3期临床试验证实,武田的整合素单抗Entyvio治疗溃疡性结肠炎优于抗肿瘤坏死因子单抗修美乐

2019-03-11 不详 MedSci原创

在溃疡性结肠炎(UC)的试验中,武田制药Takeda的Entyvio的表现优于艾伯维AbbVie的Humira,这是该疾病领域里首次进行的生物药物的头对头比较临床试验。

溃疡性结肠炎(UC)的试验中,武田制药Takeda的Entyvio表现优于艾伯维AbbVie的Humira,这是该疾病领域里首次进行的生物药物头对头比较临床试验。

VARSITY临床研究在UC严重的患者中,将抗整合素抗体Entyvio(维多利珠单抗)与抗肿瘤坏死因子单抗(阿达木单抗,Humira)进行了比较。

一年后,接受每两个月静脉注射一次Entyvio治疗的患者中有31.3%处于炎症性肠病的缓解期,相比之下每隔一周接受Humira治疗的患者处于缓解期的占22.5%。

Entyvio治疗的粘膜愈合率也高于Humira,分别为39.7%和27.7%,并且Entyvio治疗患者使用皮质类固醇的趋势也减少。

牛津大学医院NHS基金会顾问Simon Travis教授说:"治疗溃疡性结肠炎的目标就是实现临床缓解和粘膜愈合。这项具有里程碑意义的研究很可能为中度至重度活动性溃疡性结肠炎患者提供一线治疗方案。"

Takeda还开发了Entyvio的皮下制剂,该制剂已达到3期临床阶段,在新的适应症如移植物抗宿主病(GVHD)中进行评价。

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    2020-02-23 nymo
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createdName=andy2087, createdTime=Fri Jul 12 02:31:00 CST 2019, time=2019-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1675481, encodeId=1e9916e548135, content=<a href='/topic/show?id=789a682239' target=_blank style='color:#2F92EE;'>#Entyvio#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6822, encryptionId=789a682239, topicName=Entyvio)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=014b27239638, createdName=smallant2011, createdTime=Mon Mar 25 22:31:00 CST 2019, time=2019-03-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1362938, encodeId=4f811362938d2, content=<a href='/topic/show?id=b723414321c' target=_blank style='color:#2F92EE;'>#坏死#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41432, 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channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57814, encryptionId=210e5e814f2, topicName=整合素)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智智灵药, createdTime=Wed Mar 13 11:31:00 CST 2019, time=2019-03-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1485472, encodeId=d50414854e2e5, content=<a href='/topic/show?id=3879828e19d' target=_blank style='color:#2F92EE;'>#肿瘤坏死因子#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82871, encryptionId=3879828e19d, topicName=肿瘤坏死因子)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=43077999209, createdName=ms7524819409032184, createdTime=Wed Mar 13 11:31:00 CST 2019, time=2019-03-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1517242, encodeId=20c1151e2428d, content=<a href='/topic/show?id=a0176333892' target=_blank style='color:#2F92EE;'>#武田#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=63338, encryptionId=a0176333892, topicName=武田)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f6da11069119, createdName=12498f17m69暂无昵称, createdTime=Wed Mar 13 11:31:00 CST 2019, time=2019-03-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1559808, encodeId=19be155980800, content=<a href='/topic/show?id=61785564089' target=_blank style='color:#2F92EE;'>#抗肿瘤坏死因子#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=55640, encryptionId=61785564089, topicName=抗肿瘤坏死因子)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1e7415021136, createdName=zblhy, createdTime=Wed Mar 13 11:31:00 CST 2019, time=2019-03-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1565817, encodeId=c6fa156581e58, content=<a href='/topic/show?id=61785564089' target=_blank style='color:#2F92EE;'>#抗肿瘤坏死因子#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=55640, encryptionId=61785564089, topicName=抗肿瘤坏死因子)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1e7415021136, createdName=zblhy, createdTime=Wed Mar 13 11:31:00 CST 2019, time=2019-03-13, status=1, ipAttribution=)]
    2019-03-13 millore
  5. 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time=2019-03-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1565817, encodeId=c6fa156581e58, content=<a href='/topic/show?id=61785564089' target=_blank style='color:#2F92EE;'>#抗肿瘤坏死因子#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=55640, encryptionId=61785564089, topicName=抗肿瘤坏死因子)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1e7415021136, createdName=zblhy, createdTime=Wed Mar 13 11:31:00 CST 2019, time=2019-03-13, status=1, ipAttribution=)]
  6. [GetPortalCommentsPageByObjectIdResponse(id=1695073, encodeId=f72c16950e354, content=<a href='/topic/show?id=c76e6645438' target=_blank style='color:#2F92EE;'>#溃疡性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66454, encryptionId=c76e6645438, topicName=溃疡性)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=787129789891, createdName=nymo, createdTime=Sun Feb 23 11:31:00 CST 2020, time=2020-02-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1911235, encodeId=176b1911235dc, content=<a href='/topic/show?id=18171289d6' target=_blank style='color:#2F92EE;'>#3期临床#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1289, encryptionId=18171289d6, topicName=3期临床)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d275294, 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  7. 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西安杨森旗下类克为中国溃疡性结肠炎提供生物制剂新选择

西安杨森制药有限公司今日宣布国家药品监督管理局已批准类克®(REMICADE®),即注射用英夫利西单抗,对于接受传统治疗效果不佳、不耐受或有医学禁忌的中重度活动性溃疡性结肠炎成年患者,可用于减轻症状和体征、诱导并维持临床缓解和粘膜愈合、使患者减少或停止使用糖皮质激素[1]。这是中国首个获批用于治疗溃疡性结肠炎的生物制剂。西安杨森制药有限公司今日宣布国家药品监督管理局已批准类克 ®对于接受传统治疗效

错综复杂丨与克罗恩病和溃疡性结肠炎极其相似的三种肠病

简女士60岁时,因为持续半年的严重腹泻生活发生了重大变化。她每天上厕所的次数达12次之多,连晚上都得爬起来上厕所。

GUT:肠噬菌体与溃疡性结肠炎

研究证实,粘膜病毒菌群的功能改变是溃疡性结肠炎的重要特征,表现为短尾状病毒噬菌体的富集、噬菌体功能增强以及病毒-细菌稳态的破坏

Am J Hematol:儿童溃疡性结肠炎发作相关贫血 口服补铁就可搞定?

缺铁性贫血(IDA)是炎性肠病(IBD)患者最常见的肠外实验室检查表现,包括溃疡性结肠炎(UC)和克罗恩氏病(CD)。炎性肠病儿童患者持续性贫血可造成生长和发育的降低,意识受损和生活质量的下降。因此,采用安全和成本效果的治疗在解决儿童炎性肠病治疗的可改变方面上是重要的。2018年12月,发表在《Am J Hematol》的一项研究调查了,口服铁补充治疗儿童溃疡性结肠炎发作相关贫血的有效性。

Lancet Gastroen Hepatol:轻中度溃疡性结肠炎药物治疗方案效果评估

研究认为对于活动性轻中度溃疡性结肠炎患者,高剂量美沙拉嗪以及5-氨基水杨酸类的诱导期治疗效果优于美沙拉嗪标准治疗,但治疗进入维持期后上述疗法的效果差异不显著

Liver Int:肝移植受者结直肠癌的发病率和预后:8115例患者的国家多中心分析

肝移植并不能增加结直肠癌的发病风险。原发性硬化性胆管炎/溃疡性结肠炎肝移植患者发生结直肠癌的风险明显高于一般人群,在诊断时有较高比例,的病人处于疾病晚期,病人的存活率降低。