针对亚托皮性皮肤炎的药物开发中的范式转变:解决导致疾病修饰的方程式的变量
1Christine Kühne-Center for Allergy Research and Education, Medicine Campus Davos, Davos, Switzerland; Davos Biosciences, Medicine Campus Davos, Davos, Switzerland; Department of Dermatology, University Hospital, Zürich, Switzerland; Bieber Dermatology Consulting, Bonn, Germany.
概括
新的亚托皮性皮肤炎 (AD) 疗法旨在改变疾病,而不仅仅是缓解症状. 这需要一种精准医学方法,按表型和内型分层患者,以定制治疗策略.
科学领域:
- 免疫学 免疫学 免疫学
- 皮肤病学 皮肤病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 了解阿托皮性皮肤炎 (AD) 机制的进展使新的治疗策略成为可能.
- 目前的阿尔茨海默病治疗侧重于缓解恶化的症状.
- 阿尔茨海默病的复杂性需要超越一种适合所有人的方法.
研究的目的:
- 审查AD中疾病修饰的科学理由.
- 讨论针对AD药物开发的精准医学策略.
- 概述针对长期缓解的临床试验设计的考虑因素.
主要方法:
- 对阿尔茨海默病的病原和治疗发展的当前文献的综述.
- 对AD应用的精准医学原则的分析.
- 关于临床试验的人口,干预,比较和结果 (PICO) 框架的讨论.
主要成果:
- 在阿尔茨海默病中疾病修饰需要从症状治疗转向范式.
- 精准医学,利用表型-内型分层,对于向治疗至关重要.
- 对于临床开发,需要就特定研究终点达成共识.
结论:
- 在阿尔茨海默病中实现长期的治疗外缓解是可行的目标.
- 精准医学方法对于开发有效的AD疾病修饰疗法至关重要.
- 未来的临床试验必须采用量身定制的策略和定义的终点,以成功管理AD.
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