Researchers at the Cleveland Clinic Lou
Ruvo Center for Brain Health have conducted the first-ever analysis of clinical
trials for Alzheimer's disease (AD), revealing an
urgent need to increase the number of agents entering the AD drug development
pipeline and progressing successfully towards new therapy treatments. The
paper, "Alzheimer's Disease Drug Development Pipeline: Few Candidates,
Frequent Failures," was published in the journal Alzheimer's Research
& Therapy.
A comprehensive look at all clinical trials
underway shows:
- There are relatively few drugs in development for Alzheimer's disease.
- The failure rate for AD drug development is 99.6 percent for the decade 2002-2012.
- The number of drugs has been declining since 2009.
Using the advanced search mechanisms of
ClinicalTrials.gov, a government website that records all ongoing clinical
trials, Dr. Cummings, along with Kate Zhong, M.D., Senior Director of Clinical
Research and Development, and Touro University medical student Travis Morstorf,
constructed a comprehensive analysis to examine all trials since 2002.
"By analyzing both completed as well
as on-going trials and currently active compounds, we were able to provide
insight into longitudinal trends in drug development," said Dr. Zhong.
"What we found was that the investment in AD drugs and therapies is
relatively low compared to the challenge posed by the disease. The pipeline is
almost dry."
Feature depicting difference
between brain of a diseased(Alzheimer affected) and an healthy person
This comprehensive analysis illustrates the
high rate of failure of compounds and the need for a constant supply of new
drugs or a higher focus on repurposing, which can be assessed for efficacy in
AD. With AD more expensive to the U.S. economy than cardiovascular disease or cancer, the Lou Ruvo Center for Brain Health research team believes
the system of AD drugs must be supported, grown and coordinated to improve the
success rate and development of new therapies.
Made by
Keerti Mishra
Faculty of Biotechnology
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