.8 [3.3] hours; normalized "Off" time, -3.5 [3.1] hours). The percentage of patients experiencing morning akinesia dropped from 77.7% at baseline to 27.8% at week 52. Sleep quality (PDSS-2) and quality of life (PDQ-39 and EQ-5D-5L) also improved.

conclusionFoslevodopa/foscarbidopa has the potential to provide a safe and efficacious, individualized, 24-hour/day, nonsurgical alternative for patients with PD. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov identifier NCT03781167.

Indexed as

Advanced Parkinson’s diseaseFoslevodopa/foscarbidopaLevodopa/carbidopa prodrugsMotor fluctuationsSubcutaneous infusion

Identifiers

PMID37632656
PMCPMC10630297
OpenAlexW4386189439

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.