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NEWS: Tolcapone Improves On-Off Periods in PD [April 1997]

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April 17, 1997

Clinical results presented at the American Academy of Neurology annual
meeting in Boston indicate that tolcapone (Tasmar, Roche) is effective in
patients with Parkinson's disease suffering from on-off periods.

Tolcapone is the most potent and selective inhibitor of COMT, the enzyme
that metabolizes levodopa peripherally, discovered to date.

In a double-blind, placebo-controlled trial of 215 patients, Adler et al.
found that tolcapone reduced off periods by 30-37%, even as daily levodopa
requirements were reduced by 36-46%.

Tolcapone was well tolerated, with only 3-5% of patients withdrawing from
the study because of adverse effects.

Study results are similar to those reported in the Jan. Neurology (1997;
48: 81-7).

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