Levodopa/carbidopa/entacapone versus levodopa/benserazide plus pramipexole in Chinese patients with Parkinson’s disease experiencing wearing off Article Swipe
YOU?
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· 2025
· Open Access
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· DOI: https://doi.org/10.3389/fneur.2025.1682614
Objective To compare the efficacy and safety of direct switch from levodopa/benserazide (LB) to levodopa/carbidopa/entacapone (LCE) versus LB plus pramipexole (PPX) in Chinese patients with Parkinson’s disease (PD) experiencing wearing off (WO). Methods In this multicenter, prospective, randomized, open-label, observational study, 140 patients with PD experiencing WO who had been on stable LB treatment were enrolled and randomized 3:2 to receive LCE (84) or LB + PPX (56) treatment for 8 weeks. The primary endpoint was change in the daily “OFF” time from baseline. Change in the daily “ON” time was also assessed. Treatment-emergent adverse events (TEAEs) were recorded. Results Seventy-nine patients in the LCE group and 49 patients in the PPX group completed the study. Both LCE and PPX shortened the patients’ daily OFF time significantly after 8 weeks (−1.76 ± 1.70 h, p < 0.001 and −1.51 ± 1.60, p < 0.001, respectively), and the shortenings were comparable between the two groups ( p = 0.414). Correspondingly, both the LCE group and the PPX group had significantly increased daily ON time (1.62 ± 1.59 h, p < 0.001 and 1.38 ± 1.65, p < 0.001, respectively), and the increases were comparable between the two groups ( p = 0.412). Both treatments improved the patients’ WO symptoms, sleep quality, depression and quality of life. Six (7.59%) patients in the LCE group and 7 (14.29%) patients in the PPX group reported TEAEs, all of which were mild and tolerable. One patient in the LCE group and 2 patients in the PPX group experienced mild dyskinesia. Conclusion LCE and LB + PPX were both effective, safe and tolerable in treating patients with PD who experienced WO.
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- Type
- article
- Language
- en
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- https://doi.org/10.3389/fneur.2025.1682614
- https://public-pages-files-2025.frontiersin.org/journals/neurology/articles/10.3389/fneur.2025.1682614/pdf
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Raw OpenAlex JSON
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https://doi.org/10.3389/fneur.2025.1682614Digital Object Identifier
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Levodopa/carbidopa/entacapone versus levodopa/benserazide plus pramipexole in Chinese patients with Parkinson’s disease experiencing wearing offWork title
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articleOpenAlex work type
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enPrimary language
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2025Year of publication
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2025-11-19Full publication date if available
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Weiguo Liu, Min Ye, Yang Zhao, Xueling Zhang, Xianwen Chen, Lihua Shen, Dan LiList of authors in order
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https://doi.org/10.3389/fneur.2025.1682614Publisher landing page
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https://public-pages-files-2025.frontiersin.org/journals/neurology/articles/10.3389/fneur.2025.1682614/pdfDirect link to full text PDF
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goldOpen access status per OpenAlex
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https://public-pages-files-2025.frontiersin.org/journals/neurology/articles/10.3389/fneur.2025.1682614/pdfDirect OA link when available
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| abstract_inverted_index.time | 81, 89, 125, 172 |
| abstract_inverted_index.were | 54, 97, 148, 191, 235, 261 |
| abstract_inverted_index.with | 24, 43, 270 |
| abstract_inverted_index.(1.62 | 173 |
| abstract_inverted_index.(LCE) | 15 |
| abstract_inverted_index.(PPX) | 20 |
| abstract_inverted_index.(WO). | 31 |
| abstract_inverted_index.0.001 | 136, 179 |
| abstract_inverted_index.1.60, | 140 |
