PMID- 21244307 OWN - NLM STAT- MEDLINE DCOM- 20120326 LR - 20121115 IS - 1563-5279 (Electronic) IS - 0020-7454 (Linking) VI - 121 IP - 5 DP - 2011 May TI - Long-term, open-label study of once-daily ropinirole prolonged release in early Parkinson's disease. PG - 246-53 LID - 10.3109/00207454.2010.546538 [doi] AB - Long-term safety and efficacy of once-daily ropinirole prolonged release (PR) were evaluated in subjects with early Parkinson's disease (PD). Subjects (n = 83) who completed one of two studies were enrolled in this open-label, multicenter, extension study, and followed for up to 78 months. Ropinirole PR was titrated/continued, and adjusted as appropriate during the maintenance phase (maximum 24 mg/day). L-dopa and other non-dopamine agonist PD medications were permitted. Safety outcomes included adverse events (AEs). Efficacy outcomes included Unified Parkinson's Disease Rating Scale (UPDRS) II and III scores, and Clinical Global Impression-Severity (CGI-S) and Improvement (CGI-I) scores. The median duration of ropinirole PR exposure was 1,069 days. Most subjects (97.6%) reported at least one AE, most commonly (>/= 30%) nausea (42.2%), dizziness (41.0%), peripheral edema (38.6%), back pain (33.7%), and headache (31.3%). Seventeen (20.5%) subjects discontinued due to an AE. UPDRS and CGI scores indicated that the clinical status of subjects was maintained throughout the treatment period. In patients with early PD, long-term treatment with once-daily ropinirole PR was not associated with any new safety concerns, and was effective in maintaining clinical status. These results support the extended use of ropinirole PR for treatment of PD. FAU - Hauser, Robert A AU - Hauser RA AD - Departments of Neurology, Molecular Pharmacology and Physiology, University of South Florida, Tampa, Florida 33606, USA. rhauser@health.usf.edu FAU - Reichmann, Heinz AU - Reichmann H FAU - Lew, Mark AU - Lew M FAU - Asgharian, Afsaneh AU - Asgharian A FAU - Makumi, Clare AU - Makumi C FAU - Shulman, Kenneth J AU - Shulman KJ LA - eng SI - ClinicalTrials.gov/NCT00650104 PT - Clinical Trial PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20110119 PL - England TA - Int J Neurosci JT - The International journal of neuroscience JID - 0270707 RN - 0 (Delayed-Action Preparations) RN - 0 (Dopamine Agonists) RN - 0 (Indoles) RN - 030PYR8953 (ropinirole) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Cross-Over Studies MH - Delayed-Action Preparations/administration & dosage/adverse effects MH - Dopamine Agonists/*administration & dosage/adverse effects MH - Drug Administration Schedule MH - Female MH - Humans MH - Indoles/*administration & dosage/adverse effects MH - Longitudinal Studies MH - Male MH - Middle Aged MH - Parkinson Disease/*drug therapy MH - Severity of Illness Index MH - Time EDAT- 2011/01/20 06:00 MHDA- 2012/03/27 06:00 CRDT- 2011/01/20 06:00 PHST- 2011/01/20 06:00 [entrez] PHST- 2011/01/20 06:00 [pubmed] PHST- 2012/03/27 06:00 [medline] AID - 10.3109/00207454.2010.546538 [doi] PST - ppublish SO - Int J Neurosci. 2011 May;121(5):246-53. doi: 10.3109/00207454.2010.546538. Epub 2011 Jan 19.