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4 Parkinson’s Advances: How Research Is Improving Treatment

Written by Kelly Crumrin
Posted on February 29, 2024

In the past 10 years, researchers have discovered a lot of new information about Parkinson’s disease and found ways to significantly improve symptoms. However, many people with Parkinson’s still need additional treatment options.1 Researchers study new drugs and guidelines through clinical trials.

Read on to learn about four ways research is improving treatment for Parkinson’s.

1. Better Options for Treating Dyskinesia

Levodopa, often used in combination with carbidopa, is a mainstay of treatment for Parkinson’s motor symptoms.2 Levodopa is available in many forms.2 However, dyskinesia is a common side effect of long-term use of levodopa for Parkinson’s. Dyskinesia causes abnormal and involuntary movements.3

Amantadine had been used for years to treat dyskinesia in Parkinson’s. Gocovri (amantadine extended-release) was approved in 2017 as a more effective way to help treat dyskinesia in people with Parkinson’s.4

2. Improvement in ‘Off’ Time

As Parkinson’s advances, some people begin to experience motor fluctuations — known as “off” time — when Parkinson’s medications such as levodopa/carbidopa don’t work as well, and symptoms like tremor and walking difficulty worsen.5 In recent years, the U.S. Food and Drug Administration (FDA) approved several drugs to treat Parkinson’s during “off” time, including:

  • Rytary (carbidopa/levodopa), an extended-release oral capsule, in 20156
  • Duopa (carbidopa/levodopa), an enteral suspension delivered to the small intestine via an implanted pump, in 20157
  • Xadago (safinamide) in 20178
  • Inbrija (levodopa inhalation powder) in 20189
  • Nourianz (istradefylline) in 201910
  • Kynmobi, a sublingual film (under the tongue) form of apomorphine, in 202011
  • Ongentys (opicapone) in 202012
  • Gocovri, approved to treat “off” episodes as well as dyskinesia, in 20214

3. More Focus on Treating Nonmotor Symptoms

Although motor symptoms are the hallmark of Parkinson’s, many people also experience nonmotor symptoms. For some people, these can include cognitive changes such as dementia, hallucinations, and delusions.13 Nuplazid (pimavanserin) was approved by the FDA in 2016 as the first drug to treat hallucinations and delusions associated with Parkinson’s.14

4. New Treatment Strategies on the Horizon

Two new drugs are currently being tested for their potential to slow the progress of Parkinson’s disease in phase 2 clinical trials. Prasinezumab is infused intravenously (by IV) once every four weeks. This study is scheduled to be completed in 2026.15 An oral drug currently known as UCB0599 is also undergoing testing for slowing Parkinson’s progression. This clinical trial is scheduled to be completed in 2024.16

Researchers are also exploring a number of new treatment strategies for Parkinson’s, including1:

  • Calcium channel blockers — used to treat high blood pressure — to slow the progress of Parkinson’s
  • Ways to modulate the immune system’s effects in Parkinson’s, including using a drug called sargramostim
  • Delivery of gene therapy to protect dopamine-producing cells using a harmless virus

Communicate With Your Health Care Provider

Talk to your neurologist or movement disorder specialist about treatment options for Parkinson’s. Ask your doctor how you can manage Parkinson’s symptoms. You can also ask your doctor about participating in clinical trials.Those who participate can help pave the way for more treatment options for Parkinson’s becoming available in the future.

Talk With Others Who Understand

MyParkinsonsTeam is the social network for people with Parkinson’s and their loved ones. On MyParkinsonsTeam, more than 98,000 members come together to ask questions, give advice, and share their stories with others who understand life with Parkinson’s.

Are you living with Parkinson’s and interested in learning more about the latest research into new treatments? Have you ever considered participating in a clinical trial? Share your experience in the comments below, or start a conversation by posting on your Activities page.

