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炎症性肠病的当前情况:药物研发前景。

Current scenario in inflammatory bowel disease: drug development prospects.

作者信息

Chandel Shammy, Prakash Ajay, Medhi Bikash

机构信息

Department of Pharmacology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Department of Pharmacology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Pharmacol Rep. 2015 Apr;67(2):224-9. doi: 10.1016/j.pharep.2014.09.005. Epub 2014 Sep 29.

Abstract

BACKGROUND

Inflammatory bowel disease (IBD) pathophysiology have led to the development of various compounds that might ameliorate the disease process. Recently several failures in terms of developing disease-modifying therapies needs to be communicated effectively as per their process and cause which have led to a debate about the potential deficiencies in our understanding of the pathogenesis of IBD and choice of therapeutic targets. So that the thoroughly development of drug candidates and study design of clinical trials is done.

METHODS

Various online medical databases were searched for relevant study and publications. Different clinical trials were reviewed and the available data in clinical trials describing the effective drug development status of IBD medications.

RESULTS

The aminosalicylates, anti-inflammatory and biological molecules tested for the treatment of Crohn's disease (CD) and ulcerative colitis (UC) but the risks of common and rare adverse events were found with treatment. Antibiotics and steroid help in reducing the immune response but further studies required on each molecule to substantiate treatment strategies. There has been significant research on different drug molecules as per the phase, which is summarized in this review.

CONCLUSIONS

Preclinical research on the complex IBD puzzle coupled with an active and vibrant research agenda in recent decades which might reveal patterns of pharmacological interactions instead of single potential drug targets. The increased collaboration between pharmaceutical companies, basic researchers and clinical researchers has the potential to bring us closer to developing an optimum pharmaceutical approach for the treatment of IBD.

摘要

背景

炎症性肠病(IBD)的病理生理学促使了多种可能改善疾病进程的化合物的研发。最近,在开发疾病修饰疗法方面的几次失败需要根据其过程和原因进行有效沟通,这引发了关于我们对IBD发病机制理解的潜在不足以及治疗靶点选择的争论。以便完成候选药物的全面研发和临床试验的研究设计。

方法

在各种在线医学数据库中搜索相关研究和出版物。对不同的临床试验进行了综述,并分析了临床试验中描述IBD药物有效研发状态的现有数据。

结果

对用于治疗克罗恩病(CD)和溃疡性结肠炎(UC)的氨基水杨酸类、抗炎和生物分子进行了测试,但治疗中发现了常见和罕见不良事件的风险。抗生素和类固醇有助于降低免疫反应,但需要对每种分子进行进一步研究以证实治疗策略。根据不同阶段对不同药物分子进行了大量研究,本综述对此进行了总结。

结论

近几十年来,对复杂的IBD难题进行的临床前研究以及积极活跃的研究议程,可能揭示的是药理相互作用模式而非单一潜在药物靶点。制药公司、基础研究人员和临床研究人员之间加强合作,有可能使我们更接近开发出治疗IBD的最佳药物方法。

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