Table 2.
D1-selective DAs with available clinical evidence in PD.
Name of DA | Dopamine receptor selectivity | Current clinical statusa | Evidence of motor control |
---|---|---|---|
ABT-431 | D1/D5 full [43], [45] | Discontinued after pilot clinical study [45] | Clinically and statistically significant difference relative to placebo in motor subsection of the UPDRS score in pilot study in advanced PD [45] |
Dihydrexidine | D1/D5 full [46], [47] | Discontinued after pilot clinical study [46] | 3 of 4 patients did not have motor improvement; 1 patient had motor response similar to levodopa, as assessed by UPDRS motor score immediately after dosing in pilot study in mild/moderate PD [46] |
PF-06412562 | D1/D5 partial [48] | Discontinued after phase 1 study [115] | Clinically meaningful motor improvement relative to placebo, as assessed by LSM MDS–UPDRS Part III motor score in phase 1 study in all patients with PD [48] |
Tavapadon | D1/D5 partial | Phase 3, ongoing [108], [109], [110] | Significantly greater improvement in mean MDS-UPDRS Part III score at 15 weeks relative to placebo in phase 2 study in early-stage PD [50] |
As of July 2022. DA, dopamine agonist; LSM, least-squares mean; MDS, Movement Disorder Society; PD, Parkinson’s disease; UPDRS, Unified Parkinson's Disease Rating Scale.