Title |
Shortcomings in the Current Amyotrophic Lateral Sclerosis Trials and Potential Solutions for Improvement
|
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Published in |
Frontiers in Neurology, September 2017
|
DOI | 10.3389/fneur.2017.00521 |
Pubmed ID | |
Authors |
Nakul Katyal, Raghav Govindarajan |
Abstract |
Amyotrophic lateral sclerosis (ALS) is a clinically progressive neurodegenerative syndrome predominantly affecting motor neurons and their associated tracts. Riluzole and edaravone are the only FDA certified drugs for treating ALS. Over the past two decades, almost all clinical trials aiming to develop a successful therapeutic strategy for this disease have failed. Genetic complexity, inadequate animal models, poor clinical trial design, lack of sensitive biomarkers, and diagnostic delays are some of the potential reasons limiting any significant development in ALS clinical trials. In this review, we have outlined the possible reasons for failure of ALS clinical trials, addressed the factors limiting timely diagnosis, and suggested possible solutions for future considerations for each of the shortcomings. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Australia | 3 | 33% |
United States | 1 | 11% |
France | 1 | 11% |
Switzerland | 1 | 11% |
Unknown | 3 | 33% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 9 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 86 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 16 | 19% |
Researcher | 10 | 12% |
Student > Master | 8 | 9% |
Student > Bachelor | 7 | 8% |
Student > Doctoral Student | 6 | 7% |
Other | 11 | 13% |
Unknown | 28 | 33% |
Readers by discipline | Count | As % |
---|---|---|
Neuroscience | 17 | 20% |
Medicine and Dentistry | 15 | 17% |
Biochemistry, Genetics and Molecular Biology | 9 | 10% |
Agricultural and Biological Sciences | 6 | 7% |
Pharmacology, Toxicology and Pharmaceutical Science | 2 | 2% |
Other | 9 | 10% |
Unknown | 28 | 33% |