在英国三个中心使用贝佩多酸的脂质临床经验
Agnieszka Jakubowska1, Wiaam Al Hasani2, Jamal Williams2
1Department of Metabolic Medicine/Chemical Pathology, East Hertfordshire NHS Foundation Trust (Lister Hospital), Stevenage, UK.
Current medical research and opinion
|April 15, 2024
概括
贝佩多酸在现实环境中有效降低LDL胆固醇,特别是在对他类药物不耐受的患者中. 然而,由于肌痛等副作用而停止治疗是常见的,这表明在降脂疗法中可能存在nocebo效应.
科学领域:
- 心血管医学 心血管医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 新型降脂疗法正在出现,但对其有效性的现实数据有限.
- 用佩多酸抑制腺三酸酸酶 (ACL) 是一种新的治疗选择.
研究的目的:
- 为了审核bempedoic酸治疗的现实世界的有效性和安全性.
- 评估心血管疾病风险因素,处方标准,疗效和bempedoic酸的不良影响.
主要方法:
- 在3个医院中心对216名连续接受佩多酸治疗的患者进行了前性审计.
- 评估患者的人口结构,心血管风险因素,治疗疗效 (脂质水平) 和不良事件.
主要成果:
- 在平均22个月的随访期间,佩多酸显著降低了27%的LDL-C和20%的总胆固醇.
- 40%的患者达到LDL-C<2.5 mmol/L,20%的患者达到<2 mmol/L.
- 治疗中止发生在33%的患者中,主要是由于肌痛 (43%) 和缺乏疗效 (16%).
结论:
- 佩多酸在降低实际患者群体的脂质水平方面表现出有效性,包括对他类药物不耐受的人.
- 由于不良反应而导致药物中断的高率表明需要在降脂治疗中考虑nocebo效应.
- 进一步研究管理副作用和了解患者报告的结果是有必要的.
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