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肌萎缩侧索硬化症药物研发:回顾与展望

ALS drug development: reflections from the past and a way forward.

作者信息

Aggarwal Swati, Cudkowicz Merit

机构信息

Department of Neurology, Massachusetts General Hospital, Neurology Clinical Trials Unit, Charlestown, Massachusetts 02129, USA.

出版信息

Neurotherapeutics. 2008 Oct;5(4):516-27. doi: 10.1016/j.nurt.2008.08.002.

Abstract

Tremendous advances in our understanding of pathogenesis of amyotrophic lateral sclerosis (ALS) have provided a rich pipeline of drugs for clinical trialists. At least 32 unique compounds have been tested. Nevertheless, riluzole is currently the only treatment that prolongs survival. We present a critical overview of past clinical trials, how therapies are selected for testing in people, challenges with ALS clinical trial design and conduct, and ways to best move forward.

摘要

我们对肌萎缩侧索硬化症(ALS)发病机制的理解取得了巨大进展,为临床试验人员提供了丰富的药物研发渠道。至少32种独特的化合物已进行了测试。然而,利鲁唑是目前唯一能延长生存期的治疗方法。我们对过去的临床试验进行了批判性概述,介绍了如何选择用于人体测试的疗法、ALS临床试验设计与实施面临的挑战,以及未来最佳的推进方向。

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引用本文的文献

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Design of phase II ALS clinical trials.肌萎缩侧索硬化症(ALS)II期临床试验的设计
Amyotroph Lateral Scler. 2008;9(1):16-23. doi: 10.1080/17482960701875896.
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Genetics of familial amyotrophic lateral sclerosis.家族性肌萎缩侧索硬化症的遗传学
Neurology. 2008 Jan 8;70(2):144-52. doi: 10.1212/01.wnl.0000296811.19811.db.
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Cognitive impairment in amyotrophic lateral sclerosis.肌萎缩侧索硬化症中的认知障碍。
Lancet Neurol. 2007 Nov;6(11):994-1003. doi: 10.1016/S1474-4422(07)70265-X.

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