Page last updated: 2024-10-20

urea and Parkinson Disease

urea has been researched along with Parkinson Disease in 83 studies

pseudourea: clinical use; structure
isourea : A carboximidic acid that is the imidic acid tautomer of urea, H2NC(=NH)OH, and its hydrocarbyl derivatives.

Parkinson Disease: A progressive, degenerative neurologic disease characterized by a TREMOR that is maximal at rest, retropulsion (i.e. a tendency to fall backwards), rigidity, stooped posture, slowness of voluntary movements, and a masklike facial expression. Pathologic features include loss of melanin containing neurons in the substantia nigra and other pigmented nuclei of the brainstem. LEWY BODIES are present in the substantia nigra and locus coeruleus but may also be found in a related condition (LEWY BODY DISEASE, DIFFUSE) characterized by dementia in combination with varying degrees of parkinsonism. (Adams et al., Principles of Neurology, 6th ed, p1059, pp1067-75)

Research Excerpts

ExcerptRelevanceReference
"In a trial that was stopped early for efficacy, patients with dementia-related psychosis who had a response to pimavanserin had a lower risk of relapse with continuation of the drug than with discontinuation."9.41Trial of Pimavanserin in Dementia-Related Psychosis. ( Ballard, C; Cummings, JL; Devanand, DP; Erten-Lyons, D; Foff, EP; McEvoy, B; Soto-Martin, ME; Stankovic, S; Sultzer, DL; Tariot, PN; Weintraub, D; Youakim, JM, 2021)
"Evaluate pimavanserin treatment for depression in patients with PD."9.34An Open-Label, 8-Week Study of Safety and Efficacy of Pimavanserin Treatment in Adults with Parkinson's Disease and Depression. ( Abler, V; Aldred, JL; Alva, G; Cantillon, M; Coate, B; DeKarske, D; Jacobi, L; Norton, JC; Nunez, R, 2020)
"This study provides Class II evidence that in patients with Parkinson disease who are 65 or older and residing in Medicare-certified long-term care facilities, pimavanserin is associated with an increased risk of 30-day hospitalization and higher 90-, 180-, and 365-day mortality."8.02Risk of Hospitalization and Death Associated With Pimavanserin Use in Older Adults With Parkinson Disease. ( Alexander, GC; An, H; Hwang, YJ; Mehta, HB; Moore, TJ, 2021)
"Pimavanserin is a first-in-class selective serotonin 5-HT2A receptor inverse agonist approved for the treatment of Parkinson disease psychosis."7.91Can pimavanserin help patients with Parkinson disease psychosis? ( Canal, C; de la Cruz, J, 2019)
"Pimavanserin may prove beneficial in treating the hallucinations and delusions of DRP without worsening cognitive or motor function."6.82Dementia-related psychosis and the potential role for pimavanserin. ( Cummings, JL; Devanand, DP; Stahl, SM, 2022)
"Psychosis is common across dementia types with a prevalence of 20% to 70%."6.58Pimavanserin: Potential Treatment For Dementia-Related Psychosis. ( Ballard, C; Cummings, J; Foff, E; Norton, J; Owen, R; Stankovic, S; Tariot, P; Youakim, J, 2018)
" The compound was also well-tolerated in a first-in-human oral dosing study in healthy and older volunteers with a favorable, dose-dependent pharmacokinetic profile."5.72The Compound ATH434 Prevents Alpha-Synuclein Toxicity in a Murine Model of Multiple System Atrophy. ( Adlard, PA; Barnham, KJ; Billings, JL; Cherny, RA; Finkelstein, DI; Saleh, E; Shukla, JJ; Stefanova, N, 2022)
"In a trial that was stopped early for efficacy, patients with dementia-related psychosis who had a response to pimavanserin had a lower risk of relapse with continuation of the drug than with discontinuation."5.41Trial of Pimavanserin in Dementia-Related Psychosis. ( Ballard, C; Cummings, JL; Devanand, DP; Erten-Lyons, D; Foff, EP; McEvoy, B; Soto-Martin, ME; Stankovic, S; Sultzer, DL; Tariot, PN; Weintraub, D; Youakim, JM, 2021)
"Evaluate pimavanserin treatment for depression in patients with PD."5.34An Open-Label, 8-Week Study of Safety and Efficacy of Pimavanserin Treatment in Adults with Parkinson's Disease and Depression. ( Abler, V; Aldred, JL; Alva, G; Cantillon, M; Coate, B; DeKarske, D; Jacobi, L; Norton, JC; Nunez, R, 2020)
" Participants were receiving 40 mg pimavanserin daily in addition to concurrent antipsychotics and Parkinson disease medications."5.20Impact of Current Antipsychotic Medications on Comparative Mortality and Adverse Events in People With Parkinson Disease Psychosis. ( Ballard, C; Burn, DJ; Coate, B; Corbett, A; Isaacson, S; Mills, R; Pahwa, R; Rascol, O; Williams, H, 2015)
"Pimavanserin was approved in April 2016 for the treatment of delusions and hallucinations of PDP."4.95Pimavanserin: A Novel Antipsychotic for Parkinson's Disease Psychosis. ( Bozymski, KM; Crouse, EL; Gatesman, TL; Lowe, DK; Pasternak, KM, 2017)
" Pimavanserin is the first FDA approved drug for the treatment of hallucinations and delusions associated with PDP."4.95Pimavanserin, a novel antipsychotic for management of Parkinson's disease psychosis. ( Kianirad, Y; Simuni, T, 2017)
"Pimavanserin 34 mg/d was effective in treating hallucinations and delusions associated with Parkinson's disease."4.95The US Food and Drug Administration's Perspective on the New Antipsychotic Pimavanserin. ( Andreason, P; Atrakchi, A; Avila, AM; Farchione, T; Mathis, MV; Muoio, BM; Temple, RJ, 2017)
"Pimavanserin (Nuplazid™) is a selective and potent serotonin 2A (5-HT2A) receptor inverse agonist and antagonist developed by ACADIA Pharmaceuticals that has been approved in the US as a treatment for patients with hallucinations and delusions associated with Parkinson's disease psychosis."4.93Pimavanserin: First Global Approval. ( Markham, A, 2016)
" This review provides an overview of 5-HT receptor pharmacology and discusses two recent 5-HT receptor subtype-selective drugs, lorcaserin and pimavanserin, which target the 5HT2C and 5HT2A receptors and provide new treatments for obesity and Parkinson's disease psychosis, respectively."4.89Lorcaserin and pimavanserin: emerging selectivity of serotonin receptor subtype-targeted drugs. ( Meltzer, HY; Roth, BL, 2013)
"Pimavanserin tartrate is the first 5-HT(2A) inverse agonist to enter clinical trials as a treatment for L-dopa-induced psychosis in Parkinson's disease and for augmentation of low-dose risperidone treatment in schizophrenia."4.84Pimavanserin tartrate: a 5-HT2A inverse agonist with potential for treating various neuropsychiatric disorders. ( Abbas, A; Roth, BL, 2008)
" Mortality analyses were adjusted for age, sex, levodopa equivalent daily dose (LEDD), and dementia."4.31Assessing the risks of treatment in Parkinson disease psychosis: An in-depth analysis. ( Alakkas, A; Liu, L; Longardner, K; Nahab, FB; Wright, BA; Xu, R; You, H, 2023)
"This study provides Class II evidence that in patients with Parkinson disease who are 65 or older and residing in Medicare-certified long-term care facilities, pimavanserin is associated with an increased risk of 30-day hospitalization and higher 90-, 180-, and 365-day mortality."4.02Risk of Hospitalization and Death Associated With Pimavanserin Use in Older Adults With Parkinson Disease. ( Alexander, GC; An, H; Hwang, YJ; Mehta, HB; Moore, TJ, 2021)
