NICE支持Rinvoq治疗严重的活动性类风湿关节炎

2020-11-08 Allan MedSci原创

英国国家健康与护理卓越研究所(NICE)已向患有严重活动性类风湿关节炎(RA)的患者推荐了AbbVie公司的Rinvoq(upadacitinib)。

英国国家健康与护理卓越研究所(NICE)已向患有严重活动性类风湿关节炎(RA)的患者推荐了AbbVie公司的Rinvoq(upadacitinib)。如果活动性RA患者对至少两种常规抗风湿药不敏感,NICE的指南建议AbbVie的JAK抑制剂与甲氨蝶呤联合用于治疗严重活动性RA。

美国国家类风湿关节炎协会(NRAS)首席执行官克Clare Jacklin说:“目前,在英国大约有40万人患有RA,这是一种自身免疫性疾病,其免疫系统会攻击关节内膜。这会导致发炎和症状,例如疼痛,疲劳和僵硬。类风湿关节炎是一种复杂的自身免疫性疾病,可能以不同的方式影响人们。因此,治疗不可能是一种千篇一律的方法”。

她补充说:“至关重要的是,医师们必须拥有一系列可用的药物,以使他们能够根据患者的疾病类型定制治疗方案”。

AbbVie英国医疗总监Belinda Byrne说:“我们感到高兴的是,NICE委员会已经认识到Rinvoq可以为患有严重RA的人带来的价值”。

 

原始出处:

http://www.pharmatimes.com/news/nice_backs_abbvies_rinvoq_for_severe_active_rheumatoid_arthritis_1356199

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    2020-11-10 lmm397
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    2020-11-10 hb2008ye
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世界范围内的降压治疗指南仍主要以血压阈值为指导,尽管有明确的证据表明,在不同血压谱的患者中可观察到降压的效益。研究人员利用英国群众的数据对30-79岁的无心血管疾病的基础护理患者进行回顾性的队列研究,研究提供血压治疗的替代策略的影响。评估并比较了四种不同的策略,以确定治疗的资格:2011年英国国家健康与护理优化研究所(NICE)指南,或推荐的2019年NICE指南,或血压(≥140/90mmHg)

JAMA:疑似CHD的患者根据CMR指导护理1年内不必要的血管造影率较NICE指南的指导护理低

在疑似冠状动脉心脏病(CHD)患者中,有创性血管造影率过高。本研究旨在检验这一假设——疑似CHD患者中,心血管磁共振(CMR)指导护理在减少不必要的检查上优于英国国家卫生与临床优化研究所(NICE)的指南推荐的护理和心肌灌注显像(MPS)指导护理。 此多中心,3个平行组,随机临床试验在英国6家医院进行,纳入1202例有症状的疑似CHD的患者,CHD检测可能性为10%-90%。第一个随机组是在