PMID- 25877347 OWN - NLM STAT- MEDLINE DCOM- 20150806 LR - 20181113 IS - 1672-0733 (Print) IS - 1672-0733 (Linking) VI - 35 IP - 2 DP - 2015 Apr TI - Rotigotine in the treatment of primary restless legs syndrome: A meta-analysis of randomized placebo-controlled trials. PG - 169-175 LID - 10.1007/s11596-015-1406-5 [doi] AB - The aim of this study was to summarize the efficacy and tolerability of rotigotine in the treatment of primary restless legs syndrome (RLS). PubMed, EMBASE, and Cochrane Central Register of Controlled Trials (CENTRAL) were searched for English-language randomized controlled trials (RCTs) that assessed the effectiveness of rotigotine for RLS. The pooled mean change from baseline in International RLS (IRLS) Study Group Rating Scalescore and relative risk (RR) of response based on the Clinical Global Impression-Improvement (CGI-I) scale score were applied to evaluate the outcomes. The pooled proportions of adverse events (AEs) were also estimated. Six RCTs were included. The meta-analysis showed a favorable effectiveness of rotigotine versus placebo on RLS [mean change on IRLS score: mean difference (MD)=-4.80; 95% confidence interval (CI): -5.90 to -3.70; P<0.00001 and RR of response on CGI-I was 2.19; 95% CI: 1.86 to 2.58, P<0.00001]. The most common AEs were application site reactions, nausea, headache and fatigue. In general, rotigotine was well-tolerated in patients with primary RLS. Based on the findings from the meta-analysis, rotigotine was more significantly efficacious in the treatment of RLS than placebo. Nevertheless, long-term studies and more evidence of comparisons of rotigotine with other dopamine agonists are needed. FAU - Ding, Jun AU - Ding J AD - Department of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. FAU - Fan, Wei AU - Fan W AD - Department of Breast Surgery, Hubei Cancer Hospital, Wuhan, 430079, China. FAU - Chen, Hong-Hui AU - Chen HH AD - Wuhan First Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. FAU - Yan, Peng AU - Yan P AD - Department of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. FAU - Sun, Sheng-Gang AU - Sun SG AD - Department of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. FAU - Zheng, Jin AU - Zheng J AD - Department of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. zhengjin.md@gmail.com. LA - eng PT - Journal Article PT - Meta-Analysis DEP - 20150416 PL - China TA - J Huazhong Univ Sci Technolog Med Sci JT - Journal of Huazhong University of Science and Technology. Medical sciences = Hua zhong ke ji da xue xue bao. Yi xue Ying De wen ban = Huazhong keji daxue xuebao. Yixue Yingdewen ban JID - 101169627 RN - 0 (Placebos) RN - 0 (Tetrahydronaphthalenes) RN - 0 (Thiophenes) RN - 87T4T8BO2E (rotigotine) SB - IM MH - Humans MH - Placebos MH - Randomized Controlled Trials as Topic MH - Restless Legs Syndrome/*drug therapy MH - Tetrahydronaphthalenes/*therapeutic use MH - Thiophenes/*therapeutic use EDAT- 2015/04/17 06:00 MHDA- 2015/08/08 06:00 CRDT- 2015/04/17 06:00 PHST- 2014/10/10 00:00 [received] PHST- 2015/02/22 00:00 [revised] PHST- 2015/04/17 06:00 [entrez] PHST- 2015/04/17 06:00 [pubmed] PHST- 2015/08/08 06:00 [medline] AID - 10.1007/s11596-015-1406-5 [pii] AID - 10.1007/s11596-015-1406-5 [doi] PST - ppublish SO - J Huazhong Univ Sci Technolog Med Sci. 2015 Apr;35(2):169-175. doi: 10.1007/s11596-015-1406-5. Epub 2015 Apr 16.