Clinical translation and landscape of stimuli-responsive ...
pmc.ncbi.nlm.nih.gov
July 11, 2026, 6:46 p.m.
This comprehensive analysis examines stimuli-responsive materials in therapeutic development, reviewing over 90,000 publications and 1,000 clinical trials from 2014 to 2024. The study evaluates both external stimuli, including light, ultrasound, radiation, magnetic fields, and temperature, as well as internal triggers such as pH, redox reactions, and enzymes. Light-based therapeutics dominate the field at 44% of publications, while redox and enzyme activation lead internal stimulus applications. Emerging technologies utilizing nano- and microscale platforms show growing clinical interest in radiation, ultrasound, temperature, and magnetic actuation. The research identifies critical barriers to clinical translation, including inaccurate medical need assessment, excessive material complexity, inadequate tissue penetration, limited device accessibility, economic constraints, and adoption challenges. These findings provide essential guidance for advancing stimuli-responsive therapeutics toward successful clinical implementation.