系统审查以患者为中心的药物开发会议报告,针对影响神经发育的疾病
Cristan Farmer1, Victoria Kim2, Tanvi Das2
1Neurodevelopmental and Behavioral Phenotyping Service, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA. Cristan.Farmer@NIH.gov.
Therapeutic innovation & regulatory science
|March 5, 2026
概括
患有罕见神经发育疾病的患者优先考虑沟通和认知/发育概念. 这一发现支持对罕见疾病进行统一的临床结果评估开发,加速临床试验准备.
科学领域:
- 神经科学是一个神经科学.
- 罕见疾病 罕见疾病
- 临床结果评估 发展 临床结果评估
背景情况:
- 研究人员在确定罕见神经发育疾病的概念和结果方面面临挑战.
- 罕见疾病的集体普遍性未被充分利用,以创建大规模的临床结果评估.
- 识别跨条件共享的概念可以加速结果评估的发展.
研究的目的:
- 系统地审查以患者为中心的药物开发 (PFDD) 会议报告.
- 在罕见的神经发育疾病中确定患者和护理人员优先考虑的概念.
主要方法:
- 对16个罕见神经发育疾病的PFDD会议报告进行系统审查.
- 对麻烦的症状和理想的治疗目标进行编码的反应,并将其转化为一般概念.
- 跨条件的概念的综合认可率.
主要成果:
- 没有一个单一的症状或治疗目标在所有疾病中达成完全的共识.
- 对于16种情况中的11种情况,超过30%的受访者优先考虑沟通或认知/发展概念.
- 这些优先考虑的概念既是麻烦的症状,也是理想的治疗目标.
结论:
- 经验证据支持在各种罕见疾病中共同优先考虑发育概念.
- 这种共同的优先考虑对于统一临床结果评估开发至关重要.
- 统一的努力可以提高对罕见疾病群体的临床试验准备.
相关概念视频
Preclinical Development: Overview
6.2K
Preclinical development consists of a series of tests that ensure the safety and efficacy of a new therapeutic compound before it is tested in humans. There are four main phases to this process. First, safety pharmacology tests are conducted to ensure the drug does not produce any acutely harmful effects. These tests examine parameters such as bronchoconstriction, cardiac dysrhythmias, blood pressure changes, and ataxia. Next, preliminary toxicological testing is performed to determine the...
6.2K
Factors Affecting Drug Response: Overview
3.2K
When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
3.2K
Pharmacovigilance
1.9K
Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
1.9K
Clinical Trials: Overview
5.2K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
5.2K
Drug Discovery: Overview
12.5K
Drug discovery is a multifaceted process involving extensive screening, testing, and optimization of lead compounds to identify potential new drugs for therapeutic use. It combines several approaches, including screening large numbers of natural products, chemical modification of known active molecules, identification of new drug targets, and rational design based on biological mechanisms and drug-receptor structure. These approaches are carried out in both academic research laboratories and...
12.5K
Drug Administration and Therapy Phases: Overview
1.6K
Drugs, the chemical agents used in diagnosing, treating, or preventing diseases, undergo a four-phase process of development: pharmaceutic, pharmacokinetics, pharmacodynamics, and therapeutic.
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
1.6K


