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Entacapone is an antiparkinsonian drug which block L-dopa metabolism, inhibiting the C-O-methyltransferase (COMT) enzyme. There is an individual variability of the COMT activity determined by a genetic polymorphism. The aim of this study is to investigate whether the genetic variability influences entacapone efficacy in Parkinson's disease.
COMT protein is dependent of a single autosomal locus with two co-dominant alleles with a high activity (allele H) and a low activity (allele L) form of the enzyme. L and H allele frequency in the Caucasian population is around 50%. This is a monocentric randomized blinded cross-over study comparing acute challenge of L-dopa + placebo versus L-dopa + 200 mg entacapone, in Parkinson's disease patients with HH and LL genotypes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| L-dopa + entacapone | Active Comparator | L-dopa + entacapone |
|
| L dopa / placebo | Experimental | L dopa / placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| entacapone | Drug | entacapone |
| |
| l dopa versus placebo |
| Measure | Description | Time Frame |
|---|---|---|
| L-dopa efficacy duration on UPDRS motor scale during an acute L-dopa test | L-dopa efficacy duration on UPDRS motor scale during an acute L-dopa test | during the hospitalization in 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics of L-dopa and its metabolites | Pharmacokinetics of L-dopa and its metabolites | at the end of the study during the last hospitalization |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jean Christophe CORVOL, MD,PhD | Assistance Publique - Hôpitaux de Paris | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre d'Investigation Clinique, Hôpital de la Pitié-Salpétrière, | Paris | 75013 | France |
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| ID | Term |
|---|---|
| D010300 | Parkinson Disease |
| ID | Term |
|---|---|
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| ID | Term |
|---|---|
| C071192 | entacapone |
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| Drug |
l dopa versus placebo |
|
| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |