Recent and on-going trials for the treatment of levodopa-induced dyskinesia: a review of the clinical trial databases.

Publication date: Jul 05, 2025

L-3,4-dihydroxyphenylalanine (Levodopa)-induced dyskinesia remains a condition for which there are few therapeutic options available. Fortunately, the past 5 years have seen the completion of several clinical trials, some of which yielded positive and encouraging results. Here, we performed a review of the clinical trials that were completed or for which outcomes were disclosed within the past 5 years. Promising results were obtained in Phase II trials with the serotonin type 1A (5-HT) agonist befiradol, the dopamine D receptor antagonist mesdopetam and the phosphodiesterase inhibitor CPL500036. In contrast, the metabotropic glutamate 4 (mGlu) receptor negative allosteric modulator foliglurax and JM-010 (a combination of the 5-HT partial agonist buspirone and the and the 5-HT type 1B and 1D [5-HT] agonist zolmitriptan) did not meet their endpoints in Phase II studies. Lastly, robot-assisted Repetitive Transcranial Magnetic Stimulation (rTMS) of the pre-supplementary motor area may be a promising non-pharmacological approach to alleviate dyskinesia.

Concepts Keywords
Cpl500036 clinical trials
Dihydroxyphenylalanine drugs
Encouraging dyskinesia
Pharmacological levodopa
Robot Parkinson’s disease

Semantics

Type Source Name
drug DRUGBANK Levodopa
disease MESH dyskinesia
drug DRUGBANK Serotonin
drug DRUGBANK Dopamine
drug DRUGBANK Buspirone
drug DRUGBANK Zolmitriptan
disease MESH Parkinson’s disease

Original Article

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