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普拉克索治疗中国不安腿综合征患者的疗效和安全性:一项多中心、随机、双盲、安慰剂对照试验的结果。

Efficacy and safety of pramipexole in chinese patients with restless legs syndrome: results from a multi-center, randomized, double-blind, placebo-controlled trial.

机构信息

Department of Neurology & Institute of Neurology, Ruijin Hospital Affiliated to the Shanghai Jiao Tong University School of Medicine, Shanghai, China.

出版信息

Sleep Med. 2012 Jan;13(1):58-63. doi: 10.1016/j.sleep.2011.03.021. Epub 2011 Dec 3.

Abstract

BACKGROUND

We performed a six-week study of pramipexole vs. a placebo in Chinese restless legs syndrome patients.

METHODS

Overall, 305 enrolled patients were assigned randomly in a 2:1 ratio to the pramipexole group (N=202) and the placebo group (N=103).

RESULTS

Of 287 patients in the full analysis set, the pramipexole group showed significant improvement compared with the placebo group in the change of their International Restless Legs Syndrome Study Group Rating Scale of Severity (IRLS) total score from baseline to week 6 after adjustment of centers and baseline characters (-15.87±0.66 vs. -11.35±0.92, p<0.0001) and in the proportion of patients who were "much improved" and "very much improved" when measured by Clinical Global Impressions-Improvement (81.9% vs. 54.3%, p<0.0001). At week 6, the IRLS responder rate was 73.8% (pramipexole) and 48.9% (placebo) (p<0.0001) and the patient global impression responder rate was 68.6% (pramipexole) and 43.5% (placebo) (p<0.0001). The proportion of adverse events was 62.9% in the pramipexole group and 43.7% in the placebo group, respectively. No deaths occurred.

CONCLUSION

Pramipexole was effective and well-tolerated in Chinese patients with restless legs syndrome.

摘要

背景

我们进行了一项为期六周的普拉克索与安慰剂治疗中国不安腿综合征患者的研究。

方法

共有 305 名入组患者以 2:1 的比例随机分为普拉克索组(N=202)和安慰剂组(N=103)。

结果

在全分析集的 287 例患者中,普拉克索组在调整中心和基线特征后,与安慰剂组相比,其国际不安腿综合征研究组严重程度评分(IRLS)总分从基线到第 6 周的变化有显著改善(-15.87±0.66 对-11.35±0.92,p<0.0001),并且在临床总体印象改善量表(Clinical Global Impression-Improvement)评估的“明显改善”和“非常明显改善”的患者比例也有显著改善(81.9%对 54.3%,p<0.0001)。第 6 周时,IRLS 应答率为 73.8%(普拉克索)和 48.9%(安慰剂)(p<0.0001),患者总体印象应答率为 68.6%(普拉克索)和 43.5%(安慰剂)(p<0.0001)。普拉克索组不良反应发生率为 62.9%,安慰剂组为 43.7%。无死亡病例发生。

结论

普拉克索治疗中国不安腿综合征患者有效且耐受性良好。

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