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纳什药物开发:看到道尽头的光?
1Wuxi School of Medicine, Jiangnan University Medical Center, Wuxi, Jiangsu, China.
Journal of clinical and translational hepatology
|September 18, 2023
概括
非酒精性脂肪肝炎 (NASH) 是一种复杂的肝病,没有经批准的治疗方法. 本综述考察了治疗目标和临床试验结果,突出了像FGF21,resmetirom和pioglitazone.com这样的有前途的候选药物.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 临床药理学 临床药理学
- 生物标志物研究 生物标志物研究
背景情况:
- 非酒精性脂肪肝炎 (NASH) 是一种普遍存在的慢性肝病,具有显著的未满足的医疗需求.
- 纳什的异质性和临床试验结果措施的变异性在药物开发中带来了挑战.
- 目前,没有药物被临床批准用于NASH治疗.
研究的目的:
- 审查非酒精性脂肪肝炎 (NASH) 的复杂性质.
- 总结NASH目前的治疗目标和研究药物.
- 在临床试验中比较非侵入性生物标志物和肝活检的疗效.
主要方法:
- 对33项已发表的临床试验进行文献综述,评估NASH治疗方法.
- 对NASH治疗点和候选药物的分析.
- 非侵入性生物标志物和肝活检作为结果措施的比较.
主要成果:
- 对纤维细胞生长因子21 (FGF21) 的II期试验结果令人鼓舞.
- 有希望的resmetirom和pioglitazone的第三期试验结果.
- 在临床试验中的结果指标中观察到的变化.
结论:
- 纤维细胞生长因子21 (FGF21),resmetirom和pioglitazone显示了NASH的治疗潜力.
- 需要进一步的研究来解决NASH异质性和标准化结果措施.
- 开发有效的NASH疗法仍然是一个关键的临床挑战.
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