Reflections on Clinical Trials in Fragile X Syndrome

作者: Aia E. Jønch , Sébastien Jacquemont

DOI: 10.1016/B978-0-12-804461-2.00020-2

关键词: Symptomatic treatmentPediatricsFragile X syndromePsychiatryClinical trialMedicine

摘要: Abstract Despite intensive research efforts and an increasing number of clinical trials in fragile X syndrome (FXS), the promising results obtained preclinical studies on targeted treatment FXS have not yet been replicated humans. In this chapter we present overview placebo-controlled trials, open-label symptomatic FXS. Inadequate design and/or underpowered cohorts common challenges previous studies. The largest conducted so far mGluR5-negative modulators GABA receptor agonists, but failed to show any efficacy. Future perspectives for related neurodevelopmental disorders are discussed.

参考文章(98)
Michelle Ghert, Nathan Evaniew, Isabella W.Y. Mak, Lost in translation: animal models and clinical trials in cancer treatment. American Journal of Translational Research. ,vol. 6, pp. 114- 118 ,(2014)
Thijs van der Vaart, Iris E. Overwater, Rianne Oostenbrink, Henriëtte A. Moll, Ype Elgersma, Treatment of Cognitive Deficits in Genetic Disorders: A Systematic Review of Clinical Trials of Diet and Drug Treatments. JAMA Neurology. ,vol. 72, pp. 1052- 1060 ,(2015) , 10.1001/JAMANEUROL.2015.0443
Sien Braat, R. Frank Kooy, The GABAA Receptor as a Therapeutic Target for Neurodevelopmental Disorders Neuron. ,vol. 86, pp. 1119- 1130 ,(2015) , 10.1016/J.NEURON.2015.03.042
José-Ramón Rueda, Virginia Guillén, Javier Ballesteros, Maria-Isabel Tejada, Ivan Solà, L-acetylcarnitine for treating fragile X syndrome. Cochrane Database of Systematic Reviews. ,(2015) , 10.1002/14651858.CD010012.PUB2
Rebecca Kronk, Ellen E. Bishop, Melissa Raspa, Julie O. Bickel, Daniel A. Mandel, Donald B. Bailey, Prevalence, Nature, and Correlates of Sleep Problems Among Children with Fragile X Syndrome Based on a Large Scale Parent Survey Sleep. ,vol. 33, pp. 679- 687 ,(2010) , 10.1093/SLEEP/33.5.679
Shimriet Zeidler, Renate K Hukema, Rob Willemsen, The quest for targeted therapy in fragile X syndrome Expert Opinion on Therapeutic Targets. ,vol. 19, pp. 1277- 1281 ,(2015) , 10.1517/14728222.2015.1079176
Gül Dölen, Mark F. Bear, Role for metabotropic glutamate receptor 5 (mGluR5) in the pathogenesis of fragile X syndrome. The Journal of Physiology. ,vol. 586, pp. 1503- 1508 ,(2008) , 10.1113/JPHYSIOL.2008.150722
Thomas L. Baumgardner, Lisa S. Freund, Allan L. Reiss, Michael T. Abrams, Specification of the neurobehavioral phenotype in males with fragile X syndrome. Pediatrics. ,vol. 95, pp. 744- 752 ,(1995)
Robert M. Hodapp, James F. Leckman, Elisabeth M. Dykens, Strengths and weaknesses in the intellectual functioning of males with fragile X syndrome. American journal of mental deficiency. ,vol. 92, pp. 234- ,(1987)
B. M. Dolan, S. G. Duron, D. A. Campbell, B. Vollrath, B. S. S. Rao, H.-Y. Ko, G. G. Lin, A. Govindarajan, S.-Y. Choi, S. Tonegawa, Rescue of fragile X syndrome phenotypes in Fmr1 KO mice by the small-molecule PAK inhibitor FRAX486. Proceedings of the National Academy of Sciences of the United States of America. ,vol. 110, pp. 5671- 5676 ,(2013) , 10.1073/PNAS.1219383110