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阿尔茨海默病的新疗法:从少数人的希望到虚幻的希望?

The new therapy for Alzheimer's disease: from a hope for a few to a false hope?

作者信息

Orini Stefania, Geroldi Cristina, Zanetti Orazio

机构信息

IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia via Pilastroni 4, 25125, Brescia, Italy.

Dipartimento di Scienze Cliniche e Sperimentali, Università degli Studi di Brescia, Brescia, Italy.

出版信息

Aging Clin Exp Res. 2022 Dec;34(12):3151-3153. doi: 10.1007/s40520-022-02141-9. Epub 2022 May 19.

Abstract

Since the late ninety, research on Alzheimer's disease has been focused on the search of drugs able to modify the disease course. Patients and caregivers waiting for news on this topic, received enthusiastically the advice of the approval of Aducanumab-anti-amyloid β monoclonal antibody-by the FDA, and that of its rejection by the EMA with even greater disappointment. To estimate the number of patients that we would be able to treat-hypothesizing a possible future approval by EMA- in the memory clinic of the IRCCS S. Giovanni di Dio FBF of Brescia, we analyzed 1561 patients undergone a first geriatric visit in January 1st to December 31st 2019. Applying the EMERGE and ENGAGE studies criteria, only 15 of them (1%) could be eligible for Aducanumab. The communication of scientific news should be transparent, more balanced and less sensationalistic, to avoid the rise of false hopes and consequent disillusionment.

摘要

自九十年代末以来,对阿尔茨海默病的研究一直集中在寻找能够改变疾病进程的药物上。等待这方面消息的患者和护理人员,热烈地接受了美国食品药品监督管理局(FDA)批准阿杜卡努单抗(抗淀粉样蛋白β单克隆抗体)的消息,而当欧洲药品管理局(EMA)拒绝该药物时,他们则更加失望。为了估计在布雷西亚的IRCCS圣乔瓦尼迪奥FBF记忆诊所中,假设EMA未来可能批准该药物的情况下我们能够治疗的患者数量,我们分析了2019年1月1日至12月31日期间接受首次老年病就诊的1561名患者。应用EMERGE和ENGAGE研究标准,其中只有15名患者(1%)符合使用阿杜卡努单抗的条件。科学消息的传播应该更加透明、更加平衡且少一些耸人听闻,以避免产生不切实际的希望以及随之而来的幻灭感。

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