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Expanding rare disease drug trials based on shared molecular etiology

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Current clinical trial approaches in rare disease test one drug on one indication defined by a clinical phenotype. For targeted drugs, grouping patients by molecular etiology would make much more sense.

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Figure 1: Benefits of grouping by molecular etiology.

References

  1. Mort, M., Ivanov, D., Cooper, D.N. & Chuzhanova, N.A. Hum. Mutat. 29, 1037–1047 (2008).

    Article  CAS  Google Scholar 

  2. Peltz, S.W., Morsy, M., Welch, E.M. & Jacobson, A. Annu. Rev. Med. 64, 407–425 (2013).

    Article  CAS  Google Scholar 

  3. Auld, D.S., Thorne, N., Maguire, W.F. & Inglese, J. Proc. Natl. Acad. Sci. USA 106, 3585–3590 (2009).

    Article  CAS  Google Scholar 

  4. McElroy, S.P. et al. PLoS Biol. 11, e1001593 (2013).

    Article  CAS  Google Scholar 

  5. Wilschanski, M. et al. Eur. Respir. J. 38, 59–69 (2011).

    Article  CAS  Google Scholar 

  6. Kuschal, C., Digiovanna, J.J., Khan, S.G., Gatti, R.A. & Kraemer, K.H. Proc. Natl. Acad. Sci. USA 110, 19483–19488 (2013).

    Article  CAS  Google Scholar 

  7. Du, L. et al. J. Exp. Med. 206, 2285–2297 (2009).

    Article  CAS  Google Scholar 

  8. Nudelman, I. et al. J. Med. Chem. 52, 2836–2845 (2009).

    Article  CAS  Google Scholar 

  9. Dietz, H.C. N. Engl. J. Med. 363, 852–863 (2010).

    Article  CAS  Google Scholar 

  10. Linde, L. & Kerem, B. Trends Genet. 24, 552–563 (2008).

    Article  CAS  Google Scholar 

  11. Keeling, K.M. & Bedwell, D.M. Wiley Interdiscip. Rev. RNA 2, 837–852 (2011).

    Article  CAS  Google Scholar 

  12. Kuzmiak, H.A. & Maquat, L.E. Trends Mol. Med. 12, 306–316 (2006).

    Article  CAS  Google Scholar 

  13. Keeling, K.M. et al. PLoS ONE 8, e60478 (2013).

    Article  CAS  Google Scholar 

  14. Lindquist, S.L. & Kelly, J.W. Cold Spring Harb. Perspect. Biol. 3, a004507 (2011).

    Article  Google Scholar 

  15. Amaral, M.D. & Farinha, C.M. Curr. Pharm. Des. 19, 3497–3508 (2013).

    Article  CAS  Google Scholar 

  16. Parenti, G. EMBO Mol. Med. 1, 268–279 (2009).

    Article  CAS  Google Scholar 

  17. Bemporad, F. & Chiti, F. Chem. Biol. 19, 315–327 (2012).

    Article  CAS  Google Scholar 

  18. Balch, W.E., Morimoto, R.I., Dillin, A. & Kelly, J.W. Science 319, 916–919 (2008).

    Article  CAS  Google Scholar 

  19. Wang, F., Song, W., Brancati, G. & Segatori, L. J. Biol. Chem. 286, 43454–43464 (2011).

    Article  CAS  Google Scholar 

  20. Yang, C. et al. Proc. Natl. Acad. Sci. USA 111, 249–254 (2014).

    Article  CAS  Google Scholar 

  21. Mu, T.W., Fowler, D.M. & Kelly, J.W. PLoS Biol. 6, e26 (2008).

    Article  Google Scholar 

  22. Garber, K. Nat. Biotechnol. 31, 189 (2013).

    Article  CAS  Google Scholar 

  23. Quintana-Gallego, E., Delgado-Pecellín, I. & Calero Acuña, C. Arch. Bronconeumol. 50, 146–150 (2014).

    Article  Google Scholar 

  24. Myerowitz, R. Hum. Mutat. 9, 195–208 (1997).

    Article  CAS  Google Scholar 

  25. Hruska, K.S., LaMarca, M.E., Scott, C.R. & Sidransky, E. Hum. Mutat. 29, 567–583 (2008).

    Article  CAS  Google Scholar 

  26. Mossé, Y.P. et al. Lancet Oncol. 14, 472–480 (2013).

    Article  Google Scholar 

  27. Pichavant, C. et al. Mol. Ther. 19, 830–840 (2011).

    Article  CAS  Google Scholar 

  28. Hoffman, E.P. & Connor, E.M. Discov. Med. 16, 233–239 (2013).

    PubMed  Google Scholar 

  29. Nakamura, K., Hattori, K. & Endo, F. Am. J. Med. Genet. C. Semin. Med. Genet. 157, 63–71 (2011).

    Article  CAS  Google Scholar 

  30. Kulkarni, A. & Wilson, D.M. III. Am. J. Hum. Genet. 82, 539–566 (2008).

    Article  CAS  Google Scholar 

  31. Xu, M. et al. J. Biol. Chem. 287, 39349–39360 (2012).

    Article  CAS  Google Scholar 

  32. Anderson, S.L. & Rubin, B.Y. Biochem. Biophys. Res. Commun. 336, 150–156 (2005).

    Article  CAS  Google Scholar 

  33. Axelrod, F.B. et al. Pediatr. Res. 70, 480–483 (2011).

  34. Hims, M.M. et al. J. Mol. Med. (Berl.) 85, 149–161 (2007).

    Article  CAS  Google Scholar 

  35. Wang, G.S. & Cooper, T.A. Nat. Rev. Genet. 8, 749–761 (2007).

    Article  CAS  Google Scholar 

  36. Boone, N. et al. Hum. Mutat. 33, 530–540 (2012).

    Article  CAS  Google Scholar 

  37. Rymond, B. Nat. Chem. Biol. 3, 533–535 (2007).

    Article  CAS  Google Scholar 

  38. Kazantsev, A.G. & Thompson, L.M. Nat. Rev. Drug Discov. 7, 854–868 (2008).

    Article  CAS  Google Scholar 

  39. Medina, M., Garrido, J.J. & Wandosell, F.G. Front. Mol. Neurosci. 4, 24 (2011).

    Article  CAS  Google Scholar 

  40. Cullen, V. et al. Ann. Neurol. 69, 940–953 (2011).

    Article  CAS  Google Scholar 

  41. Appelqvist, H., Wäster, P., Kågedal, K. & Öllingerm, K. J. Mol. Cell Biol. 5, 214–226 (2013).

    Article  CAS  Google Scholar 

  42. Kleta, R. & Gahl, W.A. Expert Opin. Pharmacother. 5, 2255–2262 (2004).

    Article  CAS  Google Scholar 

  43. Tuchman, M. et al. Pediatr. Res. 64, 213–217 (2008).

    Article  CAS  Google Scholar 

  44. Huang, R. et al. Sci. Transl. Med. 3, 80ps16 (2011).

    Article  Google Scholar 

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Acknowledgements

P.J.B. is also a Program Director in the Division of Metabolism and Health Effects, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, Maryland, USA.

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Correspondence to Philip J Brooks.

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Brooks, P., Tagle, D. & Groft, S. Expanding rare disease drug trials based on shared molecular etiology. Nat Biotechnol 32, 515–518 (2014). https://doi.org/10.1038/nbt.2924

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