{"title":"人类疾病基因疗法的进展:当前临床试验的趋势。","authors":"Mahda Delshad, Zeinab Davoodi-Moghaddam, Melika Khademi, Atieh Pourbagheri-Sigaroodi, Mohammad Reza Zali, Davood Bashash","doi":"10.1016/j.ejphar.2024.177143","DOIUrl":null,"url":null,"abstract":"<p><p>In an era of rapid scientific advancement, gene therapy has emerged as a groundbreaking approach with the potential to revolutionize the treatment of a myriad of diseases and medical conditions. The trend of current clinical trials suggests that there is growing interest and investment in exploring gene therapy as a viable treatment option. In 2023, a significant milestone was achieved with the approval of seven gene therapies by the Food and Drug Administration (FDA). Projections indicate that between 10 and 20 gene therapies could receive annual FDA approval by 2025. In this review, we conducted a comprehensive analysis of registered clinical trials on Clinicaltrials.gov to determine the progression status of gene therapies. Upon extraction of the data, we conducted a comprehensive analysis of the 2809 included studies. This involved a systematic approach, commencing with an overview, followed by a detailed examination of gene therapy strategies employed in various malignant and non-malignant disorders. Additionally, the study will cover the types of vectors utilized in current trials. Lastly, a meticulous review of 105 phase III-IV clinical trials was conducted to identify potential therapies demonstrating promise. We trust that the comprehensive overview provided will serve as a solid foundation for forthcoming research and study designs, ultimately contributing to the progression of gene therapy and its practical application within healthcare settings. 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Lastly, a meticulous review of 105 phase III-IV clinical trials was conducted to identify potential therapies demonstrating promise. We trust that the comprehensive overview provided will serve as a solid foundation for forthcoming research and study designs, ultimately contributing to the progression of gene therapy and its practical application within healthcare settings. 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引用次数: 0
摘要
在科学飞速发展的时代,基因疗法已成为一种开创性的方法,有望彻底改变无数疾病和病症的治疗方法。目前的临床试验趋势表明,人们对探索基因疗法作为一种可行的治疗方法的兴趣和投资正在不断增长。2023 年,美国食品和药物管理局(FDA)批准了七种基因疗法,这是一个重要的里程碑。据预测,到 2025 年,每年将有 10 到 20 种基因疗法获得 FDA 批准。在本综述中,我们对 Clinicaltrials.gov 上注册的临床试验进行了全面分析,以确定基因疗法的进展状况。提取数据后,我们对纳入的 2809 项研究进行了全面分析。分析采用了系统化的方法,首先是概述,然后是对各种恶性和非恶性疾病所采用的基因治疗策略进行详细研究。此外,研究还将涉及目前试验中使用的载体类型。最后,我们对 105 项 III-IV 期临床试验进行了细致的回顾,以确定有前景的潜在疗法。我们相信,所提供的全面概述将为今后的研究和研究设计奠定坚实的基础,最终促进基因疗法的发展及其在医疗领域的实际应用。此外,我们预计这些调查将有助于为从事基因疗法研发的制药公司制定切实可行的政策和指导方针。
Advancements in Gene Therapy for Human Disease: Trend of Current Clinical Trials.
In an era of rapid scientific advancement, gene therapy has emerged as a groundbreaking approach with the potential to revolutionize the treatment of a myriad of diseases and medical conditions. The trend of current clinical trials suggests that there is growing interest and investment in exploring gene therapy as a viable treatment option. In 2023, a significant milestone was achieved with the approval of seven gene therapies by the Food and Drug Administration (FDA). Projections indicate that between 10 and 20 gene therapies could receive annual FDA approval by 2025. In this review, we conducted a comprehensive analysis of registered clinical trials on Clinicaltrials.gov to determine the progression status of gene therapies. Upon extraction of the data, we conducted a comprehensive analysis of the 2809 included studies. This involved a systematic approach, commencing with an overview, followed by a detailed examination of gene therapy strategies employed in various malignant and non-malignant disorders. Additionally, the study will cover the types of vectors utilized in current trials. Lastly, a meticulous review of 105 phase III-IV clinical trials was conducted to identify potential therapies demonstrating promise. We trust that the comprehensive overview provided will serve as a solid foundation for forthcoming research and study designs, ultimately contributing to the progression of gene therapy and its practical application within healthcare settings. Also, we anticipate that such inquiries will bolster the formulation of practical policies and guidelines for pharmaceutical companies engaged in gene therapy research and development.
期刊介绍:
The European Journal of Pharmacology publishes research papers covering all aspects of experimental pharmacology with focus on the mechanism of action of structurally identified compounds affecting biological systems.
The scope includes:
Behavioural pharmacology
Neuropharmacology and analgesia
Cardiovascular pharmacology
Pulmonary, gastrointestinal and urogenital pharmacology
Endocrine pharmacology
Immunopharmacology and inflammation
Molecular and cellular pharmacology
Regenerative pharmacology
Biologicals and biotherapeutics
Translational pharmacology
Nutriceutical pharmacology.