Calzetta Luigino, Pistocchini Elena, Gholamalishahi Shima, Grugni Lucia, Cazzola Mario, Rogliani Paola
Respiratory Disease and Lung Function Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy.
Unit of Respiratory Medicine, Department of Experimental Medicine, University of Rome "Tor Vergata", Rome, Italy.
Expert Opin Drug Discov. 2025 May;20(5):683-692. doi: 10.1080/17460441.2025.2490251. Epub 2025 Apr 14.
The journey from initial drug discovery to approval for respiratory diseases typically spans approximately 10.4 years and cost over $2.8 billion. This intricate process involves five stages: target identification, therapeutic molecule discovery, preclinical testing, clinical trials, and regulatory approval.
This review examines novel drug discovery strategies for chronic obstructive pulmonary disease (COPD), focusing on advanced in vitro models that replicate human lung conditions for accurate drug testing according to the following search string: discovery AND strategy AND COPD. It explores targeted molecular therapies, structure-based drug design, and drug repurposing approaches facilitated by computational analysis. The significance of personalized medicine in tailoring treatments for diverse COPDs is emphasized, highlighting the complexity of the disease and the necessity of these innovative methodologies to improve therapeutic outcomes.
COPD remains a challenging area, with a significant unmet medical need. Despite previous efforts, few effective therapies exist. Innovative in vitro models, targeted molecular therapies, and drug repurposing strategies are showing promise. Emphasizing advanced preclinical models and repurposing existing drugs could transform treatment paradigms, promoting more effective therapies for complex diseases like COPD. These innovations hold potential for enhancing drug discovery efficiency, leading to personalized and precision medicine approaches.
从最初的药物发现到获批用于治疗呼吸系统疾病,这一过程通常耗时约10.4年,成本超过28亿美元。这个复杂的过程包括五个阶段:靶点识别、治疗性分子发现、临床前测试、临床试验和监管批准。
本综述探讨了慢性阻塞性肺疾病(COPD)的新型药物发现策略,重点关注能够复制人类肺部状况以进行准确药物测试的先进体外模型,搜索字符串如下:发现与策略与COPD。它探讨了靶向分子疗法、基于结构的药物设计以及由计算分析推动的药物重新利用方法。强调了个性化医疗在为不同类型的COPD量身定制治疗方案中的重要性,突出了该疾病的复杂性以及这些创新方法对于改善治疗效果的必要性。
COPD仍然是一个具有挑战性的领域,存在重大的未满足医疗需求。尽管此前做出了努力,但有效的治疗方法仍然很少。创新的体外模型、靶向分子疗法和药物重新利用策略显示出了前景。强调先进的临床前模型和现有药物的重新利用可能会改变治疗模式,促进针对COPD等复杂疾病的更有效治疗方法。这些创新具有提高药物发现效率的潜力,从而带来个性化和精准医疗方法。