ALS drug development: Reflections from the past and a way forward

被引:62
作者
Aggarwal, Swati [1 ]
Cudkowicz, Merit [1 ]
机构
[1] Massachusetts Gen Hosp, Neurol Clin Trials Unit, Dept Neurol, Charlestown, MA 02129 USA
关键词
amyotrophic lateral sclerosis; clinical trial; trial design; conduct; critical review;
D O I
10.1016/j.nurt.2008.08.002
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Tremendous advances in our understanding of pathogenesis of amyotrophic lateral sclerosis (ALS) have provided a rich pipeline of drugs for clinical trialists. At least 32 unique compounds have been tested. Nevertheless, riluzole is currently the only treatment that prolongs survival. We present a critical overview of past clinical trials, how therapies are selected for testing in people, challenges with ALS clinical trial design and conduct, and ways to best move forward.
引用
收藏
页码:516 / 527
页数:12
相关论文
共 71 条
[1]   Variants in the ALS2 gene are not associated with sporadic amyotrophic lateral sclerosis [J].
Al-Chalabi, A ;
Hansen, VK ;
Simpson, CL ;
Xi, J ;
Hosler, BA ;
Powell, JF ;
McKenna-Yasek, D ;
Shaw, CE ;
Leigh, PN ;
Brown, RH .
NEUROGENETICS, 2003, 4 (04) :221-222
[2]   Association of apolipoprotein E epsilon 4 allele with bulbar-onset motor neuron disease [J].
AlChalabi, A ;
Enayat, ZE ;
Bakker, MC ;
Sham, PC ;
Ball, DM ;
Shaw, CE ;
Lloyd, CM ;
Powell, JF ;
Leigh, PN .
LANCET, 1996, 347 (8995) :159-160
[3]   A CONTROLLED TRIAL OF RILUZOLE IN AMYOTROPHIC-LATERAL-SCLEROSIS [J].
BENSIMON, G ;
LACOMBLEZ, L ;
MEININGER, V ;
BOUCHE, P ;
DELWAIDE, C ;
COURATIER, P ;
BLIN, O ;
VIADER, F ;
PEYROSTPAUL, H ;
DAVID, J ;
MALOTEAUX, JM ;
HUGON, J ;
LATERRE, EC ;
RASCOL, A ;
CLANET, M ;
VALLAT, JM ;
DUMAS, A ;
SERRATRICE, G ;
LECHEVALLIER, B ;
PEUCH, AJ ;
NGUYEN, T ;
SHU, C ;
BASTIEN, P ;
PAPILLON, C ;
DURRLEMAN, S ;
LOUVEL, E ;
GUILLET, P ;
LEDOUX, L ;
ORVOENFRIJA, E ;
DIB, M .
NEW ENGLAND JOURNAL OF MEDICINE, 1994, 330 (09) :585-591
[4]   SUPEROXIDE-DISMUTASE ACTIVITY, OXIDATIVE DAMAGE, AND MITOCHONDRIAL ENERGY-METABOLISM IN FAMILIAL AND SPORADIC AMYOTROPHIC-LATERAL-SCLEROSIS [J].
BOWLING, AC ;
SCHULZ, JB ;
BROWN, RH ;
BEAL, MF .
JOURNAL OF NEUROCHEMISTRY, 1993, 61 (06) :2322-2325
[5]  
Brooks BR, 2001, AMYOTROPH LATERAL SC, V2, P60
[6]   RAPID PURIFICATION OF EMBRYONIC RAT MOTONEURONS - AN IN-VITRO MODEL FOR STUDYING MND/ALS PATHOGENESIS [J].
CAMU, W ;
HENDERSON, CE .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 1994, 124 :73-74
[7]  
Charcot J-M., 1869, 2 CAS ATROPHIE MUSCU
[8]   Paraoxonase promoter and intronic variants modify risk of sporadic amyotrophic lateral sclerosis [J].
Cronin, Simon ;
Greenway, Matthew J. ;
Prehn, Jochen H. M. ;
Hardiman, Orla .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2007, 78 (09) :984-986
[9]   A randomized, placebo-controlled trial of topiramate in amyotrophic lateral sclerosis [J].
Cudkowicz, ME ;
Shefner, JM ;
Schoenfeld, DA ;
Brown, RH ;
Johnson, H ;
Qureshi, M ;
Jacobs, M ;
Rothstein, JD ;
Appel, SH ;
Pascuzzi, RM ;
Heiman-Patterson, TD ;
Donofrio, PD ;
David, WS ;
Russell, JA ;
Tandan, R ;
Pioro, EP ;
Felice, KJ ;
Rosenfeld, J ;
Mandler, RN ;
Sachs, GM ;
Bradley, WG ;
Raynor, EM ;
Baquis, GD ;
Belsh, JM ;
Novella, S ;
Goldstein, J ;
Hulihan, J .
NEUROLOGY, 2003, 61 (04) :456-464
[10]   Trial of celecoxib in amyotrophic lateral sclerosis [J].
Cudkowicz, Merit E. ;
Shefner, Jeremy M. ;
Schoenfeld, David A. ;
Zhang, Hui ;
Andreasson, Katrin I. ;
Rothstein, Jeffrey D. ;
Drachman, Daniel B. .
ANNALS OF NEUROLOGY, 2006, 60 (01) :22-31