translational antidote research: a bedside to bench tale
نویسندگان
چکیده
although antidote development should proceed in an orderly fashion from observation, to experimental and safety studies, to clinical trials, this sequence is not always precisely followed. the development of fomepizole as an antidote for toxic alcohol and glycol poisoning is an example of how this may not be the case. interest in the development of fomepizole was spurred in the 1960s. shortly thereafter studies characterized by administration to humans commenced. the potential value of fomepizole as an antidote for methanol poisoning was highlighted by primate experiments. simultaneously, the utility of fomepizole was shown in an experimental model of ethylene glycol poisoning. further studies on humans showed effectiveness of fomepizole in the treatment of disulfiram-alcohol reactions and ethylene glycol poisoning. in addition, in primate experiments, the safety of fomepizole was established as the subjects tolerated serum fomepizole concentrations over 150 times higher than therapeutic target levels. subsequent studies have validated the efficacy of fomepizole in the treatment of ethylene glycol and methanol poisonings. fomepizole has been found to be associated with fewer complications than the alternative alcohol dehydrogenase inhibitor, ethanol. in serious cases of methanol toxicity, fomepizole has been shown to improve survival compared to that obtained with ethanol.
منابع مشابه
Translational Antidote Research: A Bedside to Bench Tale
Although antidote development should proceed in an orderly fashion from observation, to experimental and safety studies, to clinical trials, this sequence is not always precisely followed. The development of fomepizole as an antidote for toxic alcohol and glycol poisoning is an example of how this may not be the case. Interest in the development of fomepizole was spurred in the 1960s. Shortly t...
متن کاملTranslational research: understanding the continuum from bench to bedside.
The process of translating basic scientific discoveries to clinical applications, and ultimately to public health improvements, has emerged as an important, but difficult, objective in biomedical research. The process is best described as a "translation continuum" because various resources and actions are involved in this progression of knowledge, which advances discoveries from the bench to th...
متن کامل3rd College of Physicians' lecture--translational research: From bench to bedside and from bedside to bench; incorporating a clinical research journey in IgA nephritis (1976 to 2006).
Translational research (TR) can be defined as research where a discovery made in the laboratory (bench) can be applied in the diagnosis, treatment or prevention of a disease. Examples of medical discoveries contributing to translational medicine (TM) include the isolation of insulin by Banting (Nobel Laureate, 1923), the discovery of penicillin by Alexander Fleming (Nobel Laureate, 1945) and re...
متن کاملBench-to-bedside research in Australian research institutes: a snapshot.
The Medical Journal of Australia ISSN: 0025-729X 1/15 December 2003 179 11/12 603-HIDDEN ©The Medical Journal of Australia 2003 www.mja.com.au The Research Enterprise DURING THE 20TH CENTURY Australians have benefited immensely from improvements in their general health and life expectancy. Our average life span has increased by 25 years, and even in the century’s dying decade we managed to gain...
متن کاملFrom bench to bedside and to health policies (and back): ethics in translational research.
INTRODUCTION The medical aim of translational research is to smooth the transition of discoveries made through basic research from the laboratory bench to their diagnostic or therapeutic applications for patients. These applications may be extended to current clinical practice and to health policies. AIM The converse is also important: health policies should provide a point of departure when ...
متن کاملمنابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
asia pacific journal of medical toxicologyجلد ۴، شماره ۱، صفحات ۹-۱۲
میزبانی شده توسط پلتفرم ابری doprax.com
copyright © 2015-2023