Translational Failure in Neurodegeneration: What Two Decades of Negative Trials Should Change About Target Selection

Authors

  • Neza Zupanic Department of Neurology, Posavje Institute of Translational Medicine, Krsko, Slovenia Author
  • Alexandra Chirica Centre for Preclinical Modelling, Harghita Institute of Translational Medicine, Miercurea Ciuc, Romania Author
  • Guro Haugsdal Centre for Biomarker Development, Salten Centre for Experimental Therapeutics, Fauske, Norway Author

DOI:

https://doi.org/10.5281/zenodo.22649321

Keywords:

Translational Failure in Neurodegeneration; Translational medicine;, Evidence synthesis; Clinical implementation, Health services research

Abstract

Translational Failure in Neurodegeneration is an area of active development in translational medicine, with evidence that has
accumulated unevenly across its component questions. We review the current evidence base for translational failure in
neurodegeneration, spanning analytical, clinical, implementation, governance, and economic dimensions, focusing on where
practice has converged and where it continues to vary, and set out the practical considerations relevant to a service considering
its adoption. We conclude that selective, context-specific use is best supported by the evidence currently available, rather than
uniform adoption or avoidance.

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Hendriksen W, Wojcik H, et al. "Translational Failure in Neurodegeneration: a validation study". N Engl J Med 42(2017): 487-494. DOI: 10.2196/48633

Ionescu F, Foscarini I, et al. "Translational Failure in Neurodegeneration: a scoping review". JAMA 44(2020): 498-506. DOI: 10.1371/journal.pone.0305949

Jankowiak G, Grabowski J, et al. "Translational Failure in Neurodegeneration: a health-economic analysis". Nat Med 46(2023): 509-518. DOI: 10.1371/journal.pdig.0000514

Kowalczyk N, Novotna K, et al. "Translational Failure in Neurodegeneration: a systematic review". Cell Rep Med 8(2011): 520-530. DOI: 10.17219/acem/208596

Lindqvist U, Urbanek L, et al. "Translational Failure in Neurodegeneration: a methodological appraisal". Clin Transl Sci 10(2014): 531-542. DOI: 10.7759/cureus.104086

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Published

2025-01-11

How to Cite

Translational Failure in Neurodegeneration: What Two Decades of Negative Trials Should Change About Target Selection. (2025). Translational Medicine & Therapeutics Journal, 4(1), 1-9. https://doi.org/10.5281/zenodo.22649321

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