Brooks UK‐IRISH 2003.
Methods | Randomised double‐blind parallel group study. The patients were stratified into two groups fluctuators and non‐fluctuators and randomised in a 2:1 ratio to entacapone or placebo using a computerised method. Multi‐centred, UK and Ireland. Intention‐to‐treat analysis. Duration: 6 months | |
Participants | 300 patients, 172 fluctuators, 128 non‐fluctuators. 49 receiving entacapone withdrew (24%), 38 due to adverse events, 16 receiving placebo withdrew (17%), 14 due to adverse events. In the fluctuating patients, 109 were male (63%), average age 65.3 years, average duration of PD 9.4 years, average levodopa dose 697 mg/day. Inclusion criteria: Patients aged 30‐80 years, with levodopa responsive idiopathic fluctuating or non‐fluctuating PD, who would benefit from levodopa enhancement. Number of levodopa doses could vary from 2‐10 daily. | |
Interventions | Patients received 200 mg entacapone (n=203) or placebo (n=97) with each levodopa dose. Both standard and controlled‐release levodopa preparations with either of the DDC inhibitors and any other concomitant antiparkinsonian medication were allowed. | |
Outcomes | 'On' time UPDRS (all parts) Levodopa dose Adverse events | |
Notes | ENTACAPONE Fluctuating and non‐fluctuating patients but the data is segregated. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Allocation concealment? | Low risk | A ‐ Adequate |