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A pilot study using nabilone for symptomatic treatment in Huntington's disease

โœ Scribed by Adrienne Curtis; Ian Mitchell; Smitaa Patel; Natalie Ives; Hugh Rickards


Publisher
John Wiley and Sons
Year
2009
Tongue
English
Weight
125 KB
Volume
24
Category
Article
ISSN
0885-3185

No coin nor oath required. For personal study only.

โœฆ Synopsis


Abstract

Pilot study of nabilone in Huntington's disease (HD). Doubleโ€blind, placeboโ€controlled, crossโ€over study of nabilone versus placebo. Primary outcome, Unified Huntington's Disease Rating Scale (UHDRS) total motor score. Secondary measures: UHDRS subsections for chorea, cognition and behavior, and neuropsychiatric inventory (NPI). 44 randomized patients received either nabilone (1 or 2 mg) followed by placebo (n = 22), or placebo followed by nabilone (n = 22). Recruiting was straightforward. Nabilone safe and well tolerated, no psychotic episodes. Assessment of either dose of nabilone versus placebo showed a treatment difference of 0.86 (95% CI: โˆ’1.8 to 3.52) for total motor score; 1.68 (95% CI: 0.44 to 2.92) for chorea; 3.57 (95% CI: โˆ’3.41 to 10.55) for UHDRS cognition; 4.01 (95% CI: โˆ’0.11 to 8.13) for UHDRS behavior, and 6.43 (95% CI: 0.2 to 12.66) for the NPI. Larger longer RCT of nabilone in HD is feasible and warranted. ยฉ 2009 Movement Disorder Society


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