Apokyn

Mobility decreased, Parkinson's Disease

Treatment

3 FDA approvals

20 Active Studies for Apokyn

What is Apokyn

Apomorphine

The Generic name of this drug

Treatment Summary

Apomorphine is an FDA-approved medication used to improve the mobility of people with Parkinson's disease. It was first synthesized in 1845 and has been used to treat a variety of other movement disorders, such as emesis, sedation, alcoholism, and more. Apomorphine was approved by the FDA in 2004.

Apokyn

is the brand name

image of different drug pills on a surface

Apokyn Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Apokyn

Apomorphine

2004

16

Approved as Treatment by the FDA

Apomorphine, otherwise called Apokyn, is approved by the FDA for 3 uses including Parkinson's Disease (PD) and Mobility decreased .

Parkinson's Disease (PD)

Mobility decreased

Parkinson's Disease

Effectiveness

How Apokyn Affects Patients

Apomorphine is a drug that helps control movement in the body. It has a short duration of action and is considered safe, although large overdoses can be toxic. Common side effects of the drug include nausea, vomiting, drowsiness, low blood pressure, irritation of the mouth, falls, hallucinations, psychotic-like behavior, and an increased risk for seizures. To help reduce the risk of nausea and vomiting, it is recommended to take a medication called trimethobenzamide three days before starting apomorphine and for no more than two months.

How Apokyn works in the body

Apomorphine is a medication that works by stimulating certain dopamine receptors in the brain. It binds to three different types of dopamine receptors, located in an area of the brain responsible for movement control. We don't know exactly how this affects people with Parkinson's disease, but it is thought to help improve mobility.

When to interrupt dosage

The proposed portion of Apokyn hinges on the diagnosed condition. The dosage also fluctuates based on the method of delivery (e.g. Kit - Sublingual or Liquid - Subcutaneous) as detailed in the table beneath.

Condition

Dosage

Administration

Parkinson's Disease

, 30.0 mg/mL, 10.0 mg, 10.0 mg/mL, 15.0 mg, 25.0 mg, 30.0 mg, 20.0 mg

, Subcutaneous, Injection, Injection - Subcutaneous, Solution, Solution - Subcutaneous, Liquid, Film, soluble, Film, soluble - Sublingual, Kit - Sublingual, Sublingual, Kit, Liquid - Subcutaneous

Mobility decreased

, 30.0 mg/mL, 10.0 mg, 10.0 mg/mL, 15.0 mg, 25.0 mg, 30.0 mg, 20.0 mg

, Subcutaneous, Injection, Injection - Subcutaneous, Solution, Solution - Subcutaneous, Liquid, Film, soluble, Film, soluble - Sublingual, Kit - Sublingual, Sublingual, Kit, Liquid - Subcutaneous

Warnings

Apokyn Contraindications

Condition

Risk Level

Notes

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

There are 20 known major drug interactions with Apokyn.

Common Apokyn Drug Interactions

Drug Name

Risk Level

Description

Amiodarone

Major

The metabolism of Amiodarone can be decreased when combined with Apomorphine.

Astemizole

Major

The metabolism of Astemizole can be decreased when combined with Apomorphine.

Axitinib

Major

The metabolism of Axitinib can be decreased when combined with Apomorphine.

Azelastine

Major

Apomorphine may increase the central nervous system depressant (CNS depressant) activities of Azelastine.

Brigatinib

Major

The metabolism of Brigatinib can be decreased when combined with Apomorphine.

Apokyn Toxicity & Overdose Risk

Those who overdose on apomorphine may experience nausea, low blood pressure, and loss of consciousness. Treatment involves providing supportive care. Tests have found the lowest toxic dose of apomorphine in mice to be 145µg/kg.

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Apokyn Novel Uses: Which Conditions Have a Clinical Trial Featuring Apokyn?

45 active trials are presently looking into the potential of Apokyn to treat Parkinson's Disease.

