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Fabbri M, Rousseau V, Corvol JC, Sommet A, Tubach F, De Rycke Y, Bertille N, Selvarasa Y, Carvalho S, Chaigneau V, Brefel-Courbon C, Ory-Magne F, Tessier S, Tir M, Bereau M, Meissner WG, Thiriez C, Marques A, Remy P, Schneider V, Moro E, Defebvre L, Houeto JL, Prange S, Eusebio A, Geny C, Frismand S, Damier P, Reuther CG, Castelnovo G, Benatru I, De Maindreville AD, Drapier S, Maltête D, Lagha-Boukbiza O, Rascol O. Amantadine use in the French prospective NS-Park cohort. J Neural Transm (Vienna) 2024:10.1007/s00702-024-02772-4. [PMID: 38578434 DOI: 10.1007/s00702-024-02772-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2024] [Accepted: 03/25/2024] [Indexed: 04/06/2024]
Abstract
OBJECTIVE To assess amantadine use and associated factors in the patients with Parkinson's disease (PD). BACKGROUND Immediate-release amantadine is approved for the treatment of PD and is largely used in clinical practice to treat "levodopa-induced dyskinesia (LIDs). Its use varies according to countries and PD stages. The prospective NS-Park cohort collects features of PD patients followed by 26 French PD Expert Centres. METHODS Variables used for the analyses included demographics, motor and non-motor PD symptoms and motor complications [motor fluctuations (MFs), LIDs)], antiparkinsonian pharmacological classes and levodopa equivalent daily dose (LEDD). We evaluated: (i) prevalence of amantadine use and compared clinical features of amantadine users vs. non-users (cross-sectional analysis); (ii) factors associated with amantadine initiation (longitudinal analysis); (iii) amantadine effect on LIDs, MFs, apathy, impulse control disorders and freezing of gait (Fog) (longitudinal analysis). RESULTS Amantadine use prevalence was 12.6% (1,585/12,542, median dose = 200 mg). Amantadine users were significantly younger, with longer and more severe PD symptoms, greater LEDD and more frequent use of device-aided/surgical treatment. Factors independently associated with amantadine initiation were younger age, longer PD duration, more frequent LIDs, MFs and FoG, higher LEDD and better cognitive function. 9 of the 658 patients on amantadine had stopped it at the following visit, after 12-18 months (1.3%). New users of amantadine presented a higher improvement in LIDs and MF compared to amantadine never users. CONCLUSIONS About 12% of PD patients within the French NS-Park cohort used amantadine, mostly those with younger age and more severe PD. Amantadine initiation was associated with a subsequent reduction in LIDs and MFs.
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Affiliation(s)
- Margherita Fabbri
- Department of Clinical Pharmacology and Neurosciences, Clinical Investigation Center CIC1436, Toulouse Parkinson Expert Centre, Toulouse NeuroToul Center of Excellence in Neurodegeneration (COEN), University of Toulouse 3, CHU of Toulouse, INSERM, Toulouse, France.
- Service de Pharmacologie Médicale et Clinique, Centre Hospitalier Universitaire-Faculté de Médecine, Toulouse, France.
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France.
| | - Vanessa Rousseau
- Department of Clinical Pharmacology, Clinical Investigation Center CIC1436, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Jean-Christophe Corvol
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
- Sorbonne Université, Institut du Cerveau, Paris Brain Institute, ICM, Inserm, CNRS, Paris, France
- Department of Neurology, Assistance Publique Hôpitaux de Paris, CIC Neurosciences, Hôpital Pitié-Salpêtrière, Paris, France
| | - Agnès Sommet
- Department of Clinical Pharmacology, Clinical Investigation Center CIC1436, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Florence Tubach
- Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, AP-HP, Hôpital Pitié Salpêtrière, Département de Santé Publique, Centre de Pharmacoépidémiologie (Cephepi), Unité de Recherche Clinique PSL-CFX, CIC-1901, F75013, Paris, France
| | - Yann De Rycke
- Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, AP-HP, Hôpital Pitié Salpêtrière, Département de Santé Publique, Centre de Pharmacoépidémiologie (Cephepi), Unité de Recherche Clinique PSL-CFX, CIC-1901, F75013, Paris, France
| | - Nathalie Bertille
- Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, AP-HP, Hôpital Pitié Salpêtrière, Département de Santé Publique, Centre de Pharmacoépidémiologie (Cephepi), Unité de Recherche Clinique PSL-CFX, CIC-1901, F75013, Paris, France
| | - Yajiththa Selvarasa
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
- Sorbonne Université, Institut du Cerveau, Paris Brain Institute, ICM, Inserm, CNRS, Paris, France
- Department of Neurology, Assistance Publique Hôpitaux de Paris, CIC Neurosciences, Hôpital Pitié-Salpêtrière, Paris, France
| | - Stephanie Carvalho
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
- Sorbonne Université, Institut du Cerveau, Paris Brain Institute, ICM, Inserm, CNRS, Paris, France
- Department of Neurology, Assistance Publique Hôpitaux de Paris, CIC Neurosciences, Hôpital Pitié-Salpêtrière, Paris, France
| | | | - Christine Brefel-Courbon
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
- Department of Clinical Pharmacology and Neurosciences, Parkinson Expert Center, Clinical Investigation Center CIC1436, University Hospital of Toulouse, NeuroToul COEN (Center of Excellence in Neurodegeneration), Toulouse NeuroImaging Center, Inserm, University of Toulouse 3, Toulouse, France
| | - Fabienne Ory-Magne
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
