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FDA approves extended-release formulation of pramipexole for treatment of early PD

Wednesday, March 03 2010 | Comments
Evidence Grade 0 What's This?
The Food and Drug Administration approved pramipexole dihydrochloride extended-release (ER) tablets as a once-daily treatment for the signs and symptoms of early idiopathic Parkinson's disease (PD).

The approval of pramipexole ER was supported by clinical pharmacokinetic data and by a clinical trial program consisting of 2 studies. The clinical program included >400 patients with early PD who were treated with varying doses of pramipexole ER, the immediate-release formulation (which is already approved and is taken 3 times daily), or placebo.

The first study compared pramipexole ER and pramipexole, each against placebo. Relative to the placebo-treated patients, those treated with pramipexole ER experienced clinically significant symptom relief, as measured by a mean change from baseline in the Unified Parkinson's Disease Rating Scale II+III score, after 18 weeks of treatment. The pramipexole-treated patients experienced similar clinically significant improvements as compared with placebo.

In a second study conducted during a 9-week period, researchers evaluated the efficacy of an overnight switch from pramipexole to pramipexole ER. Boehringer Ingelheim Pharmaceuticals Inc., who will market the new formulation under the brand name Mirapex ER, said 85% (87 of 104) of the patients who completed the trial were successfully switched to pramipexole ER, although some patients required dose adjustments.

In both studies, the safety and tolerability profile of pramipexole ER in patients with early PD was similar to that of pramipexole when each was compared with placebo.

Boehringer Ingelheim noted that pramipexole ER is not indicated for patients with advanced PD or for the treatment of restless legs syndrome.

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