Unlocking the Mysteries of Rare Disease Drug Development: A Beginner's Guide for Clinical Pharmacologists
Clinical and Translational Science,
Journal Year:
2025,
Volume and Issue:
18(4)
Published: April 1, 2025
ABSTRACT
Clinical
pharmacologists
face
unique
challenges
when
developing
drugs
for
rare
diseases.
These
conditions
are
characterized
by
small
patient
populations,
diverse
disease
progression
patterns,
and
a
limited
understanding
of
underlying
pathophysiology.
This
tutorial
serves
as
comprehensive
guide,
offering
practical
insights
strategies
to
navigate
its
complexities.
In
this
tutorial,
we
outline
global
regulatory
incentives
resources
available
support
research,
describe
some
considerations
designing
clinical
development
plan
diseases,
highlight
the
role
biomarkers,
real‐world
data,
modeling
simulations
challenges.
By
leveraging
these
tools
pathways,
can
significantly
contribute
advancing
therapeutic
options
Language: Английский
Advancing precision medicine therapeutics for Parkinson’s utilizing a shared quantitative systems pharmacology model and framework
Frontiers in Systems Biology,
Journal Year:
2024,
Volume and Issue:
4
Published: March 8, 2024
A
rich
pipeline
of
therapeutic
candidates
is
advancing
for
Parkinson’s
disease,
many
which
are
targeting
the
underlying
pathophysiology
disease.
Emerging
evidence
grounded
in
novel
genetics
and
biomarker
discoveries
illuminating
true
promise
precision
medicine-based
strategies
PD.
There
has
been
a
growing
effort
to
investigate
disease-modifying
therapies
by
designing
clinical
trials
genetic
forms
PD
-
providing
clearer
link
pathophysiology.
Leading
candidate
genes
based
on
human
findings
that
under
active
investigation
an
array
basic
translational
models
include
SNCA,
LRRK2,
GBA.
Broad
investigations
across
mechanistic
show
these
signal
through
common
molecular
pathways,
namely,
autosomal
lysosomal
inflammation
mitochondrial
function.
Therapeutic
date
genetically
defined
targets
have
not
yet
achieved
approvals;
however,
much
be
learned
from
such
pioneering
trials.
Fundamental
principles
drug
development
proof
pharmacology
target
tissue
critical
confidence
precision-based
therapies.
clear
need
downstream
biomarkers
leading
demonstrate
mechanism.
The
current
regulatory
landscape
poised
primed
support
modeling
effective
advancement
candidates.
convergence
complex
data
available,
framework
model
informed
(MIDD),
new
biological
integrated
staging
frameworks
when
combined
collectively
setting
stage
approaches
accelerate
progress.
This
perspective
review
highlights
potential
quantitative
systems
(QSP)
contributing
field
hastening
pace
progress
collaborative
urgently
needed
treatments.
Language: Английский
Systems biology platform for efficient development and translation of multitargeted therapeutics
Karim Azer,
No information about this author
Irina A. Leaf
No information about this author
Frontiers in Systems Biology,
Journal Year:
2023,
Volume and Issue:
3
Published: Sept. 18, 2023
Failure
to
achieve
efficacy
is
among
the
top,
if
not
most
common
reason
for
clinical
trial
failures.
While
there
may
be
many
underlying
contributors
these
failures,
selecting
right
mechanistic
hypothesis,
dose,
or
patient
population
are
main
culprits.
Systems
biology
an
inter-disciplinary
field
at
intersection
of
and
mathematics
that
has
growing
potential
increase
probability
success
in
trials,
delivering
a
data-driven
matching
mechanism
patient,
dose.
Moreover,
as
part
successful
selection
targets
therapeutic
area,
systems
prime
approach
development
combination
therapies
combating
complex
diseases,
where
single
have
failed
sufficient
clinic.
approaches
become
increasingly
powerful
with
progress
molecular
computational
methods
represent
novel
innovative
tool
tackle
mechanisms
human
disease
biology,
linking
it
phenotypes
optimizing
multiple
steps
drug
discovery
development.
With
increasing
ability
probing
cellular
organ
level
omics
technologies,
here
stay
positioned
one
key
pillars
development,
predicting
advancing
best
can
combined
together
optimal
pharmacological
effect
Here
we
describe
platform
stepwise
starts
characterization
pathways
contributing
Mechanism
Disease
(MOD)
followed
by
identification,
design,
optimization,
translation
into
clinic
able
reverse
disease-related
pathological
through
Mechanisms
Action
(MOA).
Language: Английский
Extracellular interplay of amyloid fibrils and neural cells
Biosystems,
Journal Year:
2023,
Volume and Issue:
231, P. 104971 - 104971
Published: July 8, 2023
Some
neurological
disorders
such
e.g.
as
Alzheimer
disease
are
accompanied
by
the
appearance
of
amyloid
fibrils
inside
and
outside
cells.
Herein,
I
present
a
generic
coarse-grained
kinetic
mean-field
model
describing
at
extracellular
level
interplay
It
includes
formation
degradation
fibrils,
activation
healthy
cells
with
respect
to
fabrication
death
activated
The
corresponding
analysis
indicates
that
development
can
occur
in
two
qualitatively
different
regimes.
first
one
is
controlled
primarily
intrinsic
factors
resulting
slow
increase
fibril
production
second
implies
faster
self-promoted
growth
population
analogy
explosion.
This
prediction
reported
hypothesis
interest
for
conceptual
understanding
disorders.
Language: Английский