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脑出血神经保护治疗的临床试验:从基础到临床的新蓝图。

Clinical trials for neuroprotective therapies in intracerebral hemorrhage: a new roadmap from bench to bedside.

机构信息

Department of Neurological Surgery, Neurological Institute of New York, College of Physicians and Surgeons, Columbia University, 710 West 168 Street, Room 404, New York, NY, 10032, USA.

出版信息

Transl Stroke Res. 2012 Dec;3(4):409-17. doi: 10.1007/s12975-012-0207-4. Epub 2012 Aug 14.

Abstract

The most deadly form of stroke, intracerebral hemorrhage (ICH) continues to puzzle researchers and produce substantial decrements in the quality of patients' lives. Intensive basic research has devised many agents with putative benefit in mitigating the devastating effects of ICH, but these therapies have been largely ineffective in the transition to clinical trials. However, a steady translational pipeline continues to provide new avenues of treatment that may be effective in the management of this condition. In this review, we aim to summarize the array of neuroprotective clinical trials and techniques used in the history of ICH, and delineate the progression of relevant research to date. Furthermore, we provide insight into methods that may allow for better translation of basic science advances into productive clinical trials.

摘要

最致命的中风形式,脑出血(ICH),继续困扰着研究人员,并导致患者生活质量大幅下降。深入的基础研究设计了许多药物,据称可以减轻 ICH 的破坏性影响,但这些治疗方法在向临床试验的转化中基本上没有效果。然而,一个稳定的转化渠道继续提供新的治疗途径,可能对这种疾病的治疗有效。在这篇综述中,我们旨在总结 ICH 历史上使用的一系列神经保护临床试验和技术,并阐述相关研究的进展。此外,我们还提供了一些方法的见解,这些方法可能允许将基础科学的进展更好地转化为有效的临床试验。

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