地质科学和阿尔茨海默病 药物开发 药物开发
J Cummings1, A M Leisgang Osse, J Kinney
1Jeffrey Cummings, 1380 Opal valley street, Henderson, Nevada 89052, USA, jcummings@cnsinnovations.com.
The journal of prevention of Alzheimer's disease
|October 24, 2023
概括
衰老显著影响阿尔茨海默病 (AD) 临床试验. 纳入老年人和年龄相关的评估可以提高试验的概括性和对老龄人口的治疗理解.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 临床药理学 临床药理学
背景情况:
- 年龄是阿尔茨海默病 (AD) 的主要风险因素,但临床试验往往招募更年轻,更健康的参与者.
- 在AD试验中,广泛的年龄范围 (50-90岁) 包含了与年龄相关的实质性生理变化.
- 目前的药物开发可能无法完全解释衰老对临床试验结果的影响.
研究的目的:
- 倡导在阿尔茨海默病药物开发中采用地球科学视角.
- 建议对临床试验方法进行调整,以更好地反映衰老过程.
- 提高对老年人群中AD疗法的有效性和适用性的理解.
主要方法:
- 将老年人纳入早期阶段 (第一阶段) 多重上升剂量研究.
- 在2期试验中利用老年特异性临床结果和生物标志物.
- 将第二阶段的学习应用于第三阶段的研究,以获得全面的衰老见解.
主要成果:
- 阿尔茨海默病试验管道现在包括除了粉样β和蛋白之外的各种目标,许多干预措施解决了与年龄相关的疾病.
- 抗炎,生物能和代谢疗法是适用于AD和其他衰老疾病的突出类别.
- 调整药物开发策略可以为老年人提供更好的试验结果.
结论:
- 综合综合老年评估和与衰老相关的生物标志物对于AD临床试验至关重要.
- 专注于衰老的作用可以提高对AD疗法的理解,并将其推广到更广泛的AD患者群体.
- 基于老年科学的方法确保试验结果对阿尔茨海默病的老年人更具代表性和适用性.
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