Evaluating emerging drugs in phase II & III for the treatment of amyotrophic lateral sclerosis

INTRODUCTION: Amyotrophic Lateral Sclerosis is a rapidly progressive motor neuron disorder causing severe disability and premature death. Owing to the advances in uncovering ALS pathophysiology, efficient clinical trial design and research advocacy program, several disease-modifying drugs have been approved for treating ALS. Despite this progress, ALS remains a rapidly disabling and life shortening condition. There is a critical need for more effective therapies.

AREAS COVERED: Here, we reviewed the emerging ALS therapeutics undergoing phase II & III clinical trials. To identify the investigational drugs, we searched ALS and phase II/III trials that are active and recruiting or not yet recruiting on clinicaltrials.gov and Pharmaprojects database.

EXPERT OPINION: The current pipeline is larger and more diverse than ever, with drugs targeting potential genetic and retroviral causes of ALS and drugs targeting a wide array of downstream pathways, including RNA metabolism, protein aggregation, integrated stress response and neuroinflammation.We remain most excited about those that target direct causes of ALS, e.g. antisense oligonucleotides targeting causative genes. Drugs that eliminate abnormal protein aggregates are also up-and-coming. Eventually, because of the heterogeneity of ALS pathophysiology, biomarkers that determine which biological events are most important for an individual ALS patient are needed.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Expert opinion on emerging drugs - (2024) vom: 22. März, Seite 1-10

Sprache:

Englisch

Beteiligte Personen:

Li, Xiaoyan [VerfasserIn]
Bedlack, Richard [VerfasserIn]

Links:

Volltext

Themen:

Amyotrophic lateral sclerosis (ALS)
Antiretroviral therapy
Antisense oligonucleotide (ASO)
Clinical trials
Journal Article
Neuroinflammation
Protein aggregation
Review

Anmerkungen:

Date Revised 22.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1080/14728214.2024.2333420

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370063104