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抗阿尔茨海默病候选药物 CT1812 的临床更新:一种 sigma-2 受体拮抗剂。

Clinical Update on an Anti-Alzheimer Drug Candidate CT1812: A Sigma-2 Receptor Antagonist.

机构信息

University Institute of Pharmaceutical Sciences, Panjab University, Chandigarh, India.

University Institute of Pharmaceutical Sciences, Panjab University, Chandigarh, India.

出版信息

Clin Ther. 2024 Nov;46(11):e21-e28. doi: 10.1016/j.clinthera.2024.08.013. Epub 2024 Sep 16.

Abstract

PURPOSE

This review article summarizes the progress and latest findings related to the investigational drug candidate CT1812, which is currently in phase 2 clinical trials for Alzheimer's disease (AD). The article outlines the development of this promising molecule and provides insights into its mechanism of action as sigma-2 receptor (S2R) antagonist along with the positive outcomes of various clinical trials. Literature mentioning AD therapeutics that specifically target amyloid-beta (Aβ) oligomers is limited even though these oligomers are established as the most neurotoxic forms of the Aβ protein. This timely article highlights the potential of CT1812 as a breakthrough in AD therapeutics, providing a new avenue for addressing the neurotoxic forms of Aβ and advancing the field toward a potential cure for AD.

METHODS

The literature includes articles searched from PubMed and Google Scholar along with a comprehensive discussion of all the clinical research trials undertaken for CT1812. The review includes 12 clinical trials; of the total citations identified, 10 have been used to support the results of published trials.

FINDINGS

The positive outcomes in the multiple clinical trials conducted on CT1812 indicate the emergence of an effective and promising drug candidate for AD. The article mentions a gap in the literature regarding AD therapeutics specifically targeting Aβ oligomers, which reveals lack of established treatments addressing Aβ oligomers, making the novel approach of CT1812 noteworthy.

IMPLICATIONS

Clinical treatments available today provide symptomatic relief, however, any drug providing a potential cure for AD remains an unanswered question. S2Rs mediated oligomer binding in addition to synaptic toxicity suggest the potential usefulness of CT1812 in AD treatment. Efficacy and safety of CT1812 in further clinical trials could represent a significant advancement in the field, offering a potential treatment that goes beyond the symptomatic relief and aimed at addressing the core mechanisms associated with AD.

摘要

目的

本文综述了处于阿尔茨海默病(AD) 2 期临床试验阶段的研究性候选药物 CT1812 的进展和最新发现。本文概述了该有前途的分子的开发,并深入探讨了其作为σ-2 受体(S2R)拮抗剂的作用机制,以及各项临床试验的积极结果。尽管寡聚体已被确立为 Aβ 蛋白中最具神经毒性的形式,但专门针对淀粉样蛋白-β(Aβ)寡聚体的 AD 治疗药物的文献仍然有限。本文及时强调了 CT1812 作为 AD 治疗药物的突破潜力,为解决 Aβ 的神经毒性形式提供了新途径,并为 AD 的潜在治疗方法推进了领域。

方法

文献包括从 PubMed 和 Google Scholar 搜索到的文章,以及对 CT1812 进行的所有临床研究试验的全面讨论。综述包括 12 项临床试验;在确定的总引文数中,有 10 项被用于支持已发表试验的结果。

结果

在对 CT1812 进行的多项临床试验中取得的积极结果表明,该药物是一种针对 AD 的有效且有前途的候选药物。文章提到了针对 Aβ 寡聚体的 AD 治疗药物的文献空白,这表明缺乏针对 Aβ 寡聚体的既定治疗方法,因此 CT1812 的新方法值得注意。

意义

目前提供的临床治疗方法只能提供症状缓解,但任何能够为 AD 提供潜在治愈方法的药物仍然是一个悬而未决的问题。S2R 介导的寡聚体结合以及突触毒性表明 CT1812 在 AD 治疗中的潜在用途。在进一步的临床试验中,CT1812 的疗效和安全性可能代表该领域的重大进展,提供一种超越症状缓解的潜在治疗方法,并针对与 AD 相关的核心机制。

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