| abstract_inverted_index.1.65, | 183 |
| abstract_inverted_index.after | 127 |
| abstract_inverted_index.daily | 79, 87, 123, 170 |
| abstract_inverted_index.group | 105, 112, 162, 166, 221, 229, 244, 251 |
| abstract_inverted_index.life. | 214 |
| abstract_inverted_index.sleep | 208 |
| abstract_inverted_index.weeks | 129 |
| abstract_inverted_index.which | 234 |
| abstract_inverted_index.0.001, | 143, 186 |
| abstract_inverted_index.Change | 84 |
| abstract_inverted_index.TEAEs, | 231 |
| abstract_inverted_index.change | 76 |
| abstract_inverted_index.direct | 8 |
| abstract_inverted_index.events | 95 |
| abstract_inverted_index.groups | 153, 196 |
| abstract_inverted_index.safety | 6 |
| abstract_inverted_index.stable | 51 |
| abstract_inverted_index.study, | 40 |
| abstract_inverted_index.study. | 115 |
| abstract_inverted_index.switch | 9 |
| abstract_inverted_index.versus | 16 |
| abstract_inverted_index.weeks. | 71 |
| abstract_inverted_index.(7.59%) | 216 |
| abstract_inverted_index.(TEAEs) | 96 |
| abstract_inverted_index.0.412). | 200 |
| abstract_inverted_index.0.414). | 157 |
| abstract_inverted_index.Chinese | 22 |
| abstract_inverted_index.Methods | 32 |
| abstract_inverted_index.Results | 99 |
| abstract_inverted_index.adverse | 94 |
| abstract_inverted_index.between | 150, 193 |
| abstract_inverted_index.compare | 2 |
| abstract_inverted_index.disease | 26 |
| abstract_inverted_index.patient | 240 |
| abstract_inverted_index.primary | 73 |
| abstract_inverted_index.quality | 212 |
| abstract_inverted_index.receive | 60 |
| abstract_inverted_index.wearing | 29 |
| abstract_inverted_index.−1.51 | 138 |
| abstract_inverted_index.&lt; | 135, 142, 178, 185 |
| abstract_inverted_index.(14.29%) | 224 |
| abstract_inverted_index.(−1.76 | 130 |
| abstract_inverted_index.efficacy | 4 |
| abstract_inverted_index.endpoint | 74 |
| abstract_inverted_index.enrolled | 55 |
| abstract_inverted_index.improved | 203 |
| abstract_inverted_index.patients | 23, 42, 101, 108, 217, 225, 247, 269 |
| abstract_inverted_index.quality, | 209 |
| abstract_inverted_index.reported | 230 |
| abstract_inverted_index.treating | 268 |
| abstract_inverted_index.“ON” | 88 |
| abstract_inverted_index.Objective | 0 |
| abstract_inverted_index.assessed. | 92 |
| abstract_inverted_index.baseline. | 83 |
| abstract_inverted_index.completed | 113 |
| abstract_inverted_index.increased | 169 |
| abstract_inverted_index.increases | 190 |
| abstract_inverted_index.recorded. | 98 |
| abstract_inverted_index.shortened | 120 |
| abstract_inverted_index.symptoms, | 207 |
| abstract_inverted_index.tolerable | 266 |
| abstract_inverted_index.treatment | 53, 68 |
| abstract_inverted_index.“OFF” | 80 |
| abstract_inverted_index.Conclusion | 255 |
| abstract_inverted_index.comparable | 149, 192 |
| abstract_inverted_index.depression | 210 |
| abstract_inverted_index.effective, | 263 |
| abstract_inverted_index.randomized | 57 |
| abstract_inverted_index.tolerable. | 238 |
| abstract_inverted_index.treatments | 202 |
| abstract_inverted_index.dyskinesia. | 254 |
| abstract_inverted_index.experienced | 252, 273 |
| abstract_inverted_index.open-label, | 38 |
| abstract_inverted_index.patients’ | 122, 205 |
| abstract_inverted_index.pramipexole | 19 |
| abstract_inverted_index.randomized, | 37 |
| abstract_inverted_index.shortenings | 147 |
| abstract_inverted_index.Seventy-nine | 100 |
| abstract_inverted_index.experiencing | 28, 45 |
| abstract_inverted_index.multicenter, | 35 |
| abstract_inverted_index.prospective, | 36 |
| abstract_inverted_index.Parkinson’s | 25 |
| abstract_inverted_index.observational | 39 |
| abstract_inverted_index.significantly | 126, 168 |
| abstract_inverted_index.respectively), | 144, 187 |
| abstract_inverted_index.Correspondingly, | 158 |
| abstract_inverted_index.Treatment-emergent | 93 |
| abstract_inverted_index.levodopa/benserazide | 11 |
| abstract_inverted_index.levodopa/carbidopa/entacapone | 14 |
| cited_by_percentile_year | |
| corresponding_author_ids | https://openalex.org/A5100620770 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 7 |
| corresponding_institution_ids | https://openalex.org/I4210109791, https://openalex.org/I83519826 |
| citation_normalized_percentile |