Benserazide Hydrochloride

This article discusses the use of Benserazide Hydrochloride, a component of Madopark tablets, in clinical trials for Parkinson’s disease treatment. While the main focus of the trial is on Montelukast, Madopark (containing Benserazide Hydrochloride and Levodopa) is used as a background therapy. The study aims to examine the effects of Montelukast on disease progression and symptoms in patients with mild to moderate Parkinson’s disease.

Table of Contents

What is Benserazide Hydrochloride?

Benserazide Hydrochloride is a medication commonly used in the treatment of Parkinson’s disease. It belongs to a class of drugs known as decarboxylase inhibitors. While Benserazide itself doesn’t directly treat Parkinson’s symptoms, it plays a crucial role in enhancing the effectiveness of another important medication called Levodopa[1].

Combination with Levodopa

Benserazide Hydrochloride is typically combined with Levodopa in a single tablet. This combination is known by various brand names, including Madopark. The specific formulation mentioned in the clinical trial data is “Madopark 100 mg/25 mg tablets,” which contains 100 mg of Levodopa and 25 mg of Benserazide Hydrochloride[1].

The reason for this combination is that Benserazide helps prevent the breakdown of Levodopa before it reaches the brain. This allows more Levodopa to cross the blood-brain barrier, increasing its effectiveness in treating Parkinson’s symptoms[1].

Medical Conditions Treated

The primary condition treated by the Benserazide-Levodopa combination is Parkinson’s disease. Parkinson’s is a progressive nervous system disorder that affects movement. Symptoms may include tremors, stiffness, and difficulty with balance and coordination[1].

This medication is particularly useful for patients with:

  • Early to moderate Parkinson’s disease: The clinical trial data suggests it’s used in patients with a clinical diagnosis of less than 4 years and a Hoehn and Yahr stage (a measure of Parkinson’s progression) of 2 or less[1].
  • Motor symptoms: The primary goal of treatment is to improve motor symptoms, which are measured using a scale called the MDS-UPDRS Part 3[1].
  • Non-motor symptoms: The medication may also help with non-motor symptoms of Parkinson’s disease[1].

Dosage and Administration

According to the clinical trial data:

  • The medication is taken orally in tablet form[1].
  • The maximum daily dose is 1800 mg[1].
  • The maximum total dose over the course of treatment is 1,314,000 mg[1].
  • The maximum treatment period is 24 months[1].

It’s important to note that these are maximum doses, and your doctor will prescribe the appropriate dose for your specific condition. Always follow your doctor’s instructions regarding dosage and administration[1].

Eligibility Criteria for Treatment

Based on the clinical trial information, the following criteria are considered for treatment eligibility:

Inclusion Criteria:

  • Age between 35 and 80 years[1]
  • Clinical diagnosis of Parkinson’s disease for less than 4 years[1]
  • Hoehn and Yahr stage 2 or less in the OFF medication state (This scale measures the progression of Parkinson’s disease)[1]
  • Already on ongoing levodopa treatment[1]
  • Ability to self-administer the medication[1]

Exclusion Criteria:

  • Previous or concurrent depression requiring hospitalization[1]
  • Severe liver or kidney disease[1]
  • Concurrent moderate-to-severe depression[1]
  • Concurrent dementia[1]
  • Active oral mucosa inflammation[1]
  • Active Hepatitis B or C infection[1]
  • Atypical or other causes of parkinsonism[1]
  • Prior intra-cerebral surgical intervention[1]

It’s crucial to discuss your full medical history with your doctor to determine if this medication is appropriate for you[1].

Potential Side Effects and Monitoring

While the clinical trial data doesn’t provide specific information about side effects of Benserazide Hydrochloride, it does mention that the study will examine:

  • The frequency of adverse events in patients taking the medication compared to those on placebo[1]
  • Changes in vital signs[1]
  • Changes in clinical laboratory values[1]

Your doctor will monitor these aspects during your treatment. It’s important to report any unusual symptoms or side effects to your healthcare provider promptly[1].

Aspect Details
Trial Name MONTPARK: Montelukast as disease-modifying treatment in mild-moderate Parkinson’s disease
Trial Phase Phase II
Main Objective Examine the effect of Montelukast on disease progression in early to moderate Parkinson’s disease
Background Therapy Madopark (Benserazide Hydrochloride + Levodopa)
Madopark Administration Oral, maximum daily dose 1800 mg, treatment duration up to 24 months
Primary Outcome Measure MDS-UPDRS Part 3 (motor symptoms) in OFF-medication state
Secondary Outcome Measures MDS-NMS, HADS, adverse events, LEDD score
Key Inclusion Criteria Age 35-80, PD diagnosis <4 years, H&Y stage ≤2 in OFF, ongoing levodopa treatment
Key Exclusion Criteria Severe depression, dementia, atypical parkinsonism, active hepatitis B or C

Ongoing Clinical Trials on Benserazide Hydrochloride

  • Study of IPX203 compared to levodopa/carbidopa in patients with advanced Parkinson’s disease and motor fluctuations

    Recruiting

    3 1 1 1
    Italy Poland Spain
  • Study of apomorphine and rifaximin for Parkinson’s disease patients with reduced levodopa effectiveness

    Recruiting

    2 1 1
    Investigated diseases:
    The Netherlands
  • Study on Montelukast for Slowing Parkinson’s Disease Progression in Patients with Mild to Moderate Symptoms

    Recruiting

    2 1 1
    Investigated diseases:
    Sweden

Glossary

  • Benserazide Hydrochloride: A medication used in combination with Levodopa to treat Parkinson's disease. It helps prevent the breakdown of Levodopa before it reaches the brain.
  • Levodopa: A medication that is converted to dopamine in the brain, helping to relieve symptoms of Parkinson's disease such as tremor, stiffness, and slow movement.
  • Parkinson's disease: A progressive nervous system disorder that affects movement, often causing tremors, stiffness, and difficulty with balance and coordination.
  • MDS-UPDRS: Movement Disorder Society-Unified Parkinson's Disease Rating Scale, a comprehensive assessment tool used to evaluate the severity of Parkinson's disease symptoms.
  • Hoehn and Yahr stage: A scale used to describe the progression of Parkinson's disease symptoms, ranging from stage 1 (mild symptoms) to stage 5 (severe disability).
  • OFF state: A period when Parkinson's disease medications are not working optimally, and symptoms may be more pronounced.
  • LEDD: Levodopa Equivalent Daily Dose, a standardized way to compare the doses of different Parkinson's disease medications.
  • MDS-NMS: Movement Disorder Society-Non-Motor Symptoms scale, used to assess non-motor symptoms in Parkinson's disease.
  • HADS: Hospital Anxiety and Depression Scale, a tool used to measure anxiety and depression levels in patients.
  • Montelukast: The main drug being studied in this clinical trial for its potential to slow down the progression of Parkinson's disease.

References

  1. http://clinicaltrials.eu/trial/study-on-montelukast-for-slowing-parkinsons-disease-progression-in-patients-with-mild-to-moderate-symptoms/