Expert Opinion on Emerging Drugs最新文献

Future treatments for myelin oligodendrocyte glycoprotein antibody-associated disease: the clinical trial landscape. 髓鞘少突胶质细胞糖蛋白抗体相关疾病的未来治疗：临床试验前景

IF 2.7 3区医学

Expert Opinion on Emerging Drugs Pub Date : 2025-09-24 DOI: 10.1080/14728214.2025.2565189

Edgar Carnero Contentti, Vinícius de Oliveira Boldrini, Adriana Casallas-Vanegas, Sanja Gluscevic, Emine Rabia Koc, Sara Samadzadeh, Meral Seferoğlu, Natalia Szejko, Michael Levy

{"title":"Future treatments for myelin oligodendrocyte glycoprotein antibody-associated disease: the clinical trial landscape.","authors":"Edgar Carnero Contentti, Vinícius de Oliveira Boldrini, Adriana Casallas-Vanegas, Sanja Gluscevic, Emine Rabia Koc, Sara Samadzadeh, Meral Seferoğlu, Natalia Szejko, Michael Levy","doi":"10.1080/14728214.2025.2565189","DOIUrl":"10.1080/14728214.2025.2565189","url":null,"abstract":"Introduction: Myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) is an emerging autoimmune demyelinating disorder distinct from multiple sclerosis and AQP4-IgG-positive neuromyelitis optica. Despite increasing recognition, no therapies are currently approved for MOGAD, and treatment remains empirical, with significant variability in clinical response and access to care.Areas covered: This review explores the evolving treatment landscape of adult MOGAD, with a focus on immunotherapies under active clinical investigation: azathioprine, tocilizumab, satralizumab, and rozanolixizumab. For each agent, we discuss mechanisms of action, pharmacokinetics, dosing, safety, and efficacy based on clinical trials and observational data. Literature was identified through PubMed and ClinicalTrials.gov, including ongoing phase 2/3 studies (MOGwAI, TOMATO, METEOROID, and cosMOG).Expert opinion: Targeted immunotherapies have the potential to transform MOGAD management. In the next five years, one or more of these agents may achieve regulatory approval, particularly if biomarker-driven strategies and trial designs are refined. Addressing unmet needs in pediatric populations and low-resource settings will be essential to ensure equitable, personalized treatment.","PeriodicalId":12292,"journal":{"name":"Expert Opinion on Emerging Drugs","volume":" ","pages":"1-15"},"PeriodicalIF":2.7,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emerging drugs for the treatment of bullous pemphigoid: what's new on the horizon? 治疗大疱性类天疱疮的新药物：有什么新进展？

IF 2.7 3区医学

Expert Opinion on Emerging Drugs Pub Date : 2025-09-05 DOI: 10.1080/14728214.2025.2555080

Henning Olbrich, Christian D Sadik

{"title":"Emerging drugs for the treatment of bullous pemphigoid: what's new on the horizon?","authors":"Henning Olbrich, Christian D Sadik","doi":"10.1080/14728214.2025.2555080","DOIUrl":"10.1080/14728214.2025.2555080","url":null,"abstract":"Introduction: Bullous pemphigoid (BP) is the most prevalent autoimmune blistering disorder. It is associated with high mortality partially due to side-effects of immunosuppressive drugs. Development of new therapeutics for BP has turned out to be exceedingly challenging, among others, due to frailty of the patients and heterogeneity of the disease.Areas covered: This review summarizes current clinical trials examining new potential drugs for BP. Strategies targeting the activity of eosinophils, complement activation, leukotriene B4, the neonatal Fc receptor, and TH2 cell cytokines are discussed.Expert opinion: Strategies recently under investigation for BP have largely failed. Only the inhibition of IL-4/IL-13 signaling by dupilumab met its primary endpoint. However, its effects were rather modest, and limited to a patient subgroup. All strategies directly or indirectly targeting eosinophils, including the depletion of eosinophils by benralizumab, failed. The reason might be a more significant or redundant role of neutrophils in BP. Strategies targeting neutrophils, e.g. by inhibition of LTB4 should, therefore, be further pursued. Additionally, new kinase inhibitors, such as inhibitors of JAK, Syk, Src kinases, and BTK, should be tested because they would presumably inhibit multiple immune cell populations, including neutrophils, which is possibly required to achieve pronounced therapeutic effects in BP.","PeriodicalId":12292,"journal":{"name":"Expert Opinion on Emerging Drugs","volume":" ","pages":"1-10"},"PeriodicalIF":2.7,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Motor fluctuations in Parkinson disease - a mini-review of emerging drugs. 帕金森氏病的运动波动——对新兴药物的小型回顾。

