Levodopa Pharmacokinetics in Switching from Levodopa/Carbidopa Intestinal Gel to Continuous Subcutaneous Foslevodopa/Foscarbidopa Infusion in a Patient with Parkinson's Disease: a case report
Journal of Movement Disorders,
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 6, 2025
Parkinson's
disease
(PD)
is
a
neurodegenerative
disorder
characterized
by
motor
symptoms
including
bradykinesia,
rigidity,
tremor,
and
postural
instability
[1].In
advanced
stages,
PD
patients
often
suffer
from
fluctuations
due
to
narrowed
therapeutic
window,
some
of
whom
will
be
suitable
candidates
for
device-aided
therapies
Язык: Английский
Managing cognitive impairment in Parkinson’s disease: an update of the literature
Expert Review of Neurotherapeutics,
Год журнала:
2025,
Номер
unknown, С. 1 - 21
Опубликована: Янв. 7, 2025
Introduction
Cognitive
impairment
in
Parkinson's
disease
(PD)
substantially
affects
patient
outcomes,
function,
and
quality
of
life.
PD-related
cognitive
dysfunction
is
often
heterogeneous
clinical
presentation
rates
progression.
As
changes
occur
many
people
with
PD,
it
essential
to
evaluate
cognition,
provide
education,
implement
management
strategies
for
symptoms.
Язык: Английский
The interplay of iron, oxidative stress, and α-synuclein in Parkinson’s disease progression
Molecular Medicine,
Год журнала:
2025,
Номер
31(1)
Опубликована: Апрель 26, 2025
Abstract
The
irreversible
degeneration
of
dopamine
neurons
induced
by
α-synuclein
(α-syn)
aggregation
in
the
substantia
nigra
is
central
pathological
feature
Parkinson's
disease
(PD).
Neuroimaging
and
autopsy
studies
consistently
confirm
significant
iron
accumulation
brain
PD
patients,
suggesting
a
critical
role
for
progression.
Current
research
has
established
that
overload
induces
ferroptosis
dopaminergic
neurons,
evidence
indicates
impact
on
pathology
extends
beyond
ferroptosis.
Iron
also
plays
regulatory
modulating
α-syn,
affecting
its
aggregation,
spatial
conformation,
post-translational
modifications,
mRNA
stability.
Iron-induced
α-syn
can
contribute
to
neurodegeneration
through
additional
mechanisms,
potentially
creating
feedback
loop
which
further
enhances
accumulation,
thus
perpetuating
vicious
cycle
neurotoxicity.
Given
α-syn’s
intrinsically
disordered
structure,
targeting
metabolism
presents
promising
therapeutic
strategy
PD.
Therefore,
development
chelators,
alone
or
combination
with
other
drugs,
may
offer
beneficial
approach
alleviating
symptoms
slowing
Язык: Английский
Device-assisted therapies for Parkinson disease.
PubMed,
Год журнала:
2025,
Номер
48(1), С. 10 - 17
Опубликована: Фев. 1, 2025
Device-assisted
therapies
for
Parkinson
disease
include
apomorphine
continuous
subcutaneous
infusion,
levodopa
intestinal
gel
infusion
and
deep
brain
stimulation.
These
have
a
role
in
managing
motor
fluctuations
dyskinesias
people
with
advanced
when
symptoms
are
inadequately
controlled
oral
transdermal
treatments.
Subcutaneous
of
or
the
least
invasive
device-assisted
therapies.
Levodopa
is
delivered
via
surgically
placed
tube.
Deep
stimulation
involves
implanting
electrodes
into
specific
target
regions
basal
ganglia
to
modulate
activity.
Selecting
an
appropriate
therapy
depends
on
individual
factors
such
as
age,
comorbidities,
symptom
severity
patient
preferences.
Initiation
management
require
neurologist
multidisciplinary
involvement,
typically
specialist
movement
disorder
centre.
Primary
care
clinicians
play
crucial
ongoing
support
using
these
therapies,
including
monitoring
adverse
effects
communicating
services.
Язык: Английский
Advanced Parkinson’s disease and eligibility for device-aided therapies in Morocco: a multicenter cross-sectional study
Neurodegenerative Disease Management,
Год журнала:
2025,
Номер
unknown, С. 1 - 12
Опубликована: Март 24, 2025
Aim
This
study
investigates
the
prevalence
and
clinical
features
of
advanced
Parkinson's
disease
(APD)
in
Moroccan
patients
evaluates
their
eligibility
for
Device-Aided
Therapies
(DATs),
including
Deep
Brain
Stimulation
(DBS),
Continuous
Subcutaneous
Apomorphine
Infusion
(CSAI),
Levodopa-Carbidopa
Intestinal
Gel
infusion
(LCIG).
