Summary

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• This summary is based on the review of nine systematic review(s)/meta-analysis(es). ^[1-9]
• Safinamide at 100 mg/day and 50 mg/day significantly improved on-time without troublesome dyskinesia (MD: -0.90 h; 95% CI -1.12 to -0.67 and MD: -0.77 h; 95% CI -1.21 to -0.34, respectively) and reduced off-time (MD: -0.94 h; 95% CI -1.19 to -0.70 and MD: -0.72 h; 95% CI -1.03 to -0.41) compared to placebo.
• Safinamide significantly improved motor scores (UPDRS-III), with reductions of -3.01 (95% CI -4.15 to -1.86) for 100 mg/day and -2.93 (95% CI -5.14 to -0.71) for 50 mg/day, and also improved mood and quality of life measures (PDQ-39 and GRID-HAMD).
• In Parkinson's disease patients with motor fluctuations (PDwMF), safinamide was more effective at reducing symptoms compared to placebo at both 100 mg and 50 mg doses, while the effect was less pronounced in patients without motor fluctuations (PDwoMF).
• Safinamide showed no significant differences in the incidence of serious adverse events compared to placebo across all doses examined in Parkinson's disease patients.
• Rasagiline, in comparison, was associated with a higher incidence of adverse events compared to placebo and safinamide.