"Pimavanserin is a first-in-class selective serotonin 5-HT2A receptor inverse agonist approved for the treatment of Parkinson disease psychosis."3.91Can pimavanserin help patients with Parkinson disease psychosis? ( Canal, C; de la Cruz, J, 2019)
"Dementia due to Parkinson's disease and Alzheimer's disease are associated with behavioural and psychological symptoms, including psychosis."3.01Unmet needs in the diagnosis and treatment of Parkinson's disease psychosis and dementia-related psychosis. ( Isaacson, SH; Pagan, F; Pahwa, R; Sabbagh, M; Small, GW; Torres-Yaghi, Y, 2023)
"Pimavanserin has a unique mechanism of action."3.01A New Hope in Alzheimer's Disease Psychosis: Pimavanserin. ( Akın, M; Kurhan, F, 2023)
"PD psychosis is often associated with cognitive impairment, including dementia, and involves dopaminergic, serotonergic, and cholinergic mechanisms."2.87Pimavanserin for Parkinson's Disease psychosis: Effects stratified by baseline cognition and use of cognitive-enhancing medications. ( Andersson, C; Ballard, C; Coate, B; Espay, AJ; Factor, SA; Fredericks, D; Friedman, JH; Guskey, MT; Lang, AE; Larsen, NJ; Norton, JC; Vizcarra, JA; Weintraub, D, 2018)
"The terms "Parkinson's disease psychosis", "Parkinson psychosis," "neurodegenerative psychosis", and "dopamine psychosis" were among the keywords used in the search."2.82Psychosis in Parkinson's Disease: Looking Beyond Dopaminergic Treatments. ( Bautista-Sandoval, MJ; Bermúdez, V; Chacín, M; Chávez-Castillo, M; Cudris-Torres, L; Duran, P; Medina-Ortiz, O; Ortega, Á; Palmar, J; Riaño-Garzón, M; Rojas, M; Salazar, J, 2022)
"Pimavanserin may prove beneficial in treating the hallucinations and delusions of DRP without worsening cognitive or motor function."2.82Dementia-related psychosis and the potential role for pimavanserin. ( Cummings, JL; Devanand, DP; Stahl, SM, 2022)
"Pimavanserin may benefit patients with Parkinson's disease psychosis for whom few other treatment options exist."2.79Pimavanserin for patients with Parkinson's disease psychosis: a randomised, placebo-controlled phase 3 trial. ( Ballard, C; Chi-Burris, K; Corbett, A; Cummings, J; Dhall, R; Isaacson, S; Mills, R; Williams, H, 2014)
"There is a considerable overlap between Parkinson's Disease Dementia (PDD) and Dementia with Lewy Bodies (DLB)."2.66Treatment of psychosis in Parkinson's disease and dementia with Lewy Bodies: A review. ( Bronstein, JM; Kyle, K, 2020)
"Two cases of Parkinson's disease with an unusual delusional misidentification, intermetamorphosis, are presented, along with their improvement with pimavanserin, a novel atypical antipsychotic medication."2.58Delusional misidentification in Parkinson's disease: report of two cases and a review. ( Hermanowicz, N, 2018)
"We discuss features of Parkinson's disease psychosis (PDP) including symptomology and pathophysiology."2.58Treating Hallucinations and Delusions Associated With Parkinson's Disease Psychosis. ( Ondo, WG; Panchal, SC, 2018)
"Psychosis is a common problem for people treated for Parkinson's disease."2.58Pharmacological interventions for psychosis in Parkinson's disease patients. ( Friedman, JH, 2018)
"Psychosis is common across dementia types with a prevalence of 20% to 70%."2.58Pimavanserin: Potential Treatment For Dementia-Related Psychosis. ( Ballard, C; Cummings, J; Foff, E; Norton, J; Owen, R; Stankovic, S; Tariot, P; Youakim, J, 2018)
"Patients with Parkinson's disease psychosis (PDP) are often treated with an atypical antipsychotic, especially quetiapine or clozapine, but side effects, lack of sufficient efficacy, or both may motivate a switch to pimavanserin, the first medication approved for management of PDP."2.58Guidance for switching from off-label antipsychotics to pimavanserin for Parkinson's disease psychosis: an expert consensus. ( Adler, CH; Alva, G; Black, KJ; Cooney, JW; Isaacson, S; Kremens, D; Menza, MA; Meyer, JM; Morrissette, DA; Nasrallah, H; Pahwa, R; Patkar, AA; Simuni, T; Stacy, M; Stahl, SM, 2018)
"Psychosis is highly prevalent in PD patients and is associated with poor prognosis."2.53Pimavanserin for the treatment of Parkinson's disease psychosis. ( Chendo, I; Ferreira, JJ, 2016)
"Pimavanserin (ACP-103) is a selective inverse agonist of the 5-hydroxytryptamine 2A (5-HT2A) receptor intended to treat patients with Parkinson's disease psychosis (PDP)."2.52Pimavanserin. ( Anderson, KC; Cox, A; Hunter, NS, 2015)
"Pimavanserin displays nanomolar potency as a 5-HT2A receptor inverse agonist, selectivity for 5-HT2A over 5-HT2C receptors, and no meaningful activity at any other G-protein coupled receptor."2.50On the discovery and development of pimavanserin: a novel drug candidate for Parkinson's psychosis. ( Burstein, ES; Hacksell, U; McFarland, K; Mills, RG; Williams, H, 2014)
"Dementia associated with Parkinson's disease (PDD) is a common problem and one that is associated with significant morbidity and mortality."2.46Parkinson's disease dementia. ( Burn, DJ; Docherty, MJ, 2010)
" The compound was also well-tolerated in a first-in-human oral dosing study in healthy and older volunteers with a favorable, dose-dependent pharmacokinetic profile."1.72The Compound ATH434 Prevents Alpha-Synuclein Toxicity in a Murine Model of Multiple System Atrophy. ( Adlard, PA; Barnham, KJ; Billings, JL; Cherny, RA; Finkelstein, DI; Saleh, E; Shukla, JJ; Stefanova, N, 2022)
" Safety was evaluated from adverse events (AEs), clinical laboratory results, motor symptoms, electrocardiograms (ECG), and mortality."1.56Long-term evaluation of open-label pimavanserin safety and tolerability in Parkinson's disease psychosis. ( Abler, V; Azulay, JP; Ballard, CG; Demos, G; Fernandez, HH; Ferreira, JJ; Ilic, TV; Isaacson, S; Kreitzman, DL; Liu, IY; Norton, JC; Stankovic, S, 2020)
"Psychosis is common among patients with Parkinson's disease (PD) and dementia with Lewy bodies (DLB)."1.51Pimavanserin versus quetiapine for the treatment of psychosis in Parkinson's disease and dementia with Lewy bodies. ( Dahodwala, N; Horn, S; Richardson, H; Weintraub, D; Xie, SX, 2019)
"Pimavanserin is a newly approved treatment for Parkinson's disease psychosis, but real-world experience with pimavanserin has been limited by small sample sizes and limited assessment of longitudinal outcomes."1.51Pimavanserin for Psychosis in Parkinson's Disease-Related Disorders: A Retrospective Chart Review. ( Claassen, DO; Darby, RR; Farooque, A; Sellers, J, 2019)
"Psychotic disorders in Parkinson's disease (PDPD) are common and significantly influence the quality of life and disability level."1.43[Modern approaches to treatment of psychosis in Parkinson's disease]. ( Cozac, VV, 2016)
"Pimavanserin is an inverse agonist at the 5HT2A receptor, with a lower binding affinity at the serotonin-2C receptor and sigma 1 receptor, but no significant binding to dopamine or other receptors."1.43Pimavanserin: An Inverse Agonist Antipsychotic Drug. ( Howland, RH, 2016)

