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Published in: Journal of Neural Transmission 11/2023

Open Access 28-04-2023 | Parkinson's Disease | Neurology and Preclinical Neurological Studies - Original Article

Apprends-moi l'art des petits pas: Levodopa, Carbidopa Intestinal Gel plus Entacapone

Author: Wolfgang H. Jost

Published in: Journal of Neural Transmission | Issue 11/2023

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Abstract

We are always looking for the big breakthrough, ideally a cure for our advanced Parkinson’s disease (aPD) patients. As long as this does not happen we must optimize the existing therapy, because many small steps may also lead to success. This also applies to the levodopa pump: Certainly, a very good therapy, but with small problems that we have to optimize. This involves, for example, the weight and volume of the previous pump. One possibility is to use the proven triple combination as intestinal gel, thereby increasing the levodopa plasma concentration. Increasing the levodopa plasma concentration enables the reduction of the given levodopa dose and hence the size of the pump. To learn more about the triple combination as intestinal gel the ELEGANCE study was started. This study is a prospective non-interventional study of the long-term effectiveness and safety of levodopa–entacapone–carbidopa intestinal gel (LECIG) in patients with aPD in routine care. This observational study is designed to collect data on the use of the drug Lecigon® in daily clinical practice. The study is intended to supplement the results of previous clinical studies with clinical data in routine medical care, collected from approximately 300 patients.
Literature
go back to reference Antonini A, Odin P, Pahwa R et al (2021) The long-term impact of levodopa/carbidopa Intestinal gel on ‘Off’-time in patients with advanced Parkinson’s disease: a systematic review. Adv Ther 38:2854–2890CrossRefPubMedPubMedCentral Antonini A, Odin P, Pahwa R et al (2021) The long-term impact of levodopa/carbidopa Intestinal gel on ‘Off’-time in patients with advanced Parkinson’s disease: a systematic review. Adv Ther 38:2854–2890CrossRefPubMedPubMedCentral
go back to reference Lecigon® based on European Medicines Agency (EMA) (2023) SmPC on Advanced Parkinson Disease—Clinical Trials Registry—ICH GCP Lecigon® based on European Medicines Agency (EMA) (2023) SmPC on Advanced Parkinson Disease—Clinical Trials Registry—ICH GCP
Metadata
Title
Apprends-moi l'art des petits pas: Levodopa, Carbidopa Intestinal Gel plus Entacapone
Author
Wolfgang H. Jost
Publication date
28-04-2023
Publisher
Springer Vienna
Published in
Journal of Neural Transmission / Issue 11/2023
Print ISSN: 0300-9564
Electronic ISSN: 1435-1463
DOI
https://doi.org/10.1007/s00702-023-02625-6

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