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Open AccessArticle

Safinamide in Clinical Practice: A Spanish Multicenter Cohort Study

Movement Disorders Unit, Clínica Universidad de Navarra (CUN), 31008 Pamplona, Spain
IdiSNA (Navarra Institute for Health Research), 31008 Pamplona, Spain
Movement Disorders Unit, Hospital Universitario Insular de Gran Canaria, 35016 Las Palmas de Gran Canaria (HUIGC), Spain
Movement Disorders Unit, Hospital de la Santa Creu i Sant Pau (HSCSP), 08041 Barcelona, Spain
Movement Disorders Unit, Hospital Universitario de Badajoz, 06080 Badajoz, Spain
Author to whom correspondence should be addressed.
Brain Sci. 2019, 9(10), 272;
Received: 28 August 2019 / Revised: 29 September 2019 / Accepted: 9 October 2019 / Published: 11 October 2019
(This article belongs to the Special Issue Progression of Cognitive Decline in Older Adults with Parkinson’s)
Background: Safinamide is an approved drug for the treatment of motor fluctuations of Parkinson’s Disease (PD) patients with a potential benefit on non-motor symptoms (NMS). Methods: A retrospective multicenter cohort study was conducted, in which the clinical effect of safinamide on both motor and NMS was assessed by the Clinical Global Impression of Change scale. Furthermore, we assessed the appearance of adverse events (AEs) and its effect on dyskinesia, that were also recorded in non-fluctuating PD patients and in those previously treated with rasagiline. Results: We included 213 PD patients who received safinamide in addition to their regular levodopa therapy. Thirty-five withdrew prematurely from safinamide, mainly because of AEs. Out of 178, clinical improvement on motor and NMS was found in 76.4% and 26.2%, respectively. A total of 44 reported AEs of mild intensity. We did not find a difference concerning the clinical benefit or AEs when comparing either patients who had or had not been taking Monoamine Oxidase B Inhibitor (MAOB-I) previously or between patients with and without motor complications. Conclusions: Safinamide is an effective and safe add-on to levodopa drug for PD patients. Moreover, safinamide could elicit an additional clinical improvement in PD patients previously treated with other MAOB-I and in non- fluctuating patients with suboptimal motor control. View Full-Text
Keywords: Parkinson’s Disease; Safinamide; Adverse drug event; Dyskinesia; Drug-Induced; Motor complications Parkinson’s Disease; Safinamide; Adverse drug event; Dyskinesia; Drug-Induced; Motor complications
MDPI and ACS Style

Martí-Andrés, G.; Jiménez-Bolaños, R.; Arbelo-González, J.M.; Pagonabarraga, J.; Duran-Herrera, C.; Valenti-Azcarate, R.; Luquin, M.R. Safinamide in Clinical Practice: A Spanish Multicenter Cohort Study. Brain Sci. 2019, 9, 272.

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