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Brexanolone for the treatment of patients with postpartum depression

机译:Brexanolone用于治疗产后抑郁症的患者

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摘要

On March 19, 2019, the United States Food and Drug Administration (FDA) approved Zulresso (brexanolone) for intravenous use for the treatment of postpartum depression (PPD) in adult women. The decision was based on three recent clinical trials following an FDA priority review and breakthrough therapy designation. Brexanolone is now available through a restricted process called the Zulresso Risk Evaluation and Mitigation Strategy Program that requires the drug to be administered by a healthcare provider in a certified healthcare facility. Brexanolone represents an important new treatment option to address treatment-resistant depressive symptoms. In this article, we discuss the current critical need for PPD treatments, the mechanisms of brexanolone action, and the efficacy and drug safety studies that led to FDA approval. Additionally, we discuss some limitations of the current formulation, specific populations of women that might benefit from this treatment, and how new drugs on the horizon may increase the ability to treat PPD in a variety of patient populations.
机译:2019年3月19日,美国食品和药物管理局(FDA)批准了Zulresso(Brexanolone),用于治疗成人女性的产后抑郁(PPD)。该决定是基于FDA优先审查和突破治疗指定之后的三项临床试验。 Brexanolone现在可以通过称为Zulresso风险评估和缓解战略计划的限制过程,要求该药物由医疗保健提供者在经过认证的医疗保健机构中管理。 Brexanolone代表了解决抗治疗抑郁症状的重要新治疗选择。在本文中,我们讨论了目前对PPD治疗的关键需求,杏仁酮动作的机制,以及导致FDA批准的疗效和药物安全性研究。此外,我们讨论了当前制剂的一些局限性,可能受益于这种治疗的妇女的特定群体,以及如何在各种患者群体中治疗PPD的新药。

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