Safinamide in the treatment pathway of Parkinson's Disease : a European Delphi Consensus
Stocchi, Fabrizio (University and IRCCS San Raffaele Pisana)
Antonini, Angelo (University of Padua)
Berg, Daniela (Hertie-Institute of Clinical Brain Research Tübingen)
Bergmans, Bruno (Ghent University Hospital. (Bèlgica))
Jost, Wolfgang (Parkinson-Klinik Ortenau)
Katzenschlager, Regina (Neurodegenerative Disorders Klinik Donaustadt)
Kulisevsky, Jaime (Institut d'Investigació Biomèdica Sant Pau)
Odin, Per (Lund University)
Valldeoriola, Francesc (Hospital Clínic i Provincial de Barcelona)
Ray Chaudhuri, K. (King's College Hospital NHS Foundation Trust)
Universitat Autònoma de Barcelona

Data:	2022
Resum:	Safinamide is a highly selective, reversible MAO B-inhibitor recently marketed in European and North American countries. To better define clinical indications regarding motor and non-motor symptoms, targeted population and safety of this compound, ten movement disorders specialists, experts in their field, convened and developed a panel of statements on: the role of glutamate in Parkinson's disease, introduction to fluctuations, efficacy of safinamide on motor symptoms, motor complications and non-motor symptoms, quality of life, safety of safinamide and target population for use. Strong consensus was reached for all the statements on the efficacy of safinamide on motor symptoms, motor fluctuations, quality of life and safety. Among non-motor symptoms, a positive consensus was reached for the symptoms sleep/fatigue, mood, and pain while there was a lack of consensus for the statements regarding the efficacy of safinamide in improving cognition, urinary and sexual functions. The statement on orthostatic hypotension obtained a negative consensus. The consistent and large agreement reached in this Delphi panel perfectly reflects the perception of efficacy, safety and tolerability of safinamide as evident from pivotal trials and clinical practice and shows how these findings may guide movement disorders specialists in their clinical therapeutic approach. The impact of non-motor symptoms in PD is considerable, and management remains an unmet need. In this context, the ability of safinamide to impact some non-motor symptoms may represent the most promising and distinctive feature of this compound and deserves further investigations.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Parkinson's disease
Publicat a:	NPJ Parkinson's disease, Vol. 8 (february 2022) , ISSN 2373-8057

DOI: 10.1038/s41531-022-00277-z
PMID: 35190544

9 p, 1.0 MB

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