Novel drug classes: entry inhibitors [enfuvirtide, chemokine (C–C motif) receptor 5 antagonists]

Novel drug classes: entry inhibitors [enfuvirtide, chemokine (C–C motif) receptor 5 antagonists]
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新型药物:进入抑制剂[恩夫韦肽、趋化因子(C-C基序)受体5拮抗剂]

DOI:
--
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发表时间:
2009
影响因子:
4.1
通讯作者:
M. Saag
M. Saag
中科院分区:
医学3区
文献类型:
--
作者:
J. McKinnell;M. Saag

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综述的目的提供病毒进入抑制剂的最新进展,重点是最近发表的临床试验,这些药物的常规临床应用,以及未来的候选药物。最近的发现临床试验和队列研究支持恩福韦肽和马拉韦罗在治疗经验丰富的患者中的疗效。在临床实践中,耐受性问题,特别是注射部位的反应,限制了恩夫韦肽的临床使用。供应商应该意识到马拉韦罗的向向性测定和剂量要求的必要性。新的趋化因子(C-C基序)受体5-阻断剂维昔洛克已经显示出希望,目前正处于第三阶段的临床开发中。科学发现和药物开发的快速发展导致了几种新的、耐受性良好的抗逆转录病毒药物的释放,这些药物对耐药菌株具有活性。对于有治疗经验的患者来说,进入抑制剂仍然是一个关键的治疗选择。供应商需要熟悉这些药物,并应鼓励未来的药物开发。
Purpose of reviewTo provide an update on viral entry inhibitors focusing on recently published clinical trials, the routine clinical use of these medications, and future drug candidates. Recent findingsClinical trials and cohort studies support the efficacy of both enfuvirtide and maraviroc in the management of treatment-experienced patients. In clinical practice, tolerability issues, particularly injection site reactions, have limited the clinical use of enfuvirtide. Providers should be aware of the need for tropism determination and dosing requirements for maraviroc. The novel chemokine (C–C motif) receptor 5-blocking agent, vicriviroc, has shown promise and is currently in phase III clinical development. SummaryThe rapid pace of scientific discovery and pharmaceutical development has led to the release of several novel and well tolerated antiretroviral agents, with activity against resistant isolates. Entry inhibitors remain a critical therapeutic option for treatment-experienced patients. Providers need to be familiar with these agents, and future drug development should be encouraged.
DOI: 10.1073/pnas.91.21.9770
发表时间: 1994-10-11
影响因子: 11.1
作者:
WILD, CT;SHUGARS, DC;MATTHEWS, TJ
通讯作者: MATTHEWS, TJ
DOI: --
发表时间: 2022
影响因子: --
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通讯作者: A. Wensing;Vincent Calvez;F. Ceccherini‐Silberstein;Charlotte Charpentier;H. Günthard;R. Paredes;Robert W. Shafer;D. Richman
DOI: 10.1056/nejmoa030265
发表时间: 2003-12-11
影响因子: 158.5
作者:
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通讯作者: Doolan, A