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Synthesis of Monocyte-targeting Peptide Amphiphile Micelles for Imaging of Atherosclerosis
Published on: November 17, 2017
Atherosclerosis imaging in drug development
Stephen J Nicholls1, Srinivasa Kalidindi, Keon-Woong Moon
1Cleveland Clinic, Department of Cardiovascular Medicine, Mail Code JJ-65, 9500 Euclid Avenue, Cleveland OH, 44195, USA +1 216 444 2678 ; +1 216 445 5769 ; nichols1@ccf.org.
Abstract:
Increasing use of established medical therapies presents a major challenge for the assessment of experimental antiatherosclerotic agents. The requirement to perform clinical trials with increasing numbers of subjects, followed for longer periods of time, creates a scenario that is largely prohibitive for the development of most new agents. Technologic advances in arterial wall imaging provide the opportunity to evaluate the impact of therapies on the natural history of atherosclerosis. The design and implementation of clinical trials that employ serial imaging of the arterial wall has become increasingly used in the development of new therapies to target atherosclerotic cardiovascular disease.
Insights
Developing new antiatherosclerotic agents is challenging due to lengthy clinical trials. Arterial wall imaging offers a promising approach for evaluating novel therapies targeting atherosclerotic cardiovascular disease.
Area of Science:
- Cardiovascular Medicine
- Pharmacology
- Medical Imaging
Background:
- Established therapies complicate the evaluation of new antiatherosclerosis drugs.
- Extensive clinical trials with large patient numbers and long follow-up periods hinder drug development.
- Atherosclerotic cardiovascular disease remains a leading cause of mortality worldwide.
Purpose of the Study:
- To address the challenges in assessing experimental antiatherosclerotic agents.
- To explore the utility of advanced imaging techniques in clinical trials.
- To facilitate the development of novel therapies for atherosclerotic cardiovascular disease.
Main Methods:
- Utilizing technological advances in arterial wall imaging.
- Implementing clinical trial designs that incorporate serial imaging of the arterial wall.
- Evaluating the impact of therapies on the natural progression of atherosclerosis.
Main Results:
- Serial arterial wall imaging provides an efficient method for assessing antiatherosclerotic agents.
- This imaging approach can potentially reduce the duration and size of clinical trials.
- The use of imaging in trials is becoming increasingly prevalent in drug development.
Conclusions:
- Technological advancements in arterial wall imaging offer a viable solution to the challenges in developing new antiatherosclerosis treatments.
- Serial imaging facilitates a more efficient assessment of therapeutic efficacy.
- This methodology supports the advancement of treatments for atherosclerotic cardiovascular disease.
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