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照顾者对 Phelan-McDermid 综合征患者为中心的药物开发的看法。

Caregiver perspectives on patient-focused drug development for Phelan-McDermid syndrome.

机构信息

University of New England College of Osteopathic Medicine, Biddeford, ME, USA.

CureSHANK, Beverly Hills, CA, USA.

出版信息

Orphanet J Rare Dis. 2024 Mar 26;19(1):134. doi: 10.1186/s13023-024-03141-w.

Abstract

BACKGROUND

Phelan-McDermid syndrome (PMS) is a neurodevelopmental disorder caused by SHANK3 haploinsufficiency with clinical manifestations that can be devastating and profoundly affect quality of life.

RESULTS

The Externally Led Patient-Focused Drug Development (EL-PFDD) meeting was an opportunity for families affected by PMS to share with the Food and Drug Administration (FDA) how symptoms impact their lives and how treatments could be most meaningful. The Voice of the Patient report serves as a summary of this meeting to influence upcoming drug development and clinical trials. The purpose of this report is to provide a clinical perspective on the results of the EL-PFDD meeting to amplify the voice of these caregivers to the scientific community.

CONCLUSIONS

Caregivers prioritize an improved quality of life for their loved ones characterized by improved cognitive function, improved communication, increased independence, and reduced risk of regression. With these caregiver priorities in mind, this report provides the FDA and the scientific community with a clear understanding of which aspects of PMS should influence the development of future therapeutics.

摘要

背景

Phelan-McDermid 综合征(PMS)是一种由 SHANK3 杂合不足引起的神经发育障碍,其临床表现可能是毁灭性的,并严重影响生活质量。

结果

外部主导的患者为中心的药物开发(EL-PFDD)会议为受 PMS 影响的家庭提供了一个与美国食品和药物管理局(FDA)分享症状如何影响他们生活以及治疗方法如何最有意义的机会。患者之声报告是对这次会议的总结,以影响即将到来的药物开发和临床试验。本报告的目的是从临床角度报告 EL-PFDD 会议的结果,以扩大这些照顾者的声音在科学界的影响力。

结论

照顾者优先考虑他们所爱的人的生活质量的提高,其特征是认知功能的提高、沟通能力的提高、独立性的提高和退行风险的降低。考虑到这些照顾者的优先事项,本报告为 FDA 和科学界提供了一个清晰的认识,即 PMS 的哪些方面应该影响未来治疗药物的开发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3131/10964611/518930b4671c/13023_2024_3141_Fig1_HTML.jpg

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