罕见病治疗药物Crysvita未被纳入NHS

2018-06-16 MedSci MedSci原创

X连锁性低磷血症(XLH)的儿童和年轻人不太可能在NHS上获得Kyowa Kirin's Crysvita的常规访问。在指南草案中,国家健康和护理卓越研究所拒绝了NHS对该药物的资助,此前该机构得出的结论是,最可能的成本效益估计要比通常认为的高度专业化技术的价值高得多。在英国大约有250名儿童和年轻人患有XLH,这是一种遗传疾病,会导致血液中磷酸盐含量低。这导致了柔软、脆弱的骨骼,患有这种疾病的儿



X连锁性低磷血症(XLH)的儿童和年轻人不太可能在NHS上获得Kyowa Kirin's Crysvita的常规访问。

在指南草案中,国家健康和护理卓越研究所拒绝了NHS对该药物的资助,此前该机构得出的结论是,最可能的成本效益估计要比通常认为的高度专业化技术的价值高得多。

在英国大约有250名儿童和年轻人患有XLH,这是一种遗传疾病,会导致血液中磷酸盐含量低。这导致了柔软、脆弱的骨骼,患有这种疾病的儿童通常有弯曲或弯曲的腿,身材矮小,骨骼疼痛和行走迟缓,也可能有牙齿问题和听力损失。

目前的治疗主要包括补充维生素D和口服磷酸盐,旨在改善生长,减轻症状严重程度和预防骨骼异常。

Crysvita(burosumab)是一种抗FGF23全人源单克隆抗体,也是第一种针对XLH潜在病理生理学的治疗方法。

从一岁开始每隔两周给予一次注射,直到骨骼停止生长,目的是增加从肾脏重新吸收磷酸盐,并通过维生素D的生成改善肠道对钙和磷的吸收。

然而,尽管有证据表明,该药比传统疗法更有临床疗效,并为1至12岁的儿童提供了临床益处,但NICE表示,这些数据"有限且不确定",并强调了年龄较大的年轻人缺乏在13和17岁间的数据。

同时,该委员会也认识到,Crysvita可以预防不可逆的骨损伤,因此可能会带来一些终生的益处,但该机构表示,这种药物可能不会影响疾病进展的长期后果。


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    2018-08-11 fyxzlh
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    2018-06-18 syscxl
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    2018-06-18 小几洁
  5. [GetPortalCommentsPageByObjectIdResponse(id=1921712, encodeId=abbc1921e120f, content=<a href='/topic/show?id=4f0a6469837' target=_blank style='color:#2F92EE;'>#治疗药物#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64698, encryptionId=4f0a6469837, topicName=治疗药物)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c9d3459, createdName=周虎, createdTime=Wed Feb 20 00:45:00 CST 2019, time=2019-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1634189, encodeId=b134163418937, content=<a href='/topic/show?id=e487530404' target=_blank style='color:#2F92EE;'>#Crysvita#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5304, encryptionId=e487530404, topicName=Crysvita)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ef6c22086732, createdName=fyxzlh, createdTime=Sat Aug 11 06:45:00 CST 2018, time=2018-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1467328, encodeId=4db8146e3285b, content=<a href='/topic/show?id=ef32e9539e8' target=_blank style='color:#2F92EE;'>#罕见#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=79539, encryptionId=ef32e9539e8, topicName=罕见)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=29f36868190, createdName=syscxl, createdTime=Mon Jun 18 12:45:00 CST 2018, time=2018-06-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1515266, encodeId=9fce1515266a4, content=<a href='/topic/show?id=402a12e83da' target=_blank style='color:#2F92EE;'>#NHS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12783, encryptionId=402a12e83da, topicName=NHS)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=626110750337, createdName=小几洁, createdTime=Mon Jun 18 12:45:00 CST 2018, time=2018-06-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=324826, encodeId=b29432482601, content=学习一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzaiabIFicf63hKvVMjL6aJlx4yX4UcXmzX9DyibCRcicq0QtCRWMaQKh8MYjE1D3EKUBopgiaGWYuqbeR/0, createdBy=0c2b1999806, createdName=三生有幸9135, createdTime=Sun Jun 17 07:07:39 CST 2018, time=2018-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=324774, encodeId=0e58324e74ae, content=遵义市学习学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzR8ylhYfiaoAUx2BsaYHVia1IKhG3Cg8CT84rBrn6iaVRkyAibJxBcLEXabOQ5p19vWgDe34ib5ErxNgx/0, createdBy=8a701629084, createdName=jihuaijun1112, createdTime=Sun Jun 17 00:06:36 CST 2018, time=2018-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=324753, encodeId=ad69324e5325, content=了解一下.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Sat Jun 16 22:53:17 CST 2018, time=2018-06-16, status=1, ipAttribution=)]
    2018-06-17 三生有幸9135

    学习一下

    0

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    2018-06-17 jihuaijun1112

    遵义市学习学习学习

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1921712, encodeId=abbc1921e120f, content=<a href='/topic/show?id=4f0a6469837' target=_blank style='color:#2F92EE;'>#治疗药物#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64698, encryptionId=4f0a6469837, topicName=治疗药物)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c9d3459, createdName=周虎, createdTime=Wed Feb 20 00:45:00 CST 2019, time=2019-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1634189, encodeId=b134163418937, content=<a href='/topic/show?id=e487530404' target=_blank style='color:#2F92EE;'>#Crysvita#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5304, encryptionId=e487530404, topicName=Crysvita)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ef6c22086732, createdName=fyxzlh, createdTime=Sat Aug 11 06:45:00 CST 2018, time=2018-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1467328, encodeId=4db8146e3285b, content=<a href='/topic/show?id=ef32e9539e8' target=_blank style='color:#2F92EE;'>#罕见#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=79539, encryptionId=ef32e9539e8, topicName=罕见)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=29f36868190, createdName=syscxl, createdTime=Mon Jun 18 12:45:00 CST 2018, time=2018-06-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1515266, encodeId=9fce1515266a4, content=<a href='/topic/show?id=402a12e83da' target=_blank style='color:#2F92EE;'>#NHS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12783, encryptionId=402a12e83da, topicName=NHS)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=626110750337, createdName=小几洁, createdTime=Mon Jun 18 12:45:00 CST 2018, time=2018-06-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=324826, encodeId=b29432482601, content=学习一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzaiabIFicf63hKvVMjL6aJlx4yX4UcXmzX9DyibCRcicq0QtCRWMaQKh8MYjE1D3EKUBopgiaGWYuqbeR/0, createdBy=0c2b1999806, createdName=三生有幸9135, createdTime=Sun Jun 17 07:07:39 CST 2018, time=2018-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=324774, encodeId=0e58324e74ae, content=遵义市学习学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzR8ylhYfiaoAUx2BsaYHVia1IKhG3Cg8CT84rBrn6iaVRkyAibJxBcLEXabOQ5p19vWgDe34ib5ErxNgx/0, createdBy=8a701629084, createdName=jihuaijun1112, createdTime=Sun Jun 17 00:06:36 CST 2018, time=2018-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=324753, encodeId=ad69324e5325, content=了解一下.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Sat Jun 16 22:53:17 CST 2018, time=2018-06-16, status=1, ipAttribution=)]
    2018-06-16 天地飞扬

    了解一下.谢谢分享!

    0

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