Evidence map›Paper›PMID 40121314›Full record

ArticleJournal of neural transmission (Vienna, Austria : 1996)2026

Real-world experience with continuous subcutaneous foslevodopa/foscarbidopa infusion: insights and recommendations.

Thomas Koeglsperger, Emir Berberovic, Christian Dresel, Sebastian Haferkamp, Jan Kassubek, Rahel Müller, Christian Oehlwein, Sebastian Paus, Peter Paul Urban

Abstract readConsensus Statement
In one paragraph

Article in Journal of neural transmission (Vienna, Austria : 1996), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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. Review
  2. Review
  3. Frailty in Parkinson's disease: time to integrate it into treatment decision-making?Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Advanced Therapeutics in Parkinson's Disease: What's New?Current neurology and neuroscience reports · 2026
    Review
  12. Article
  13. Improvement of Pisa syndrome in Parkinson's disease following continuous subcutaneous infusion of foslevodopa/foscarbidopa.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  14. Article
  15. Article
  16. Observational
  17. Disease-modifying, multidimensional efficacy of putaminal CaMolecular therapy : the journal of the American Society of Gene Therapy · 2025
    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

9 authors.

Thomas KoeglspergerDepartment of Neurology, LMU University Hospital, LMU Munich, Munich, Germany. thomas.koeglsperger@med.uni-muenchen.de.
Emir BerberovicParkinson-Klinik Ortenau, Wolfach, Germany.
Christian DreselDepartment of Neurology, University Medical Center Mainz, Johannes Gutenberg University, Mainz, Germany.
Sebastian HaferkampDepartment of Dermatology, University Hospital Regensburg, Regensburg, Germany.
Jan KassubekDepartment of Neurology, University Hospital Ulm, Ulm, Germany.
Rahel MüllerDepartment of Neurology, University Hospital Augsburg, Augsburg, Germany.
Christian OehlweinNeurology Private Practice, Gera, Germany.
Sebastian PausDepartment of Neurology, GFO Kliniken Troisdorf, Troisdorf, Germany.
Peter Paul UrbanDepartment of Neurology, Asklepios Klinik Barmbek, Hamburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Traditional advanced therapies in Parkinson's disease (PD) with motor fluctuations and dyskinesias like continuous apomorphine infusion (CSAI), levodopa-carbidopa intestinal gel (LCIG), levodopa-carbidopa entacapone intestinal gel (LECIG), or deep brain stimulation (DBS) have played a central role in managing therapy-related complications. Recently, continuous subcutaneous foslevodopa/foscarbidopa infusion (CSFLI) has emerged as a novel therapeutic option. This manuscript provides insights from one year of real-world experience with CSFLI, addressing critical questions that clinicians face when selecting the most appropriate therapy for advanced PD. Our discussion centers on key considerations for patient selection, exploring which individuals may benefit more from CSFLI compared to other device-aided therapies. We highlight CSFLI's advantages in flexibility and ease of use but also consider limitations, particularly its side effects, such as skin-related issues. Recommendations are presented on how to prevent and manage these adverse effects to maximize patient compliance and therapeutic success. Additionally, the paper examines strategies for optimizing concurrent oral medications when combined with CSFLI, providing guidance on balancing pump infusion with necessary adjunctive oral treatments.

Indexed as

Antiparkinson AgentsCarbidopaLevodopaParkinson DiseaseDrug CombinationsHumansInfusions, SubcutaneousAntiparkinson AgentsCarbidopacarbidopa, levodopa drug combinationDrug CombinationsLevodopaAdvanced TreatmentFoslevodopa/FoscarbidopaMotor FluctuationsParkinson’s disease

Identifiers

PMID40121314
PMCPMC12855247

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.