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JTT-705:托彻普(torcetrapib)之后CETP抑制剂还有未来吗?

JTT-705: is there still future for a CETP inhibitor after torcetrapib?

作者信息

Rennings Alexander J M, Stalenhoef Anton F H

机构信息

Radboud University Nijmegen Medical Centre, Department of Internal Medicine, 460, PO Box 9101, 6500 HB Nijmegen, The Netherlands.

出版信息

Expert Opin Investig Drugs. 2008 Oct;17(10):1589-97. doi: 10.1517/13543784.17.10.1589.

Abstract

BACKGROUND

Despite reduction in low-density lipoprotein cholesterol, there is still a considerable amount of residual atherosclerosis-related disease. Epidemiological and pathophysiological data strongly favour increasing plasma high-density lipoprotein (HDL) cholesterol levels as antiatherogenic therapy, for example with cholesteryl ester transfer inhibition (CETP). However, negative Phase III studies on clinical end points with the CETP inhibitor torcetrapib challenge the future perspectives of other CETP inhibitors such as JTT-705.

OBJECTIVE

Is there potential for CETP inhibition with JTT-705 after torcetrapib's collapse?

METHODS

Search of articles in Pubmed citing JTT-705, torcetrapib and anacetrapib, or citing effects of pharmacological HDL-cholesterol raising or CETP inhibition.

RESULTS/CONCLUSION: There is possibly a future for HDL-cholesterol raising therapies. Phase III clinical studies with either JTT-705 or anacetrapib will determine whether CETP inhibition is beneficial.

摘要

背景

尽管低密度脂蛋白胆固醇水平有所降低,但仍存在大量与动脉粥样硬化相关的疾病。流行病学和病理生理学数据强烈支持提高血浆高密度脂蛋白(HDL)胆固醇水平作为抗动脉粥样硬化治疗手段,例如通过抑制胆固醇酯转运蛋白(CETP)。然而,CETP抑制剂托彻普贝的III期临床终点研究结果为阴性,这对其他CETP抑制剂(如JTT-705)的未来前景提出了挑战。

目的

在托彻普贝失败后,JTT-705抑制CETP是否具有潜力?

方法

在PubMed上搜索引用JTT-705、托彻普贝和阿那曲普贝的文章,或引用提高HDL胆固醇的药理学作用或抑制CETP的文章。

结果/结论:提高HDL胆固醇的治疗方法可能具有前景。JTT-705或阿那曲普贝的III期临床研究将确定抑制CETP是否有益。

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