Department of Biopharmacy, Medical University of Łódź, Ul. Muszyńskiego 1, 90-151, Lodz, Poland.
Department of Biopharmacy, Medical University of Łódź, Ul. Muszyńskiego 1, 90-151, Lodz, Poland.
Eur J Pharmacol. 2021 Apr 15;897:173952. doi: 10.1016/j.ejphar.2021.173952. Epub 2021 Feb 19.
The variability inherent in animal models and the methods used to define drug response can lead to highly divergent results when evaluating new drug candidates. Several guidelines exist for high-quality and comprehensive reporting of experiments with animals. The present survey makes a quantitative demonstration of whether compliance with good preclinical practice guidelines can affect the results and reduce risk of over- or underestimation of treatment benefit. This meta-analysis was performed on more than 400 animal studies concerning pulmonary hypertension, where a wide range of potential therapeutic agents have been recently positively assessed in preclinical experiments. The experiments were reviewed according to the selected methodological and statistical items being recommended to report in papers. A quantitative evaluation was performed of their impact on effect size, which defined the efficacy of particular drug candidates. In addition, the paper also examines whether the quality score calculated for the papers included in the analysis changed over the previous 25 years. In conclusion, some information in experimental studies is often missed or incomplete, which complicates the correct evaluation and comprehension of obtained results. This in turn could subsequently increase the potential hazards involved in translating positive experimental outcomes to possible clinical benefits in patients.
动物模型固有的变异性以及用于定义药物反应的方法在评估新候选药物时可能会导致高度不同的结果。有一些关于高质量和全面报告动物实验的指南。本调查定量证明了遵守良好的临床前实践指南是否会影响结果并降低过度或低估治疗益处的风险。这项荟萃分析是针对 400 多项关于肺动脉高压的动物研究进行的,其中最近在临床前实验中对广泛的潜在治疗药物进行了积极评估。根据建议在论文中报告的选定方法和统计项目对实验进行了审查。对其对效应大小的影响进行了定量评估,该效应大小定义了特定候选药物的疗效。此外,本文还检查了分析中包含的论文的质量评分是否在过去 25 年内发生了变化。总之,实验研究中经常会遗漏或不完整一些信息,这使得正确评估和理解所获得的结果变得复杂。这反过来又可能增加将阳性实验结果转化为患者可能的临床益处所涉及的潜在危害。