Kingsley Osei-Karikari, Kyle Jones, Anna Erickson, Ian A Myles
{"title":"Emerging microbiome-based therapies for atopic dermatitis: clinical insights and future development.","authors":"Kingsley Osei-Karikari, Kyle Jones, Anna Erickson, Ian A Myles","doi":"10.1080/14728214.2026.2667256","DOIUrl":"10.1080/14728214.2026.2667256","url":null,"abstract":"<p><strong>Introduction: </strong>Despite growing evidence that environmental factors and microbiome dysbiosis constitute the majority of disease pathogenesis, most current therapies target inflammation, barrier dysfunction, and/or <i>S. aureus</i> overgrowth. However, given the emerging understanding of microbiome-mediated and environmentally driven disease mechanisms, expanding therapeutic strategies to include dysbiosis and upstream environmental contributors represents a promising direction for future research.</p><p><strong>Areas covered: </strong>This manuscript will review the strengths and limitations of the standard treatments for AD, including emollients, topical corticosteroids, calcineurin inhibitors, and systemic immunomodulators. The focus, however, will be on the emerging microbiome-based therapies, specifically products containing live microorganisms (biotherapeutics). The potential for, and challenges against, biotherapeutics to grow within the market of AD treatment will be discussed.</p><p><strong>Expert opinion: </strong>Immune suppressive approaches will remain limited to symptomatic control. These treatments will also be limited by tradeoffs inherent to the balance between symptom control and side effects of immune suppression. To successfully aide patients, topical biotherapeutics will need to overcome pharmaceutical-centric paradigms, academic dogma, and regulatory inertia. Limitations in current therapies and patient needs, along with the potential to offer prevention against AD development, will likely propel biotherapeutics forward.</p>","PeriodicalId":12292,"journal":{"name":"Expert Opinion on Emerging Drugs","volume":" ","pages":"1-12"},"PeriodicalIF":2.7,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147766804","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}
Thusyanthy Parameswaran, Amanda J Hooper, John R Burnett
{"title":"Injectable, oral, gene-based, and vaccine-driven PCSK9-targeted therapies: emerging clinical insights shaping the future of hypercholesterolemia management.","authors":"Thusyanthy Parameswaran, Amanda J Hooper, John R Burnett","doi":"10.1080/14728214.2026.2662915","DOIUrl":"10.1080/14728214.2026.2662915","url":null,"abstract":"","PeriodicalId":12292,"journal":{"name":"Expert Opinion on Emerging Drugs","volume":" ","pages":"1-4"},"PeriodicalIF":2.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147722346","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}
{"title":"Gene therapy for wet AMD: a paradigm shift in the standard of care.","authors":"Samuel Asanad, David S Boyer","doi":"10.1080/14728214.2026.2651330","DOIUrl":"10.1080/14728214.2026.2651330","url":null,"abstract":"<p><strong>Introduction: </strong>Neovascular age-related macular degeneration (nAMD), or wet AMD, remains a leading cause of vision loss in older adults. Current standard of care relies on repeated intravitreal anti-vascular endothelial growth factor (anti-VEGF) injections, which create significant treatment burdens for patients and healthcare systems. Emerging gene therapies aim to address these challenges by delivering sustained therapeutic effects via single administration.</p><p><strong>Areas covered: </strong>Next-generation gene therapies are transforming AMD treatment by enabling sustained, autonomous production of therapeutic proteins within ocular tissues, enabling the eye to synthesize its own anti-VEGF agents. A comprehensive literature search was performed using both PubMed and ClinicalTrials.gov to identify pertinent manuscripts and clinical trials for this narrative review. Keywords utilized included: Gene therapy, wet AMD, neovascular AMD, Viral Vectors, Adeno-associated viral vectors, Subretinal, Suprachoroidal, and Retinal Pigment Epithelium.</p><p><strong>Expert opinion: </strong>Advances in gene therapy for wet AMD may revolutionize treatment by enabling sustained intraocular anti-VEGF protein, reducing frequent injections, improving patient adherence, and potentially lowering long-term healthcare costs. Although promising, challenges including long-term safety, complex delivery procedures, immune responses, regulatory hurdles, and the need for optimized vectors and clinical protocols must be addressed before widespread adoption and integration into standard care.</p>","PeriodicalId":12292,"journal":{"name":"Expert Opinion on Emerging Drugs","volume":" ","pages":"241-249"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147618667","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}
