Evidence map›Paper›PMID 42016531›Full record

ArticleClinical parkinsonism & related disorders2026

Opicapone in Parkinson's patients with motor fluctuations: clinical assessments and patient-reported outcomes from the OPTI-ON study.

Olga Klepitskaya, Peter A LeWitt, Camilla Kilbane, Lauren C Seeberger, Stuart H Isaacson, Ramon Gil, Ryan S Drake, Galit Kleiner, Glenn T Stebbins, Michael Serbin and 5 more

Abstract read
In one paragraph

Article in Clinical parkinsonism & related disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

15 authors.

Olga KlepitskayaNeurocrine Biosciences, San Diego, CA, USA.
Peter A LeWittWayne State University School of Medicine, Sastry Foundation Endowed Chair in Parkinson's Disease Research, Detroit, MI, USA.
Camilla KilbaneDepartment of Neurology, Case Western Reserve University Center, University Hospitals Parkinson's Disease and Movement Disorder Center, Cleveland, OH, USA.
Lauren C SeebergerCharleston Area Medical Center Institute of Academic Medicine, Charleston, WV, USA.
Stuart H IsaacsonParkinson's Disease and Movement Disorders Center of Boca Raton, Boca Raton, FL, USA.
Ramon GilParkinson's Disease Treatment Center of SWFL, Port Charlotte, FL, USA.
Ryan S DrakeNeuroCare Center, Canton, OH, USA.
Galit KleinerAustin Centre for Neurology and Behavioral Supports, Baycrest Health Sciences, Katz Interprofessional Research Program in Geriatric Dementia Care, Rotman Research Institute, Division of Neurology, Department of Medicine, University of Toronto, Toronto, ON, Canada.
Glenn T StebbinsDepartment of Neurological Sciences, Rush University Medical Center, Chicago, IL, USA.
Michael SerbinNeurocrine Biosciences, San Diego, CA, USA.
Helena C BrigasBIAL - Portela & Ca S.A., Coronado, Portugal.
Daniel RamosBIAL - Portela & Ca S.A., Coronado, Portugal.
Stacy RattanaWorldwide Clinical Trials, Durham, NC, USA.
Jeff TrotterWorldwide Clinical Trials, Durham, NC, USA.
Grace LiangNeurocrine Biosciences, San Diego, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: This study evaluated treatment outcomes of opicapone when used as add-on to levodopa in US patients with Parkinson's disease (PD) experiencing OFF episodes in clinical settings. Methods: The prospective, open-label, multicenter, observational OPTI-ON study examined patient characteristics, treatment outcomes, and safety/tolerability of Opicapone over 6 months. Clinician-reported outcomes included the Clinician Global Impression of Change (CGI-C), and Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Parts IA and IV. Patient-reported outcomes included the Patient Global Impression of Change (PGI-C), MDS-UPDRS Parts IB and II, and the novel Patient Global Impression of Severity in ON and OFF states (PGI-S ON and OFF) and Non-motor Fluctuation Assessment (NoMoFa). Results: The completer set included 161 patients (mean age, 66.8 years; PD duration, 7.8 years; fluctuation onset, 3.6 years). 38.0% of patients were 'very much/much improved' on CGI-C; 48.7% and 57.5% showed improvement on MDS-UPDRS Parts IA and IV, respectively; 23.5% of patients rated themselves 'very much/much improved' on PGI-C, and 49.5% and 56.5% reported improvements on MDS-UPDRS Parts IB and II, respectively. On PGI-S ON, the proportions of patients with 'none/very mild' PD symptoms during ON times were maintained, while, on PGI-S OFF, the proportion of patients with 'moderately to extremely severe' PD symptoms during OFF times decreased by 12.7%. NoMoFa Total Score improved in 48.0% of patients. Opicapone was generally well tolerated. Conclusions: In clinical practice, OPC treatment led to improvements in motor and non-motor fluctuations, quality of OFF episodes, and was generally well tolerated.

Indexed as

Catechol-O-methyltransferaseLevodopaMotor fluctuationsOpicaponeParkinson’s disease

Identifiers

PMID42016531
PMCPMC13092661

What OpenQuestion holds

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Registered trials

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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.