PMID- 28480621 OWN - NLM STAT- MEDLINE DCOM- 20180212 LR - 20181202 IS - 1468-1331 (Electronic) IS - 1351-5101 (Linking) VI - 24 IP - 6 DP - 2017 Jun TI - Efficacy and safety of pramipexole extended-release in Parkinson's disease: a review based on meta-analysis of randomized controlled trials. PG - 835-843 LID - 10.1111/ene.13303 [doi] AB - BACKGROUND AND PURPOSE: We performed a meta-analysis of randomized controlled trials to evaluate the efficacy and safety of pramipexole extended-release (pramipexole ER) versus pramipexole immediate-release (pramipexole IR) or placebo in Parkinson's disease. METHODS: We performed a systematic online search for clinical trials for pramipexole ER treatment up to 1 August 2016. We assessed differences in Unified Parkinson's Disease Rating Scale (UPDRS) scores, percentage of 'on' time or 'off' time, withdrawals, adverse events (AEs) and life quality between pramipexole ER and pramipexole IR or placebo. Data analyses were performed by the Cochrane Collaboration's Review Manager 5.3 software. RESULTS: Six randomized controlled trials were included. Compared with placebo, pramipexole ER achieved a significant improvement in the UPDRS Part II + III score [weighted mean difference, -4.81; 95% confidence interval (CI), -6.40 to -3.23], whereas no significant difference was found in the UPDRS Part III + III score between pramipexole ER and pramipexole IR groups (weighted mean difference, -0.26; 95% CI, -1.15 to 0.64). No differences were found in total AEs (relative risk, 0.97; 95% CI, 0.92 to 1.03), drug-related AEs (relative risk, 0.97; 95% CI, 0.92 to 1.03) or the commonly reported AEs between pramipexole ER and pramipexole IR. CONCLUSIONS: Pramipexole ER is as safe and effective as pramipexole IR in the treatment of Parkinson's disease. CI - (c) 2017 EAN. FAU - Shen, T AU - Shen T AD - Department of Neurology, Second Affiliated Hospital of Medical School of Zhejiang University, Hangzhou City, Zhejiang, China. FAU - Ye, R AU - Ye R AD - Department of Neurology, Second Affiliated Hospital of Medical School of Zhejiang University, Hangzhou City, Zhejiang, China. FAU - Zhang, B AU - Zhang B AD - Department of Neurology, Second Affiliated Hospital of Medical School of Zhejiang University, Hangzhou City, Zhejiang, China. LA - eng PT - Journal Article PT - Review DEP - 20170508 PL - England TA - Eur J Neurol JT - European journal of neurology JID - 9506311 RN - 0 (Antiparkinson Agents) RN - 0 (Benzothiazoles) RN - 0 (Delayed-Action Preparations) RN - 83619PEU5T (Pramipexole) SB - IM MH - Antiparkinson Agents/administration & dosage/adverse effects/*therapeutic use MH - Benzothiazoles/administration & dosage/adverse effects/*therapeutic use MH - Delayed-Action Preparations/administration & dosage/adverse effects/therapeutic use MH - Double-Blind Method MH - Drug Administration Schedule MH - Humans MH - Mental Status and Dementia Tests MH - Parkinson Disease/diagnosis/*drug therapy MH - Pramipexole MH - Quality of Life MH - Randomized Controlled Trials as Topic MH - Severity of Illness Index MH - Treatment Outcome OTO - NOTNLM OT - Parkinson's disease OT - efficacy OT - meta-analysis OT - pramipexole extended-release OT - safety EDAT- 2017/05/10 06:00 MHDA- 2018/02/13 06:00 CRDT- 2017/05/09 06:00 PHST- 2016/10/03 00:00 [received] PHST- 2017/03/21 00:00 [accepted] PHST- 2017/05/10 06:00 [pubmed] PHST- 2018/02/13 06:00 [medline] PHST- 2017/05/09 06:00 [entrez] AID - 10.1111/ene.13303 [doi] PST - ppublish SO - Eur J Neurol. 2017 Jun;24(6):835-843. doi: 10.1111/ene.13303. Epub 2017 May 8.