RT info:eu-repo/semantics/article T1 A European Observational Study to Evaluate the Safety and the Effectiveness of Safinamide in Routine Clinical Practice: The SYNAPSES Trial A1 Abbruzzese, Giovanni A1 Kulisevsky Bojarsky, Jaume A1 Bergmansº, Bruno A1 Gómez Esteban, Juan Carlos A1 Kägi, Georg A1 Stefani, Alessandro A1 Warnecke, Tobias A1 Jost, Wolfgang H. A1 Cubo Delgado, Esther A1 SYNAPSES Study Investigators Group K1 Parkinson’s disease K1 Safinamide K1 MAO-B inhibitor K1 Real-life evaluation K1 Sistema nervioso-Enfermedades K1 Nervous system-Diseases K1 Medicina K1 Medicine K1 Neurología K1 Neurology AB Background:Safinamide modulates both dopaminergic and glutamatergic systems with positive effects on motor and non-motor symptoms of Parkinson’s disease (PD). The drug utilization study SYNAPSES was designed to investigate the use of safinamide in routine clinical practice, as recommended by the European Medicines Agency.Objective:To describe the occurrence of adverse events in PD patients treated with safinamide in real-life conditions.Methods:The SYNAPSES trial is an observational, European, multicenter, retrospective-prospective cohort study. Patients were followed up to 12 months with analyses performed in the overall population and in patients aged >75 years, with relevant comorbidities and with psychiatric conditions.Results:Of the 1610 patients included, 82.4% were evaluable after 12 months with 25.1% of patients >75 years, 70.8% with relevant comorbidities and 42.4% with psychiatric conditions. During observation 45.8% patients experienced adverse events, 27.7% patients had adverse drug reactions and 9.2% patients had serious adverse events. The adverse events were those already described in the patients’ information leaflet. The majority were mild or moderate and completely resolved and no differences were detected between the subgroup of patients. Clinically significant improvements were seen in the UPDRS motor score and in the UPDRS total score in ≥40% of patients, according to the criteria developed by Shulman et al.Conclusion:The SYNAPSES study confirms the good safety profile of safinamide even in special groups of patients. Motor complications and motor scores improved with clinically significant results in the UPDRS scale maintained in the long-term. PB IOS Press SN 1877-7171 YR 2021 FD 2021-02 LK http://hdl.handle.net/10259/8816 UL http://hdl.handle.net/10259/8816 LA eng DS Repositorio Institucional de la Universidad de Burgos RD 24-nov-2024