Viewpoint: Developing drugs for levodopa-induced dyskinesia in PD: Lessons learnt, what does the future hold?


Journal

The European journal of neuroscience
ISSN: 1460-9568
Titre abrégé: Eur J Neurosci
Pays: France
ID NLM: 8918110

Informations de publication

Date de publication:
02 2019
Historique:
received: 05 06 2018
revised: 27 07 2018
accepted: 01 08 2018
pubmed: 1 10 2018
medline: 18 6 2020
entrez: 1 10 2018
Statut: ppublish

Résumé

The drive to develop drugs to treat PD starts and ends with the patient. Herein, we discuss how the experience with drug development for LID has led the field in translational studies in PD with advancing ground-breaking science via rigorous clinical trial design, to deliver clinical proof-of-concepts across multiple therapeutic targets. However, issues remain in advancing drugs efficacious preclinically to the clinic, and future studies need to learn from past successes and failures. Such lessons include implementing better early indicators of tolerability, for instance evaluating non-motor symptoms in preclinical models; improving patient-related outcome measures in clinical trials, as well as considering the unique nature of dyskinesia in an individual patient. The field of translational studies needs to become more patient focused to improve successful outcomes.

Identifiants

pubmed: 30269407
doi: 10.1111/ejn.14173
doi:

Substances chimiques

Levodopa 46627O600J

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

399-409

Informations de copyright

© 2018 Federation of European Neuroscience Societies and John Wiley & Sons Ltd.

Auteurs

Susan H Fox (SH)

The Edmond J Safra Program in Parkinson Disease and Movement Disorder Clinic, Toronto Western Hospital, Toronto, Ontario, Canada.

Jonathan M Brotchie (JM)

Krembil Research Institute, Toronto Western Hospital, Toronto, Ontario, Canada.
Atuka Inc, Toronto, Ontario, Canada.

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Classifications MeSH