Kyowa Kirin Parkinson’s Add-on Approved
FDA has approved a Kyowa Kirin NDA for Nourianz (istradefylline) tablets as an add-on treatment to levodopa/carbidopa in adult patients with Parkinson’s disease (PD) experiencing “off” episodes, the period when patients’ medications are not working well, which cause an increase in PD symptoms (tremors and difficulty walking).
The approval was based on data from four 12-week placebo-controlled clinical studies that included a total of 1,143 patients, according to an FDA release. In all four, patients treated with Nourianz experienced a statistically significant decrease from baseline in daily off time compared to patients receiving placebo.
“The most common adverse reactions observed in patients taking Nourianz were involuntary muscle movement (dyskinesia), dizziness, constipation, nausea, hallucination and sleeplessness (insomnia),” the agency says. “Patients should be monitored for development of dyskinesia or exacerbation of existing dyskinesia. If hallucinations, psychotic behavior, or impulsive/compulsive behavior occurs, a dosage reduction or stoppage of Nourianz should be considered.”