Research

Studies (83)

TimeframeStudies, this research(%)All Research%
pre-19903 (3.61)18.7374
1990's0 (0.00)18.2507
2000's2 (2.41)29.6817
2010's55 (66.27)24.3611
2020's23 (27.71)2.80

Authors

AuthorsStudies
Finkelstein, DI1
Shukla, JJ1
Cherny, RA1
Billings, JL1
Saleh, E1
Stefanova, N1
Barnham, KJ1
Adlard, PA1
Subbiah, P1
Doshi, D1
Turner, ME1
Hwang, YJ2
Alexander, GC2
Moore, TJ2
Mehta, HB2
Ma, M1
Yang, Y1
Du, G1
Dai, Y1
Zhu, X1
Wang, W1
Xu, H1
Zhang, J1
Zheng, L1
Zou, F1
Yang, H1
Liu, B1
Liu, W1
Ye, L1
Zhang, R1
Tian, J1
Sabbagh, M1
Small, GW1
Isaacson, SH3
Torres-Yaghi, Y1
Pagan, F2
Pahwa, R3
Galamba, N1
Mosholder, AD1
Ma, Y1
Akhtar, S1
Podskalny, GD1
Feng, Y1
Lyu, H1
Liao, J1
Wei, Y1
Wernecke, M1
Leishear, K1
Nelson, LM1
MaCurdy, TE1
Kelman, JA1
Graham, DJ1
Schneider, LS1
Rojas, M1
Chávez-Castillo, M1
Duran, P1
Ortega, Á1
Bautista-Sandoval, MJ1
Salazar, J1
Riaño-Garzón, M1
Chacín, M1
Medina-Ortiz, O1
Palmar, J1
Cudris-Torres, L1
Bermúdez, V1
Longardner, K1
Wright, BA1
Alakkas, A1
You, H1
Xu, R1
Liu, L1
Nahab, FB2
Kurhan, F1
Akın, M1
Horn, S1
Richardson, H1
Xie, SX1
Weintraub, D3
Dahodwala, N1
Morelhão, PK1
Dokkedal-Silva, V1
Galduróz, JCF1
Tufik, S1
Andersen, ML1
Mansuri, Z1
Patel, K1
Desai, R1
Zafar, MK1
Jain, S1
Kyle, K2
Bronstein, JM2
Ballard, CG2
Kreitzman, DL2
Isaacson, S4
Liu, IY1
Norton, JC6
Demos, G2
Fernandez, HH2
Ilic, TV2
Azulay, JP2
Ferreira, JJ3
Abler, V3
Stankovic, S5
Coate, B5
Norton, J2
DeKarske, D1
Alva, G3
Aldred, JL1
Cantillon, M1
Jacobi, L1
Nunez, R1
Cummings, JL2
Devanand, DP2
Stahl, SM4
Christensen, LFB1
Alijanvand, SH1
Burdukiewicz, M1
Herbst, FA1
Kjeldal, H1
Dueholm, MS1
Otzen, DE1
Tariot, PN1
Soto-Martin, ME1
Ballard, C6
Erten-Lyons, D1
Sultzer, DL1
McEvoy, B1
Youakim, JM1
Foff, EP1
Ali, F1
An, H1
Kumari, N2
Agrawal, S2
Luthra, PM2
Bozymski, KM1
Lowe, DK1
Pasternak, KM1
Gatesman, TL1
Crouse, EL1
Wilby, KJ1
Johnson, EG1
Johnson, HE1
Ensom, MHH1
Mathis, MV1
Muoio, BM1
Andreason, P1
Avila, AM1
Farchione, T1
Atrakchi, A1
Temple, RJ1
Cozac, VV1
Hermanowicz, N3
Espay, AJ2
Patel, A1
Madrid, KC1
Kremens, D2
Kenney, J1
Arquette, S1
Tereso, G1
Lopes, M1
Farnum, C1
Yuan, M1
Sperry, L1
Malhado-Chang, N1
Duffy, A1
Wheelock, V1
Farias, S1
O'Connor, K1
Olichney, J1
Shahlaie, K1
Zhang, L1
Fredericks, D2
Atchison, C1
Schoenhaus, R1
Pill, MW1
Velayudhan, L1
Ffytche, D1
Aarsland, D1
Kianirad, Y1
Simuni, T2
Sahli, ZT1
Tarazi, FI1
Citrome, L2
Chi-Burris, K2
Panchal, SC1
Ondo, WG1
Friedman, JH4
Kumari, R1
Sharma, D1
Webster, P1
Schubmehl, S1
Sussman, J1
Moreno, GM1
Gandhi, R1
Lessig, SL1
Wright, B1
Litvan, I1
Cummings, J2
Tariot, P1
Owen, R1
Foff, E1
Youakim, J1
Guskey, MT1
Vizcarra, JA1
Factor, SA1
Lang, AE1
Larsen, NJ1
Andersson, C1
Black, KJ1
Nasrallah, H1
Stacy, M1
Adler, CH1
Cooney, JW1
Menza, MA1
Meyer, JM1
Patkar, AA1
Morrissette, DA1
de la Cruz, J1
Canal, C1
Fragniere, AMC1
Stott, SRW1
Fazal, SV1
Andreasen, M1
Scott, K1
Barker, RA1
Sellers, J1
Darby, RR1
Farooque, A1
Claassen, DO1
Mohanty, D1
Sarai, S1
Naik, S1
Lippmann, S1
Mills, R3
Williams, H4
Corbett, A2
Dhall, R1
Fox, SH1
Kingwell, K1
Meltzer, HY2
Roth, BL2
Hacksell, U1
Burstein, ES1
McFarland, K2
Mills, RG1
Rascol, O1
Burn, DJ2
Hunter, NS1
Anderson, KC1
Cox, A1
Howland, RH1
Traynor, K1
Markham, A1
Xue, Y1
Yang, YT1
Liu, HY1
Chen, WF1
Chen, AQ1
Sheng, Q1
Chen, XY1
Wang, Y1
Chen, H1
Liu, HX1
Pang, YY1
Chen, L1
Chendo, I1
Majlath, Z1
Obal, I1
Vecsei, L1
Samudra, N1
Patel, N1
Womack, KB1
Khemani, P1
Chitnis, S1
Abbas, A1
Azam, F1
Alkskas, IA1
Ahmed, MA1
Revell, S1
Johnson, A1
Bahr, D1
Docherty, MJ1
Guerreiro, TM1
Nishikawa, DR1
Ferreira, LC1
Melo, HA1
Prado, RC1
Price, DL1
Bonhaus, DW1
Pilleri, M1
Koutsikos, K1
Antonini, A1
Lieberman, A1
Krishnamurthi, N1
Ng, LK1
Chase, TN1
Colburn, RW1
Kopin, IJ1
Van Wieringen, A1
Jeffery, DJ1
Brown, DM1
Langley, PF1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
An Open-label, 8-Week Study of Safety and Efficacy of Pimavanserin Treatment in Adults With Parkinson's Disease and Depression[NCT03482882]Phase 247 participants (Actual)Interventional2018-03-09Completed
A Double-blind, Placebo-controlled, Relapse Prevention Study of Pimavanserin for the Treatment of Hallucinations and Delusions Associated With Dementia-related Psychosis[NCT03325556]Phase 3392 participants (Actual)Interventional2017-09-27Completed
A Multi-Center, Open-Label Extension Study to Examine the Safety and Tolerability of ACP-103 in the Treatment of Psychosis in Parkinson's Disease[NCT00550238]Phase 3459 participants (Actual)Interventional2007-07-31Completed
A Multi-Center, Placebo-Controlled, Double-Blind Trial to Examine the Safety and Efficacy of Pimavanserin in the Treatment of Psychosis in Parkinson's Disease[NCT01174004]Phase 3199 participants (Actual)Interventional2010-07-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Clinical Global Impression-Improvement (CGI-I)

