Comparative pharmacokinetics of levodopa–carbidopa intestinal gel infusion and foslevodopa–foscarbidopa continuous subcutaneous infusion therapies in advanced Parkinson's disease
LCIG and FOCS show distinct PK profiles despite similar overall concentrations. LCIG provides a rapid rise in levodopa levels and earlier On onset, whereas FOCS yields higher SSConc values and greater dose-concentration efficiency, informing titration approaches, nighttime infusion settings, and individualized selection of continuous infusion-based dopaminergic therapy.
Authors
- Shinji Oda
- Junko Takei (ORCID: https://orcid.org/0000-0003-2990-185X)
- Tasuku Ishihara
- Juri Nomoto
- Fumiko Furukawa
- Shoya Inagawa
- Yuka Hama
- Yuji Takahashi
- Shuho Namatame
- Jun Shinmi
- Yohei Mukai
- Hotake Takizawa
- Toru Yamakawa
- Motohiro Okumura
Institutions
- National Center of Neurology and Psychiatry (JP)
- Tokyo National Hospital (JP)
- Kure Medical Center (JP)
Publication Details
- Journal
- Parkinsonism & Related Disorders
- Published
- 2026-01-21
- DOI
- https://doi.org/10.1016/j.parkreldis.2026.108197
- Primary Topic
- Parkinson's Disease Mechanisms and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00