Condition

Clinical Trials

Trial Phases

Parkinson's Disease

44 Actively Recruiting

Not Applicable, Phase 1, Phase 4, Phase 2, Phase 3, Early Phase 1

Mobility decreased

0 Actively Recruiting

Apokyn Reviews: What are patients saying about Apokyn?

4.7

Patient Review

7/1/2009

Apokyn for Parkinson's Disease

4.3

Patient Review

9/6/2013

Apokyn for Parkinson's Disease

My husband's gambling addiction has put us in a tough financial situation. He can't work because of it and I don't know if we'll be able to make ends meet.

3.7

Patient Review

6/26/2017

Apokyn for Parkinson's Disease

This drug is effective and works quickly, however I wish it had a longer lasting effect.

2.7

Patient Review

2/4/2010

Apokyn for Parkinson's Disease

Apokyn is much more effective than other oral PD medications I've tried. Usually, the effects kick in within 15 minutes.

2

Patient Review

4/23/2012

Apokyn for Parkinson's Disease

I run a support group and am very disappointed with how expensive this medication is. A person on disability can't even afford it, and that's with insurance. When something works, they price it beyond our means.
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about apokyn

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Is APOKYN a controlled substance?

"No, Apokyn is not a controlled substance."

Answered by AI

Is APOKYN a dopamine agonist?

"Apokyn helps to treat episodes of muscle stiffness and loss of muscle control in people with advanced Parkinson's disease by restoring the balance of dopamine in the brain."

Answered by AI

How much does APOKYN cost per month?

"The Apokyn coupon & prices make it affordable for anyone to get the help they need to manage their condition. The cost is $49 per month, which is a fraction of the cost of most other medications."

Answered by AI

What is APOKYN used for?

"APOKYN is used to treat an advanced symptom of Parkinson's disease known as hypomobility, or "off episodes." This can cause muscle stiffness, slow movements, and difficulty starting movements."

Answered by AI

Clinical Trials for Apokyn

Image of University of California San Francisco in San Francisco, United States.

Deep Brain Stimulation for Parkinson's Disease

18+
All Sexes
San Francisco, CA

The purpose of this study is to test a new way to treat Parkinson's disease (PD). Subjects will be implanted with deep brain stimulator (DBS) devices and electrodes placed under the scalp. The main questions it aims to answer are: * Is there a less invasive method to collect useful brain signals? Find out if these brain signals can be related to movement and/or sleep symptoms. * How to use these brain signals to tailor adaptive deep brain stimulation settings for movement and/or sleep symptoms Researchers will compare study derived adaptive DBS settings to subject's clinically programmed continuous DBS settings to see which is better at treating patients PD symptoms.

Waitlist Available
Has No Placebo

University of California San Francisco

Simon Little

Image of Invicro (dba Perceptive) in New Haven, United States.

[18F]MK-0947 for Parkinson's Disease

18 - 80
All Sexes
New Haven, CT

This clinical study is being conducted to learn more about a new imaging drug called \[18F\]MK-0947, which is designed to help doctors see changes in the brain related to Parkinson's disease (PD). PD is a condition that affects movement, balance, and thinking. The drug works with a type of scan called PET (Positron Emission Tomography) to show areas of the brain where a protein called α-synuclein builds up. This buildup is linked to PD and other brain disorders. The main goal of this study is to find out if \[18F\]MK-0947 is safe for people and if it works well to show α-synuclein in the brain. The study will also look at how the drug moves through the body and how much radiation it gives off. Researchers hope this information will help develop better tools for diagnosing PD and tracking how it changes over time. Who can join? Adults who have PD or who are healthy may be able to take part. Participants will have screening tests to make sure they qualify. What does participation involve? People in the study will have PET scans, blood tests, and other safety checks. Some participants will also have an MRI scan. The study is divided into two parts: Part 1 looks at how the drug works in the brain of PD patients and healthy elderly participants, and Part 2 measures radiation levels in healthy participants. Why is this important? There is currently no cure for PD, and better imaging tools could help researchers develop new treatments. By joining this study, participants will help advance research that may improve care for people with PD and similar conditions in the future.

