巴尔尼迪平作为对系统性硬化症次要的雷诺现象的潜在替代治疗方法:一项回顾性试点研究
Riccardo Bixio1, Francesca Mastropaolo2, Matteo Appoloni2
1Rheumatology Unit, Department of Medicine, University of Verona, P.le L.A. Scuro 10, 37134, Verona, Italy. riccard.bixio@univr.it.
Clinical rheumatology
|December 9, 2024
概括
巴尔尼迪平有效地减少了系统性硬化-雷诺病的症状.
科学领域:
- 类风湿病学 类风湿病学
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 通道阻断剂 (CCB) 是系统性硬化-雷诺现象 (SSc-RP) 的第一线治疗药物.
- 有限的数据存在于新的CCB,如SSc-RP的barnidipine.
- 在SSc-RP中评估巴尼迪平的疗效和耐受性至关重要.
研究的目的:
- 评估巴尼迪平在SSc-RP患者的短期疗效和耐受性.
- 为了比较barnidipine的结果与修改释放的尼菲迪平 (MR-nifedipine).
主要方法:
- 对接受巴尼迪平10毫克/天治疗的SSc患者的回顾性评估.
- 雷诺病情评分 (RCS) 和平均血压 (MBP) 在基线和6个月的评估.
- 与MR-nifedipine (20 mg/天) 中断率和不良事件 (AEs) 的比较.
主要成果:
- 巴尔尼迪平显著降低了RCS (p < 0.001) 没有改变MBP (p = 0.36).
- 31%的巴尔尼迪平患者停止了治疗 (6%的副作用,3%的无效性).
- 与MR-nifedipine相比,巴尼迪平的保留率和导致停药的副作用相似.
结论:
- 巴尼迪平是SSc-RP的潜在有效和耐受性良好的选择.
- 它甚至可能适用于以前 CCBs 失败的患者.
- 对SSc-RP的新型CCB进行进一步的研究是有必要的.
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