Safety and effectiveness of rasagiline in patients with Parkinson's disease in Japan : a post-marketing surveillance study

BACKGROUND: Rasagiline is a monoamine oxidase B inhibitor for the treatment of Parkinson's disease (PD). This study assessed the safety and effectiveness of rasagiline in patients with PD in routine clinical practice in Japan.

RESEARCH DESIGN AND METHODS: This multicenter, prospective, observational study (148 sites) enrolled patients (1 November 2018-31 October 2020) with PD. Patients received rasagiline orally 1 mg once daily; maximum observation period was 24 months. The incidence of adverse drug reactions (ADRs) was evaluated; effectiveness was assessed using the Unified Parkinson's Disease Rating Scale (UPDRS) Part III total score.

RESULTS: The safety analysis set comprised 961 patients (mean age, 72.50 years; 53.80% female; mean duration of PD, 6.82 years). Mean treatment duration was 14.74 months, with 42.25% receiving rasagiline for ≥ 19 months; 189 (19.67%) had ≥ 1 ADR. Common ADRs were dyskinesia (4.06%), orthostatic hypotension (2.29%), hallucination (1.87%), visual hallucination, nausea, fall (1.56% each), dizziness (1.35%), and somnolence (1.25%). Mean (standard deviation) UPDRS Part III total score was 28.5 (14.35) at baseline and 25.5 (14.98) at the final assessment.

CONCLUSIONS: No new concerns in safety and effectiveness regarding rasagiline in Japanese patients with PD were raised.

TRIAL REGISTRATION: ClinicalTrials.gov: NCT03727139; Japan Pharmaceutical Information Center Clinical Trials Information: JapicCTI-184181.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:23

Enthalten in:

Expert opinion on drug safety - 23(2024), 1 vom: 09. Jan., Seite 79-88

Sprache:

Englisch

Beteiligte Personen:

Hattori, Nobutaka [VerfasserIn]
Kajita, Mika [VerfasserIn]
Fujimoto, Shinji [VerfasserIn]
Izutsu, Miwa [VerfasserIn]
Fernandez, Jovelle [VerfasserIn]

Links:

Volltext

Themen:

003N66TS6T
Antiparkinson Agents
Indans
Japanese
Journal Article
Monoamine Oxidase Inhibitors
Monoamine oxidase inhibitors
Multicenter Study
Observational Study
Parkinson’s disease
Product surveillance, postmarketing
Rasagiline

Anmerkungen:

Date Completed 14.02.2024

Date Revised 14.02.2024

published: Print-Electronic

ClinicalTrials.gov: NCT03727139

Citation Status MEDLINE

doi:

10.1080/14740338.2023.2293207

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM366151878