Phase < 1
Recruiting

Invicro (dba Perceptive)

Merck Sharp & Dohme LLC

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Image of Centre for Brain and Mind, Western University in London, Canada.

Cognitive Cueing + Video Intervention for Parkinson's Disease

40 - 99
All Sexes
London, Canada

The goal of this clinical trial is to learn if cognitive cueing (eg., prompting individuals to think about taking big-long steps while walking), either as a stand- alone intervention or combined with a personalized gait training video, can improve gait (walking), mobility, and balance confidence for individuals with Parkinson's Disease. The main questions it aims to answer are: 1. Does focusing on cognitive cues while walking improve gait, mobility, and balance confidence for individuals with Parkinson's Disease? 2. Does incorporating a personalized gait training video alongside cognitive cueing lead to amplified improvements in gait, mobility, and balance confidence for individuals with Parkinson's Disease? Researchers will compare how gait, mobility, balance confidence and quality of life change over time for participants when they practice walking with and without a cognitive cue alone, and when they practice with using a personalized gait training video. The researchers are also interested in how participation in this trial will affect quality of life and conscious attention to gait. Participants will * Complete walking trials on an instrumented mat that records data on their walking ability. These trials will be undertaken without a cognitive cue and while participants mentally rehearse a series of 3 cognitive cues (Take big long steps; Walk heel-toe; Stand up straight). * Be informed about which of the 3 cues best improved their walking and will receive a personalized gait training video for at home practice. * Complete online surveys that ask questions about their Parkinson's Disease, mobility, balance confidence quality of life and conscious attention to gait. * Visit the research facility 3 to 4 times during the study to have their gait (walking), mobility, balance confidence, quality of life and conscious attention to gait assessed and reassessed. * Practice both with and without their personalized video at home and keep a diary to record their practice sessions * Participate in a brief interview to discuss their experiences with the training and their perceptions of the effectiveness of cognitive cues and video-recorded feedback

Waitlist Available
Has No Placebo

Centre for Brain and Mind, Western University

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LY3962681 for Parkinson's Disease

30 - 80
All Sexes
Austin, TX

The purpose of this study is to evaluate the safety, tolerability, and PK/PD of LY3962681 in healthy volunteers and patients with Parkinson's disease. The study will be comprised of two parts, the Single Ascending Dose (SAD) study and the Multiple Ascending Doses (MAD) study. During the SAD portion of the study, healthy volunteers will receive a single dose of LY3962681 or placebo (artificial cerebrospinal fluid (aCSF), no active drug) given into the spinal fluid. During the MAD portion of the study, patients with Parkinson's disease will receive two doses of either LY3962681 or placebo (aCSF) administered into the spinal fluid. * The treatment period in the SAD study will be 1 day. The treatment period in the MAD study will be 2 days, 12 to 24 weeks apart. * The follow-up period in the SAD study will be up to 52 weeks. The follow-up period in the MAD study will be up to 52 weeks post Dose 2.

Phase 1
Recruiting

Austin Clinic PPD

Travis Lewis

Prevail Therapeutics

Image of Edward Hines Jr. VA Hospital, Hines, IL in Hines, United States.

Non-Invasive Vagal Nerve Stimulation for Parkinson's Disease

50 - 88
All Sexes
Hines, IL

More than 110,000 US Veterans living with Parkinson's disease (PD) currently receive PD-related care and services from the VA. Fall prevention is a priority for Veterans living PD. Gait disturbances are a major cause for functional dependence and the largest risk factor for falls, institutionalization, and death in PD. This SPiRE addresses the need to advance nonpharmacological rehabilitative health care of Veterans and maximizing functional outcomes by developing a non-invasive, neuromodulatory transcutaneous cervical Vagal Nerve Stimulation as an at-home intervention to improve gait and balance. This pilot clinical trial will assist with future efforts and priorities of the VA to prolong independent living and quality of life by minimizing gait and balance dysfunction experienced by Veterans living with PD.

Waitlist Available
Has No Placebo

Edward Hines Jr. VA Hospital, Hines, IL

Sandra L. Kletzel, PhD BA

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