Opportunities for improving therapy development in ALS

被引:9
作者
Bruijn, Lucie [1 ]
Cudkowicz, Merit [2 ]
机构
[1] ALS Assoc, Washington, DC 20005 USA
[2] Massachusetts Gen Hosp, Neurol Clin Res Inst, Boston, MA 02114 USA
关键词
Amyotrophic lateral sclerosis; clinical trials; biomarkers; therapy; AMYOTROPHIC-LATERAL-SCLEROSIS; RANDOMIZED SEQUENTIAL TRIAL; PHASE-III; MULTICENTER; SURVIVAL; LITHIUM; DESIGNS;
D O I
10.3109/21678421.2013.872662
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
In May 2013, The ALS Association and The Northeast ALS Consortium (NEALS) convened a meeting of stakeholders for a round-table discussion of ways to improve therapy development in ALS. The following overview summarizes issues raised and potential new directions discussed at the meeting. We recommend that future phase II clinical trials in ALS proceed when the proposed treatment is directed at targets that are likely to be involved in ALS pathogenesis in a defined subgroup of patients, and be accompanied by one or more biomarkers to track both clinical progression and pharmacodynamic engagement of the target. Innovations in trial structure and design, and greater involvement of patient advocates, may also improve trials.
引用
收藏
页码:169 / 173
页数:5
相关论文
共 15 条
[1]   Safety and efficacy of lithium in combination with riluzole for treatment of amyotrophic lateral sclerosis: a randomised, double-blind, placebo-controlled trial [J].
Aggarwal, Swati P. ;
Zinman, Lorne ;
Simpson, Elizabeth ;
McKinley, Jane ;
Jackson, Katherine E. ;
Pinto, Hanika ;
Kaufman, Petra ;
Conwit, Robin A. ;
Schoenfeld, David ;
Shefner, Jeremy ;
Cudkowicz, Merit .
LANCET NEUROLOGY, 2010, 9 (05) :481-488
[2]  
Allen C, 2013, LANCET NEUROL, V12, P339, DOI [10.1016/S1474-4422(13)70037-1, 10.1016/S1474-4422(13)700374]
[3]   Design and Initial Results of a Multi-Phase Randomized Trial of Ceftriaxone in Amyotrophic Lateral Sclerosis [J].
Berry, James D. ;
Shefner, Jeremy M. ;
Conwit, Robin ;
Schoenfeld, David ;
Keroack, Myles ;
Felsenstein, Donna ;
Krivickas, Lisa ;
David, William S. ;
Vriesendorp, Francine ;
Pestronk, Alan ;
Caress, James B. ;
Katz, Jonathan ;
Simpson, Ericka ;
Rosenfeld, Jeffrey ;
Pascuzzi, Robert ;
Glass, Jonathan ;
Rezania, Kourosh ;
Rothstein, Jeffrey D. ;
Greenblatt, David J. ;
Cudkowicz, Merit E. .
PLOS ONE, 2013, 8 (04)
[4]   Modulating inflammatory monocytes with a unique microRNA gene signature ameliorates murine ALS [J].
Butovsky, Oleg ;
Siddiqui, Shafiuddin ;
Gabriely, Galina ;
Lanser, Amanda J. ;
Dake, Ben ;
Murugaiyan, Gopal ;
Doykan, Camille E. ;
Wu, Pauline M. ;
Gali, Reddy R. ;
Iyer, Lakshmanan K. ;
Lawson, Robert ;
Berry, James ;
Krichevsky, Anna M. ;
Cudkowicz, Merit E. ;
Weiner, Howard L. .
JOURNAL OF CLINICAL INVESTIGATION, 2012, 122 (09) :3063-3087
[5]  
Coffey CS, 2012, CLINICAL TRIALS IN NEUROLOGY: DESIGN, CONDUCT, ANALYSIS, P91
[6]   MUNE [J].
Gooch, CL ;
Shefner, JM .
AMYOTROPHIC LATERAL SCLEROSIS, 2004, 5 :104-107
[7]   Efficacy of minocycline in patients with amyotrophic lateral sclerosis: a phase III randomised trial [J].
Gordon, Paul H. ;
Moore, Dan H. ;
Miller, Robert G. ;
Florence, Julaine M. ;
Verheijde, Joseph L. ;
Doorish, Carolyn ;
Hilton, Joan F. ;
Spitalny, G. Mark ;
MacArthur, Robert B. ;
Mitsumoto, Hiroshi ;
Neville, Hans E. ;
Boylan, Kevin ;
Mozaffar, Tahseen ;
Belsh, Jerry M. ;
Ravits, John ;
Bedlack, Richard S. ;
Graves, Michael C. ;
McCluskey, Leo F. ;
Barohn, Richard J. ;
Tandan, Rup .
LANCET NEUROLOGY, 2007, 6 (12) :1045-1053
[8]   A randomized sequential trial of creatine in amyotrophic lateral sclerosis [J].
Groeneveld, GJ ;
Veldink, JH ;
van der Tweel, I ;
Kalmijn, S ;
Beijer, C ;
de Visser, M ;
Wokke, JHJ ;
Franssen, H ;
van den Berg, LH .
ANNALS OF NEUROLOGY, 2003, 53 (04) :437-445
[9]   Phase II Trial of CoQ10 for ALS Finds Insufficient Evidence to Justify Phase III [J].
Kaufmann, Petra ;
Thompson, John L. P. ;
Levy, Gilberto ;
Buchsbaum, Richard ;
Shefner, Jeremy ;
Krivickas, Lisa S. ;
Katz, Jonathan ;
Rollins, Yvonne ;
Barohn, Richard J. ;
Jackson, Carlayne E. ;
Tiryaki, Ezgi ;
Lomen-Hoerth, Catherine ;
Armon, Carmel ;
Tandan, Rup ;
Rudnicki, Stacy A. ;
Rezania, Kourosh ;
Sufit, Robert ;
Pestronk, Alan ;
Novella, Steven P. ;
Heiman-Patterson, Terry ;
Kasarskis, Edward J. ;
Pioro, Erik P. ;
Montes, Jacqueline ;
Arbing, Rachel ;
Vecchio, Darleen ;
Barsdorf, Alexandra ;
Mitsumoto, Hiroshi ;
Levin, Bruce .
ANNALS OF NEUROLOGY, 2009, 66 (02) :235-244
[10]   Adaptive seamless phase II/III designs - Background, operational aspects, and examples [J].
Maca, Jeff ;
Bhattacharya, Suman ;
Dragalin, Vladimir ;
Gallo, Paul ;
Krams, Michael .
DRUG INFORMATION JOURNAL, 2006, 40 (04) :463-473