Salloway Stephen P, Sevingy Jeff, Budur Kumar, Pederson Jan Torleif, DeMattos Ronald B, Von Rosenstiel Philipp, Paez Antonio, Evans Rebecca, Weber Christopher J, Hendrix James A, Worley Susan, Bain Lisa J, Carrillo Maria C
Brown University Providence Rhode Island USA.
Prevail Therapeutics New York New York USA.
Alzheimers Dement (N Y). 2020 Oct 7;6(1):e12073. doi: 10.1002/trc2.12073. eCollection 2020.
The study of Alzheimer's disease (AD) has led to an increased understanding of the multiple pathologies and pathways of the disease. As such, it has been proposed that AD and its various stages might be most effectively treated with a combination approach rather than a single therapy; however, combination approaches present many challenges that include limitations of non-clinical models, complexity of clinical trial design, and unclear regulatory requirements. The Alzheimer's Association Research Roundtable meeting on May 7-8, 2018, discussed the approaches and challenges of combination therapy for AD. Experts in the field (academia, industry, and government) provided perspectives that may help establish a path forward for the development of new combination therapies.
对阿尔茨海默病(AD)的研究增进了人们对该疾病多种病理和发病途径的理解。因此,有人提出,采用联合治疗方法而非单一疗法可能最有效地治疗AD及其各个阶段;然而,联合治疗方法存在许多挑战,包括非临床模型的局限性、临床试验设计的复杂性以及监管要求不明确。2018年5月7日至8日举行的阿尔茨海默病协会研究圆桌会议讨论了AD联合治疗的方法和挑战。该领域的专家(学术界、产业界和政府)提供了一些观点,可能有助于为新联合疗法的开发指明前进方向。