References
  1. Parkinson’s disease: challenges, progress, and promise. National Institute of Neurological Disorders and Stroke. Updated January 30, 2023. Accessed April 28, 2023. https://www.ninds.nih.gov/current-research/focus-disorders/focus-parkinsons-disease-research/parkinsons-disease-challenges-progress-and-promise
  2. Levodopa. Parkinson’s Foundation. Accessed April 28, 2023. https://www.parkinson.org/living-with-parkinsons/treatment/prescription-medications/levodopa
  3. Understanding the levodopa side effect. American Parkinson Disease Association. Accessed April 28, 2023. https://www.apdaparkinson.org/what-is-parkinsons/treatment-medication/medication/dyskinesia/
  4. Dolhun R. Dyskinesia drug Gocovri now approved for “off” time, too. The Michael J. Fox Foundation for Parkinson’s Research. February 2, 2021. Accessed April 28, 2023. https://www.michaeljfox.org/news/dyskinesia-drug-gocovri-now-approved-time-too
  5. Motor fluctuations. Parkinson’s Foundation. Accessed April 28, 2023. https://www.parkinson.org/library/fact-sheets/motor-fluctuations
  6. Kuhl M. FDA approves extended release levodopa-carbidopa. The Michael J. Fox Foundation for Parkinson’s Research. January 8, 2015. Accessed May 31, 2023. https://www.michaeljfox.org/news/fda-approves-extended-release-levodopa-carbidopa?fda-approves-extended-release-levodopa-carbidopa=
  7. Teichholtz H. FDA approves Duopa — carbidopa/levodopa enteral suspension method new to U.S. market. The Michael J. Fox Foundation for Parkinson’s Research. January 12, 2015. Accessed May 31, 2023. https://www.michaeljfox.org/news/fda-approves-duopa-carbidopalevodopa-enteral-suspension-method-new-us-market
  8. FDA approves drug to treat Parkinson’s disease. News release. U.S. Food and Drug Administration. March 21, 2017. Updated March 28, 2018. Accessed April 23, 2023. https://www.fda.gov/news-events/press-announcements/fda-approves-drug-treat-parkinsons-disease
  9. FDA approves Inbrija (levodopa inhalation powder) Parkinson’s disease. News release. American Parkinson Disease Association. December 22, 2018. Accessed April 28, 2023. https://www.apdaparkinson.org/article/fda-approves-inbrija-off-parkinsons-disease/
  10. FDA approves new add-on drug to treat off episodes in adults with Parkinson’s disease. News release. U.S. Food and Drug Administration. August 27, 2019. Accessed April 28, 2023. https://www.fda.gov/news-events/press-announcements/fda-approves-new-add-drug-treat-episodes-adults-parkinsons-disease
  11. Terry M. FDA gives thumbs-up to Sunovion’s under-the-tongue Parkinson’s drug Kynmobi. BioSpace. May 22, 2020. Accessed April 28, 2023. https://www.biospace.com/article/fda-gives-sunovion-s-under-the-tongue-parkinson-s-drug-thumbs-up/
  12. Ongentys (opicapone). The Michael J. Fox Foundation for Parkinson’s Research. Accessed April 28, 2023. https://www.michaeljfox.org/news/ongentys-opicapone
  13. Non-movement symptoms. Parkinson’s Foundation. Accessed April 28, 2023. https://www.parkinson.org/understanding-parkinsons/non-movement-symptoms
  14. FDA approves first drug to treat hallucinations and delusions associated with Parkinson’s disease. News release. U.S. Food and Drug Administration. April 29, 2016. Updated March 1, 2019. Accessed April 28, 2023. https://www.fda.gov/news-events/press-announcements/fda-approves-first-drug-treat-hallucinations-and-delusions-associated-parkinsons-disease
  15. A study to evaluate the efficacy of prasinezumab (RO7046015/PRX002) in participants with early Parkinson’s disease (PASADENA). ClinicalTrials.gov identifier: NCT03100149. Updated May 16, 2023. Accessed May 31, 2023. https://clinicaltrials.gov/ct2/show/NCT03100149
  16. A 18-month study to evaluate the efficacy, safety, tolerability and pharmacokinetics of oral UCB0599 in study participants with early-stage Parkinson’s disease. ClinicalTrials.gov identifier: NCT04658186. Updated May 26, 2023. Accessed May 31, 2023. https://clinicaltrials.gov/ct2/show/NCT04658186

Posted on February 29, 2024

A MyParkinsonsTeam Member

anyone had experience with 'pramipexole'?

October 28
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Kelly Crumrin is a senior editor at MyHealthTeam and leads the creation of content that educates and empowers people with chronic illnesses. Learn more about her here.

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