The DOI matches its Crossref record; 3 of the 3 references it cites were found in a registry or an index.
Clinical trials with neuroprotective drugs in acute ischaemic stroke: are we doing the right thing?
Open accessAbstract
Ischaemic stroke is a leading cause of death and long-lasting disability. Several neuroprotective drugs have been developed that have the potential to limit ischaemic brain damage and improve outcome for patients. While promising results with these drugs have been achieved in animal stroke models, all Phase III trials conducted so far indicate that these drugs have failed to live up to their promise. Despite the limits of animal models, which cannot mimic the clinical situation, the disappointing results of neuroprotective trials might largely be due to methodological problems. Future trials with neuroprotective drugs should be performed in stroke (care) units, after sufficient information regarding therapeutic time window, dosage, duration of therapy and safety has been gathered from pilot studies, and a better selection of target patients has been made. Much of this information can now be obtained by techniques that visualize the penumbra, such as combined diffusion-weighted and perfusion MRI. Consideration should also be given to clinical trials with well-designed combinations of treatments.
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Cites
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Molecular characterization of mitochondrial apoptosis-inducing factor
Susin, S. A., Lorenzo, H. K., Zamzami, N., Marzo, I., Snow, B. E., Brothers, G. M., Mangion, J., Jacotot, E., Costantini, P., Loeffler, M., et al. (1999) · Nature · doi:10.1038/17135 · Cited by 4,060
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Cited by
NMDA receptor subunits: diversity, development and disease
Cull-Candy, S., Brickley, S., & Farrant, M. (2001) · Current Opinion in Neurobiology · doi:10.1016/s0959-4388(00)00215-4 · Cited by 1,694
Durukan, A., & Tatlisumak, T. (2007) · Pharmacology Biochemistry and Behavior · doi:10.1016/j.pbb.2007.04.015 · Cited by 730
Shih, A. Y., Li, P., & Murphy, T. H. (2005) · The Journal of Neuroscience · doi:10.1523/jneurosci.4014-05.2005 · Cited by 413
γ‐Aminobutyric acidA neurotransmission and cerebral ischemia
Schwartz‐Bloom, R. D., & Sah, R. (2001) · Journal of Neurochemistry · doi:10.1046/j.1471-4159.2001.00274.x · Cited by 323
Targeting acute ischemic stroke with a calcium-sensitive opener of maxi-K potassium channels
Gribkoff, V. K., Starrett, J. E., Dworetzky, S. I., Hewawasam, P., Boissard, C. G., Cook, D. A., Frantz, S. W., Heman, K., Hibbard, J. R., Huston, K., et al. (2001) · Nature Medicine · doi:10.1038/86546 · Cited by 311
Metadata
- Authors
- De Keyser, J., Sulter, G., & Luiten, P. G.
- Venue
- Trends in Neurosciences
- Publisher
- Elsevier BV
- Published
- 1999-12
- Volume
- 22
- Issue
- 12
- Pages
- 535-540
- ISSN
- 0166-2236 (ISSN-L)
- OpenAlex
- W2093421851
- Cited by
- 374
- References
- 3
- FWCI
- 6.03
- Type
- journal article
- Language
- en
- Open access
- hybrid
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- De Keyser, J., Sulter, G., & Luiten, P. G. (1999). Clinical trials with neuroprotective drugs in acute ischaemic stroke: are we doing the right thing? Trends in Neurosciences. https://doi.org/10.1016/s0166-2236(99)01463-0
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