■在过去的五年中,我们的年度报告一直在追踪帕金森病(PD)神经退行性疾病新药的临床开发.这些评论遵循了“对症治疗”(ST-改善/减轻症状)和“疾病改善治疗”(DMT-试图通过解决PD的潜在生物学来延迟/减缓进展)的进展。还努力基于它们的作用机制和药物类别对这些实验治疗进行进一步分类。
■使用从ClinicalTrials.gov在线注册表下载的试验数据,生成了PD药物治疗的临床试验数据集。对截至1月31日所有活跃研究的细分分析,2024年,进行了。该分析涉及根据作用机制(MOA)和药物靶标对试验进行分类。
■在ClinicalTrials.gov上注册了136项积极的1-3期临床试验,评估了PD的药物疗法,截至2024年1月31日。在这些试验中,76例(56%)被分类为ST试验,60例(44%)被指定为DMT。超过一半(58%)的试验处于第二阶段测试阶段,其次是阶段1(30%)和阶段3(12%)。自我们上次报告以来,有35项试验登记,其余101项试验出现在至少一份较早的报告中。
■PD的药物开发管道保持稳健状态,在第1阶段和第2阶段开发和评估了多种方法。再一次,然而,只有有限数量的DMT过渡到阶段3。
新的医学疗法的发展,特别是对于神经退行性疾病,是一个漫长的过程,涉及多个阶段的测试之前,治疗被批准用于医生的诊所。第一阶段评估药物的短期安全性-通常在健康志愿者中,但有时在受疾病影响的人群中。第二阶段探讨了该药物在受关注疾病影响的人群中的短期安全性和初步疗效,第三阶段调查了受该疾病影响的一大群人的长期安全性和有效性。对于像帕金森病这样的疾病,如果情况的原因没有得到很好的理解,针对不同生物途径的药物需要进行测试,以确定哪些可能对治疗症状有用,并且可以施用以减缓或停止病情的进展。这里,我们提供有关这两项临床试验工作现状的年度报告。总的来说,我们回顾了在名为'ClinicalTrials.gov'的临床试验数据库中注册的136项评估帕金森病治疗方法的积极研究.在这些试验中,大约55%的人正在测试实验性对症治疗,而其余的则专注于减缓疾病进展。超过一半(58%)的研究处于第二阶段的临床试验(短期安全性和初步疗效),但只有三项研究被发现在3期测试中测试阻止帕金森病进展的治疗方法。我们得出的结论是帕金森氏症的药物开发渠道很强大,但更多的进展需要与治疗的后期测试,以减缓疾病。
UNASSIGNED: For the past five years, our annual reports have been tracking the clinical development of new drug-based therapies for the neurodegenerative condition of Parkinson\'s disease (PD). These reviews have followed the progress both of \"symptomatic treatments\" (ST - improves/reduces symptoms of the condition) and \"disease-modifying treatments\" (DMT - attempts to delay/slow progression by addressing the underlying biology of PD). Efforts have also been made to further categorize these experimental treatments based on their mechanisms of action and class of drug.
UNASSIGNED: A dataset of clinical trials for drug therapies in PD using trial data downloaded from the ClinicalTrials.gov online registry was generated. A breakdown analysis of all the
studies that were active as of January 31st, 2024, was conducted. This analysis involved categorizing the trials based on both the mechanism of action (MOA) and the drug target.
UNASSIGNED: There were 136 active Phase 1-3 trials evaluating drug therapies for PD registered on ClinicalTrials.gov, as of January 31, 2024. Of these trials, 76 (56%) were classified as ST trials and 60 (44%) were designated DMT. More than half (58%) of the trials were in Phase 2 testing stage, followed by Phase 1 (30%) and Phase 3 (12%). 35 of the trials were registered since our last report, with the remaining 101 trials appearing in at least one earlier report.
UNASSIGNED: The drug development pipeline for PD remains in a robust state with a wide variety of approaches being developed and evaluated in Phase 1 and 2. Yet again, however, only a limited number of DMTs are transitioning to Phase 3.
The development of new medical therapies, particularly for neurodegenerative conditions, is a long process that involves multiple phases of testing before a treatment is approved for use in a doctor’s clinic. The first phase assesses the short-term safety of a drug – most often in healthy volunteers but sometimes in people affected by the disease. The second phase explores the short-term safety and preliminary efficacy of the agent in people affected by the disease of interest, and the third phase investigates long-term safety and efficacy in a large group of people affected by the disease. For a disease like Parkinson’s disease, where the causes of the condition are not well understood, drugs targeting different biological pathways need to be tested to determine which ones may be useful in treating the symptoms, and which could be administered to slow down or stop the progression of the condition. Here, we provide an annual report on the current landscape of both these clinical testing efforts. In total, we reviewed 136 active
studies evaluating therapies for Parkinson’s disease registered on a clinical trial database called ‘ClinicalTrials.gov’. Of these trials, approximately 55% were testing experimental symptomatic treatments, while the rest were focused on slowing down disease progression. More than half (58%) of the
studies were in the second phase of clinical testing (short-term safety and preliminary efficacy), but only three
studies were found to be testing treatments to stop the progression of Parkinson’s in the Phase 3 testing. We concluded that the drug development pipeline for Parkinson’s is robust, but more progress needs to be made with late-stage testing of treatments to slow the disease.