Semin Arthritis Rheu:卡那奴单抗治疗Schnitzler综合征的疗效和安全性

2020-06-23 xiangting MedSci原创

卡那奴单抗可以长期有效治疗Schnitzler综合征,并且安全性良好。

Schnitzler综合征是一种罕见的自身炎症性疾病,其特征是慢性荨麻疹和单克隆性丙种球蛋白病,伴有间歇性发热、骨痛、关节痛或关节炎。卡那奴单抗是一种完全人源的单克隆抗白介素-1β(IL-1β)抗体,被证明可有效治疗IL-1引起的自身炎症性疾病。

研究人员系统检索了PubMed和Embase数据库,纳入2020年3月16日以前发表的有关卡那奴单抗治疗Schnitzler综合征所有类型的研究。

2011年以来,7篇文章报道了卡那奴单抗治疗34例Schnitzler综合征。累计随访时间为253个月,5项研究的随访时间为12个月以上。58.6%的患者报告治疗期间完全应答;其他所有患者均为部分应答。23例患者报告了207个不良事件。感染(n=79)是最常见的不良事件。1例患者因非典型的分枝杆菌感染而死于败血症。

根据目前系统评价的结果,卡那奴单抗可以长期有效治疗Schnitzler综合征,并且安全性良好。

原始出处:

A Betrains. Efficacy and safety of canakinumab treatment in schnitzler syndrome: A systematic literature review. Semin Arthritis Rheu. August 2020.

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    2020-06-25 zhaojie88
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    2020-06-23 内科新手

    谢谢梅斯提供这么好的信息,学到很多

    0

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