在有限的皮肤全身性硬化症和间歇性肺病患者中,宁泰达尼布的作用
Yannick Allanore1, Dinesh Khanna2, Vanessa Smith3
1Department of Rheumatology, Paris Cité University, APHP, Cochin Hospital, Paris, France.
在患有系统性硬化症相关的间歇性肺病 (SSc-ILD) 的患者中,丁丁达尼布显示肺功能下降的速度较慢. 这种抗纤维菌疗法在这种患者群体中为管理渐进性纤维化的ILD提供了潜在的治疗益处.
科学领域:
- 肺部病理学 肺部病理学
- 类风湿病学 类风湿病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 系统性硬化症 (SSc) 可以导致间歇性肺病 (ILD),这是导致发病率和死亡率的重要原因.
- 局限性皮肤系统性硬化 (lcSSc) 是SSc的一种亚型,也可能涉及肺部.
- 渐进性纤维化的ILD在lcSSc.患者中构成了重大的临床挑战.
研究的目的:
- 评估宁泰达尼布对lcSSc和ILD患者肺功能的长期影响.
- 在lcSSc.c的背景下调查ILD的疾病过程.
- 为了评估宁泰达尼布在减缓肺功能下降的有效性,在这个特定的患者群体.
主要方法:
- 在SENSCIS试验中,SSc-ILD的患者随机分别接受宁泰达尼布或安慰剂.
- 完成SENSCIS的符合条件的患者进入了开放式扩展研究SENSCIS-ON,接受了nintedanib.
- 强迫性生命能力 (FVC) 衰退在最初的试验和延伸研究中都在52周内被测量.
主要成果:
- 在SENSCIS试验中,与安慰剂组 (-74.5毫升/年) 相比,忍丹尼布组 (-49.1毫升/年) 的FVC下降速度较慢.
- 在52周,接受宁泰达尼布治疗的患者与安慰剂治疗的患者,FVC的平均变化不那么明显.
- 在SENSCIS-ON扩展中,转换为忍丹尼布或继续服用的患者表现出类似的FVC变化,表明持续的益处.
结论:
- 丁丁达尼布有效地减缓了lcSSc和ILD患者肺功能下降的速度.
- 这些发现支持宁泰达尼布作为治疗治疗肺纤维化在lcSSc的治疗选择.
- 使用宁泰达尼布向肺纤维化可以帮助在SSc-ILD患者中保持肺功能.
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