IF 2.7 3区医学

Expert Opinion on Emerging Drugs Pub Date : 2025-06-16 DOI: 10.1080/14728214.2025.2517582

Priti Gros, Laura Armengou Garcia, Susan H Fox

{"title":"Motor fluctuations in Parkinson disease - a mini-review of emerging drugs.","authors":"Priti Gros, Laura Armengou Garcia, Susan H Fox","doi":"10.1080/14728214.2025.2517582","DOIUrl":"10.1080/14728214.2025.2517582","url":null,"abstract":"Introduction: The symptomatic treatment of Parkinson Disease (PD) relies on levodopa. With disease progression, the response to levodopa becomes variable, leading to fluctuations in benefit on PD symptoms. These motor fluctuations are challenging to manage and negatively impact quality of life in PD.Areas covered: We provide a review of experimental, non-approved pharmacological therapies in phase II and III clinical trials from 2018 to 2024 for PD motor fluctuations.Expert opinion: New formulations of levodopa to improve bioavailability are in development. These include another subcutaneous infusion with efficacy in reducing motor fluctuations and an intranasal delivery with tolerability reported. An oromucosal formulation of apomorphine was safe, further studies are needed. Preliminary results of a phase III study of dopamine D1/D5 agonist tavapadon and phase II of CVN424, a GRP6 inverse agonist suggest improved ON time. Negative studies were reported with foliglurax (MGluR4 inverse agonist) and the repurposed drugs naftazone and bumetanide. Several novel targets are in early-stage development with results awaited. Overall, it is unclear whether the field is significantly further ahead, as the benefit of these emerging drugs in comparison with currently available agents for motor fluctuations needs to be clarified.","PeriodicalId":12292,"journal":{"name":"Expert Opinion on Emerging Drugs","volume":" ","pages":"1-12"},"PeriodicalIF":2.7,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The role of HER2-targeted therapy in urothelial carcinomas. her2靶向治疗在尿路上皮癌中的作用。

IF 2.7 3区医学

Expert Opinion on Emerging Drugs Pub Date : 2025-06-12 DOI: 10.1080/14728214.2025.2517581

Jeanny B Aragon-Ching, Matthew D Galsky

引用次数: 0

Emerging biological treatments for asthma. 新兴的哮喘生物疗法。

IF 2.7 3区医学

Expert Opinion on Emerging Drugs Pub Date : 2025-06-01 Epub Date: 2025-02-01 DOI: 10.1080/14728214.2025.2460529

Daniela Pastore, Chiara Lupia, Maria D'Amato, Andrea Bruni, Eugenio Garofalo, Federico Longhini, Luca Gallelli, Alessandro Vatrella, Girolamo Pelaia, Corrado Pelaia

