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阿尔茨海默病临床试验失败。

Alzheimer's disease failed clinical trials.

机构信息

Massachusetts College of Pharmacy and Health Sciences, Boston, MA 02115, United States of America.

Massachusetts College of Pharmacy and Health Sciences, Boston, MA 02115, United States of America.

出版信息

Life Sci. 2022 Oct 1;306:120861. doi: 10.1016/j.lfs.2022.120861. Epub 2022 Aug 4.

Abstract

Alzheimer's disease is a progressive neurodegenerative disease typically presenting with symptoms of memory loss and cognitive decline. Existing theories for the causation of this focuses on amyloid beta plaques and neurofibrillary tau tangles. Most US Food and Drug Administration approved therapies for Alzheimer's disease target cognitive function. A multitude of clinical trials, with a variety of different targets have been conducted over the decades which have focused on the two clinical signs, with the only success being the controversial 2021 approval of an IgG1 anti-Ab antibody targeting the clearance of the Aβ plaques. Presented is a review of all previously failed Alzheimer's disease clinical trials and the rationale for their failures.

摘要

阿尔茨海默病是一种进行性神经退行性疾病,通常表现为记忆丧失和认知能力下降的症状。目前对于这种疾病病因的理论主要集中在淀粉样β斑块和神经纤维缠结上。大多数获得美国食品和药物管理局批准的阿尔茨海默病治疗方法都针对认知功能。几十年来,已经进行了大量的临床试验,针对各种不同的靶点,这些试验都集中在这两个临床症状上,唯一成功的是 2021 年有争议地批准了一种 IgG1 抗 Ab 抗体,该抗体针对清除 Aβ斑块。本文回顾了所有以前失败的阿尔茨海默病临床试验及其失败的原因。

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