2015
DOI: 10.1002/cpt.196
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Biomarkers of Brain Structure and Function for Neurodegenerative Disorders: Are They Adequate for Go/No Go Decisions in Drug Development?

Abstract: Given the high risk of developing drugs for neurodegenerative diseases if post-phase I decisions to go into efficacy studies were made with quantitative knowledge of an agent's action in brain, the risks should be diminished. Furthermore, if biomarkers were compelling, they could be utilized during a lengthy trial as an early measure of futility. What follows is one perspective on the adequacy of current and emerging measures to be applied to such decision making.

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Cited by 3 publications
(2 citation statements)
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“…Effective symptomatic and disease‐modifying pharmacotherapy is a public health priority and collaboration between the academic, government, and industrial interests is a necessity to achieve the goals. This issue devotes much space to the current state of understanding of the mechanistic basis of these diseases, clinical tools and trial designs in this field, as well a comprehensive review of promising targets for neurodegenerative diseases . Finally, as the discipline of clinical pharmacology spans the continuum of drug development through utilization, a pair of companion pieces are included on the role of pharmacovigilance science in characterizing progressive multifocal leukoencephalopathy (PML) associated with drugs for neurological conditions …”
Section: Neuroscience At the Tipping Pointmentioning
confidence: 99%
“…Effective symptomatic and disease‐modifying pharmacotherapy is a public health priority and collaboration between the academic, government, and industrial interests is a necessity to achieve the goals. This issue devotes much space to the current state of understanding of the mechanistic basis of these diseases, clinical tools and trial designs in this field, as well a comprehensive review of promising targets for neurodegenerative diseases . Finally, as the discipline of clinical pharmacology spans the continuum of drug development through utilization, a pair of companion pieces are included on the role of pharmacovigilance science in characterizing progressive multifocal leukoencephalopathy (PML) associated with drugs for neurological conditions …”
Section: Neuroscience At the Tipping Pointmentioning
confidence: 99%
“…The observation suggests that the atypical antipsychotic profile of the drug is due, at least in part, to dopaminergic activity of the metabolite [4]. The role of imaging in drug development for neurodegeneration has been discussed [5] and a recent review, focused on the role of PET in the development of new drugs to treat heart failure [6], exemplifies the power of molecular imaging in this regard. The extensive biomedical advances made possible by radiopharmaceuticals and nuclear imaging are exemplified by over 150 books and review articles within the last three years.…”
Section: Introductionmentioning
confidence: 99%