Office of Therapies for Neurological and Psychiatric Disorders, European Medicines Agency, Amsterdam, Netherlands.
Unit Neurology, Psychiatry, Ophthalmology, Federal Institute of Drugs and Medical Devices, Bonn, Germany.
Eur Psychiatry. 2023 Dec 15;67(1):e2. doi: 10.1192/j.eurpsy.2023.2479.
According to the World Health Organization (WHO), depressive disorders are currently considered as one of the most disabling medical conditions in the world with one of the highest disability-adjusted life years [1] and this situation has apparently been further worsened during the COVID-19 pandemic [2]. Up to two thirds of patients with major depressive disorders (MDD) do not achieve full remission following an adequate first line standard of care and/or experience residual symptoms such as anxiety, impaired cognition, fatigue, sleep disturbance, or anhedonia [3]. Several attempts are often needed to find the most suitable treatment [4]. Thus, there is a need for medicinal products with better efficacy (e.g., faster onset of action, higher rates of response and remission), improved safety and/or more personalised profiles [5].
根据世界卫生组织(WHO)的说法,抑郁障碍目前被认为是世界上最具致残性的疾病之一,其伤残调整生命年(DALY)[1]最高,而在 COVID-19 大流行期间[2],这种情况显然进一步恶化。多达三分之二的重度抑郁症(MDD)患者在接受充分的一线标准治疗后未达到完全缓解,/或仍存在焦虑、认知障碍、疲劳、睡眠障碍或快感缺失等残留症状[3]。通常需要多次尝试才能找到最合适的治疗方法[4]。因此,需要具有更好疗效(例如,起效更快、反应和缓解率更高)、提高安全性和/或更个性化特征的药物产品[5]。