在多发性硬化症患者中,额外的克拉迪片治疗疗程. 拉丁美洲国家的一项回顾性观察研究
Berenice Anabel Silva1, María Célica Ysrraelit2, Gisela Zanga3
1Sección Esclerosis Múltiple y Enfermedades Desmielinizantes; Hospital Italiano de Buenos Aires, Tte. Gral. Juan Domingo Perón 4190, (C1199), Ciudad Autónoma de Buenos Aires, Argentina.
Multiple sclerosis and related disorders
|January 23, 2025
概括
额外的克拉德里宾片疗程是多发性硬化症 (MS) 患者有疾病活动的选择. 现实数据显示,拉丁美洲的治疗完成率高,停药率低.
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:
- 多发性硬化症 (MS) 管理越来越多地涉及疾病修饰疗法.
- 克拉德里宾片为复发性多发性硬化症提供一种口服治疗选择.
- 对于延长克拉德里宾药片治疗,有专家指导,但需要现实世界的数据.
研究的目的:
- 评估在MS患者中额外的克拉迪片治疗疗程的实际使用和结果.
- 描述患者的特征和接受延长治疗的原因.
- 评估拉丁美洲患者支持计划中的有效性和安全性.
主要方法:
- 在拉丁美洲 (2018-2023) 的Adveva®患者支持计划 (PSP) 中对MS患者进行了回顾性观察研究.
- 包括来自1643名注册患者的临床和人口统计数据.
- 确定接受额外的克拉迪布林片疗程 (在最初的两次疗程之后) 的患者,并通过问卷收集医生报告的数据.
主要成果:
- 观察到高治疗完成率 (93%) 和低切换率 (2.4%).
- 只有0.9%的总队列 (14名患者) 接受了额外的克拉德里宾片剂疗程.
- 额外疗程的主要原因包括临床和MRI活动 (50%) 或仅MRI活动 (42.9%).
结论:
- 来自Adveva® PSP的现实数据支持了克拉德里宾片在MS中的有效性.
- 较高的治疗坚持率和较低的断药率表明耐受性和疗效良好.
- 额外的克拉德里宾片疗程在一小部分患者中使用,这些患者在发病后经历了疾病活动.
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