JAK1抑制剂新突破!溃疡性结肠炎新药filgotinib达到试验主要终点

2020-05-21 Allan MedSci原创

Gilead和Galapagos近日公布了研究性JAK1抑制剂filgotinib治疗中度至重度活动性溃疡性结肠炎(UC)的IIb / III期研究(SELECTION研究)的所有主要终点。

Gilead和Galapagos近日公布了研究性JAK1抑制剂filgotinib治疗中度至重度活动性溃疡性结肠炎(UC)的IIb / III期研究(SELECTION研究)的所有主要终点。Gilead首席医学官Merdad Parsey说:“我们对filgotinib作为诱导疗法的早期反应和作为维持疗法的持久疗效感到鼓舞。filgotinib有望帮助越来越多的患者通过口服疗法实现持久治疗效果”。

该试验招募了1348例中度至重度活动性溃疡性结肠炎患者,他们被随机分为filgotinib组或安慰剂组。主要终点是评估filgotinib治疗UC患者直肠出血的功效。结果表明,200mg剂量的filgotinib达到了研究的所有主要终点,在第10周时诱导了临床缓解,并一直维持到58周。在研究的诱导和维持阶段,各治疗组的严重感染、带状疱疹、静脉血栓形成、肺栓塞和胃肠道穿孔的发生率均较低。

 

原始出处:

https://www.firstwordpharma.com/node/1726265?tsid=4

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    2020-11-24 nymo
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    2021-03-13 zxxiang
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    2020-09-02 jklm09
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溃疡性结肠炎(UC)是一种难治的慢性炎症性肠病(IBD),其特征是严重的腹泻、体重异常减轻、大便带血、腹痛和疲劳。 UC的炎症反应主要存在于结肠和直肠的粘膜和粘膜下层,其发病机制多样,且与遗传易感性、

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【热点解读】溃疡性结肠炎中医诊疗指南(2023)

目前现代医学常用的治疗药物以氨基水杨酸制剂、糖皮质激素、免疫抑制剂、生物制剂等为主,但以上药物存在疗效不稳定、停药后易复发、长期使用易出现不良反应及药物依赖等问题。

Nat Commun:中国药科大学胡庆华等团队合作发现溃疡性结肠炎治疗的潜在新靶点

该研究阐明了P2Y14R参与溃疡性结肠炎的一个未知机制,为炎症性肠病提供了一个有前景的治疗靶点。

J Ethnopharmacol:半夏泻心汤调节肠道菌群及肠道菌群代谢减轻溃疡性结肠炎

揭示半夏泻心汤(BXD)对溃疡性结肠炎(UC)的有益影响与肠道菌群组成之间的相关性。

ECCO 2024:乌司奴单抗治疗溃疡性结肠炎的短期和长期有效性与安全性:ULISES 研究

即使是难治性溃疡性结肠炎患者,乌司奴单抗也能有效诱导病情缓解。有部分患者中断了治疗,主要原因是初治失败和失去应答。在失去应答后,增加剂量可能会有效恢复应答,其安全性与之前的报告相似。

Gut:1岁时的优质饮食可能会抑制患炎症性肠病的风险

饮食质量高的 1 岁儿童,尤其是大量摄入鱼类和蔬菜的儿童,未来患 IBD 的风险降低。相比之下,在生命早期摄入含糖饮料与IBD风险增加有关。

Aging:痛泻要方通过调节MAPK/AKT信号通路治疗溃疡性结肠炎的网络药理学研究

探讨痛泻药方(TXYF)对溃疡性结肠炎(UC)的作用机理。