Язык: Английский
Managing impulse control and related behavioral disorders in Parkinson’s disease: where we are in 2025?
Expert Review of Neurotherapeutics,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 28, 2025
Introduction
Impulse
control
and
related
behavioral
disorders
(ICBDs)
commonly
complicate
Parkinson's
disease
(PD)
course.
The
ICBDs
spectrum
encompasses
two
groups
of
conditions,
with
distinct
pathophysiology:
proper
'impulse
(ICDs)'
(e.g.
gambling)
the
'ICDs
(ICDs-RD)'
punding).
Behavioral
disturbances
are
associated
dopamine
replacement
therapies.
significantly
affect
quality
life
patients
caregivers,
making
their
management
essential
for
reducing
overall
burden
PD.
Язык: Английский
Device-aided therapies (DATs) in Parkinson’s disease (PD). The DATs-PD GETM Spanish Registry Protocol Study
PLoS ONE,
Год журнала:
2025,
Номер
20(3), С. e0316052 - e0316052
Опубликована: Март 31, 2025
Background
and
objective
Device-aided
therapies
(DATs)
are
treatments
indicated
for
people
with
Parkinson´s
disease
(PwP)
experiencing
clinical
fluctuations
that
remain
suboptimal
despite
conventional
medication.
New
DATs
have
recently
emerged
such
as
levodopa-entacapone-carbidopa
intestinal
gel
infusion
(LECIG)
subcutaneous
of
foslevodopa/foscarbidopa
(fLD/fCD).
Understanding
the
differences
between
various
is
essential.
Patients
Methods
We
present
here
protocol
study
DATs-PD
GETM
Spanish
Registry.
This
a
descriptive,
observational,
prospective,
multicenter,
open
proposed
registry
progressive
inclusion
PwP
treated
DAT
in
daily
practice
conditions
more
40
centers
from
Spain
10
years.
The
principal
aim
to
know
type
our
country
(Spain)
receive.
Specific
objectives
compare
characteristics
patients,
effectiveness,
safety
tolerability,
identify
predictors
good
response
analyze
by
groups
(gender,
duration,
phenotype,
etc.).
There
baseline
visit
(V1;
indication
therapy),
start
(V2;
initiation
therapy)
follow-up
visits
at
6
months
±
3
(V3_6M)
after
this
annually
years
(V3_12M,
V3_24M,
Results
on
going.
first
patient
was
included
April
10,
2024.
Patient
recruitment
will
be
conducted
until
31/DEC/2033.
It
estimated
include
minimum
3,000
patients.
Conclusion
help
improve
care
PD
patients
DAT.
Язык: Английский
Foslevodopa/Foscarbidopa: A Review in Advanced Parkinson’s Disease
CNS Drugs,
Год журнала:
2025,
Номер
unknown
Опубликована: Апрель 8, 2025
Язык: Английский
A Stability Indicating RP‐HPLC Method for Determination of Foslevodopa and Foscarbidopa in Bulk and Formulation
Ravisankar Panchumarthy,
Srilakshmi Bathula,
Bhagavan Rajesh Babu Koppisetty
и другие.
Separation Science Plus,
Год журнала:
2025,
Номер
8(5)
Опубликована: Май 1, 2025
ABSTRACT
The
recently
approved
combination
of
foslevodopa
and
foscarbidopa
by
the
United
States
Food
Drug
Administration
provides
a
major
advancement
in
treatment
Parkinson's
disease.
This
therapy
helps
to
maintain
consistent
plasma
levels
levodopa,
thereby
minimizing
overall
symptom
patients.
A
robust
validated
RP‐HPLC
method
has
been
developed
due
novelty
drug
its
recent
approval
regulatory
agencies.
optimized
chromatographic
conditions
included
use
C18
column
(250
×
4.6
mm,
5
µm),
an
isocratic
mobile
phase
acetonitrile:
0.1%
formic
acid
(30:70),
flow
rate
1.0
mL/min,
injection
volume
10
µL,
detection
at
272
nm,
ambient
temperature
25°C,
with
total
runtime
6
min.
Under
these
conditions,
eluted
2.087
min
4.166
System
suitability
parameters,
including
plate
count,
tailing
factor,
%RSD,
were
within
acceptable
limits.
exhibited
high
precision,
%RSD
values
below
2%,
excellent
linearity
over
concentration
range
30–180
µg/mL
for
1.5–9
foscarbidopa.
Sensitivity
analysis
determined
LOD
LOQ
0.480
1.700
0.024
0.084
foscarbidopa,
respectively.
Degradation
studies
confirmed
stability
indicating
capability
under
various
stress
oxidative
causing
highest
degradation.
was
applied
assay
pharmaceutical
formulation
confirming
compliance
label
claims.
Язык: Английский