Article
Author: Yoshida, Kazuto ; Suzuki, Keisuke ; Hattori, Nobutaka ; Sakata, Mayumi ; Yamada, Hitoshi ; Morimoto, Nobutoshi ; Tomiyama, Masahiko ; Shimo, Yasushi ; Murata, Miho ; Kimura, Takashi ; Hattori, Tatsuya ; Kaneko, Satoshi ; Kaneko, Chikako ; Tetsuya, Maeda ; Isobe, Chiaki ; Abe, Takashi ; Deguchi, Kentaro ; Yoshinaga, Junji ; Orimo, Satoshi ; Takeda, Atsushi ; Ikebe, Shinichiro ; Yamamoto, Mitsutoshi ; Sato, Akira ; Kanzato, Naomi ; Yamada, Kana ; Kawashima, Noriko ; Uozumi, Takenori ; Ito, Kazunori ; Fujimoto, Kenichi ; Ishikawa, Mitsunori ; Sugiyama, Kenichiro ; Naka, Takashi ; Saiki, Hidemoto ; Negishi, Teruhiko ; Tatsuoka, Yoshihisa ; Tsuboi, Yoshio ; Ito, Mizuki ; Nishi, Masato ; Hatsuta, Hiroyuki ; Mochizuki, Hideki ; Tsujino, Akira ; Kitayama, Michio ; Nishida, Yoshihiko ; Toru, Shuta ; Ishida, Yoshinori ; Hiraiwa, Ren ; Toda, Kazuo ; Maeda, Tetsuya ; Kosaka, Satoru ; Kitamura, Takeshi ; Hasegawa, Kazuko ; Nomoto, Masahiro ; Takahashi, Ryosuke
INTRODUCTION:KW-6356 is a novel selective adenosine A2A receptor antagonist/inverse agonist. We evaluated the efficacy and safety of KW-6356 as monotherapy in patients with early, untreated Parkinson's disease (PD).
METHODS:This was a randomized, placebo-controlled, double-blind study conducted in Japan to investigate the efficacy and safety of once-daily KW-6356 (3 or 6 mg/day) orally administered as monotherapy for 12 weeks in patients with early PD (NCT02939391). The primary endpoint was the least squares means of change from baseline in the MDS-UPDRS Part III total score.
RESULTS:Overall, 168 patients were randomized and treated (KW-6356 3 mg/day n = 55; 6 mg/day n = 58, placebo n = 55); Week 12 completion rates were >90% per group. LS mean [95% CI] changes from baseline to Week 12 in MDS-UPDRS Part III total scores were -5.37 [-7.25, -3.48] for 3 mg/day, -4.76 [-6.55, -2.96] for 6 mg/day and -3.14 [-4.97, -1.30] for placebo. Changes from baseline were larger for both KW-6356 groups than for the placebo group at all time points. Secondary endpoints supported the primary findings with larger changes in MDS-UPDRS Part II, Parts II + III, and Total scores in the KW-6356 groups than in the placebo group. Treatment was well-tolerated; the most common treatment-emergent adverse events with KW-6356 were constipation (n = 4 [7.3%] and n = 6 [10.3%] in the 3 and 6 mg/day groups, respectively) followed by nasopharyngitis (n = 4 [7.3%] and n = 5 [8.6%] in the 3 and 6 mg/day groups, respectively).
CONCLUSION:KW-6356 monotherapy is well tolerated and more effective than placebo in patients with early, untreated PD.