Evidence map›Paper›PMID 27535968›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2016

Strategies and Challenges in Clinical Trials Targeting Human Aging.

John C Newman, Sofiya Milman, Shahrukh K Hashmi, Steve N Austad, James L Kirkland, Jeffrey B Halter, Nir Barzilai

Abstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

82 citing papers in PubMed.

  1. Trial
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  16. Article
  17. Frailty Resilience Score: A Novel Measure of Frailty Resilience Associated With Protection From Frailty and Survival.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023
    Article
  18. Review
  19. Review
  20. Article

22 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

John C NewmanDivision of Geriatrics, University of California San Francisco.
Sofiya MilmanDepartment of Medicine, Division of Endocrinology and.
Shahrukh K HashmiDepartment of Hematology and Transplant Center, Mayo Clinic, Rochester, Minnesota.
Steve N AustadDepartment of Biology, University of Alabama at Birmingham.
James L KirklandRobert and Arlene Kogod Center on Aging, Mayo Clinic, Rochester, Minnesota.
Jeffrey B HalterGeriatrics Center and Institute of Gerontology, University of Michigan, Ann Arbor.
Nir BarzilaiDepartment of Medicine, Division of Endocrinology and nir.barzilai@einstein.yu.edu.

Funding

Translational Research CoreP30DK020541 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI STREAMSON C CHUA · 2015 to 2026
$27.7M
Core-010UL1TR001073 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, SHAMOON, HARRY · 2013 to 2017
$21.3M
Sex hormones and arthritis in a long lived animal modelP30AG050886 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DAVID B ALLISON · 2015 to 2026
$11.3M
Einstein's Nathan Shock Center of Excellence in Basic Biology of AgingP30AG038072 · NIA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI BARZILAI, NIR J · 2010 to 2024
$10.8M
Epigenetic regulation of healthspan and longevity by ketone bodiesK08AG048354 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI NEWMAN, JOHN C · 2014 to 2018
$972k
Geroscience NetworkR24AG044396 · NIA · MAYO CLINIC ROCHESTER · PI KIRKLAND, JAMES L. · 2013 to 2015
$684k
NCATS NIH HHS UL1 TR001073NIA NIH HHS K08 AG048354NIA NIH HHS P30 AG038072NIA NIH HHS P30 AG050886NIA NIH HHS R24 AG044396NIDDK NIH HHS P30 DK020541
6 · The paper itself

Abstract

Interventions that target fundamental aging processes have the potential to transform human health and health care. A variety of candidate drugs have emerged from basic and translational research that may target aging processes. Some of these drugs are already in clinical use for other purposes, such as metformin and rapamycin. However, designing clinical trials to test interventions that target the aging process poses a unique set of challenges. This paper summarizes the outcomes of an international meeting co-ordinated by the NIH-funded Geroscience Network to further the goal of developing a translational pipeline to move candidate compounds through clinical trials and ultimately into use. We review the evidence that some drugs already in clinical use may target fundamental aging processes. We discuss the design principles of clinical trials to test such interventions in humans, including study populations, interventions, and outcomes. As examples, we offer several scenarios for potential clinical trials centered on the concepts of health span (delayed multimorbidity and functional decline) and resilience (response to or recovery from an acute health stress). Finally, we describe how this discussion helped inform the design of the proposed Targeting Aging with Metformin study.

Indexed as

AgingBiomedical ResearchClinical Trials as TopicDrug EvaluationAcarboseAnimalsAnti-Bacterial AgentsCongresses as TopicDisease Models, AnimalGlycoside Hydrolase InhibitorsHumansHypoglycemic AgentsMetforminResearch DesignSirolimusAcarboseAnti-Bacterial AgentsGlycoside Hydrolase InhibitorsHypoglycemic AgentsMetforminSirolimusAcarboseAgingClinical trialsMetforminRapamycin

Identifiers

PMID27535968
PMCPMC5055653

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.