Neuroprotection for Ischemic Stroke: Two Decades of Success and Failure
AUTOR(ES)
Cheng, Yu Dennis
FONTE
The American Society for Experimental NeuroTherapeutics
RESUMO
Summary: Alteplase (rt-PA) is the first therapy successfully developed for acute stroke therapy. The success of rt-PA spurred development of new avenues for acute stroke management. For the last two decades, a great deal of attention has been paid to neuroprotective therapies. Initial preclinical studies demonstrated numerous drugs are effective for treating acute stroke in animal models; however, subsequent clinical trials have been frustrating, and none of the agents has proven effective. The various outcomes of preclinical and clinical trials have been the subject of much discussion. In this article, we review some key neuroprotective trials and the possible reasons for their failures. By identifying the discrepancies between preclinical studies and clinical trials, we may be able to set guidelines for future effective trials.
ACESSO AO ARTIGO
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=534911Documentos Relacionados
- Thrombolysis for acute ischemic stroke: results of the Canadian Alteplase for Stroke Effectiveness Study
- Reducing care time after implementing protocols for acute ischemic stroke: a systematic review
- Administering antihypertensive drugs after acute ischemic stroke: timing is everything
- Serum and Dietary Magnesium and Risk of Ischemic Stroke: The Atherosclerosis Risk in Communities Study
- Two decades of ART: improving on success through further research