婴儿乌斯特基努马布清除,感染风险和在怀孕期间暴露后的发育
Mette Julsgaard1, Jantien W Wieringa2, Simon M D Baunwall3
1Department of Hepatology and Gastroenterology, Aarhus University Hospital, Aarhus, Denmark; Center for Molecular Prediction of Inflammatory Bowel Disease, Department of Clinical Medicine, Aalborg University, Copenhagen, Denmark.
概括
怀孕期间暴露于乌斯特基努马布并没有对婴儿结果产生不良影响. 婴儿的乌斯特基努马布清除时间大约为6.7个月,这表明活体减弱疫苗从6个月开始是安全的.
科学领域:
- 免疫学 免疫学 免疫学
- 药理学 药理学是指药理学的学科.
- 儿科 儿科 儿科
背景情况:
- 乌斯特基努马布在怀孕期间用于炎症性肠病 (IBD).
- 关于乌斯特基努马布在新生儿中的安全性和清除的数据有限.
研究的目的:
- 为了评估带血中乌斯提尼努马布度.
- 为了确定产后婴儿清除率.
- 为了将药物水平与母体度,感染风险和婴儿发育相关联.
主要方法:
- 在19家医院 (2018-2022) 中对孕妇IBD患者进行前性研究.
- 在出生和随访时测量婴儿和母亲血清中乌斯特基努马布水平.
- 评估婴儿感染和发育里程碑;用于清除估计的非线性回归.
主要成果:
- 78名婴儿没有出现不良妊娠结果或发育迟缓.
- 在出生时,ustekinumab的中位婴儿对母亲比率为2.18.
- 平均婴儿清除时间为6.7个月;25%的婴儿在6个月后达到最低水平.
- 根据ustekinumab度,感染率没有差异.
结论:
- 在怀孕后果,感染和发育方面,子宫内乌斯特基努马布暴露似乎是安全的.
- 婴儿的乌斯特基努马布水平与感染风险没有相关性.
- 由于药物的清除特征,活体减弱疫苗在6个月后似乎是安全的.
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