有临床相关的高血症风险与局部clascoterone治疗吗?
James Del Rosso1, Linda Stein Gold2, Nicholas Squittieri3
1Dr. Del Rosso is with Touro University Nevada in Henderson, Nevada.
The Journal of clinical and aesthetic dermatology
|June 26, 2023
概括
克拉斯科特 1% 奶油用于治疗,显示血清的风险很小,没有严重的不良事件. 即使在年轻的患者中,也不需要监测,尽管在12岁以下的患者中观察到更高的风险.
科学领域:
- 皮肤病学 皮肤病学
- 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:
- 克拉斯科特 1% 奶油是一种FDA批准的局部安德روج因受体抑制剂,用于.
- 治疗需要仔细考虑潜在的副作用,包括电解质失衡.
研究的目的:
- 为了评估高血症的发病率和临床意义,在接受 1% 克拉斯科特龙奶油治疗的患者中治疗.
- 为了评估clascoterone暴露和高卡利米亚的发展之间的相关性.
主要方法:
- 从I,II和III期临床研究中对治疗1%的克拉斯科特奶油的综合数据的分析.
- 评估报告的高血病病例,其严重程度,与治疗和患者人口统计的关系.
主要成果:
- 大约5%的克拉斯科特治疗患者和4%的车载治疗患者报告过高热血症.
- 没有报告过过高胆固醇血量病例作为不良事件,导致停药,或引起不良临床后果.
- 在clascoterone血度和高血症之间没有发现相关性.
- 较高频率的水平变化发生在12岁以下的患者中,这是未经批准的年龄组.
结论:
- 克拉斯科特 1% 奶油与高卡莱米亚的发病率较低有关,这通常不是临床显著的.
- 在经批准的患者群体中,对克拉斯科特 1% 奶油治疗时,不需要对水平进行实验室监测.
- 风险与益处的概况支持在12岁及以上的患者中使用克拉斯科特 1% 的奶油.
相关概念视频
Antiarrhythmic Drugs: Class I Agents as Sodium Channel Blockers
1.5K
Class I antiarrhythmic drugs are used to treat various types of arrhythmias or irregular heart rhythms. These drugs block the sodium (Na+) channels in the cardiac cells, thereby affecting the movement of electrical impulses across the heart. Class I antiarrhythmic drugs are divided into three subgroups: Class IA, Class IB, and Class IC, each with distinct mechanisms of action and effects on the heart.
Class 1A Antiarrhythmic Drugs: These drugs work by moderately blocking sodium channels,...
Class 1A Antiarrhythmic Drugs: These drugs work by moderately blocking sodium channels,...
1.5K
Antiarrhythmic Drugs: Class III Agents as Potassium Channel Blockers
1.1K
Class III antiarrhythmic drugs are a group of medications that can prolong action potentials in the heart. They achieve this by blocking potassium channels or enhancing inward currents from sodium channels. However, these drugs have a unique property of "reverse use-dependence," which is most pronounced at slower heart rates and can lead to torsades de pointes—a specific type of arrhythmia. However, it is essential to note that excessive QT interval prolongation—a measure of...
1.1K
Antihypertensive Drugs: Potassium-Sparing Diuretics
654
Liddle syndrome is a genetically inherited form of hypertension characterized by the overactivity of epithelial sodium channels in the nephron, the functional unit of the kidney. This heightened activity leads to increased sodium reabsorption and excessive excretion of potassium. To counteract this, potassium-sparing diuretics such as amiloride are used. They function by blocking these sodium channels, thereby reducing the influx of sodium into the epithelial cells and minimizing the loss of...
654
Antiarrhythmic Drugs: Class II Agents as β-Adrenergic Blockers
779
Adrenergic stimulation generally impacts cardiac rate and rhythm. Specifically, stimulation of the β-adrenoceptors triggers an increase in intracellular calcium ion influx and pacemaker currents, which may cause arrhythmias. Catecholamines like adrenaline also demonstrate β2-adrenoceptor-mediated hypokalemia, impacting cardiac action potential and disrupting the normal cardiac rhythm. Class II antiarrhythmic drugs are β-adrenoceptor antagonists or β-blockers, which...
779
Antiepileptic Drugs: Potassium Channel Activators
217
Ezocgabine or retigabine, an antiepileptic drug of remarkable efficacy, has revolutionized the management of seizures. It is a potassium channel activator, explicitly targeting the family of Q subtype potassium channels. It enhances the transmembrane potassium currents, regulating neuronal excitability. This action stabilizes the resting membrane potential, a pivotal factor in mitigating the hyperexcitability that characterizes epilepsy.
Ezogabine has gained approval as an adjunctive treatment...
Ezogabine has gained approval as an adjunctive treatment...
217
Local Anesthetics: Adverse Effects
457
While local anesthetics are generally safe and well-tolerated, they can occasionally cause adverse effects that vary in severity. Local anesthetics can induce toxicity at two distinct levels. They can either produce local effects through direct contact with the neural elements or be absorbed into the bloodstream from the injection site, leading to systemic effects.
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
457


