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Double-blind, single-dose, cross-over study of the effects of pramipexole, pergolide, and placebo on rest tremor and UPDRS part III in Parkinson's disease.
Mov Disord. 2003 Feb; 18(2):176-80.MD

Abstract

Tremor is one of the cardinal signs of Parkinson's disease (PD) but its response to antiparkinsonian medication is variable. It has been postulated that pramipexole may have a stronger antiparkinsonian tremor effect than pergolide, another direct acting dopamine agonist medication, possibly because the former has preferential affinity for the dopamine D3 receptor. The purpose of this pilot study was to compare the effects of a single oral dose of either pramipexole (Pr) or pergolide (Pe) or placebo (Pl) on parkinsonian tremor and the motor (part III) subsection of the UPDRS. Ten patients (6 men, 4 women), mean age 65.3 years, mean duration from diagnosis of 2.6 years, with tremor dominant PD were recruited. On three separate occasions a single dose of pramipexole (salt) 500 microg, pergolide 500 microg or placebo were administered in random order to each patient, who were pretreated with domperidone and had their antiparkinsonian medication withheld from midnight before study. After each medication patients were assessed at baseline and then every 30 min for 4 hr using a 0 to 10 tremor rating scale and the UPDRS (part III) in a double-blind protocol. Adverse effects were systematically recorded. The results demonstrate that 500 microg of either pramipexole or pergolide reduced PD rest tremor scores to a similar degree, which at peak effect was significantly greater than placebo (respectively Pe v Pl: P < 0.006, Pr v Pl: P < 0.033). The two active drugs also had weaker beneficial effects on the UPDRS part III. Pergolide, however, was significantly more likely than pramipexole to cause nausea (P = 0.005) or vomiting (P = 0.014).

Authors+Show Affiliations

Division of Neurosciences and Psychological Medicine, Imperial College School of Medicine, Charing Cross Hospital Campus, London, United Kingdom.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

12539211

Citation

Navan, Prithiva, et al. "Double-blind, Single-dose, Cross-over Study of the Effects of Pramipexole, Pergolide, and Placebo On Rest Tremor and UPDRS Part III in Parkinson's Disease." Movement Disorders : Official Journal of the Movement Disorder Society, vol. 18, no. 2, 2003, pp. 176-80.
Navan P, Findley LJ, Jeffs JA, et al. Double-blind, single-dose, cross-over study of the effects of pramipexole, pergolide, and placebo on rest tremor and UPDRS part III in Parkinson's disease. Mov Disord. 2003;18(2):176-80.
Navan, P., Findley, L. J., Jeffs, J. A., Pearce, R. K., & Bain, P. G. (2003). Double-blind, single-dose, cross-over study of the effects of pramipexole, pergolide, and placebo on rest tremor and UPDRS part III in Parkinson's disease. Movement Disorders : Official Journal of the Movement Disorder Society, 18(2), 176-80.
Navan P, et al. Double-blind, Single-dose, Cross-over Study of the Effects of Pramipexole, Pergolide, and Placebo On Rest Tremor and UPDRS Part III in Parkinson's Disease. Mov Disord. 2003;18(2):176-80. PubMed PMID: 12539211.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Double-blind, single-dose, cross-over study of the effects of pramipexole, pergolide, and placebo on rest tremor and UPDRS part III in Parkinson's disease. AU - Navan,Prithiva, AU - Findley,Leslie J, AU - Jeffs,Jim A R, AU - Pearce,Ronald K B, AU - Bain,Peter G, PY - 2003/1/23/pubmed PY - 2003/6/5/medline PY - 2003/1/23/entrez SP - 176 EP - 80 JF - Movement disorders : official journal of the Movement Disorder Society JO - Mov Disord VL - 18 IS - 2 N2 - Tremor is one of the cardinal signs of Parkinson's disease (PD) but its response to antiparkinsonian medication is variable. It has been postulated that pramipexole may have a stronger antiparkinsonian tremor effect than pergolide, another direct acting dopamine agonist medication, possibly because the former has preferential affinity for the dopamine D3 receptor. The purpose of this pilot study was to compare the effects of a single oral dose of either pramipexole (Pr) or pergolide (Pe) or placebo (Pl) on parkinsonian tremor and the motor (part III) subsection of the UPDRS. Ten patients (6 men, 4 women), mean age 65.3 years, mean duration from diagnosis of 2.6 years, with tremor dominant PD were recruited. On three separate occasions a single dose of pramipexole (salt) 500 microg, pergolide 500 microg or placebo were administered in random order to each patient, who were pretreated with domperidone and had their antiparkinsonian medication withheld from midnight before study. After each medication patients were assessed at baseline and then every 30 min for 4 hr using a 0 to 10 tremor rating scale and the UPDRS (part III) in a double-blind protocol. Adverse effects were systematically recorded. The results demonstrate that 500 microg of either pramipexole or pergolide reduced PD rest tremor scores to a similar degree, which at peak effect was significantly greater than placebo (respectively Pe v Pl: P < 0.006, Pr v Pl: P < 0.033). The two active drugs also had weaker beneficial effects on the UPDRS part III. Pergolide, however, was significantly more likely than pramipexole to cause nausea (P = 0.005) or vomiting (P = 0.014). SN - 0885-3185 UR - https://www.unboundmedicine.com/medline/citation/12539211/Double_blind_single_dose_cross_over_study_of_the_effects_of_pramipexole_pergolide_and_placebo_on_rest_tremor_and_UPDRS_part_III_in_Parkinson's_disease_ L2 - https://doi.org/10.1002/mds.10320 DB - PRIME DP - Unbound Medicine ER -