首页|非酒精性脂肪性肝炎创新药物非临床药效学研究的思考

非酒精性脂肪性肝炎创新药物非临床药效学研究的思考

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有效性研究与评价是目前非酒精性脂肪性肝炎(NASH)药物研发中的关键问题.第1个NASH治疗药物Resmetirom基于病理学的替代终点获批上市,而多个NASH临床试验因未能达到肝组织学替代终点而中止.基于NASH的肝病理特征(气球样变性、小叶炎症、纤维化)设置非临床药效学评价指标,全面有效地开展非临床药效学评价是NASH适应证药物研发向前推进的重要保障.本文结合NASH治疗药物临床试验情况、NASH病理特点、疾病动物模型,探讨全面有效地开展NASH非临床药效学研究的必要性和可行性,以期为后续NASH药物研发的高质量发展提供帮助.
Consideration on pre-clinical pharamacodynamic evaluation of non-alcoholic steatohepatitis innovative drugs
Efficiency in pharmacodynamic study and evaluation is the critical issue in current drug research and development of non-alcoholic steatohepatitis(NASH).Resmetirom,the first marketed medicine for NASH,is approved by pathological surrogate endpoints,meanwhile several clinical trials suspended due to failure to achieve the liver histologic surrogate endpoints.The well-done non-clinical pharmacodynamic study basing on pathological features(ballooning degeneration,lobular inflammation,fibrosis)of NASH,is a great support to the whole research and development projects of new medicines for NASH.In this article,we discussed the necessity and feasibility of the NASH non-clinical pharmacodynamic study combining the clinical trials of NASH drug,the pathological features and the animal models of NASH,in order to facilitate the high-quality research and development of NASH drugs.

non-alcoholic steatohepatitispre-clinical pharmacodynamic evaluationanimal modelliver fibrosis

王士奇、宁娜、周宇、尹茂山、王寅、戎怿、周围、笪红远、王庆利、叶旋

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国家药品监督管理局药品审评中心,北京 100022

非酒精性脂肪性肝炎 非临床药效学研究 疾病动物模型 肝纤维化指标

2024

中国临床药理学杂志
中国药学会

中国临床药理学杂志

CSTPCD北大核心
影响因子:1.91
ISSN:1001-6821
年,卷(期):2024.40(22)