Timmermann, Lars, Oehlwein, Christian, Ransmayr, Gerhard, Froehlich, Holger, Will, Edgar, Schroeder, Hanna, Lauterbach, Thomas, Bauer, Lars and Kassubek, Jan ORCID: 0000-0002-7106-9270 (2017). Patients' perception of Parkinson's disease-associated pain following initiation of rotigotine: a multicenter non-interventional study. Postgrad. Med., 129 (1). S. 46 - 55. ABINGDON: TAYLOR & FRANCIS LTD. ISSN 1941-9260

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Abstract

Objectives: To evaluate Parkinson's disease (PD)-associated pain as perceived by the patients (subjective characterization), and how this may change following initiation of rotigotine transdermal patch. Methods: SP1058 was a non-interventional study conducted in routine clinical practice in Germany and Austria in patients experiencing PD-associated pain (per the physician's assessment). Data were collected at baseline (ie, before rotigotine initiation) and at a routine visit after >= 25 days (-3 days allowed) of treatment on a maintenance dose of rotigotine (end of study [EoS]). Pain perception was assessed using the 12-item Pain Description List of the validated German Pain Questionnaire (each item ranked 0 = 'not true' to 3 = 'very true'). Primary effectiveness variable: change from baseline to EoS in the sum score of the 4 'affective dimension' items of the Pain Description List. Secondary effectiveness variables: change from baseline to EoS in Unified Parkinson's Disease Rating Scale (UPDRS) II, III, and II+III scores, and Parkinson's Disease Questionnaire (PDQ-8) total score (PD-related quality-of-life). Other variables included scores of the eight 'sensory dimension' items of the Pain Description List. Results: Of 93 enrolled patients (mean [SD] age: 71.1 [9.0] years; male: 48 [52%]), 77 (83%) completed the study, and 70 comprised the full analysis set. The mean (SD) change from baseline in the sum score of the four 'affective dimension' items was-1.3 (2.8) indicating a numerical improvement (baseline: 3.9 [3.4]). In the 'sensory dimension', pain was mostly perceived as 'pulling' at baseline (49/70 [70%]); ' largely true'/' very true'). Numerical improvements were observed in all UPDRS scores (mean [SD] change in UPDRS II+ III:-5.3 [10.5]; baseline: 36.0 [15.9]), and in PDQ-8 total score (-2.0 [4.8]; baseline: 10.7 [5.9]). Adverse drug reactions were consistent with dopaminergic stimulation and transdermal administration. Conclusion: The perception of the 'affective dimension' of PD-associated pain numerically improved in patients treated with rotigotine.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Timmermann, LarsUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Oehlwein, ChristianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ransmayr, GerhardUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Froehlich, HolgerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Will, EdgarUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schroeder, HannaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lauterbach, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bauer, LarsUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kassubek, JanUNSPECIFIEDorcid.org/0000-0002-7106-9270UNSPECIFIED
URN: urn:nbn:de:hbz:38-243938
DOI: 10.1080/00325481.2017.1258953
Journal or Publication Title: Postgrad. Med.
Volume: 129
Number: 1
Page Range: S. 46 - 55
Date: 2017
Publisher: TAYLOR & FRANCIS LTD
Place of Publication: ABINGDON
ISSN: 1941-9260
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
TRANSDERMAL ROTIGOTINE; CONTROLLED-TRIAL; DOUBLE-BLIND; THRESHOLD; LEVODOPA; PLACEBO; PROFILE; PATCHMultiple languages
Medicine, General & InternalMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/24393

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