Juvmotavapadon
AbbVie · Selective dopamine D1/D5 receptor agonist · Neurology
Adults with Parkinson's disease have a once-daily oral dopamine agonist that can be used with or without levodopa. In Phase 3 trials it improved activities of daily living scores in early disease and, added to levodopa, increased "on" time without troublesome dyskinesia.
- Who it is for
- Adults with Parkinson's disease.
- What changes
- AbbVie states that currently available dopamine agonists primarily target D2/D3 receptors and that their use may be limited by tolerability concerns, while Juvmo selectively targets D1/D5 receptors. The Phase 3 TEMPO trials compared Juvmo with placebo, not with another dopamine agonist.
- The evidence
- In TEMPO-1 at week 26, MDS-UPDRS Part II scores changed by -1.6 (5 mg) and -1.7 (15 mg) versus +0.9 with placebo (p <0.0001 for each dose). In TEMPO-3 at week 26, Juvmo plus oral levodopa increased daily "on" time without troublesome dyskinesia by 1.7 hours versus 0.6 hours with placebo plus oral levodopa (p <0.0001).Placebo-controlled randomized trialTEMPO-1, TEMPO-2 and TEMPO-3 · Phase 3Randomized against placebo: shows that it works, not how it compares with existing treatments.
- Watch for
- Safety information lists low blood pressure including orthostatic hypotension, unusual urges, hallucinations and dyskinesia. The most common adverse events (at least 5% of patients) were nausea, headache, dizziness, fatigue, dysgeusia, vomiting, dry mouth and anxiety without levodopa, and nausea, dyskinesia, dizziness, headache, hallucinations and orthostatic hypotension with levodopa.
- How it is given
- OralTablet taken once daily, with or without levodopa.
- What the approval tells you
- New molecule. An active ingredient the FDA had not approved before.