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DATATOP: a decade of neuroprotective inquiry. Parkinson Study Group. Deprenyl And
Tocopherol Antioxidative Therapy Of Parkinsonism.
Shoulson I
Department of Neurology,
University of Rochester, NY 14620, USA.
Ann Neurol 1998 Sep;44(3 Suppl 1):S160-6
Abstract
In 1987, the DATATOP clinical trial was initiated to examine the benefits of deprenyl
(selegiline) and alpha-tocopherol in slowing the progression of Parkinson's disease (PD).
After 14 +/- 6 (mean +/- SD) months of controlled observation, deprenyl
10 mg/day was found to significantly delay the time until enough disability developed to
warrant the initiation of levodopa therapy. This effect was largely sustained during the
overall 8.2 years of observation, including open-label deprenyl treatment
and a second treatment randomization to continue deprenyl or switch to placebo. There were
no accompanying benefits of deprenyl in postponing levodopa-related adverse effects or
extending life. Alpha-tocopherol produced no benefits. The 2.1% per year mortality rate of
the DATATOP cohort was remarkably low, about the same as an age-matched population without
PD. Neuroprotective therapy remains an elusive goal for the experimental therapeutics of
PD. Advances in understanding pathogenesis, a robust pipeline of rational treatments, and
the advent of valid and reliable biologic markers hold promise in the coming decade for
developing and achieving neuroprotective therapies for PD.
Vinpocetine
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Picamilon | Pyritinol
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Parkinson's
research / abstracts
1.
Deprenyl
effect on cognitive functions in early Parkinson's
2. Deprenyl
depression in Parkinson's disease
3. Deprenyl
stimulates biosynthesis of cytokines interleukin-1 & 6
4. Deprenyl
effect of MAO-B inhibitors on MPP+ toxicity
5. Deprenyl
modulates the decline of the dopamineric system
6. Deprenyl
possible
mechanisms of action in Parkinson's
7. Deprenyl
pharmacological
basis of the beneficial effects
8. Deprenyl
improves visuo-motor
control in early Parkinsonism
9. Deprenyl
delays
disability in Parkinsonian patients
10. Deprenyl
management of
early Parkinson's disease
11. Deprenyl
delays the
onset of disability in Parkinsonian patients
12. Deprenyl
and tocopherol
antioxidative therapy of Parkinsonism
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