The CGI-I is a clinician-rated 7-point scale to rate the improvement in the patient's depression at the time of assessment relative baseline. The CGI-I ranges from 1 (very much improved) to 7 (very much worse) (NCT03482882)
Timeframe: At Week 8

Interventionscore on a scale (Mean)
Pimavanserin Full Analysis Set2.0

The Number (or Percentage) of Responders

"The HAMD-17 is a multiple-item questionnaire to assess the severity of depression, including items of mood, feelings of guilt, suicide ideation, insomnia, agitation or retardation, anxiety, weight loss, and somatic symptoms. Each of the 17 items is scored on a 3- or 5-point scale (depending on the item). The minimum total score is 0; the maximum total score is 52. A higher total score signifies more severe Depression.~Response was defined as ≥50% reduction from baseline in HAMD-17 total score. Patients without Week-8 score were counted as nonresponders." (NCT03482882)
Timeframe: From baseline to Week 8

InterventionParticipants (Count of Participants)
Pimavanserin Full Analysis Set27

Change From Baseline (CFB) in Clinical Global Impression-Severity (CGI-S)

The CGI-S is a clinician-rated 7-point scale to rate the severity of the patient's depression at the time of assessment. The CGI-S ranges from 1 (normal) to 7 (patient is among the most severely ill). (NCT03482882)
Timeframe: From baseline to Week 8

Interventionscore on a scale (Mean)
Baseline CGI-S8 Week CGI-S CFB
Pimavanserin Full Analysis Set4.1-1.8

Change From Baseline (CFB) in HAMD-17 Total Score at Weeks 2, 4, and 6

The HAMD-17 is a multiple-item questionnaire to assess the severity of depression, including items of mood, feelings of guilt, suicide ideation, insomnia, agitation or retardation, anxiety, weight loss, and somatic symptoms. Each of the 17 items is scored on a 3- or 5-point scale (depending on the item). The minimum total score is 0; the maximum total score is 52. A higher total score signifies more severe depression. (NCT03482882)
Timeframe: 2, 4, and 6 weeks from baseline

Interventionscore on a scale (Mean)
Baseline HAMD-17 total scoreWeek 2 HAMD-17 total score CFBWeek 4 HAMD-17 total score CFBWeek 6 HAMD-17 total score CFB
Pimavanserin Full Analysis Set19.2-7.5-9.7-9.6

Change From Baseline (CFB) in Scale of Outcomes in PD-Sleep Scale (SCOPA) Nighttime Sleep (NS)Score

The SCOPA-NS subscale addresses problems in nighttime sleep and consists of 5 items (sleep initiation, sleep fragmentation, sleep efficiency, sleep duration, early wakening). Each item has 4 response options (ranging from 0=not at all to 3=a lot). The SCOPA-NS score ranges from 0 to 15, with a higher score indicating more severe nighttime sleep problems. (NCT03482882)
Timeframe: From baseline to Week 8

Interventionscore on a scale (Mean)
Baseline SCOPA-NSWeek 8 SCOPA-NS CFB
Pimavanserin Full Analysis Set6.1-2.1

Change From Baseline (CFB) in SCOPA Daytime Sleepiness (DS) Score

The SCOPA-DS subscale addresses problems in daytime sleepiness and consists of 6 items (falling asleep unexpectedly, falling asleep peacefully, falling asleep watching TV/reading, falling asleep while talking to someone, having difficulty staying awake, whether falling asleep in the daytime is considered a Problem). Each item has 4 response options (from 0=never to 3=often). The SCOPA-DS subscale score ranges from 0 to 18, with a higher score indicating more severe DS problems. (NCT03482882)
Timeframe: From baseline to Week 8

Interventionscore on a scale (Mean)
Baseline SCOPA-DS8 Week SCOPA-DS CFB
Pimavanserin Full Analysis Set5.2-2.2

Change From Baseline in EuroQol-5 Dimensions-5 Levels (EQ-5D-5L)

"The EQ-5D-5L is a standardized measure of health status. The questionnaire consists of 2 components: the EQ-5D-5L descriptive system and the EQ-5D-5L Visual Analogue scale (EQ-5D-5L VAS). The descriptive system consists of 5 dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression). Each dimension has 5 levels (from 1=no problem to 5=extreme Problems). The digits for the 5 dimensions are combined into a 5-digit code that describes the patient's health state, which is then converted into a single summary index value. Health state index scores generally range from less than 0 (where 0 is the value of a health state equivalent to dead; negative values representing values as worse than dead) to 1 (the value of full health), with higher scores indicating higher health utility.~The EQ-5D-5L VAS records the patient's health on a vertical visual analogue scale, ranging from 100 (=the best health you can imagine) to 0 (=the worst health you can imagine)." (NCT03482882)
Timeframe: From baseline to Week 8

Interventionscore on a scale (Mean)
Baseline EQ-5D-5L index score8 Week EQ-5D-5L index score CFBBaseline EQ-5D-5L VAS8 Week EQ-5D-5L VAS CFB
Pimavanserin Full Analysis Set0.67500.071263.96.7

Change From Baseline to Week 8 in HAMD-17 (Hamilton Depression Scale -17 Items) Total Score

The HAMD-17 is a multiple-item questionnaire to assess the severity of depression, including items of mood, feelings of guilt, suicide ideation, insomnia, agitation or retardation, anxiety, weight loss, and somatic symptoms. Each of the 17 items is scored on a 3- or 5-point scale (depending on the item). The minimum total score is 0; the maximum total score is 52. A higher total score signifies more severe depression. (NCT03482882)
Timeframe: From baseline to Week 8

Interventionscore on a scale (Mean)
Baseline HAMD-17 total scoreWeek 8 HAMD-17 total score
Pimavanserin Full Analysis Set19.28.1

Time From Randomization to Discontinuation From the DB Period for Any Reason

The endpoint of time from randomization to discontinuation from the DB period for any reason (other than termination of the study by the sponsor) was compared between treatment groups using a Cox regression model. The treatment effect was measured by the HR. (NCT03325556)
Timeframe: From randomization in the DB period through 26 weeks

Interventiondays (Median)
Pimavanserin Double-Blind PeriodNA
Placebo Double-Blind PeriodNA

