Du Zelu, Zhang Jian, Han Xu, Yu Weifeng, Gu Xiyao
Department of Anesthesiology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Front Mol Neurosci. 2023 Apr 21;16:1138798. doi: 10.3389/fnmol.2023.1138798. eCollection 2023.
To explore the potential therapeutic strategies of different types of neuropathic pain (NP) and to summarize the cutting-edge novel approaches for NP treatment based on the clinical trials registered on ClinicalTrials.gov.
The relevant clinical trials were searched using ClinicalTrials.gov Dec 08, 2022. NP is defined as a painful condition caused by neurological lesions or diseases. All data were obtained and reviewed by the investigators to confirm whether they were related to the current topic.
A total of 914 trials were included in this study. They were divided into painful diabetic neuropathy (PDN), postherpetic neuralgia (PHN), sciatica (SC), peripheral nerve injury-related NP (PNI), trigeminal neuralgia (TN), chemotherapy-induced NP (CINP), general peripheral NP (GPNP) and spinal cord injury NP (SCI-NP). Potential novel therapeutic strategies, such as novel drug targets and physical means, were discussed for each type of NP.
NP treatment is mainly dominated by drug therapy, and physical means have become increasingly popular. It is worth noting that novel drug targets, new implications of conventional medicine, and novel physical means can serve as promising strategies for the treatment of NP. However, more attention needs to be paid to the challenges of translating research findings into clinical practice.
探讨不同类型神经病理性疼痛(NP)的潜在治疗策略,并基于ClinicalTrials.gov上注册的临床试验总结NP治疗的前沿新方法。
于2022年12月8日使用ClinicalTrials.gov搜索相关临床试验。NP被定义为由神经病变或疾病引起的疼痛状况。所有数据均由研究人员获取并审查,以确认它们是否与当前主题相关。
本研究共纳入914项试验。它们被分为糖尿病性周围神经病变性疼痛(PDN)、带状疱疹后神经痛(PHN)、坐骨神经痛(SC)、周围神经损伤相关NP(PNI)、三叉神经痛(TN)、化疗引起的NP(CINP)、一般性周围NP(GPNP)和脊髓损伤NP(SCI-NP)。针对每种类型的NP讨论了潜在的新治疗策略,如新药靶点和物理手段。
NP治疗主要以药物治疗为主,物理手段越来越受欢迎。值得注意的是,新药靶点、传统医学的新应用以及新的物理手段可作为治疗NP的有前景的策略。然而,需要更多关注将研究结果转化为临床实践的挑战。