在五个国家的高脂血症患者中对Evolocumab使用的现实洞察力:来自ZERBINI研究的分析
Milan Gupta1, Rajvi J Wani2, Khalid Al Faraidy3
1Department of Medicine, University of Toronto and the Canadian Collaborative Research Network, 3 Conestoga Dr., Suite 200, Brampton, ON, L6Z 4N5, Canada.
Cardiology and therapy
|October 7, 2023
概括
在多样化的患者群体中,Evolocumab显著降低了低密度脂蛋白胆固醇 (LDL-C),证明了其在现实世界失脂症管理中的有效性和安全性. 在12个月内观察到高持久率.
科学领域:
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 描述了在五个国家开始使用evolocumab的患者在现实世界的临床实践中.
- 评估evolocumab治疗的治疗有效性,安全性和持续性结果.
研究的目的:
- 评估evolocumab在治疗失脂症方面的实际有效性,安全性和持续性.
- 确定实现指南推的低密度脂蛋白胆固醇 (LDL-C) 目标的患者比例.
主要方法:
- 追溯和前性观察性研究设计.
- 在2017年8月至2019年7月期间,招募了578名患者开始接受evolocumab治疗.
- 在基线和每3个月一次在开始后的12个月内从医疗记录中收集数据.
主要成果:
- 平均LDL-C从基线下降了70.2%,在12个月内保持稳定.
- 达到指导方针推的LDL-C值的高达率 (<1.8,<1.4,<1.0 mmol/L).
- 没有报告的严重不良事件;在12个月后90.2%的evolocumab持续使用.
结论:
- 埃沃洛库马布的使用与治疗失脂症的国际指导方针相一致.
- 证实了evolocumab在异质患者群体中的有效性和安全性.
- 增加了实现LDL-C目标的患者比例,解决了心血管风险降低方面的医疗保健差距.
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