Time From Randomization to Relapse in the Double-blind (DB) Period

"The time from randomization to relapse in the DB period was compared between treatment groups using a Cox regression model. The treatment effect was measured by the hazard ratio (HR).~Relapse was defined as (1) ≥30% increase in SAPS-H+D total score from DB baseline (BL) and CGI-I score ≥6 relative to DB BL, (2) treatment with antipsychotic for dementia-related delusions/hallucinations, (3) treatment/study discontinuation due to lack of efficacy, and/or (4) hospitalization for worsening dementia-related psychosis.~SAPS-H+D is a 20-item scale; the total score is the sum of the 20 item scores (range 0-100); higher scores denote more severe symptoms. CGI-I is a clinician-rated 7-point scale to rate improvement in hallucinations/delusions relative to BL (range 1-7); higher scores denote less improvement or worsening.~A pre-specified IA was conducted after accrual of 40 adjudicated relapse events. The prespecified stopping criterion was met; the study was stopped for efficacy." (NCT03325556)
Timeframe: From randomization in the DB period through 26 weeks

Interventiondays (Median)
Pimavanserin Double-Blind PeriodNA
Placebo Double-Blind PeriodNA

Safety: Number (%) of Patients With Drug-related Treatment-emergent Adverse Events (AEs)

Number (%) of patients with drug-related treatment-emergent AEs (i.e. AEs reported by the Investigator as possibly, probably, or highly probably related to study drug) (NCT00550238)
Timeframe: From first to last study drug dose plus 30 days

InterventionParticipants (Count of Participants)
Pimavanserin180

Antipsychotic Efficacy

"Antipsychotic Efficacy was defined as a decrease in the severity and/or frequency of hallucinations and/or delusions. This is measured as the change from baseline (Day 1) to Day 43 in the Scale for the Assessment of Positive Symptoms 9-item sum score for Parkinson's Disease (SAPS-PD). The possible total score is 0 to 45 and a negative change in score indicates improvement.~Analysis Method: Mixed Model Repeated Measures (MMRM)" (NCT01174004)
Timeframe: Each study visit (i.e. Days 1, 15, 29 and 43)

,
InterventionScore on the SAPS-PD scale (Least Squares Mean)
Change from BaselineDifference of Least Squares Mean versus Placebo
Pimavanserin 40 mg-5.79-3.06
Placebo-2.73NA

Motor Symptoms Change From Baseline (Negative = Improvement)

"Motor symptoms were measured using the change from baseline to Day 43 in the combined score of the Unified Parkinson's Disease Rating Scale (UPDRS) Part II (Activities of Daily Living) and Part III (Motor Examination). The possible total score is 0 to 160 and a negative change in score indicates improvement.~Analysis Method: Analysis of Covariance (ANCOVA). The UPDRS Parts II+III score was analyzed by constructing 2-sided 95% confidence intervals (CIs) on the difference between the pimavanserin dose group and placebo mean change from baseline. Non-inferiority was concluded if the upper limit of the CI was less than or equal to 5." (NCT01174004)
Timeframe: Study Days 1 and 43

,
InterventionScore on the UPDRS-II+III (Least Squares Mean)
Change from BaselineDifference of Least Squares Mean versus Placebo
Pimavanserin 40 mg-1.400.29
Placebo-1.69NA

Reviews

28 reviews available for urea and Parkinson Disease

ArticleYear
Unmet needs in the diagnosis and treatment of Parkinson's disease psychosis and dementia-related psychosis.
    International journal of psychiatry in clinical practice, 2023, Volume: 27, Issue:1

    Topics: Alzheimer Disease; Antipsychotic Agents; Humans; Parkinson Disease; Piperidines; Psychotic Disorders

2023
Psychosis in Parkinson's Disease: Looking Beyond Dopaminergic Treatments.
    Current pharmaceutical design, 2022, Volume: 28, Issue:33

    Topics: Antipsychotic Agents; Dopamine; Hallucinations; Humans; Illusions; Parkinson Disease; Psychotic Diso

2022
A New Hope in Alzheimer's Disease Psychosis: Pimavanserin.
    Current Alzheimer research, 2023, Volume: 20, Issue:6

    Topics: Alzheimer Disease; Antipsychotic Agents; Humans; Parkinson Disease; Psychotic Disorders; United Stat

2023
Treatment of psychosis in Parkinson's disease and dementia with Lewy Bodies: A review.
    Parkinsonism & related disorders, 2020, Volume: 75

    Topics: Antipsychotic Agents; Humans; Lewy Body Disease; Parkinson Disease; Piperidines; Psychotic Disorders

2020
Dementia-related psychosis and the potential role for pimavanserin.
    CNS spectrums, 2022, Volume: 27, Issue:1

    Topics: Dementia; Hallucinations; Humans; Parkinson Disease; Piperidines; Psychotic Disorders; Urea

2022
Pimavanserin: A Novel Antipsychotic for Parkinson's Disease Psychosis.
    The Annals of pharmacotherapy, 2017, Volume: 51, Issue:6

    Topics: Antiparkinson Agents; Antipsychotic Agents; Delusions; Hallucinations; Humans; Parkinson Disease; Pi

2017
Evidence-Based Review of Pharmacotherapy Used for Parkinson's Disease Psychosis.
    The Annals of pharmacotherapy, 2017, Volume: 51, Issue:8

    Topics: Antipsychotic Agents; Benzodiazepines; Clozapine; Evidence-Based Medicine; Humans; Olanzapine; Parki

2017
The US Food and Drug Administration's Perspective on the New Antipsychotic Pimavanserin.
    The Journal of clinical psychiatry, 2017, Volume: 78, Issue:6

    Topics: Antipsychotic Agents; Delusions; Hallucinations; Humans; Parkinson Disease; Piperidines; United Stat

2017
The Emerging Role of Pimavanserin in the Management of Parkinson's Disease Psychosis.
    Journal of managed care & specialty pharmacy, 2017, Volume: 23, Issue:6-b Suppl

    Topics: Animals; Humans; Parkinson Disease; Piperidines; Psychotic Disorders; Quality of Life; Urea

2017
Parkinson's disease and Parkinson's disease psychosis: a perspective on the challenges, treatments, and economic burden.
    The American journal of managed care, 2017, Volume: 23, Issue:5 Suppl

    Topics: Antipsychotic Agents; Cost of Illness; Health Care Costs; Humans; Parkinson Disease; Piperidines; Ps

2017
New Therapeutic Strategies for Lewy Body Dementias.
    Current neurology and neuroscience reports, 2017, Volume: 17, Issue:9

    Topics: alpha-Synuclein; Cholinesterase Inhibitors; Disease Management; Genetic Therapy; Humans; Lewy Body D

2017
Pimavanserin, a novel antipsychotic for management of Parkinson's disease psychosis.
    Expert review of clinical pharmacology, 2017, Volume: 10, Issue:11

    Topics: Antipsychotic Agents; Delusions; Drug Inverse Agonism; Hallucinations; Humans; Parkinson Disease; Pi

2017
Pimavanserin: novel pharmacotherapy for Parkinson's disease psychosis.
    Expert opinion on drug discovery, 2018, Volume: 13, Issue:1

    Topics: Animals; Antipsychotic Agents; Delusions; Hallucinations; Humans; Parkinson Disease; Piperidines; Ps

