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盘中临床试验

Clinical Trials in a Dish.

作者信息

Strauss David G, Blinova Ksenia

机构信息

Division of Applied Regulatory Science, Office of Clinical Pharmacology, Office of Translational Sciences, Center for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, MD 20993, USA.

Division of Biomedical Physics, Office of Science of Engineering Laboratories, Center for Devices and Radiological Health, US Food and Drug Administration, Silver Spring, MD 20993, USA.

出版信息

Trends Pharmacol Sci. 2017 Jan;38(1):4-7. doi: 10.1016/j.tips.2016.10.009. Epub 2016 Nov 19.

DOI:10.1016/j.tips.2016.10.009
PMID:27876286
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5379998/
Abstract

Clinical trials 'in a dish' involve testing medical therapies for safety or effectiveness in the laboratory with human tissue. This has become possible owing to recent biotechnology advances including induced pluripotent stem cells, organs-on-a-chip, and whole-genome sequencing. We provide here an overview of the landscape and highlight steps the FDA is taking to advance the science of clinical trials in a dish and to support the development and validation of new regulatory paradigms to assess drug safety using these new technologies.

摘要

“盘中”临床试验涉及在实验室中利用人体组织对医学疗法的安全性或有效性进行测试。由于包括诱导多能干细胞、芯片器官和全基因组测序在内的近期生物技术进展,这已成为可能。我们在此概述了这一领域的情况,并重点介绍了美国食品药品监督管理局(FDA)为推动“盘中”临床试验科学发展以及支持开发和验证使用这些新技术评估药物安全性的新监管范式所采取的步骤。

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本文引用的文献

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Identification of small-molecule inhibitors of Zika virus infection and induced neural cell death via a drug repurposing screen.通过药物再利用筛选鉴定寨卡病毒感染及诱导神经细胞死亡的小分子抑制剂。
Nat Med. 2016 Oct;22(10):1101-1107. doi: 10.1038/nm.4184. Epub 2016 Aug 29.
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Site-Specific Genome Engineering in Human Pluripotent Stem Cells.人类多能干细胞中的位点特异性基因组工程
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The Comprehensive in Vitro Proarrhythmia Assay (CiPA) initiative - Update on progress.体外全面致心律失常试验(CiPA)计划——进展更新
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Human induced pluripotent stem cell-derived cardiomyocytes recapitulate the predilection of breast cancer patients to doxorubicin-induced cardiotoxicity.人诱导多能干细胞衍生的心肌细胞重现了乳腺癌患者对阿霉素诱导的心脏毒性的易感性。
Nat Med. 2016 May;22(5):547-56. doi: 10.1038/nm.4087. Epub 2016 Apr 18.
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Late sodium current block for drug-induced long QT syndrome: Results from a prospective clinical trial.药物诱导的长QT综合征的晚钠电流阻滞:一项前瞻性临床试验的结果。
Clin Pharmacol Ther. 2016 Feb;99(2):214-23. doi: 10.1002/cpt.205. Epub 2015 Nov 28.
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Human iPSC-derived hepatocyte-like cells support Plasmodium liver-stage infection in vitro.人诱导多能干细胞来源的肝细胞样细胞在体外支持疟原虫肝期感染。
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Modeling host interactions with hepatitis B virus using primary and induced pluripotent stem cell-derived hepatocellular systems.使用原代和诱导多能干细胞衍生的肝细胞系统对乙型肝炎病毒与宿主相互作用进行建模。
Proc Natl Acad Sci U S A. 2014 Aug 19;111(33):12193-8. doi: 10.1073/pnas.1412631111. Epub 2014 Aug 4.
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Genome editing of isogenic human induced pluripotent stem cells recapitulates long QT phenotype for drug testing.同源人诱导多能干细胞的基因组编辑重现药物测试的长 QT 表型。
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Human induced pluripotent stem cell-derived cardiomyocytes as an in vitro model for coxsackievirus B3-induced myocarditis and antiviral drug screening platform.人诱导多能干细胞衍生的心肌细胞作为柯萨奇病毒 B3 诱导心肌炎的体外模型和抗病毒药物筛选平台。
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Approaching the in vitro clinical trial: engineering organs on chips.走近体外临床试验:芯片上的工程化器官
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