PMID- 28810946 OWN - NLM STAT- MEDLINE DCOM- 20171222 LR - 20181023 IS - 1482-1826 (Electronic) IS - 1482-1826 (Linking) VI - 20 IP - 0 DP - 2017 TI - Safety and Efficacy of Rotigotine for Treating Parkinson's Disease: A Meta-Analysis of Randomised Controlled Trials. PG - 285-294 LID - 10.18433/J3Q35D [doi] AB - We aimed to comprehensively analyse the safety and efficiency of rotigotine for treating Parkinson's disease (PD). We conducted systematic literature searches of Cochrane library, PubMed and Embase databases up to April 2016, with 'Rotigotine', 'Parkinson Disease ' and 'Parkinson's disease' as key searching terms. Outcomes, including Unified Parkinson's Disease Rating Scale (UPDRS) Part III and Part II scores, 'off' time, adverse events (AEs), serious AEs and discontinuation because of AEs, were compared between rotigotine and placebo groups under a fixed or random effect model. For dichotomous and continuous data, risk ratio (RR) and weighted mean difference with their corresponding 95% confidence intervals (95% CIs) were taken as the effect sizes to calculate merged results. Twelve eligible studies were included. For patients with early or advanced PD, rotigotine could significantly improve UPDRS Part III and Part II scores (p < 0.001) and it had significantly higher incidence of AEs than the placebo (p < 0.001). Regarding discontinuation because of AEs, rotigotine showed a significant advantage over placebo in patients with early PD, whereas the overall result demonstrated no statistically significant difference between the groups. Rotigotine can improve daily living and motor ability of patients with PD, although it has higher incidence of AEs. Rotigotine might be more appropriate for patients with advanced PD than for those with early PD. This article is open to POST-PUBLICATION REVIEW. Registered readers (see "For Readers") may comment by clicking on ABSTRACT on the issue's contents page. FAU - Chen, Fei AU - Chen F AD - Department of Neurology, Shanghai Tongji Hospital, Tongji University School of Medicine, Shanghai 200065, China. FAU - Jin, Lingjing AU - Jin L FAU - Nie, Zhiyu AU - Nie Z LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PL - Switzerland TA - J Pharm Pharm Sci JT - Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques JID - 9807281 RN - 0 (Tetrahydronaphthalenes) RN - 0 (Thiophenes) RN - 87T4T8BO2E (rotigotine) SB - IM MH - Humans MH - Parkinson Disease/*drug therapy MH - Randomized Controlled Trials as Topic MH - Tetrahydronaphthalenes/administration & dosage/adverse effects/*therapeutic use MH - Thiophenes/administration & dosage/adverse effects/*therapeutic use EDAT- 2017/08/16 06:00 MHDA- 2017/12/23 06:00 CRDT- 2017/08/17 06:00 PHST- 2017/08/17 06:00 [entrez] PHST- 2017/08/16 06:00 [pubmed] PHST- 2017/12/23 06:00 [medline] AID - 10.18433/J3Q35D [doi] PST - ppublish SO - J Pharm Pharm Sci. 2017;20(0):285-294. doi: 10.18433/J3Q35D.