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Real-world evidence on levodopa dose escalation in patients with Parkinson’s disease treated with istradefylline

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Listed:
  • Nobutaka Hattori
  • Daijiro Kabata
  • Shinji Asada
  • Tomoyuki Kanda
  • Takanobu Nomura
  • Ayumi Shintani
  • Akihisa Mori

Abstract

Objective: Istradefylline, a selective adenosine A2A receptor antagonist, is indicated in the US and Japan as adjunctive treatment to levodopa/decarboxylase inhibitors in adults with Parkinson’s disease (PD) experiencing OFF time. This study aimed to observe patterns of dose escalation of levodopa over time in patients initiated on istradefylline. Methods: Using Japanese electronic health record data, interrupted time series analyses were used to compare levodopa daily dose (LDD, mg/day) gradients in patients before and after initiation of istradefylline. Data were analyzed by period relative to istradefylline initiation (Month 1): pre-istradefylline (Months -72 to 0), early istradefylline (Months 1 to 24), and late istradefylline (Months 25 to 72). Subgroup analyses included LDD before istradefylline initiation (

Suggested Citation

  • Nobutaka Hattori & Daijiro Kabata & Shinji Asada & Tomoyuki Kanda & Takanobu Nomura & Ayumi Shintani & Akihisa Mori, 2023. "Real-world evidence on levodopa dose escalation in patients with Parkinson’s disease treated with istradefylline," PLOS ONE, Public Library of Science, vol. 18(12), pages 1-13, December.
  • Handle: RePEc:plo:pone00:0269969
    DOI: 10.1371/journal.pone.0269969
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