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使用硫利达嗪治疗结核病的全球临床试验。

Global clinical trials for the treatment of TB with thioridazine.

作者信息

Boeree Martin J

机构信息

Radboud University Nijmegen Medical Centre, University Centre for Chronic Disease Dekkerswald, Nijmegen, the Netherlands.

出版信息

Recent Pat Antiinfect Drug Discov. 2011 May;6(2):99-103. doi: 10.2174/157489111796064533.

DOI:10.2174/157489111796064533
PMID:21548879
Abstract

Current evidence shows that thioridazine (THZ) is ready for global clinical evaluation, while some of its derivatives and other efflux pump inhibitors reach the end stage of preclinical evaluation. In this paper, a clinical trial plan is described that investigates the antituberculosis potency, the safety profile and the role of THZ and/or its derivatives in the treatment of TB in humans, both in patients infected with drug sensitive strains as in patients infected with multi or extensive drug resistant strains of Mycobacterium tuberculosis and some of the patents related to thioridazine are also discussed.

摘要

目前的证据表明,硫利达嗪(THZ)已准备好进行全球临床评估,而其一些衍生物和其他外排泵抑制剂已进入临床前评估的最后阶段。本文描述了一项临床试验计划,该计划研究了THZ及其衍生物在治疗人类结核病中的抗结核效力、安全性概况及作用,受试对象包括感染结核分枝杆菌药物敏感菌株的患者以及感染多药耐药或广泛耐药菌株的患者,同时还讨论了一些与硫利达嗪相关的专利。

相似文献

1
Global clinical trials for the treatment of TB with thioridazine.使用硫利达嗪治疗结核病的全球临床试验。
Recent Pat Antiinfect Drug Discov. 2011 May;6(2):99-103. doi: 10.2174/157489111796064533.
2
New patentable use of an old neuroleptic compound thioridazine to combat tuberculosis: a gene regulation perspective.旧的抗精神病化合物硫利达嗪用于对抗结核病的新可专利用途:从基因调控角度看
Recent Pat Antiinfect Drug Discov. 2011 May;6(2):128-38. doi: 10.2174/157489111796064597.
3
Thioridazine: the good and the bad.硫利达嗪:利弊并存。
Recent Pat Antiinfect Drug Discov. 2011 May;6(2):92-8. doi: 10.2174/157489111796064588.
4
It is anticipated that as is usually the case, financial motivation will move TZ from its current status “potential anti-MDR/XDR agent,” to one that will cure MDR and XDR TB. Foreword.正如通常情况所预期的那样,经济激励将推动替加环素从其当前“潜在抗多重耐药/广泛耐药药物”的地位,转变为能够治愈多重耐药和广泛耐药结核病的药物。前言。
Recent Pat Antiinfect Drug Discov. 2011 May;6(2):76. doi: 10.2174/157489111796064605.
5
The broad-spectrum antimycobacterial activities of phenothiazines, InVitro: somewhere in all of this there may be patentable potentials.吩噻嗪类药物的广谱抗分枝杆菌活性,体外研究:在所有这些研究中,可能存在可申请专利的潜力。
Recent Pat Antiinfect Drug Discov. 2011 May;6(2):104-9. doi: 10.2174/157489111796064623.
6
Targeting the human macrophage with combinations of drugs and inhibitors of Ca2+ and K+ transport to enhance the killing of intracellular multi-drug resistant Mycobacterium tuberculosis (MDR-TB)--a novel, patentable approach to limit the emergence of XDR-TB.通过药物与钙离子和钾离子转运抑制剂的组合靶向人类巨噬细胞,以增强对细胞内多药耐药结核分枝杆菌(MDR-TB)的杀伤作用——这是一种限制广泛耐药结核病(XDR-TB)出现的新颖且可申请专利的方法。
Recent Pat Antiinfect Drug Discov. 2011 May;6(2):110-7. doi: 10.2174/157489111796064524.
7
Effective therapy with the neuroleptic thioridazine as an adjunct to second line of defence drugs, and the potential that thioridazine offers for new patents that cover a variety of "new uses".使用抗精神病药物硫利达嗪作为二线防御药物的有效疗法,以及硫利达嗪为涵盖各种“新用途”的新专利所提供的潜力。
Recent Pat Antiinfect Drug Discov. 2011 May;6(2):84-7. doi: 10.2174/157489111796064542.
8
Therapy Of XDR TB with thioridazine a drug beyond patent protection but eligible for patent "as new use".使用已过专利保护期但符合“新用途专利”条件的硫利达嗪治疗广泛耐药结核病。
Recent Pat Antiinfect Drug Discov. 2010 Jun;5(2):109-14. doi: 10.2174/157489110791233540.
9
Safety and efficacy of thioridazine as salvage therapy in Indian patients with XDR-TB.硫利达嗪作为挽救疗法治疗印度广泛耐药结核病患者的安全性和有效性。
Recent Pat Antiinfect Drug Discov. 2011 May;6(2):88-91. doi: 10.2174/157489111796064614.
10
XDR-TB, what is it; how is it treated; and why is therapeutic failure so high?广泛耐药结核病是什么;如何治疗;以及为什么治疗失败率如此之高?
Recent Pat Antiinfect Drug Discov. 2011 May;6(2):77-83. doi: 10.2174/157489111796064641.

引用本文的文献

1
Reduced emergence of isoniazid resistance with concurrent use of thioridazine against acute murine tuberculosis.在急性小鼠结核病中,同时使用硫利达嗪可降低异烟肼耐药性的出现。
Antimicrob Agents Chemother. 2014 Jul;58(7):4048-53. doi: 10.1128/AAC.02981-14. Epub 2014 May 5.
2
Antituberculosis therapy for 2012 and beyond.2012 年及以后的抗结核治疗。
Expert Opin Pharmacother. 2012 Mar;13(4):511-26. doi: 10.1517/14656566.2012.657176. Epub 2012 Feb 15.