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Improved Parkinsons disease motor score in a single-arm open-label trial of febuxostat and inosine.


ABSTRACT: BACKGROUND:Cellular energetics play an important role in Parkinsons disease etiology, but no treatments directly address this deficiency. Our past research showed that treatment with febuxostat and inosine increased blood hypoxanthine and ATP in healthy adults, and a preliminary trial in 3 Parkinson's disease patients suggested some symptomatic improvements with no adverse effects. METHODS:To examine the efficacy on symptoms and safety in a larger group of Parkinsons disease patients, we conducted a single-arm, open-label trial at 5 Japanese neurology clinics and enrolled thirty patients (nmales?=?11; nfemales?=?19); 26 patients completed the study (nmales?=?10; nfemales?=?16). Each patient was administered febuxostat 20?mg and inosine 500?mg twice-per-day (after breakfast and dinner) for 8 weeks. The primary endpoint was the difference of MDS-UPDRS Part III score immediately before and after 57 days of treatment. RESULTS:Serum hypoxanthine concentrations were raised significantly after treatment (Pre?=?11.4??M; Post?=?38.1??M; P?

SUBMITTER: Watanabe H 

PROVIDER: S-EPMC7458241 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature

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Improved Parkinsons disease motor score in a single-arm open-label trial of febuxostat and inosine.

Watanabe Hirohisa H   Hattori Tatsuya T   Kume Akito A   Misu Kenichiro K   Ito Takashi T   Koike Yu Y   Johnson Todd A TA   Kamitsuji Shigeo S   Kamatani Naoyuki N   Sobue Gen G  

Medicine 20200801 35


<h4>Background</h4>Cellular energetics play an important role in Parkinsons disease etiology, but no treatments directly address this deficiency. Our past research showed that treatment with febuxostat and inosine increased blood hypoxanthine and ATP in healthy adults, and a preliminary trial in 3 Parkinson's disease patients suggested some symptomatic improvements with no adverse effects.<h4>Methods</h4>To examine the efficacy on symptoms and safety in a larger group of Parkinsons disease patie  ...[more]

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