埃普隆特森对遗传性转基因氨基化症患者心脏结构和功能的影响
Ahmad Masri1, Mathew S Maurer2, Brian L Claggett3
1Oregon Health & Science University, Portland, Oregon.
Journal of cardiac failure
|December 8, 2023
概括
埃普隆特森在患有心肌病的遗传性转基因氨基粉症 (ATTRv) 患者中改善了心脏功能. 该研究显示,与安慰剂相比,射出分数和中风体积有所改善.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
背景情况:
- 遗传性转基因氨基粉症 (ATTRv) 可以影响心脏和神经.
- 埃普隆特森是一种潜在的ATTRv治疗方法.
研究的目的:
- 评估EPLONTERSEN在患有ATTRv多神经病变的患者的心脏影响.
- 评估eplontersen对心脏结构和功能的影响.
主要方法:
- 开放标签的NEURO-TTR转换试验包括144名ATTRv患者接受eplontersen.
- 与65周内NEURO-TTR试验中的历史安慰剂组进行比较.
- 对多个基线和人口统计因素进行调整的分析.
主要成果:
- 在心肌病小组中,eplontersen使左心室喷射率提高了4.3% (P=.049).
- 与安慰剂相比,Eplontersen增加了10.64毫升 (P=.002) 的中风体积.
- 其他心声回声学参数保持稳定.
结论:
- 在ATTRv心肌病患者中,Eplontersen表明心脏结构和功能稳定或改善.
- 在CARDIO-TTRansform试验中,对 transthyretin amyloid心肌病的eplontersen的进一步研究正在进行中.
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