{"title":"Emerging biological treatments for asthma.","authors":"Daniela Pastore, Chiara Lupia, Maria D'Amato, Andrea Bruni, Eugenio Garofalo, Federico Longhini, Luca Gallelli, Alessandro Vatrella, Girolamo Pelaia, Corrado Pelaia","doi":"10.1080/14728214.2025.2460529","DOIUrl":"10.1080/14728214.2025.2460529","url":null,"abstract":"Introduction: Severe asthma is a chronic airway disease characterized by many pathomechanisms known as endotypes. Biological therapies targeting severe asthma endotypes have significantly improved the treatment of this disease, thus remarkably bettering patient quality of life.Areas covered: This review aims to describe current biological therapies for severe asthma, highlighting emerging ones. Several studies have confirmed the beneficial effects of currently available monoclonal antibodies targeting immunoglobulin E (IgE), interleukin-5 (IL-5) or its receptor, and interleukin-4 (IL-4)/interleukin-13 (IL-13) receptors (IL-4R/IL-13R). However, patients with T2-low asthma are not eligible for the above biological therapies.Expert opinion: New treatments are now moving toward targeting the upstream pathways of asthma pathogenesis, coordinated by innate cytokines such as alarmins. These key proinflammatory mediators orchestrate the activation of complex cellular networks including both innate and adaptive immune responses. Alarmins include thymic stromal lymphopoietin (TSLP), interleukin-25 (IL-25), and interleukin-33 (IL-33), which are released from injured airway epithelial cells. TSLP and the other alarmins are suitable targets of biological therapies which are effective for add-on treatment of type 2 asthma. Moreover, anti-alarmin monoclonal antibodies can be also beneficial for patients with T2-low, poorly controlled severe asthma.","PeriodicalId":12292,"journal":{"name":"Expert Opinion on Emerging Drugs","volume":" ","pages":"87-97"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Challenges and limitations of mesenchymal stem cell therapy for lung diseases in clinical trials. 临床试验中间充质干细胞治疗肺部疾病的挑战和局限性。

IF 2.7 3区医学

Expert Opinion on Emerging Drugs Pub Date : 2025-06-01 Epub Date: 2025-04-07 DOI: 10.1080/14728214.2025.2489700

Mayck Medeiros Amaral da Silva, Patricia Rieken Macedo Rocco, Fernanda Ferreira Cruz

引用次数: 0

Newly emerging tyrosine kinase inhibitors for the treatment of neuroendocrine neoplasms. 新出现的酪氨酸激酶抑制剂用于治疗神经内分泌肿瘤。

IF 2.7 3区医学

Expert Opinion on Emerging Drugs Pub Date : 2025-06-01 DOI: 10.1080/14728214.2025.2508994

Nicola Fazio, Anna La Salvia

{"title":"Newly emerging tyrosine kinase inhibitors for the treatment of neuroendocrine neoplasms.","authors":"Nicola Fazio, Anna La Salvia","doi":"10.1080/14728214.2025.2508994","DOIUrl":"10.1080/14728214.2025.2508994","url":null,"abstract":"Introduction: In the era of precision medicine, a molecularly targeted therapeutical approach is still missing in the field of neuroendocrine neoplasms (NENs) other than for radioligand therapy (RLT). So far sunitinib is the only tyrosine kinase inhibitor (TKI) available in clinical practice for NENs in Western countries, limited to advanced, progressing pancreatic neuroendocrine tumors (NETs). A few TKIs worldwide reached an advanced stage of clinical investigation with promising results.Areas covered: This narrative review is an updated analysis about the status of TKIs in the most advanced stage of clinical investigation in NENs. Our work is focused specifically on a critical analysis of TKIs investigated in phase III clinical trials, such as Axitinib, Surufatinib, and Cabozantinib.Expert opinion: The Expert Opinion section of our manuscript is a critical overview of the results coming from phase II and III clinical trials with Axitinib, Surufatinib, and Cabozantinib, and, it is mainly centered on strategies of investigation of these TKIs, including geographical areas and indirect comparison about study design.","PeriodicalId":12292,"journal":{"name":"Expert Opinion on Emerging Drugs","volume":" ","pages":"149-157"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144173359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emerging immune tolerance therapies for neuromyelitis optica spectrum disorder. 新出现的免疫耐受疗法治疗视神经脊髓炎。

IF 2.7 3区医学

Expert Opinion on Emerging Drugs Pub Date : 2025-06-01 Epub Date: 2025-02-23 DOI: 10.1080/14728214.2025.2470706

Edgar Carnero Contentti, Jorge Correale

引用次数: 0

Exploring psilocybin's role in mental health and palliative medicine: a path to improved well-being. 探索裸盖菇素在心理健康和姑息医学中的作用：改善幸福感的途径。

