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SCIENTIFIC LITERATURE · MED

Adenosine A2A receptor antagonist istradefylline reduces daily OFF time in Parkinson's disease.

Mov Disord · 2013-03-11

DOI: 10.1002/mds.25418PMID: 23483627

Open accessother; Research Support, Non-U.S. Gov't; Multicenter Study; Randomized Controlled Trial; Journal ArticleOriginal source ↗

Research overview

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BackgroundWe evaluated the efficacy and safety of istradefylline, a selective adenosine A2A receptor antagonist administered as adjunctive treatment to levodopa for 12 weeks in a double-blind manner in Parkinson's disease patients with motor complications in Japan.MethodsA total of 373 subjects were randomized to receive placebo (n=126), istradefylline 20 mg/day (n=123), or istradefylline 40 mg/day (n=124). The primary efficacy variable was the change in daily OFF time. Other secondary variables were also evaluated.ResultsThe change in daily OFF time was significantly reduced in the istradefylline 20 mg/day (-0.99 hours, P=.003) and istradefylline 40 mg/day (-0.96 hours, P=.003) groups compared with the placebo group (-0.23 hours). The most common adverse event was dyskinesia (placebo, 4.0%; istradefylline 20 mg/day, 13.0%; istradefylline 40 mg/day, 12.1%).ConclusionsIstradefylline reduced daily OFF time and was well tolerated in Japanese PD patients with motor complications on levodopa treatment.

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