Impact of carbidopa-levodopa enteral suspension on quality of life and activities of daily living in patients with advanced Parkinson's disease: Results from a pooled meta-analysis

Academic Article

Abstract

  • Introduction: To estimate the impact of carbidopa/levodopa enteral suspension (CLES) on key patient-centered outcomes in patients with advanced Parkinson's disease (PD). Methods: A comprehensive literature review identified relevant studies, from which data were meta-analyzed over 3-month intervals up to 24 months. Patient-centered outcomes of interest included mean (95% CI) changes from baseline (Δ) in quality of life (QoL), measured using PD-specific (PDQ-8, PDQ-39) and generic (EQ-5D) instruments; activities of daily living (ADL), measured in On and Off states using UPDRS Part II; and motor symptoms (i.e., Off time/day and motor examination [measured in On and Off states using UPDRS Part III]). Results: The pooled meta-analysis included data from 26 studies evaluating 1556 patients on CLES. At 3 months, all outcomes showed significant improvement: QoL (ΔPDQ-39 = −10.26 [-11.54, −8.97], ΔEQ-5DVAS = 15.42 [12.58, 18.26]); ADL (ΔUPDRS IION = −4.32 [-5.63, −3.01]); motor symptoms (ΔOff time hours/day = −3.48 [-4.15, −2.82], ΔUPDRS IIION = −6.20 [-9.88, −2.51]). At 24 months, there were statistically significant mean improvements in QoL (ΔPDQ-39 = −7.74 [-12.40, −3.07], ΔEQ-5DVAS = 11.18 [6.90, 15.45]) and ADL (ΔUPDRS IIOFF = −3.88 [-5.34, −2.42]), and Off time (−4.21 [-5.16, −3.26] hours/day). Conclusions: Impact of CLES on significantly reducing Off time/day was observed to be rapid and durable (i.e., remained consistent across 24 months). Most QoL and ADL measures showed a consistent pattern of improvement with initiation of treatment and remained significantly improved from baseline at 24 months.
  • Authors

    Published In

    Digital Object Identifier (doi)

    Author List

  • Standaert DG; Patel V; Snedecor SJ; Thakkar S; Jalundhwala YJ; Kukreja P; Kratochvil D; Bao Y; Pahwa R
  • Start Page

  • 52
  • End Page

  • 57
  • Volume

  • 86