- Service de Neurologie, Centre Hospitalier Universitaire, Toulouse, Université de Toulouse-Toulouse 3, INSERM, UMR1214 Toulouse NeuroImaging Centre "TONIC," Center of Excellence in Neurodegeneration (CoEN), NeuroToul, Parkinson Expert Center, Clinical Investigation Center CIC1436, Toulouse, France
| | - Samuel Tessier
- Service de Pharmacologie Médicale et Clinique, Centre Hospitalier Universitaire-Faculté de Médecine, Toulouse, France
| | - Melissa Tir
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
- Department of Neurology, University Hospital of Amiens, Amiens, France
| | - Matthieu Bereau
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
- Department of Neurology, University Hospital of Besançon, Besançon, France
| | - Wassilios G Meissner
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
- CHU Bordeaux, Service de Neurologie des Maladies Neurodégénératives, IMNc, NS-Park/FCRIN Network, 33000, Bordeaux, France
- Univ. Bordeaux, CNRS, IMN, UMR5293, 33000, Bordeaux, France
- Dept. Medicine, University of Otago, Christchurch, New Zealand
- New Zealand Brain Research, Christchurch, New Zealand
| | - Claire Thiriez
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
- Department of Neurology and Parkinson Expert Centre, Caen University-Hospital, Caen, France
| | - Ana Marques
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
- Neurology Department, Université Clermont Auvergne, EA7280 NPsy-Sydo, Clermont-Ferrand University Hospital, Clermont-Ferrand, France
| | - Philippe Remy
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
- Centre Expert Parkinson, Neurologie, CHU Henri Mondor, AP-HP, Equipe NPI, IMRB INSERM Et Faculté de Santé, Université Paris-Est Créteil, Créteil, France
| | - Vincent Schneider
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
- Département de Neurologie, Centre Hospitalier Universitaire François Mitterrand, Université de Bourgogne, Dijon, France
| | - Elena Moro
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
- Unité des Troubles du Movement, Service de Neurologie, Coordinatrice du Pole PRENELE, CHU de Grenoble, Assesseur Relations Internationales, Faculté de Médécine, Université Grenoble Alpes, President Elect, European Academy of Neurology, Grenoble, France
| | - Luc Defebvre
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
- Movement Disorders Department, Lille University, Inserm 1172, Lille, France
| | - Jean Luc Houeto
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
- Department of Neurology, Limoges University Hospital, Inserm, U1094, EpiMaCT-Epidemiology of Chronic Diseases in Tropical Zone, 87042, Limoges Cedex 01, France
| | - Stephane Prange
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
- Hospices Civils de Lyon, Pierre Wertheimer Neurological Hospital, Expert Parkinson Center, Lyon University, Bron, France
- Université Claude Bernard Lyon 1, Faculté de Médecine et de Maïeutique Lyon Sud Charles Mérieux, Oullins, France
- Marc Jeannerod Institute for Cognitive Neuroscience, CNRS, UMR 5229, Bron, France
| | - Alexandre Eusebio
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
- Movement Disorders Unit, Neurology Department, University Hospital of Marseille, Marseille, France
| | - Christian Geny
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
- EuroMov, Univ. Montpellier, Montpellier, France
- Department of Neurology, CHRU Montpellier, Montpellier, France
| | - Solène Frismand
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
- Service de Neurologie, Centre Expert Parkinson, Centre Mémoire de Ressources et de Recherche de Lorraine, Hôpital Central Nancy, Nancy, France
| | - Philippe Damier
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
- Service de Neurologie, CHU Nantes, INSERM, CIC, 1413, Nantes, France
| | - Caroline Giordana Reuther
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
- Department of Neurology, Centre Hospitalier Universitaire de Nice, Université Côte d'Azur, Nice, France
| | - Giovanni Castelnovo
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
- Department of Neurology, University Hospital of Nîmes, Nîmes, France
| | - Isabelle Benatru
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
- Departement of Neurology, Poitiers University Hospital, INSERM, CHU de Poitiers, Centre d'Investigation Clinique CIC1402, Poitiers, France
| | - Anne Doe De Maindreville
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
- Department of Neurology, Hôpital Maison Blanche, Reims, France
| | - Sophie Drapier
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
- Department of Neurology, Pontchaillou University Hospital, CIC INSERM 1414, Rennes, France
| | - David Maltête
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
- Department of Neurology, Rouen University Hospital and University of Rouen, Rouen, France
- Laboratory of Neuronal and Neuroendocrine Differentiation and Communication, CEP Rouen, INSERM U1239, Mont-Saint-Aignan, France
| | - Ouhaid Lagha-Boukbiza
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
- Service de Neurologie, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Olivier Rascol
- Department of Clinical Pharmacology and Neurosciences, Clinical Investigation Center CIC1436, Toulouse Parkinson Expert Centre, Toulouse NeuroToul Center of Excellence in Neurodegeneration (COEN), University of Toulouse 3, CHU of Toulouse, INSERM, Toulouse, France
- Service de Pharmacologie Médicale et Clinique, Centre Hospitalier Universitaire-Faculté de Médecine, Toulouse, France
- French NS-PARK/F-CRIN Network, Clermont-Ferrand, France
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