2018
Pimavanserin for the treatment of Parkinson's disease psychosis: number needed to treat, number needed to harm, and likelihood to be helped or harmed.
    CNS spectrums, 2018, Volume: 23, Issue:3

    Topics: Clinical Trials as Topic; Humans; Numbers Needed To Treat; Parkinson Disease; Piperidines; Psychotic

2018
Delusional misidentification in Parkinson's disease: report of two cases and a review.
    Postgraduate medicine, 2018, Volume: 130, Issue:2

    Topics: Aged; Aged, 80 and over; Antipsychotic Agents; Delusions; Female; Humans; Male; Parkinson Disease; P

2018
Treating Hallucinations and Delusions Associated With Parkinson's Disease Psychosis.
    Current psychiatry reports, 2018, 01-27, Volume: 20, Issue:1

    Topics: Antipsychotic Agents; Delusions; Hallucinations; Humans; Parkinson Disease; Piperidines; Psychotic D

2018
Pharmacological interventions for psychosis in Parkinson's disease patients.
    Expert opinion on pharmacotherapy, 2018, Volume: 19, Issue:5

    Topics: Antipsychotic Agents; Clozapine; Dopamine; Humans; Parkinson Disease; Piperidines; Psychotic Disorde

2018
Pimavanserin: Potential Treatment For Dementia-Related Psychosis.
    The journal of prevention of Alzheimer's disease, 2018, Volume: 5, Issue:4

    Topics: Alzheimer Disease; Clinical Trials as Topic; Dementia; Humans; Mental Status and Dementia Tests; Par

2018
Guidance for switching from off-label antipsychotics to pimavanserin for Parkinson's disease psychosis: an expert consensus.
    CNS spectrums, 2018, Volume: 23, Issue:6

    Topics: Antiparkinson Agents; Antipsychotic Agents; Consensus; Drug Substitution; Humans; Off-Label Use; Par

2018
Pimavanserin for the treatment of Parkinson's disease psychosis.
    Expert opinion on pharmacotherapy, 2013, Volume: 14, Issue:14

    Topics: Animals; Antiparkinson Agents; Humans; Parkinson Disease; Piperidines; Psychotic Disorders; Serotoni

2013
Lorcaserin and pimavanserin: emerging selectivity of serotonin receptor subtype-targeted drugs.
    The Journal of clinical investigation, 2013, Volume: 123, Issue:12

    Topics: Benzazepines; Diabetes Mellitus, Type 2; Heart Valve Diseases; Humans; Molecular Structure; Obesity;

2013
On the discovery and development of pimavanserin: a novel drug candidate for Parkinson's psychosis.
    Neurochemical research, 2014, Volume: 39, Issue:10

    Topics: Drug Discovery; Humans; Parkinson Disease; Piperidines; Psychotic Disorders; Urea

2014
Pimavanserin.
    Drugs of today (Barcelona, Spain : 1998), 2015, Volume: 51, Issue:11

    Topics: Animals; Clinical Trials as Topic; Humans; Parkinson Disease; Piperidines; Psychotic Disorders; Sero

2015
Pimavanserin: First Global Approval.
    Drugs, 2016, Volume: 76, Issue:10

    Topics: Antipsychotic Agents; Delusions; Drug Approval; Drug Discovery; Drug Evaluation, Preclinical; Halluc

2016
Pimavanserin for the treatment of Parkinson's disease psychosis.
    Expert opinion on pharmacotherapy, 2016, Volume: 17, Issue:15

    Topics: Antipsychotic Agents; Humans; Parkinson Disease; Piperidines; Psychotic Disorders; Schizophrenia; Se

2016
Psychosis in Parkinson Disease: A Review of Etiology, Phenomenology, and Management.
    Drugs & aging, 2016, Volume: 33, Issue:12

    Topics: Antipsychotic Agents; Cholinesterase Inhibitors; Clozapine; Humans; Molecular Targeted Therapy; Neur

2016
Pimavanserin tartrate: a 5-HT2A inverse agonist with potential for treating various neuropsychiatric disorders.
    Expert opinion on pharmacotherapy, 2008, Volume: 9, Issue:18

    Topics: Clinical Trials as Topic; Humans; Molecular Structure; Parkinson Disease; Piperidines; Schizophrenia

2008
Parkinson's disease dementia.
    Current neurology and neuroscience reports, 2010, Volume: 10, Issue:4

    Topics: Cholinesterase Inhibitors; Clinical Trials as Topic; Dementia; Diagnosis, Differential; Humans; Park

2010

Trials

8 trials available for urea and Parkinson Disease

ArticleYear
Blinded SAPS-PD Assessment After 10 Weeks of Pimavanserin Treatment for Parkinson's Disease Psychosis.
    Journal of Parkinson's disease, 2020, Volume: 10, Issue:4

    Topics: Aged; Aged, 80 and over; Double-Blind Method; Female; Humans; Male; Middle Aged; Outcome Assessment,

2020
An Open-Label, 8-Week Study of Safety and Efficacy of Pimavanserin Treatment in Adults with Parkinson's Disease and Depression.
    Journal of Parkinson's disease, 2020, Volume: 10, Issue:4

    Topics: Aged; Depression; Drug Therapy, Combination; Female; Humans; Male; Middle Aged; Outcome Assessment,

2020
Efficacy results of pimavanserin from a multi-center, open-label extension study in Parkinson's disease psychosis patients.
    Parkinsonism & related disorders, 2021, Volume: 87

    Topics: Aged; Aged, 80 and over; Antipsychotic Agents; Double-Blind Method; Female; Humans; Male; Middle Age

2021
Trial of Pimavanserin in Dementia-Related Psychosis.
    The New England journal of medicine, 2021, 07-22, Volume: 385, Issue:4

    Topics: Aged; Aged, 80 and over; Antipsychotic Agents; Dementia; Double-Blind Method; Female; Hallucinations

2021
Pimavanserin for Parkinson's Disease psychosis: Effects stratified by baseline cognition and use of cognitive-enhancing medications.
    Movement disorders : official journal of the Movement Disorder Society, 2018, Volume: 33, Issue:11

    Topics: Aged; Aged, 80 and over; Antipsychotic Agents; Cognition Disorders; Double-Blind Method; Female; Hum

2018
Pimavanserin for patients with Parkinson's disease psychosis: a randomised, placebo-controlled phase 3 trial.
    Lancet (London, England), 2014, Feb-08, Volume: 383, Issue:9916

    Topics: Aged; Analysis of Variance; Antiparkinson Agents; Antipsychotic Agents; Double-Blind Method; Female;

2014
Impact of Current Antipsychotic Medications on Comparative Mortality and Adverse Events in People With Parkinson Disease Psychosis.
    Journal of the American Medical Directors Association, 2015, Oct-01, Volume: 16, Issue:10

    Topics: Accidental Falls; Adult; Aged; Aged, 80 and over; Antiparkinson Agents; Antipsychotic Agents; Drug T

2015
Pimavanserin, a serotonin(2A) receptor inverse agonist, for the treatment of parkinson's disease psychosis.
    Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2010, Volume: 35, Issue:4

    Topics: Aged; Analysis of Variance; Double-Blind Method; Female; Follow-Up Studies; Humans; Male; Motor Acti

2010

Other Studies

47 other studies available for urea and Parkinson Disease

ArticleYear
The Compound ATH434 Prevents Alpha-Synuclein Toxicity in a Murine Model of Multiple System Atrophy.
    Journal of Parkinson's disease, 2022, Volume: 12, Issue:1

