Neurological Sciences

, Volume 34, Issue 11, pp 2007–2013

Rapid onset of efficacy of rasagiline in early Parkinson’s disease

  • Sandro Zambito Marsala
  • Roberta Vitaliani
  • Daniele Volpe
  • Francesca Capozzoli
  • Luciana Baroni
  • Enrico Belgrado
  • Carlo Borsato
  • Manuela Gioulis
  • Corrado Marchini
  • Angelo Antonini
Original Article

DOI: 10.1007/s10072-013-1437-2

Cite this article as:
Zambito Marsala, S., Vitaliani, R., Volpe, D. et al. Neurol Sci (2013) 34: 2007. doi:10.1007/s10072-013-1437-2

Abstract

Rasagiline is a monoamine oxidase type-B inhibitor used as monotherapy or in addition to levodopa in the treatment of Parkinson’s disease (PD). This naturalistic single-blind study was aimed at evaluating the rapidity of onset effect of rasagiline on motor symptoms in a cohort of early relatively elderly PD patients. 102 outpatients (55 males, median age 71 years) have been selected: 26 were PD therapy-naive and 76 received rasagiline as add-on therapy. The third section of the Unified Parkinson’s Disease Rating Scale (UPDRSIII) and the Hoehn–Yahr (HY) scale were assessed at baseline and after 1 and 4 weeks thereafter. The mean UPDRS III total score (−6.7 at week 1 and −8.9 at week 4) and single items, as well as mean HY score (−0.40 at week 1 and −0.67 at week 4), significantly decreased from baseline (p < 0.001). Improvements were significant in both therapy-naive and add-on therapy patients: the mean decreases from baseline to week 4 in UPDRSIII and HY score were −8.8 and −0.46, and −9.0 and −0.74, respectively, in the two subgroups. The mean decrease from baseline in UPDRSIII and HY score did not significantly differ in patients aged > or ≤71 years. Rasagiline had a rapid therapeutic effect from the first week of therapy, which further improved at 4 weeks. The rapid onset of action and the absence of a dose titration are important issues in the management of the PD patient.

Keywords

RasagilineMotor symptomsEarly improvement

Copyright information

© Springer-Verlag Italia 2013

Authors and Affiliations

  • Sandro Zambito Marsala
    • 1
  • Roberta Vitaliani
    • 2
  • Daniele Volpe
    • 3
  • Francesca Capozzoli
    • 4
  • Luciana Baroni
    • 5
  • Enrico Belgrado
    • 6
  • Carlo Borsato
    • 7
  • Manuela Gioulis
    • 1
  • Corrado Marchini
    • 1
  • Angelo Antonini
    • 8
  1. 1.Department of NeurologySan Martino HospitalBellunoItaly
  2. 2.Department of NeurologyCà Foncello HospitalTrevisoItaly
  3. 3.Rehabilitation DepartmentFatebenefratelli HospitalVeneziaItaly
  4. 4.Department of NeurologySanta Maria degli Angeli HospitalPordenoneItaly
  5. 5.Department of Neurology and RehabilitationVilla Salus HospitalMestreItaly
  6. 6.Department of NeurologySanta Maria della Misericordia HospitalUdineItaly
  7. 7.Department of NeurologyPiove di Sacco HospitalPiove di SaccoItaly
  8. 8.Department for Parkinson’s Disease and Movement DisordersIRCCS San Camillo VeniceVeniceItaly