Investigational agents for autosomal dominant polycystic kidney disease: preclinical and early phase study insights

Expert Opin Investig Drugs. 2024 May;33(5):469-484. doi: 10.1080/13543784.2024.2342327. Epub 2024 Apr 21.

Abstract

Introduction: Autosomal Dominant Polycystic Kidney Disease (ADPKD) is the most common inherited kidney condition caused by a single-gene mutation. It leads patients to kidney failure in more than 50% of cases by the age of 60, and, given the dominant inheritance, this disease is present in the family history in more than 90% of cases.

Areas covered: This review aims to analyze the set of preclinical and early-phase studies to provide a general view of the current progress on ADPKD therapeutic options. Articles from PubMed and the current status of the trials listed in clinicaltrials.gov were examined for the review.

Expert opinion: Many potential therapeutic targets are currently under study for the treatment of ADPKD. A few drugs have reached the clinical phase, while many are currently still in the preclinical phase. Organoids could be a novel approach to the study of drugs in this phase. Other than pharmacological options, very important developing approaches are represented by gene therapy and the use of MiRNA inhibitors.

Keywords: ADPKD; cystogenesis; drugs; polycystic; preclinical; therapies.

Publication types

  • Review

MeSH terms

  • Animals
  • Drug Development*
  • Drugs, Investigational* / pharmacology
  • Genetic Therapy* / methods
  • Humans
  • MicroRNAs / genetics
  • Mutation
  • Polycystic Kidney, Autosomal Dominant* / drug therapy
  • Polycystic Kidney, Autosomal Dominant* / genetics
  • Polycystic Kidney, Autosomal Dominant* / pathology
  • Polycystic Kidney, Autosomal Dominant* / physiopathology

Substances

  • Drugs, Investigational
  • MicroRNAs