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NEUROLOGY 2006;67:S18-S23
© 2006 American Academy of Neurology

Neurology supplements are not peer-reviewed. Information contained in Neurology supplements represent the opinions of the authors and are not endorsed by nor do they reflect the views of the American Academy of Neurology, Editor-in-Chief, or Associate Editors of Neurology.

Safinamide

From molecular targets to a new anti-Parkinson drug

C. Caccia, PhD, R. Maj, PhD, M. Calabresi, S. Maestroni, PhD, L. Faravelli, PhD, L. Curatolo, PhD, P. Salvati, PhD and R. G. Fariello, MD

From Newron Pharmaceuticals Spa, Bresso (MI), Italy (C.C., M.C., S.M., L.F., L.C., P.S., R.G.F.), and Mondo Biotech, Gentilino, Switzerland (R.M.).

Address correspondence and reprint requests to Dr. Carla Caccia, Newron Pharmaceuticals Spa, Via Ludovico Ariosto 21, 20091 Bresso (MI), Italy; e-mail: carla.caccia{at}newron.com

Ideal treatment in Parkinson’s disease (PD) aims at relieving symptoms and slowing disease progression. Of all remedies, levodopa remains the most effective for symptomatic relief, but the medical need for neuroprotectant drugs is still unfulfilled. Safinamide, currently in phase III clinical trials for the treatment of PD, is a unique molecule with multiple mechanisms of action and a very high therapeutic index. It combines potent, selective, and reversible inhibition of MAO-B with blockade of voltage-dependent Na+ and Ca2+ channels and inhibition of glutamate release. Safinamide has neuroprotective and neurorescuing effects in MPTP-treated mice, in the rat kainic acid, and in the gerbil ischemia model. Safinamide potentiates levodopa-mediated increase of DA levels in DA-depleted mice and reverses the waning motor response after prolonged levodopa treatment in 6-OHDA-lesioned rats. Safinamide has excellent bioavailability, linear kinetics, and is suitable for once-a-day administration. Therefore, safinamide may be used in PD to reduce l-dopa dosage and also represents a valuable therapeutic drug to test disease-modifying potential.


Publication of this supplement was supported by a grant from Newron Pharmaceuticals.

Disclosure: C.C., R.M., M.C., L.F., L.C., and P.S. are employees of the sponsor and have an equity interest or ownership interest in the sponsor. S.M. is an employee of the sponsor. R.G.F. was an employee of the sponsor until May 2005.

Neurology supplements are not peer-reviewed. Information contained in Neurology supplements represents the opinions of the authors and is not endorsed by nor does it reflect the views of the American Academy of Neurology, Editorial Board, Editor-in-Chief, or Associate Editors of Neurology.




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F. Stocchi, L. Vacca, P. Grassini, M. F. De Pandis, G. Battaglia, C. Cattaneo, and R. G. Fariello
Symptom relief in Parkinson disease by safinamide: Biochemical and clinical evidence of efficacy beyond MAO-B inhibition.
Neurology, October 10, 2006; 67(7 Suppl 2): S24 - S29.
[Abstract] [Full Text]




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