TY - JOUR
T1 - Terguride in fluctuating parkinsonian patients
T2 - A double-blind study versus placebo
AU - Pacchetti, C.
AU - Martignoni, E.
AU - Bruggi, P.
AU - Godi, L.
AU - Aufdembrinke, B.
AU - Miltenburger, C.
AU - Voet, B.
AU - Nappi, G.
PY - 1993
Y1 - 1993
N2 - Terguride (TER), a semisynthetic derivative of lisuride, has been found to display dopamine (DA) agonist and DA antagonist effects in animals, depending on the experimental model used. TER (2 mg/day) was compared to placebo in 41 fluctuating Parkinson's disease patients to test its effect on akinesia and dyskinesia. Mean hours 'off' decreased at weeks 6 and 12 (p <0.05) in the TER group but the overall difference from the placebo group was not significant. Only the TER group displayed a decrease over time in mean Columbia University Rating Scale total score 'on' and 'off' (p = 0.001 and p = 0.03, respectively). Duration of involuntary movements and resulting disability were not significantly different between patients on TER and those on placebo administration. In the overall evaluation, patients preferred TER (p = 0.01). Tolerance of TER was very good in all but one patient whose wearing-off increased, no one dropped out because of side effects. This 3-month double-blind study showed that TER, added to stable doses of L-dopa, may have slight antiparkinsonian efficacy.
AB - Terguride (TER), a semisynthetic derivative of lisuride, has been found to display dopamine (DA) agonist and DA antagonist effects in animals, depending on the experimental model used. TER (2 mg/day) was compared to placebo in 41 fluctuating Parkinson's disease patients to test its effect on akinesia and dyskinesia. Mean hours 'off' decreased at weeks 6 and 12 (p <0.05) in the TER group but the overall difference from the placebo group was not significant. Only the TER group displayed a decrease over time in mean Columbia University Rating Scale total score 'on' and 'off' (p = 0.001 and p = 0.03, respectively). Duration of involuntary movements and resulting disability were not significantly different between patients on TER and those on placebo administration. In the overall evaluation, patients preferred TER (p = 0.01). Tolerance of TER was very good in all but one patient whose wearing-off increased, no one dropped out because of side effects. This 3-month double-blind study showed that TER, added to stable doses of L-dopa, may have slight antiparkinsonian efficacy.
KW - Long-term L-dopa syndrome
KW - Parkinson's disease
KW - Terguride
UR - http://www.scopus.com/inward/record.url?scp=0027380410&partnerID=8YFLogxK
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M3 - Article
C2 - 7901760
AN - SCOPUS:0027380410
VL - 8
SP - 463
EP - 465
JO - Movement Disorders
JF - Movement Disorders
SN - 0885-3185
IS - 4
ER -