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Desarrollo de Fármacos

Sabahat Iqbal1, Cristina Bonet Olivares1, Laura Rizzo2

  • 1Imperial College London, London, United Kingdom.

Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
PubMed
Resumen
Este resumen es generado por máquina.

Se identificó una línea de producción sistemática de fármacos reutilizados prometedores para la enfermedad de Alzheimer (EA). La atomoxetina, la metformina y el mononitrato de isosorbida muestran potencial para ensayos clínicos en pacientes con EA.

Palabras clave:
Enfermedad de Alzheimerreposicionamiento de fármacosensayos clínicosdesarrollo de fármacosatomoxetinametforminamononitrato de isosorbida

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Área de la Ciencia:

  • Neurociencia
  • Farmacología
  • Ensayos clínicos

Sus antecedentes:

  • Los tratamientos existentes para la enfermedad de Alzheimer (EA) requieren mejoras en eficacia y seguridad.
  • Existe la necesidad de estrategias terapéuticas novedosas más allá de los agentes que eliminan amiloide.
  • Los fármacos reutilizados ofrecen una vía potencial para el desarrollo clínico acelerado en la EA.

Objetivo del estudio:

  • Establecer una línea de producción sistemática y objetiva de fármacos para identificar fármacos reutilizados para la EA.
  • Identificar compuestos con el mayor potencial de efecto clínico sostenido en pacientes con EA de leve a moderada (MMSE >17).
  • Seleccionar candidatos para un ensayo de plataforma planificado en el Reino Unido con múltiples brazos.

Principales métodos:

  • Las propuestas de compuestos obtenidas de la comunidad fueron evaluadas por un panel de expertos internacional.
  • Los compuestos se clasificaron según datos preclínicos, eficacia, plausibilidad biológica y seguridad.
  • Las revisiones sistemáticas de la literatura utilizando aprendizaje automático (Repurposing Living Systematic Review) complementaron los datos de los fármacos.

Principales resultados:

  • La atomoxetina ocupó el primer lugar, la metformina el segundo y el mononitrato de isosorbida/levetiracetam conjuntamente el tercero.
  • Los factores clave incluyeron vías mecanicistas plausibles en la EA y datos sustanciales de seguridad/tolerabilidad clínica.
  • Se preseleccionaron ocho compuestos después de la revisión inicial y la compilación de datos.

Conclusiones:

  • Se desarrolló un enfoque práctico y sistemático para priorizar fármacos reutilizados para la evaluación clínica de la EA.
  • Los compuestos identificados representan candidatos prometedores para una mayor investigación en ensayos de plataforma.
  • Los contribuyentes pacientes y públicos fueron integrales al proceso de priorización.