多发性硬化症疾病修饰疗法的现实世界持久性
Emma C Tallantyre1,2, Ruth Dobson3,4, Joseph L J Froud1,5
1Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, UK.
European journal of neurology
|April 3, 2024
概括
多发性硬化症 (MS) 的治疗持续性因治疗而异. 与较旧的疾病修饰疗法 (DMT) 相比,像阿勒姆图祖马布这样的免疫重建疗法显示出更高的长期持久性.
科学领域:
- 神经学 神经学
- 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:
- 治疗持续性对于治疗多发性硬化症 (MS) 至关重要,反映了治疗疗效和耐受性.
- 了解疾病修饰疗法 (DMT) 的现实持续性和中止原因对于优化患者护理至关重要.
研究的目的:
- 确定DMT在MS患者 (pwMS) 中的真实世界持久率.
- 确定dmt在pwms中断的主要原因.
- 为了比较MS DMTs不同类别的持久性.
主要方法:
- 在13个英国中心 (2021) 进行了4366个pwMS治疗数据的回顾性分析.
- 纳入标准:接触至少一个MS DMT,有完整的处方史.
- 卡普兰-梅尔生存分析用于评估DMT持久性;中止定义为开始新的DMT用于免疫重组疗法.
主要成果:
- 单次维护DMT的中位时间为4.3年.
- 最常见的中止原因:不良事件 (35.0%) 和缺乏疗效 (30.3%).
- 10年后,只有20%的阿勒姆图祖马布治疗者转换为DMT,而使用干扰素或格拉蒂拉默酸盐的患者为82%.
结论:
- 免疫重建的DMT显示出在复发性MS中持续治疗的潜力.
- 比较的DMT持久性数据有助于明智的治疗决策和个性化的MS管理.
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