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在克罗恩氏病中,阿巴达西丁尼 (Upadacitinib) 实现了临床和内镜的结果,而不考虑先前的生物暴露
Laurent Peyrin-Biroulet1, Remo Panaccione2, Edouard Louis3
1Department of Gastroenterology, Nancy University Hospital, Vandœuvre-lès-Nancy, France; INSERM, NGERE, University of Lorraine, Nancy, France; INFINY Institute, Nancy University Hospital, Vandœuvre-lès-Nancy, France; FHU-CURE, Nancy University Hospital, Vandœuvre-lès-Nancy, France; Groupe Hospitalier Privé Ambroise Paré - Hartmann, Paris IBD Center, Neuilly-sur-Seine, France.
与安慰剂相比,upadacitinib在中度至重度克罗恩病患者中显示出优异的临床缓解和内镜反应率. 无论先前的生物失效,都观察到有效性,在接受upadacitinib的患者中,有显著的改善.
科学领域:
- 胃肠病学 胃肠病学
- 免疫学 免疫学 免疫学
- 药理学 药理学是指药理学的学科.
背景情况:
- 克罗恩氏病是一种慢性炎症状况,通常需要先进的治疗方法.
- 以前的生物治疗失败可能会影响后续治疗的有效性.
- 乌帕达西替尼 (Upadacitinib) 是一种口服的Janus激酶抑制剂,研究用于克罗恩病.
研究的目的:
- 为了评估在中度至重度克罗恩病患者中upadacitinib的疗效.
- 根据先前暴露于生物疗法来评估upadacitinib的有效性.
- 为了在诱导和维持阶段比较upadacitinib与安慰剂的性能.
主要方法:
- 对U-EXCEL,U-EXCEED和U-ENDURE试验的数据进行了后期分析.
- 患者接受了安慰剂或阿帕达西提尼布 (45毫克诱导;15毫克或30毫克维持).
- 根据先前的生物失败状态分层分析有效性结果.
主要成果:
- 与安慰剂相比,upadacitinib显著增加了临床缓解和内镜反应率.
- 与失败患者相比,在没有先前生物失败的患者中观察到更高的疗效率.
- 乌帕达西提尼布治疗效果最大的是在以前有生物学失败的患者中观察到的,这些患者在维持期间接受了30毫克的剂量.
结论:
- 在克罗恩病患者的临床和内镜改善方面,upadacitinib是有效的.
- 药物的有效性保持不论之前的生物治疗史.
- 没有先前生物失败的患者表现出更高的阳性结局绝对率.
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