{"title":"What can we expect from a combination of datopotamab deruxtecan, carboplatin, and pembrolizumab for brain metastases from non-small cell lung cancer?","authors":"Ana C Z Gelatti, William N William","doi":"10.1080/14728214.2026.2643169","DOIUrl":"10.1080/14728214.2026.2643169","url":null,"abstract":"","PeriodicalId":12292,"journal":{"name":"Expert Opinion on Emerging Drugs","volume":" ","pages":"221-223"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147376535","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}
Nicole Charbel, Joe Rizkallah, Hassan Fawaz, Sacha El Khoury, Mohammad Hassan Hodroj, Ali Taher
{"title":"Emerging therapeutic strategies in immune thrombocytopenia: an expert evaluation of the evolving treatment landscape.","authors":"Nicole Charbel, Joe Rizkallah, Hassan Fawaz, Sacha El Khoury, Mohammad Hassan Hodroj, Ali Taher","doi":"10.1080/14728214.2025.2590155","DOIUrl":"10.1080/14728214.2025.2590155","url":null,"abstract":"<p><strong>Introduction: </strong>Immune thrombocytopenia (ITP) is an autoimmune disorder leading to low platelet counts and increased bleeding risk. The management of ITP, particularly in chronic or refractory cases, presents ongoing challenges, necessitating the development of novel therapeutic approaches that target its complex immunopathophysiology.</p><p><strong>Areas covered: </strong>This review evaluates the current ITP treatment landscape, including established first-line and second-line therapies, and provides an in-depth analysis of emerging drug classes. Key areas include neonatal Fc receptor inhibitors, Bruton's tyrosine kinase inhibitors, spleen tyrosine kinase inhibitors, complement inhibitors, and novel immunotherapies. The scientific rationale, clinical trial data, efficacy, safety profiles, and potential positioning of these agents in future ITP management algorithms are discussed. The literature search encompassed PubMed, Embase, and clinical trial registries for articles and data published up to early 2025.</p><p><strong>Expert opinion: </strong>Therapeutic options for ITP are rapidly expanding beyond conventional immunosuppressants and splenectomy. Emerging targeted therapies offer the promise of improved efficacy, better safety profiles, and the potential for durable, treatment-free remission. Future research should focus on personalized medicine approaches, biomarker identification for predicting treatment response, optimizing treatment sequencing, and understanding long-term outcomes to transform ITP care.</p>","PeriodicalId":12292,"journal":{"name":"Expert Opinion on Emerging Drugs","volume":" ","pages":"251-262"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145502803","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}
Anna Giannakogeorgou, Tom van den Ende, Barbara J H Verhaar, Nicolien de Clercq, Hanneke W M van Laarhoven, Max Nieuwdorp
{"title":"Targeting the gut microbiota as a treatment for obesity and cancer cachexia.","authors":"Anna Giannakogeorgou, Tom van den Ende, Barbara J H Verhaar, Nicolien de Clercq, Hanneke W M van Laarhoven, Max Nieuwdorp","doi":"10.1080/14728214.2026.2650180","DOIUrl":"10.1080/14728214.2026.2650180","url":null,"abstract":"<p><strong>Introduction: </strong>Obesity and cancer cachexia represent two seemingly contrasting yet interrelated ends of the metabolic disorder spectrum, both characterized by disrupted energy homeostasis, inflammation and neuroendocrine dysfunction, and associated with increased morbidity and mortality. Existing treatments often fail to address the complex underlying pathophysiological mechanisms. Emerging research highlights the role of the gut microbiome in the pathophysiology of both conditions and how it can serve as a novel therapeutic target.</p><p><strong>Areas covered: </strong>This review explores shared and distinct pathways linking obesity and cancer cachexia. Key systems discussed include the gut-brain axis as well as skeletal muscle and adipose tissue metabolism. We discuss how the gut microbiota influences these processes through (diet-derived) gut microbial metabolites that affect specific signaling pathways. The review evaluates the efficacy and limitations of current anti-obesity and cachexia therapies and summarizes clinical and preclinical interventions targeting the gut microbiome, including pre-, pro-, postbiotics and fecal microbiota transplantation.</p><p><strong>Expert opinion: </strong>The gut microbiota holds potential as a therapeutic target in metabolic diseases, offering opportunities for precision medicine based on microbial and metabolic profiles. While early microbiota-based therapies show promise, further investigation into mechanistic pathways and novel engineered microbiota is essential to develop effective treatments for obesity and cachexia.</p>","PeriodicalId":12292,"journal":{"name":"Expert Opinion on Emerging Drugs","volume":" ","pages":"225-240"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147493849","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}