    Topics: alpha-Synuclein; Animals; Disease Models, Animal; Humans; Iron; Mice; Mice, Transgenic; Multiple Sys

2022
Reader Response: Risk of Hospitalization and Death Associated With Pimavanserin Use in Older Adults With Parkinson Disease.
    Neurology, 2022, 01-04, Volume: 98, Issue:1

    Topics: Aged; Hospitalization; Humans; Parkinson Disease; Piperidines; Urea

2022
Author Response: Risk of Hospitalization and Death Associated With Pimavanserin Use in Older Adults With Parkinson Disease.
    Neurology, 2022, 01-04, Volume: 98, Issue:1

    Topics: Aged; Hospitalization; Humans; Parkinson Disease; Piperidines; Urea

2022
Improving the treatment of Parkinson's disease: Structure-based development of novel 5-HT
    European journal of medicinal chemistry, 2022, Apr-15, Volume: 234

    Topics: Aged; Antipsychotic Agents; Humans; Parkinson Disease; Psychotic Disorders; Receptor, Serotonin, 5-H

2022
Aggregation of a Parkinson's Disease-Related Peptide: When Does Urea Weaken Hydrophobic Interactions?
    ACS chemical neuroscience, 2022, 06-15, Volume: 13, Issue:12

    Topics: Humans; Hydrophobic and Hydrophilic Interactions; Parkinson Disease; Peptides; Protein Aggregates; U

2022
Mortality Among Parkinson's Disease Patients Treated With Pimavanserin or Atypical Antipsychotics: An Observational Study in Medicare Beneficiaries.
    The American journal of psychiatry, 2022, Volume: 179, Issue:8

    Topics: Aged; Antipsychotic Agents; Cohort Studies; Female; Humans; Male; Medicare; Parkinson Disease; Piper

2022
The Safety of Pimavanserin for Parkinson's Disease and Efforts to Reduce Antipsychotics for People With Dementia.
    The American journal of psychiatry, 2022, Volume: 179, Issue:8

    Topics: Antipsychotic Agents; Dementia; Humans; Parkinson Disease; Piperidines; Psychotic Disorders; Urea

2022
Assessing the risks of treatment in Parkinson disease psychosis: An in-depth analysis.
    PloS one, 2023, Volume: 18, Issue:1

    Topics: Aged; Antipsychotic Agents; Dementia; Humans; Levodopa; Parkinson Disease; Prospective Studies; Psyc

2023
Pimavanserin versus quetiapine for the treatment of psychosis in Parkinson's disease and dementia with Lewy bodies.
    Parkinsonism & related disorders, 2019, Volume: 69

    Topics: Adult; Aged; Aged, 80 and over; Antipsychotic Agents; Cohort Studies; Female; Humans; Lewy Body Dise

2019
The use of Pimavanserin in the treatment of Parkinson's disease: a consideration of its effects on sleep.
    Sleep medicine, 2020, Volume: 66

    Topics: Cross-Sectional Studies; Genotype; Humans; Parkinson Disease; Piperidines; Psychotic Disorders; Slee

2020
Pimavanserin: A 2019 Clarification on the FDA Update.
    The primary care companion for CNS disorders, 2019, 12-26, Volume: 21, Issue:6

    Topics: Humans; Parkinson Disease; Piperidines; Psychotic Disorders; Urea

2019
Long-term evaluation of open-label pimavanserin safety and tolerability in Parkinson's disease psychosis.
    Parkinsonism & related disorders, 2020, Volume: 77

    Topics: Aged; Aged, 80 and over; Antipsychotic Agents; Female; Hallucinations; Humans; Male; Middle Aged; Pa

2020
Treatment of Psychosis in Parkinson's disease and sudden death.
    Parkinsonism & related disorders, 2020, Volume: 79

    Topics: Antipsychotic Agents; Death, Sudden; Humans; Parkinson Disease; Piperidines; Psychotic Disorders; Ur

2020
Identification of amyloidogenic proteins in the microbiomes of a rat Parkinson's disease model and wild-type rats.
    Protein science : a publication of the Protein Society, 2021, Volume: 30, Issue:9

    Topics: alpha-Synuclein; Amino Acid Sequence; Amyloid; Amyloidogenic Proteins; Animals; Bacterial Proteins;

2021
Pimavanserin: A Friend or Foe in Parkinson Disease Psychosis.
    Neurology, 2021, 09-28, Volume: 97, Issue:13

    Topics: Aged; Hospitalization; Humans; Parkinson Disease; Piperidines; Psychotic Disorders; Urea

2021
Risk of Hospitalization and Death Associated With Pimavanserin Use in Older Adults With Parkinson Disease.
    Neurology, 2021, 09-28, Volume: 97, Issue:13

    Topics: Aged; Hospitalization; Humans; Medicare; Parkinson Disease; Piperidines; Psychotic Disorders; Retros

2021
Pharmacological assessments of potent A
    Neuroscience letters, 2017, 04-24, Volume: 647

    Topics: Adenosine A2 Receptor Antagonists; Adenosine-5'-(N-ethylcarboxamide); Animals; Antiparkinson Agents;

2017
[Modern approaches to treatment of psychosis in Parkinson's disease].
    Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova, 2016, Volume: 116, Issue:10

    Topics: Antiparkinson Agents; Antipsychotic Agents; Clozapine; Humans; Parkinson Disease; Piperidines; Psych

2016
Atypical antipsychotic therapy in Parkinson's disease psychosis: A retrospective study.
    Brain and behavior, 2017, Volume: 7, Issue:6

    Topics: Aged; Antipsychotic Agents; Benzodiazepines; Drug-Related Side Effects and Adverse Reactions; Female

2017
Neuroprotective effect of IDPU (1-(7-imino-3-propyl-2,3-dihydrothiazolo [4,5-d]pyrimidin-6(7H)-yl)urea) in 6-OHDA induced rodent model of hemiparkinson's disease.
    Neuroscience letters, 2018, 05-14, Volume: 675

    Topics: Animals; Antiparkinson Agents; Behavior, Animal; Depression; Disease Models, Animal; Male; Neuroprot

2018
Pimavanserin evaluated by the FDA.
    Lancet (London, England), 2018, 05-05, Volume: 391, Issue:10132

    Topics: Antipsychotic Agents; Delusions; Drug Evaluation; Hallucinations; Humans; Parkinson Disease; Piperid

2018
Difficult choices in treating Parkinson's disease psychosis.
    The Lancet. Neurology, 2018, Volume: 17, Issue:7

    Topics: Antipsychotic Agents; Drug Approval; Humans; Off-Label Use; Parkinson Disease; Piperidines; Psychoti

2018
Perspective on Pimavanserin and the SAPS-PD: Novel Scale Development as a Means to FDA Approval.
    The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2018, Volume: 26, Issue:10

    Topics: Antipsychotic Agents; Clinical Trials as Topic; Drug Approval; Humans; Outcome Assessment, Health Ca

2018
Mortality in patients with Parkinson disease psychosis receiving pimavanserin and quetiapine.
    Neurology, 2018, 10-23, Volume: 91, Issue:17

    Topics: Aged; Aged, 80 and over; Antipsychotic Agents; Female; Humans; Male; Middle Aged; Parkinson Disease;

