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Therapeutic Advances in Neurological Disorders
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Review: Evidence-based drug treatment in amyotrophic lateral sclerosis and upcoming clinical trials

Albert C. Ludolph

Department of Neurology, University of Ulm, Oberer Eselsberg 45, 89081 Ulm, Germany, albert.ludolph{at}rku.de

Sarah Jesse

Sarah Jesse Department of Neurology, University of Ulm, Germany

Amyotrophic lateral sclerosis/motor neuron disease is a severe neurodegenerative disease characterized by upper and lower motor neuron degeneration for which there is no truly effective treatment. Several therapies have shown promise in preclinical models of motor neuron disease; however, most of them failed in human studies, so that the noticeable progress in understanding the cellular mechanisms of motor neuron degeneration has not been matched with the development of therapeutic strategies to prevent disease progression or to extend survival longer than achieved by riluzole. We review treatment development in motor neuron disease and discuss the strengths and limitations of past as well as upcoming clinical trials.

Key Words: amyotrophic lateral sclerosis • evidence-based therapy • clinical trials

This version was published on September 1, 2009

Therapeutic Advances in Neurological Disorders, Vol. 2, No. 5, 319-326 (2009)
DOI: 10.1177/1756285609336399


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