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E-grāmata: Advancing Therapeutic Development for Pain and Opioid Use Disorders Through Public-Private Partnerships: Proceedings of a Workshop

  • Formāts: 106 pages
  • Izdošanas datums: 22-May-2018
  • Izdevniecība: National Academies Press
  • Valoda: eng
  • ISBN-13: 9780309474023
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  • Formāts: 106 pages
  • Izdošanas datums: 22-May-2018
  • Izdevniecība: National Academies Press
  • Valoda: eng
  • ISBN-13: 9780309474023
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Chronic pain is one of the most prevalent, costly, and disabling health conditions in the United States. Estimates show that more than 11 percent of the American population suffer from chronic pain, yet the federal pain research investment has been minimal. In parallel with a gradual increased recognition of the problems of treating chronic pain, the opioid epidemic has emerged as a growing public health emergency. The intersection of these two crises lies in the fact that an unintended consequence of treating pain has been an increasing number of opioid prescriptions and diversion of drugs for illicit purposes.





In May 2017, the National Institutes of Health (NIH), and the National Institute on Drug Abuse announced a publicprivate partnership to develop solutions to the opioid crisis and cut in half the time it takes to develop non-addictive analgesics. To advance the planning of NIH's anticipated publicprivate partnerships, the National Academies' Forum on Neuroscience and Nervous Systems Disorders hosted a public workshop that brought together a diverse group of stakeholders from academia, federal agencies, advocacy organizations and companies developing therapeutics for pain and opioid use disorders. Participants discussed potential strategies to accelerate development of non-addictive pain medications and treatments for opioid use disorders. This publication summarizes the presentations and discussions from the workshop.

Table of Contents



Front Matter 1 Introduction and Background 2 Exploring Challenges to Developing Treatments for Pain and Opioid Use Disorders 3 Exploring the State of the Science and Preclinical Models for Pain Therapeutic Development 4 Clinical Development of Non-Addictive Pain Medications 5 Therapeutic Development for Opioid Use Disorders and Overdose Prevention and Reversal 6 PublicPrivate Partnerships to Advance Pain and Opioid Use Disorders Research and Development Appendix A References Appendix B Workshop Agenda Appendix C Registered Attendees
1 Introduction And Background
1(10)
Workshop Objectives
4(1)
The Public Health Impact of Pain and Opioid Use Disorders
4(1)
Selected Federal Initiatives to Address the Challenge of Treating Pain and Opioid Use Disorders and Related National Academies' Reports
5(4)
Organization of Proceedings
9(2)
2 Exploring Challenges To Developing Treatments For Pain And Opioid Use Disorders
11(6)
The Complex Experience of Pain
11(1)
Insufficient Resources to Treat Pain
12(1)
Insufficient Understanding of Pain Mechanisms
13(1)
Understanding Challenges in Conducting Clinical Trials
13(1)
The Pendulum Swing of Care: Understanding Patient Needs
14(3)
3 Exploring The State Of The Science And Preclinical Models For Pain Therapeutic Development
17(12)
Neural Circuits, Cells, and Molecular Mediators of Pain
18(1)
Preclinical Efforts to Identify Pain Targets and Treat Pain
19(10)
4 Clinical Development Of Non-Addictive Pain Medications
29(16)
Biomarkers: A Bridge to Clinical Studies
31(4)
A Targeted Approach to Therapy Development in the Clinical Space
35(3)
Preventing the Acute-to-Chronic Pain Transition
38(4)
Regulatory Challenges Related to the Approval of Pain Medications
42(3)
5 Therapeutic Development For Opioid Disorders And Overdose Prevention And Reversal
45(10)
New Treatments in Development for Opioid Use Disorders
49(3)
Therapeutic Development to Reverse Overdose
52(3)
6 Public-Private Partnerships To Advance Pain And Opioid Use Disorders Research And Development
55(14)
Public-Private Partnerships to Accelerate Development of Non-Addictive Pain Medications
57(6)
Partnerships to Address Opioid Use Disorders and Reverse Overdose
63(3)
Understanding the Role of Payers in Supporting Therapeutic Development for Pain and Opioid Use Disorders
66(1)
Final Remarks
67(2)
APPENDIXES
A References
69(8)
B Workshop Agenda
77(10)
C Registered Attendees
87