Long-term efficacy and safety of safinamide as add-on therapy in early Parkinson's disease
Article first published online: 12 SEP 2012
© 2012 The Author(s) European Journal of Neurology © 2012 EFNS
European Journal of Neurology
Volume 20, Issue 2, pages 271–280, February 2013
How to Cite
Schapira, A. H. V., Stocchi, F., Borgohain, R., Onofrj, M., Bhatt, M., Lorenzana, P., Lucini, V., Giuliani, R., Anand, R. and The Study 017 Investigators (2013), Long-term efficacy and safety of safinamide as add-on therapy in early Parkinson's disease. European Journal of Neurology, 20: 271–280. doi: 10.1111/j.1468-1331.2012.03840.x
- Issue published online: 12 JAN 2013
- Article first published online: 12 SEP 2012
- Manuscript Accepted: 4 JUL 2012
- Manuscript Received: 24 APR 2012
- Newron Pharmaceuticals SpA
- dopamine agonist;
- Parkinson's disease;
Background and purpose
Safinamide is an α-aminoamide with both dopaminergic and non-dopaminergic mechanisms of action in Phase III clinical development as a once-daily add-on to dopamine agonist (DA) therapy for early Parkinson's disease (PD).
Study 017 was a 12-month, randomized, double-blind, placebo-controlled pre-planned extension study to the previously reported Study 015. Patients received safinamide 100 or 200 mg/day or placebo added to a single DA in early PD. The primary efficacy endpoint was the time from baseline (Study 015 randomization) to ‘intervention’, defined as increase in DA dose; addition of another DA, levodopa or other PD treatment; or discontinuation due to lack of efficacy. Safinamide groups were pooled for the primary efficacy endpoint analysis; post hoc analyses were performed on each separate dose group.
Of the 269 patients randomized in Study 015, 227 (84%) enrolled in Study 017 and 187/227 (82%) patients completed the extension study. Median time to intervention was 559 and 466 days in the pooled safinamide and placebo groups, respectively (log-rank test; P = 0.3342). In post hoc analyses, patients receiving safinamide 100 mg/day experienced a significantly lower rate of intervention compared with placebo (25% vs. 51%, respectively) and a delay in median time to intervention of 9 days (P < 0.05; 240- to 540-day analysis).
The pooled data from the safinamide groups failed to reach statistical significance for the primary endpoint of median time from baseline to additional drug intervention. Post hoc analyses indicate that safinamide 100 mg/day may be effective as add-on treatment to DA in PD.