狼疮性肾炎患者招募||患者的福音

2017-08-18 MedSci MedSci原创

狼疮性肾炎(LN)是一种较为常见的继发性肾脏疾病,主要由系统性红斑狼疮诱发(60%的系统性红斑狼疮患者可发展成此终末器官受累的疾病),诱发物质主要为双肾免疫性损害病变,对患者的肾脏损害极大,严重威胁患者的生命安全,且对其生活质量造成较大影响。环磷酰胺(CTX)用于治疗狼疮性肾炎(LN)已有几十年,随机对照临床试验(RCTs)显示CTX联合激素是LN的标注治疗。环磷酰胺(CTX)在体外无抗肿瘤活性,

狼疮性肾炎(LN)是一种较为常见的继发性肾脏疾病,主要由系统性红斑狼疮诱发(60%的系统性红斑狼疮患者可发展成此终末器官受累的疾病),诱发物质主要为双肾免疫性损害病变,对患者的肾脏损害极大,严重威胁患者的生命安全,且对其生活质量造成较大影响。

环磷酰胺(CTX)用于治疗狼疮性肾炎(LN)已有几十年,随机对照临床试验(RCTs)显示CTX联合激素是LN的标注治疗。环磷酰胺(CTX)在体外无抗肿瘤活性,进入体内后先在肝脏中经微粒体功能氧化酶转化成醛磷酰胺,而对肿瘤细胞产生细胞毒作用。同时醛磷酰胺可干扰DNA及RNA功能,它与DNA发生交叉联结,抑制DNA合成对细胞有毒害作用

 

新药介绍

他克莫司是一种大环内脂类免疫抑制剂,此前一直被应用于预防肝脏或肾脏移植术后的移植物排斥反应,并用于治疗肝脏或肾脏移植术后应用其他免疫抑制药物无法控制的移植物排斥反应。

免疫抑制剂被广泛用作狼疮性肾炎(LN)的治疗药物。与当前狼疮性的标准治疗环磷酰胺相比,他克莫司作为另一种免疫抑制剂,开发用于LN患者的治疗。其非临床和临床研究结果证实,他克莫司可改善狼疮性肾炎的症状。

全国多家大型医院正在开展一项他克莫司胶囊用于治疗狼疮性肾炎LNIII期临床研究,如您是狼疮性肾炎患者,满足下列条件,欢迎您的随时参与本次临床研究。

入选标准:

1. 年龄18-60岁之间的中国成年人, 18.5≤体重指数(BMI)<27,男女不限; 
2. 诊断为系统性红斑狼疮(依据1997年美国风湿病协会诊断标准,见附录3); 
3. 入组前24周内肾活检诊断为III, IV, V, III+V, IV+V型狼疮性肾炎(根据2003年 国际肾脏学协会和肾脏病理学协会(ISN/RPS)LN的分类); 
4. 24小时尿蛋白≥1.5g,Scr< 260umol/L (或3mg/dL); 
5. 患者本人或其法定代表人或见证人签署书面知情同意书。

医生将根据您的具体情况,进一步确认是否符合条件。符合条件者,将接受研究药物及治疗后的随访观察。该研究将为您免费提供研究药物,并免除研究中规定的检查费。

诚挚邀请各位医生推荐患者,造福患者改善患者医疗环境。需要您和我共同的努力。

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    2017-08-22 雅文博武

    学习了先进的医疗技术

    0

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    2017-08-20 villahu
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