挑战现状:一个机制性和与人有关的心血管安全查框架
Brian Berridge1, Jennifer Pierson2, Syril Pettit2
1B2 Pathology Solutions, LLC., Durham, NC, United States.
Frontiers in toxicology
|April 9, 2024
概括
传统的药物安全性测试迟到了,并且依赖于动物,经常失败有用的药物. 使用人类细胞和计算模型的新层次方法承诺更早,更准确的心血管安全评估.
科学领域:
- 药理学 药理学是指药理学的学科.
- 毒理学 毒理学 毒理学
- 生物医学工程 生物医学工程
背景情况:
- 目前的临床前药物安全性评估往往是延迟的,依赖于动物,缺乏人类相关性,导致高消耗率.
- 心血管安全评估是药物开发中的一个重要瓶,许多潜在的有用药物由于物种特定的毒性而失败.
- 现有的方法为早期配方调整或干预提供了有限的机会,增加了成本,并影响了患者获得新疗法的机会.
研究的目的:
- 为临床前药物安全性评估提出一种新的多层次方法.
- 通过整合人类特定数据来提高安全评估的翻译有效性.
- 为了在药物开发过程中更早地识别与人类有关的心血管负担.
主要方法:
- 利用对人类心血管生物学的先进理解.
- 采用基于人类细胞的体外测试来描述心血管反应.
- 结合计算模型来预测药物动力学关系和潜在的毒性.
主要成果:
- 拟议的多层次战略旨在为药物安全提供更早,更具预测性的见解.
- 人类特异性数据的整合预计将减少与非可转化发现相关的消耗率.
- 这种方法有助于在选和监管阶段及时做出决定.
结论:
- 转向以人为中心的综合评估策略对于有效的药物开发至关重要.
- 拟议的多层次方法为评估心血管安全提供了更可转化和及时的方法.
- 在开发的早期实施这些测试可以显著地使患者和制药行业受益.
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