Japan's Kyowa Hakko Kirin Co. Ltd. announced the start of an additional international Phase III program for its first-in-class oral adenosine A2a receptor antagonist istradefylline just over three years ago, with an eye on trying again for a long-sought US approval for use in Parkinson's disease.
Fast forward to the present and disappointing new top-line results from the placebo-controlled trial might prove to be the final nail in the coffin of the drug in this indication, at least outside Japan,
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