levadopa subcutaneous pump: C/L works well... - Cure Parkinson's

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levadopa subcutaneous pump

saraoutwest profile image
15 Replies

C/L works well for me …..when it works. I have a lot of problems with gut absorption. Not only does protein seem to be a problem, but just eating in general inhibits the medicine working well. I need to take simemet every 2-3 hours, so mealtimes are a nightmare. I’m very much hoping that the new subcutaneous pump (not the pump into the stomach) which I believe is just waiting FDA approval will be a godsend for me.

Does anyone have any info/thoughts on this new method of levadopa administration?

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saraoutwest profile image
saraoutwest
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15 Replies
Thal profile image
Thal

I've gone vegan, eat my main meal first thing and just snack the rest of the day between meds. I'd like to see a sublingual version.

Jalia profile image
Jalia

Interesting to read. My husband finds that eating other than a snack makes him feel bad.....inhibiting his sinemet working

pdpatient profile image
pdpatient in reply to Jalia

Same with me as well.

caitilin profile image
caitilin in reply to pdpatient

Same with me. My GP dismisses my reports of symptoms returning within just a few minutes after I eat anything; within the 1 to two hour “window of nutrition…”. 😬

Jana86 profile image
Jana86

I am waiting for the subcutaneous pump as well. AbbVie is the manufacturer. My understanding is the clinical trials are complete and show both efficacy and safety. Users love it as it provides steadier uptake and completely avoids the digestive track. The FDA has not asked the company for further testing but has some issue with the pump itself. They are saying the release date could happen sooner but most likely summer of 2024.

keighclark profile image
keighclark

I am so looking forward to it’s approval so I can get back to eating enough protein! I work out almost daily but because of my lack of protein it’s difficult some days. I’m in year 9 of being diagnosed. From what I’ve read, the FDA has pushed back with a couple questions but I can’t remember where I read it.

cjCardio53 profile image
cjCardio53 in reply to keighclark

Me too. "waiting" for the Abbvie pump 951. I also read 2024. Neuro Derma Pump "said" their pump ready 2023????

Hikoi profile image
Hikoi

Gidday Sara,

I know quite a bit about pumps but only 2 nd hand. Never heard of a levadopa pump. The NZ parkinson friends fb site has quite a few on the apomorph pump which is sub cutaneous. The levadopa infusion is different. It involves an op and a gastric tube. It was trialled in nz over 10 yrs ago and rejected. I’ll have to check what you refer to but i’m afraid Pharmac wont approve for years even if the US agency does.

Im off so wont write more just now.

pdpatient profile image
pdpatient in reply to Hikoi

Hi Hikoi,

Yes, the pump that you are talking about with the gastric bypass was a poor solution because of the high risk of infection.

The new subcutaneous pump is more promising because it acts just like the apokyn pump. I am waiting for it.

cjCardio53 profile image
cjCardio53 in reply to pdpatient

Me too, waiting....

Juliegrace profile image
Juliegrace in reply to Hikoi

There are two pharma companies with subq pumps in development. Both have gotten to phase 3 trials but only one has applied for approval. That is Abbvie. The other company is Neuroderm. I’ve been waiting for them for over four years now.

cjCardio53 profile image
cjCardio53 in reply to Juliegrace

My neuro said last week, it may be on the market end of 2024..then it will be expensive , cuz it's new...I am looking forward to this

WinnieThePoo profile image
WinnieThePoo

DIVE, currently in phase 2 testing by CHU Lille is the one I find interesting, although it's grindingly slow development even by normal PD standards. Well, it is La France (refer to Micky Flanagan for an evaluation of that nation by an Anglo saxon)

eurasante.com/news/actualit...

its a pump fitted below the skin, refilled every 7 to 14 days via a syringe which pumps dopamine, NOT levadopa direct into the substantia nigra. it does involve brain surgery but it is simpler than DBS

Projected clinical availability -2028 I believe . But good to have in the pipeline for then. (Meantime I'll replay the MF video)

WinnieThePoo profile image
WinnieThePoo in reply to WinnieThePoo

Looks like they may complete a phase 2 this week!

ichgcp.net/fr/clinical-tria...

Just 1500 more lunch breaks to launch😪

Koalas007 profile image
Koalas007

hi I’m making one treatment similar with this new one call Apomorphine it’s wonderful

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