2018
Psychiatric commentary addressing the article titled "Guidance for switching from off-label antipsychotics to pimavanserin for Parkinson's disease psychosis: an expert consensus".
    CNS spectrums, 2018, Volume: 23, Issue:6

    Topics: Antipsychotic Agents; Consensus; Humans; Neurodegenerative Diseases; Off-Label Use; Parkinson Diseas

2018
Neurological commentary addressing the article titled "Guidance for switching from off-label antipsychotics to pimavanserin for Parkinson's disease psychosis: an expert consensus".
    CNS spectrums, 2018, Volume: 23, Issue:6

    Topics: Antipsychotic Agents; Consensus; Humans; Off-Label Use; Parkinson Disease; Piperidines; Psychotic Di

2018
Can pimavanserin help patients with Parkinson disease psychosis?
    JAAPA : official journal of the American Academy of Physician Assistants, 2019, Volume: 32, Issue:1

    Topics: Antipsychotic Agents; Humans; Parkinson Disease; Piperidines; Psychotic Disorders; Serotonin 5-HT2 R

2019
Hyperosmotic stress induces cell-dependent aggregation of α-synuclein.
    Scientific reports, 2019, 02-19, Volume: 9, Issue:1

    Topics: alpha-Synuclein; Animals; Benzothiazoles; Blotting, Western; Cell Death; Cell Line; Cell Survival; E

2019
Pimavanserin for Psychosis in Parkinson's Disease-Related Disorders: A Retrospective Chart Review.
    Drugs & aging, 2019, Volume: 36, Issue:7

    Topics: Aged; Antiparkinson Agents; Antipsychotic Agents; Female; Humans; Male; Parkinson Disease; Piperidin

2019
Pimavanserin for Parkinson Disease Psychosis.
    The primary care companion for CNS disorders, 2019, 04-25, Volume: 21, Issue:2

    Topics: Antiparkinson Agents; Antipsychotic Agents; Humans; Parkinson Disease; Piperidines; Psychotic Disord

2019
Pimavanserin as treatment for Parkinson's disease psychosis.
    Lancet (London, England), 2014, Feb-08, Volume: 383, Issue:9916

    Topics: Antiparkinson Agents; Antipsychotic Agents; Female; Humans; Male; Parkinson Disease; Piperidines; Ps

2014
Parkinson disease: Pimavanserin could be useful for treating psychosis in Parkinson disease.
    Nature reviews. Neurology, 2013, Volume: 9, Issue:12

    Topics: Antiparkinson Agents; Antipsychotic Agents; Female; Humans; Male; Parkinson Disease; Piperidines; Ps

2013
Pimavanserin: An Inverse Agonist Antipsychotic Drug.
    Journal of psychosocial nursing and mental health services, 2016, Jun-01, Volume: 54, Issue:6

    Topics: Female; Humans; Male; Parkinson Disease; Piperidines; Psychotic Disorders; Serotonin 5-HT2 Receptor

2016
Pimavanserin (Nuplazid) for Parkinson's disease psychosis.
    The Medical letter on drugs and therapeutics, 2016, Jun-06, Volume: 58, Issue:1496

    Topics: Antiparkinson Agents; Antipsychotic Agents; Drug Administration Schedule; Drug Costs; Drug Interacti

2016
Pimavanserin approved for Parkinson's-related hallucinations, delusions.
    American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2016, Jun-15, Volume: 73, Issue:12

    Topics: Antiparkinson Agents; Delusions; Drug Approval; Drug Labeling; Hallucinations; Humans; Parkinson Dis

2016
Orexin-A increases the activity of globus pallidus neurons in both normal and parkinsonian rats.
    The European journal of neuroscience, 2016, Volume: 44, Issue:5

    Topics: Action Potentials; Animals; Benzoxazoles; Globus Pallidus; Haloperidol; Male; Naphthyridines; Neuron

2016
Mechanism of action of pimavanserin in Parkinson's disease psychosis: targeting serotonin 5HT2A and 5HT2C receptors.
    CNS spectrums, 2016, Volume: 21, Issue:4

    Topics: Humans; Parkinson Disease; Piperidines; Psychotic Disorders; Receptor, Serotonin, 5-HT2A; Receptor,

2016
Parkinson's disease psychosis as a serotonin-dopamine imbalance syndrome.
    CNS spectrums, 2016, Volume: 21, Issue:5

    Topics: Antiparkinson Agents; Antipsychotic Agents; Brain; Dopamine; Humans; Levodopa; Lewy Bodies; Parkinso

2016
Treatment Possibilities for Psychosis in Parkinson's Disease with An Emphasis on the Newly Approved Drug: Pimavanserin.
    CNS & neurological disorders drug targets, 2017, Volume: 16, Issue:3

    Topics: Animals; Humans; Parkinson Disease; Piperidines; Psychotic Disorders; Receptor, Serotonin, 5-HT2A; S

2017
Synthesis of some urea and thiourea derivatives of 3-phenyl/ethyl-2-thioxo-2,3-dihydrothiazolo[4,5-d]pyrimidine and their antagonistic effects on haloperidol-induced catalepsy and oxidative stress in mice.
    European journal of medicinal chemistry, 2009, Volume: 44, Issue:10

    Topics: Animals; Anti-Dyskinesia Agents; Antiparkinson Agents; Brain; Catalepsy; Glutathione; Glutathione Pe

2009
Restless legs syndrome in Parkinson's disease: clinical characteristics and biochemical correlations.
    Arquivos de neuro-psiquiatria, 2010, Volume: 68, Issue:6

    Topics: Aged; Female; Ferritins; Hemoglobins; Humans; Iron; Male; Middle Aged; Parkinson Disease; Restless L

2010
Pimavanserin, a 5-HT2A inverse agonist, reverses psychosis-like behaviors in a rodent model of Parkinson's disease.
    Behavioural pharmacology, 2011, Volume: 22, Issue:7

    Topics: Amphetamine; Amphetamines; Animals; Antipsychotic Agents; Behavior, Animal; Central Nervous System S

2011
Is there room for new non-dopaminergic treatments in Parkinson's disease?
    Journal of neural transmission (Vienna, Austria : 1996), 2013, Volume: 120, Issue:2

    Topics: Antiparkinson Agents; Droxidopa; Humans; Parkinson Disease; Piperidines; Urea

2013
Is there room for non-dopaminergic treatment in Parkinson disease?
    Journal of neural transmission (Vienna, Austria : 1996), 2013, Volume: 120, Issue:2

    Topics: Antiparkinson Agents; Droxidopa; Humans; Parkinson Disease; Piperidines; Treatment Outcome; Urea

2013
L-dopa in Parkinsonism. A possible mechanism of action.
    Neurology, 1972, Volume: 22, Issue:7

    Topics: Amines; Animals; Basal Ganglia; Brain; Carbon Isotopes; Cerebral Cortex; Corpus Striatum; Dihydroxyp

1972
Bensarazid with L-dopa in the treatment of parkinson's disease.
    South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde, 1974, Feb-09, Volume: 48, Issue:6

    Topics: Adult; Aged; Benserazide; Dihydroxyphenylalanine; Drug Therapy, Combination; Female; Humans; Hydrazi

1974
The metabolism and distribution of benapryzine.
    Xenobiotica; the fate of foreign compounds in biological systems, 1971, Volume: 1, Issue:2

    Topics: Administration, Oral; Animals; Autoradiography; Benzilates; Bile; Brain; Carbon Radioisotopes; Chrom

1971