Novakovic Dijana, Feligioni Marco, Scaccianoce Sergio, Caruso Alessandra, Piccinin Sonia, Schepisi Chiara, Errico Francesco, Mercuri Nicola B, Nicoletti Ferdinando, Nisticò Robert
Department of Physiology and Pharmacology, Sapienza University of Rome, Rome, Italy.
Drug Des Devel Ther. 2013 Nov 13;7:1359-64. doi: 10.2147/DDDT.S53401. eCollection 2013.
Alzheimer's disease, which is characterized by gradual cognitive decline associated with deterioration of daily living activities and behavioral disturbances throughout the course of the disease, is estimated to affect 27 million people around the world. It is expected that the illness will affect about 63 million people by 2030, and 114 million by 2050, worldwide. Current Alzheimer's disease medications may ease symptoms for a time but are not capable of slowing down disease progression. Indeed, all currently available therapies, such as cholinesterase inhibitors (donepezil, galantamine, rivastigmine), are primarily considered symptomatic therapies, although recent data also suggest possible disease-modifying effects. Gantenerumab is an investigational fully human anti-amyloid beta monoclonal antibody with a high capacity to bind and remove beta-amyloid plaques in the brain. This compound, currently undergoing Phase II and III clinical trials represents a promising agent with a disease-modifying potential in Alzheimer's disease. Here, we present an overview of gantenerumab ranging from preclinical studies to human clinical trials.
阿尔茨海默病的特征是在疾病过程中逐渐出现认知衰退,并伴有日常生活活动能力的恶化和行为障碍,据估计全球有2700万人受其影响。预计到2030年,全球受该疾病影响的人数将达到约6300万,到2050年将达到1.14亿。目前治疗阿尔茨海默病的药物可能会在一段时间内缓解症状,但无法减缓疾病进展。事实上,所有目前可用的疗法,如胆碱酯酶抑制剂(多奈哌齐、加兰他敏、卡巴拉汀),主要被视为对症治疗,尽管最近的数据也表明可能具有疾病修饰作用。甘特奈单抗是一种正在研究的全人源抗淀粉样蛋白β单克隆抗体,具有高结合和清除大脑中β淀粉样斑块的能力。这种化合物目前正在进行II期和III期临床试验,是一种在阿尔茨海默病中具有疾病修饰潜力的有前景的药物。在此,我们概述了甘特奈单抗,范围从临床前研究到人体临床试验。