Phase II angiogenesis stimulators

Phase II angiogenesis stimulators
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II期血管生成刺激剂

DOI:
10.1517/13543784.2013.813933
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发表时间:
2013
影响因子:
6.1
通讯作者:
S. Baiguera
S. Baiguera
中科院分区:
医学2区
文献类型:
--
作者:
D. Ribatti;S. Baiguera

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简介:治疗性血管生成是诱导新的侧支血管和刺激新的毛细血管的策略,其增强缺血性心血管疾病(包括急性心肌梗死、慢性心脏缺血、外周动脉疾病和中风)中的组织氧交换。涵盖的领域:在过去的10年里,早期临床试验的可喜结果使人们对治疗性血管生成的潜力产生了极大的期望。然而,即使大型随机安慰剂对照和双盲II期临床试验已经证实了治疗性血管生成的可行性,安全性和潜在有效性,它们提供的临床获益方面的有效性证据非常有限。专家意见:治疗性血管生成的最新试验结果尚未提供令人满意的结果。关于血管生成因子的最佳递送仍有许多未知之处。需要使用替代生长因子、剂量方案和递送方法的试验来增强治疗性血管生成的治疗益处。
Introduction: Therapeutic angiogenesis is a strategy of inducing new collateral vessels and stimulating new capillaries that enhance tissue oxygen exchange in ischemic cardiovascular disorders, including acute myocardial infarction, chronic cardiac ischemia, peripheral artery disease and stroke. Areas covered: Over the last 10 years, promising results of early clinical trials have generated great expectation on the potential of therapeutic angiogenesis. However, even if large randomized placebo-controlled and double-blinded Phase II clinical trials have confirmed the feasibility, safety and potential effectiveness of therapeutic angiogenesis, they provided very limited evidence of its efficacy in terms of clinical benefit. Expert opinion: Results of the latest trials on therapeutic angiogenesis have not provided satisfactory results. Much is still unknown about the optimal delivery of angiogenic factors. Trials using alternative growth factors, dose regimens and methods of delivery are needed to enhance the treatment benefit of therapeutic angiogenesis.
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