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. 2004 Oct 18;2004(4):CD004554. doi: 10.1002/14651858.CD004554.pub2

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