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阿布罗西提尼布,特拉洛基努马布和乌帕达西提尼布用于治疗中度至重度的亚托皮炎
Steven J Edwards1, Charlotta Karner2, Tracey Jhita3
1Director of Health Technology Assessment, BMJ-TAG, BMJ, BMA House, Tavistock Square, London, UK.
Health technology assessment (Winchester, England)
|February 12, 2024
概括
对亚托皮性皮炎的新系统疗法显示出不同的有效性. 阿布罗西提尼布和阿帕达西提尼布可能比目前的治疗更有效,而特拉洛金努马布则为中度至重度湿疹提供成本节省.
科学领域:
- 皮肤病学 皮肤病学
- 药物经济学 药物经济学
- 系统审查是系统的审查.
背景情况:
- 亚托皮炎是一种慢性炎症性皮肤疾病,导致皮肤干燥,发.
- 它通常影响儿童,但可以发生在任何年龄.
研究的目的:
- 为了评估abrocitinib,tralokinumab和upadacitinib的临床和成本效益.
- 将这些新疗法与中度至重度亚托皮性皮炎的现有全身治疗方法进行比较.
主要方法:
- 临床有效性数据的系统审查和网络元分析.
- 一个新的经济模型从NHS的角度评估了成本效益.
- 数据来源于现有的审查,数据库,试验登记册和公司提交的文件.
主要成果:
- 阿布罗西提尼布和上达西提尼布 (较高剂量) 可能超过杜皮卢马布和巴里西提尼布作为二线疗法.
- 作为一线治疗,upadacitinib (两种剂量) 可能超过环素A.
- 特拉洛金马布证明了作为二线治疗的成本效益,并节省了大量的成本.
结论:
- 像abrocitinib和upadacitinib这样的新型全身疗法显示出在亚托邦性皮炎中提高疗效的潜力.
- 特拉洛金马布是一个具有成本效益的选择,特别是在二线治疗中.
- 由于某些患者群体和比较的数据限制,需要进行进一步的研究.
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