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Open AccessJournal ArticleDOI

Effectiveness of Safinamide over Mood in Parkinson's Disease Patients: Secondary Analysis of the Open-label Study SAFINONMOTOR.

TLDR
The SAFINON MOTOR study as mentioned in this paper showed that SAFINamide improves mood in patients with Parkinson's disease at 6 months by reducing the BDI-II (Beck Depression Inventory-II), NMSS mood/apathy domain, and PDQ-39 (Parkinson’s Disease Questionnaire-39) emotional well-being domain.
Abstract
Mood disorders are frequent in Parkinson’s disease (PD) and a favorable effect of safinamide on mood has been observed. We aimed to analyze the effectiveness of safinamide on mood as a secondary objective from the SAFINONMOTOR (an open-label study of the effectiveness of SAFInamide on NON-MOTOR symptoms in patients with Parkinson’s disease) study. SAFINONMOTOR is a prospective open-label single-arm study conducted in five centers from Spain. Patients with PD were required to have at baseline a Non-Motor Symptoms Scale (NMSS) total score of at least 40. In this analysis, the changes from V1 (baseline) to V4 (6 months ± 1 month) in the BDI-II (Beck Depression Inventory-II), NMSS mood/apathy domain, and PDQ-39 (Parkinson’s Disease Questionnaire-39) emotional well‐being domain were analyzed. Depression was identified and classified (DSM-IV and Judd criteria) at baseline and at the end of follow-up as major depression (MD), minor depression (mD), subthreshold depression (subD), and non-depression (nonD). Fifty patients with PD were included (age 68.5 ± 9.12 years; 58% women; 6.4 ± 5.1 years from diagnosis) and 44 patients (88%) completed the follow-up at 6 months. The BDI-II total score was reduced by 35.9% (from 15.88 ± 10.46 at V1 to 10.18 ± 6.76 at V4; p < 0.0001). A significant decrease in the NMSS mood/apathy domain and PDQ-39 emotional well‐being domain was observed as well (p < 0.0001). At baseline, 52% of the patients presented MD, 34% mD, 12% subD, and 2% nonD whereas at V4 the percentages were 31.8%, 34.1%, 22.7%, and 11.4%, respectively (p = 0.029). Safinamide improves mood in patients with PD at 6 months.

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Journal ArticleDOI

Safinamide

TL;DR: Savinamide may be used in PD to reduce l-dopa dosage and also represents a valuable therapeutic drug to test disease-modifying potential.
Journal ArticleDOI

A critical appraisal of MAO-B inhibitors in the treatment of Parkinson’s disease

TL;DR: The MAO-B inhibitors have gained considerable status in the therapy of the Parkinson's disease as discussed by the authors since the 1980s and have been used in both mono-and combination therapies.
Journal ArticleDOI

Non-motor symptoms burden in motor-fluctuating patients with Parkinson’s disease may be alleviated by safinamide: the VALE-SAFI study

TL;DR: In this article , the effect of safinamide treatment on non-motor symptoms (NMS) and quality of life in motor-fluctuating PD patients was explored through validated sales.
Journal ArticleDOI

Fatigue in fluctuating Parkinson’s disease patients: possible impact of safinamide

TL;DR: In this paper , the authors used the validated versions of fatigue severity scale (FSS) and Parkinson fatigue scale-16 (PFS-16) to test the hypothesis that safinamide could represent an effective treatment of fatigue in Parkinson's disease patients, given its dual mechanism of action.
References
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Journal ArticleDOI

A systematic review of prevalence studies of dementia in Parkinson's disease.

TL;DR: A systematic review of previous studies of the prevalence of PDD using PubMed to search the literature suggests that 24 to 31% of PD patients have dementia, and that 3 to 4% of the dementia in the population would be due to PDD.
Journal ArticleDOI

A systematic review of prevalence studies of depression in Parkinson's disease: The Prevalence of Depression in PD

TL;DR: It is suggested that the average prevalence of major depressive disorder in PD is substantial, but lower than generally assumed.
Journal ArticleDOI

Monoamine oxidase: isoforms and inhibitors in Parkinson's disease and depressive illness.

TL;DR: The concept of neuroprotection, reflecting the possibility of slowing, halting and maybe reversing, neurodegeneration in Parkinson's or Alzheimer's diseases, and selective inhibition of brain MAO could contribute importantly to lowering such stress are suggested.
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