Department of Biopharmacy, Medical University of Łódź, ul. Muszyńskiego 1, 90-151, Lodz, Poland.
Cardiovasc Drugs Ther. 2021 Aug;35(4):707-718. doi: 10.1007/s10557-020-07109-3. Epub 2020 Dec 9.
Pre-clinical data can provide a rationale for subsequent clinical trials and they are the first step in drug development; however, the therapeutic effect observed during animal studies does not necessarily translate to similar results in humans.
Taking the example of pulmonary hypertension, the present study explores whether the methodological aspects of preclinical experiments can determine the final result.
The present paper describes a systematic analysis of 409 studies conducted on a variety of animal models to identify potential drug candidates for PH treatment; it explores the influence of various aspects of study design on the final outcome, e.g. type of animal model of PH, dosage schedules of tested agents, type of anesthesia, measurement of exercise intolerance or animal survival.
The animal models of PH used for pre-clinical studies are diverse and there are several methodological items within the established protocols that can determine the obtained result. Graphical abstract.
临床前数据可为后续临床试验提供依据,也是药物开发的第一步;然而,动物研究中观察到的治疗效果不一定能转化为人类的相似结果。
本研究以肺动脉高压为例,探讨临床前实验的方法学方面是否能决定最终结果。
本文系统分析了 409 项在各种动物模型上进行的研究,以确定潜在的肺动脉高压治疗药物候选物;探讨了研究设计的各个方面对最终结果的影响,例如肺动脉高压动物模型的类型、受试药物的剂量方案、麻醉类型、运动不耐受或动物生存的测量。
用于临床前研究的肺动脉高压动物模型多种多样,既定方案中有几个方法学项目可以决定所获得的结果。图表摘要。