IF 2.7 3区医学

Expert Opinion on Emerging Drugs Pub Date : 2025-06-01 Epub Date: 2025-04-10 DOI: 10.1080/14728214.2025.2488786

Maria-Alejandra Umbacia, Marta Ximena Leon, Jose-Manuel Quintero, Lina-Maria Castro, Veronica Paez, Seetal Dodd, Rosa-Helena Bustos

{"title":"Exploring psilocybin's role in mental health and palliative medicine: a path to improved well-being.","authors":"Maria-Alejandra Umbacia, Marta Ximena Leon, Jose-Manuel Quintero, Lina-Maria Castro, Veronica Paez, Seetal Dodd, Rosa-Helena Bustos","doi":"10.1080/14728214.2025.2488786","DOIUrl":"10.1080/14728214.2025.2488786","url":null,"abstract":"Introduction: Although long known for their psychoactive effects, psychedelic drugs have only recently been investigated for medicinal use. Psilocybin has attracted the greatest interest with studies suggesting that it may be a useful agent in psychiatry and in palliative care.Areas covered: Clinical trials that included psilocybin were searched in PubMed, Embase, and ClinicalTrials.gov, demonstrating that adult psychiatry and palliative care are the medical fields that show the greatest interest in psilocybin treatment.Expert opinion: Psilocybin is a powerful drug that needs to be used with caution but may benefit some patients, including when other options have failed. It is best evidenced in treatment resistant depression and in palliative care, where patients are usually treated in specialist care centers. It has a novel mechanism of action, targeting the 5HT2A receptor, and can show rapid onset of action. There are many questions regarding its use that remain to be clarified, including its efficacy for other indications and its role as adjunctive treatment in psychotherapy. The psychoactive, or psychedelic effects are well documented, but their clinical importance is disputed.","PeriodicalId":12292,"journal":{"name":"Expert Opinion on Emerging Drugs","volume":" ","pages":"99-108"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emerging therapeutics targeting tumor-associated macrophages for the treatment of solid organ cancers. 针对肿瘤相关巨噬细胞治疗实体器官癌的新疗法。

IF 2.7 3区医学

Expert Opinion on Emerging Drugs Pub Date : 2025-06-01 Epub Date: 2025-05-25 DOI: 10.1080/14728214.2025.2504376

Dandan Li, Udo Rudloff

{"title":"Emerging therapeutics targeting tumor-associated macrophages for the treatment of solid organ cancers.","authors":"Dandan Li, Udo Rudloff","doi":"10.1080/14728214.2025.2504376","DOIUrl":"10.1080/14728214.2025.2504376","url":null,"abstract":"Introduction: Over the last decade, immune checkpoint inhibitors (ICIs) like PD-1/PD-L1 or CTLA-4, which reinvigorate T cells for tumor control have become standard-of-care treatment options. In response to the increasingly recognized mechanisms of resistance to T cell activation in immunologically cold tumors, immuno-oncology drug development has started to shift beyond T cell approaches. These include tumor-associated macrophages (TAMs), a major pro-tumor immune cell population in the tumor microenvironment known to silence immune responses.Areas covered: Here we outline anti-TAM therapies in current development, either as monotherapy or in combination with other treatment modalities. We describe emerging drugs targeting TAMs under investigation in phase II and III testing with a focus on their distinguishing mechanism of action which include (1) reprogramming of TAMs toward anti-tumor function and immune surveillance, (2) blockade of recruitment, and (3) reduction and ablation of TAMs.Expert opinion: Several new immuno-oncology agents are under investigation to harness anti-tumor functions of TAMs. While robust anti-tumor efficacy of anti-TAM therapies across advanced solid organ cancers remains elusive to-date, TAM reprogramming therapies have yielded benefits in select cancers. The inherent heterogeneity of the diverse TAM population will require enhanced investments into biomarker-driven approaches to fully leverage its therapeutic potential.","PeriodicalId":12292,"journal":{"name":"Expert Opinion on Emerging Drugs","volume":" ","pages":"109-147"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12232465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143974707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0