{"title":"Exploring the latest emerging drugs for the treatment of sickle cell disease.","authors":"Giovanna Cannas","doi":"10.1080/14728214.2026.2650178","DOIUrl":"10.1080/14728214.2026.2650178","url":null,"abstract":"<p><strong>Introduction: </strong>Sickle cell disease (SCD) is an inherited autosomal recessive hemoglobinopathy that causes significant morbidity and mortality in children and adults. The availability of novel therapeutic agents that are safe, effective, and affordable and new cell therapy techniques remains highly desirable for the treatment of SCD.</p><p><strong>Areas covered: </strong>After a brief reminder of the main SCD complications, this review summarizes emerging disease-modifying agents and promising cell therapy strategies for the treatment of patients with SCD. A comprehensive search to look for the efficacy and safety of new agents was made on PubMed.ncbi.nlm.nih.gov for published studies and ClinicalTrials.gov for registered trials.</p><p><strong>Expert opinion: </strong>The landscape of therapy in patients with SCD has recently moved toward more personalized therapeutic approaches. Promising preliminary data were obtained with some disease-modifying agents and gene therapies became available and promising for curing patients. However, the high cost remains a major limiting factor for these new therapies, which are far from being used in all patients, even in the more developed countries. Hydroxyurea is still regarded as the best disease-modifying treatment for SCD and allogeneic hematopoietic stem cell transplantation as the standard 'curative' therapy. Continued research is still warranted to sustain therapeutic advancements and development in SCD.</p>","PeriodicalId":12292,"journal":{"name":"Expert Opinion on Emerging Drugs","volume":" ","pages":"263-281"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147497909","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}
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":"<p><strong>Introduction: </strong>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.</p><p><strong>Areas covered: </strong>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).</p><p><strong>Expert opinion: </strong>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.</p>","PeriodicalId":12292,"journal":{"name":"Expert Opinion on Emerging Drugs","volume":" ","pages":"283-297"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","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}
{"title":"The role of HER2-targeted therapy in urothelial carcinomas.","authors":"Jeanny B Aragon-Ching, Matthew D Galsky","doi":"10.1080/14728214.2025.2517581","DOIUrl":"10.1080/14728214.2025.2517581","url":null,"abstract":"","PeriodicalId":12292,"journal":{"name":"Expert Opinion on Emerging Drugs","volume":" ","pages":"159-162"},"PeriodicalIF":2.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233678","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}
{"title":"Medical glaucoma management: what's new on the horizon?","authors":"Moon J Lee, Ali Salimi, Reza Razeghinejad","doi":"10.1080/14728214.2025.2592359","DOIUrl":"10.1080/14728214.2025.2592359","url":null,"abstract":"<p><strong>Introduction: </strong>Glaucoma is a progressive optic neuropathy with medical therapies historically focusing on topical administration of drops. Thus, large barriers to effective treatment exist, including poor medication adherence and intolerance to local adverse effects. Emerging therapies are targeted toward circumventing some of these challenges and are now focused on newer topical formulations, sustained-release implants, and more recently gene therapy.</p><p><strong>Areas covered: </strong>This review is intended to cover the existing and emerging medical therapies for glaucoma. It includes literature from searches from PubMed, published abstracts as well as press releases and company communications. Included articles were published from 1954 to 2025.</p><p><strong>Expert opinion: </strong>Several new medical therapies for glaucoma are currently in development. Emerging pharmacological and drug delivery methods have the potential to provide longer-lasting therapeutic and potentially preventative treatments for individuals with glaucoma. Further investigation is needed to determine the long-term clinical implications of such treatments for glaucoma.</p>","PeriodicalId":12292,"journal":{"name":"Expert Opinion on Emerging Drugs","volume":" ","pages":"191-208"},"PeriodicalIF":2.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145549009","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}