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Drug Repurposing Hypothesis Generation Using the "RE:fine Drugs" System
Published on: December 11, 2016
Drug repurposing in cardiovascular diseases: Opportunity or hopeless dream?
Paolo Gelosa1, Laura Castiglioni1, Marina Camera2
1Department of Pharmaceutical Sciences, University of Milan, Milan, Italy.
Insights
Drug repurposing offers a cost-effective strategy to combat cardiovascular diseases, the leading global cause of death. This review explores existing drugs for new cardiovascular applications, improving treatment options and safety.
Area of Science:
- Pharmacology
- Cardiovascular Medicine
- Drug Discovery
Background:
- Cardiovascular diseases (CVDs) are the primary cause of mortality and morbidity globally, necessitating improved therapeutic strategies.
- Balancing treatment efficacy with side effects remains a significant challenge in managing CVDs.
- Existing pharmacological options require enhancement to address unmet clinical needs in cardiovascular medicine.
Purpose of the Study:
- To review the evidence for repurposing established drugs for cardiovascular diseases (CVDs).
- To explore the mechanisms of action and clinical outcomes of repurposed drugs in CVD treatment.
- To highlight drug repurposing as an innovative approach to expand the cardiovascular drug armamentarium.
Main Methods:
- Systematic review of existing literature on drug repurposing in cardiovascular diseases.
- Analysis of pharmacological mechanisms of action for repurposed agents.
- Evaluation of evidence from observational studies and randomized controlled trials.
Main Results:
- Drug repurposing has demonstrated efficacy and safety in human studies for various indications.
- Repurposing approved drugs for CVDs offers a faster and more cost-effective development pathway.
- Evidence suggests repurposed drugs can provide viable treatment options with improved therapeutic profiles.
Conclusions:
- Drug repurposing presents a promising and efficient strategy to address challenges in cardiovascular disease pharmacotherapy.
- This approach can accelerate the availability of novel treatments for CVDs, improving patient outcomes.
- Further investigation into repurposed drugs can significantly enhance the pharmacological tools available for cardiovascular medicine.
Abstract:
Cardiovascular disease remains - despite the development of new drugs, devices, and therapeutic strategies - the leading cause of death and disability worldwide. There is therefore a great need to implement the pharmacological armamentarium, considering also the need to balance the therapeutic and the side effects. Furthermore, the best choice among the drug treatment options and reduction of side effects remain urgent problems for studies of cardiovascular disease. In this context, drug repurposing could be an innovative way and opportunity to extend and improve pharmacological tools. Indeed, applying well-established drugs and compounds to new indications, drug repurposing has already been proven efficient and safe in humans. Furthermore, this approach generates lower costs and needs shorter time for approval than the development of a de novo drug. In the current review, we discuss the main evidence for the repurposing in cardiovascular diseases of drugs approved and marketed for other pathologies by reviewing their mechanisms of action and the results reported in observational and then in randomized studies.
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