JACC:阿利库单抗能减少急性冠脉综合征患者不良事件的发生

2019-01-29 MedSci MedSci原创

ODYSSEY OUTCOMES 临床研究旨在18924名急性冠脉综合征(ACS)患者中比较阿利库单抗和安慰剂联合高强度或最大耐受的他汀类药物治疗的效果,发现阿利库单抗可以减少主要终点事件和全因死亡的发生。本研究的目的旨在探究ODYSSEY OUTCOMES 临床研究中阿利库单抗能减少总体非致死性心源性死亡和全因死亡的程度。在3064例新发事件和5425例总体不良事件中,阿利库单抗组患者的新发非致

ODYSSEY OUTCOMES 临床研究旨在18924名急性冠脉综合征(ACS)患者中比较阿利库单抗和安慰剂联合高强度或最大耐受的他汀类药物治疗的效果,发现阿利库单抗可以减少主要终点事件和全因死亡的发生。本研究的目的旨在探究ODYSSEY OUTCOMES 临床研究中阿利库单抗能减少总体非致死性心源性死亡和全因死亡的程度。

在3064例新发事件和5425例总体不良事件中,阿利库单抗组患者的新发非致死性心源性事件和总体非致死性心源性事件分别减少190和385例。阿利库单抗能减少总体非致死性心源性事件(HR:0.87; 95% cl: 0.82-0.93)和死亡事件(HR:0.83; 95% cl: 0.71-0.97),另外,阿利库单抗在非致死性和致死性事件风险之间有很强的相关性。

研究结果显示,在急性冠脉综合征患者中,阿利库单抗减少的总体血管不良事件是新发血管不良事件的两倍,因此,总体心血管事件的发生更能反映阿利库单抗的临床疗效。

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    2019-10-16 hbwxf
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