使用增生激素受体对抗剂 pegvisomant 长期治疗壮症
A J van der Lely1, R K Hutson, P J Trainer
1Erasmus Medical Centre Rotterdam, 40 Dr Molewaterplein, 3015 GD, Rotterdam, Netherlands. vanderlely@inw3.azr.nl
在大多数患者中,Pegvisomant通过使胰岛素样生长因子-1 (IGF-1) 水平正常化,有效地治疗壮症. 这种生长激素受体抗剂在长期治疗壮症时显示出持续的疗效和安全性.
科学领域:
- 内分泌学 在内分泌学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 巨症是一种由生长激素过量引起的疾病.
- 佩格维索曼特是一种新型的生长激素受体抗剂.
研究的目的:
- 评估Pegvisomant在壮病患者的长期疗效和安全性.
- 评估Pegvisomant对IGF-1,生长激素和瘤体积的影响.
主要方法:
- 160名壮病患者每天接受皮下注射佩格维索曼特.
- 通过IGF-1,生长激素和瘤体积 (MRI) 在长达18个月的时间内评估有效性.
- 安全性分析包括160名患者,其中一些接受每周注射.
主要成果:
- 97%的患者在12个月后达到正常IGF-1水平.
- 血清IGF-1显著下降 (p<0.001),而生长激素增加.
- 瘤体积显示非显著下降;胰岛素和葡萄糖水平显著下降.
- 两名患者患有瘤生长,另外两名患者肝酶水平升高.
结论:
- 佩格维索曼 (Pegvisomant) 是一种有效的治疗壮症的药物.
- 长期治疗使IGF-1正常化并改善代谢参数.
- 佩格维索曼特 (Pegvisomant) 提供了一种可行的治疗选择,用于巨病的管理.
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