Reilmann, Ralf, Rouzade-Dominguez, Marie-Laure, Saft, Carsten, Süssmuth, Sigurd D., Priller, Josef, Rosser, Anne Elizabeth ORCID: https://orcid.org/0000-0002-4716-4753, Rickards, Hugh, Schöls, Ludger, Pezous, Nicole, Gasparini, Fabrizio, Johns, Donald, Landwehrmeyer, Georg Bernhard and Gomez-Mancilla, Baltazar 2015. A randomized, placebo-controlled trial of AFQ056 for the treatment of chorea in Huntington's disease. Movement Disorders 30 (3) , pp. 427-431. 10.1002/mds.26174 |
Abstract
Background This study investigated the hypothesis that AFQ056 (mavoglurant), a selective metabotropic glutamate receptor 5 antagonist, reduces chorea in Huntington's disease (HD). Methods This 32-day randomized, double-blind, parallel-group, proof-of-concept study investigated AFQ056 (25-150 mg [incremental doses], twice-daily) versus placebo in patients with HD. Primary efficacy assessments were the chorea-sum score and orientation index (nondominant hand) from the quantitative motor (Q-Motor) grasping task at day 28. Key secondary efficacy assessments included finger-tapping in the Unified Huntington's Disease Rating Scale–Total Motor Score and Q-Motor measures. Safety and tolerability were assessed. Results Overall, 42 patients were randomized. At day 28, no improvement was observed on the primary efficacy assessments (P > 0.10) with AFQ056 versus placebo. The Q-Motor speeded-tapping interonset interval variability was reduced with AFQ056 versus placebo for the nondominant hand (P = 0.01). The incidence of adverse events was 66.7% with AFQ056 and 57.1% with placebo. Conclusions AFQ056 did not reduce choreatic movements in HD, but was well tolerated. The clinical relevance of the Q-Motor findings (speeded-tapping) are unknown and may warrant further investigation. © 2015 International Parkinson and Movement Disorder Society
Item Type: | Article |
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Date Type: | Publication |
Status: | Published |
Schools: | Biosciences Medicine MRC Centre for Neuropsychiatric Genetics and Genomics (CNGG) Neuroscience and Mental Health Research Institute (NMHRI) |
Subjects: | R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry R Medicine > RM Therapeutics. Pharmacology |
Uncontrolled Keywords: | Huntington's disease; chorea; mGluR5 antagonist; AFQ056 |
Publisher: | John Wiley & Sons |
ISSN: | 0885-3185 |
Date of Acceptance: | 16 January 2015 |
Last Modified: | 28 Oct 2022 08:47 |
URI: | https://orca.cardiff.ac.uk/id/eprint/72142 |
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