在现实生活中PCSK9抑制剂的有效性和安全性
Antón González-Guerrero1, Eugenia Navarrete-Rouco2, David Benaiges3
1Facultad de Medicina, Universitat Autònoma de Barcelona/Universitat Pompeu i Fabra, Barcelona, España.
概括
蛋白转化酶子素/素9型 (PCSK9) 抑制剂在现实临床实践中显示出有效性和安全性,显示出与临床试验相似的降脂效应. 这些PCSK9抑制剂耐受性很好,无论使用的特定单克隆抗体.
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:
- 蛋白转化酶子素/素9型 (PCSK9) 抑制剂是降脂药的一类药物.
- 它们在日常临床实践中的有效性和安全性需要确认.
研究的目的:
- 评估PCSK9抑制剂在现实临床环境中的有效性和安全性.
- 为了比较alirocumab和evolocumab的降脂效果和安全性概况.
主要方法:
- 通过使用医院登记处的PCSK9抑制剂治疗患者进行了一项回顾性观察性研究.
- 随访时间至少为6个月,评估降脂效应和安全性.
- 使用后勤回归分析来确定与LDL-C降低相关的因素.
主要成果:
- 该研究包括193名患者,其中87%患有心血管疾病,44%不耐受他类药物/ezetimibe.
- 艾利罗库马布和埃沃洛库马布在降低LDL-C (≥50%在82.8%vs83.1%) 和实现治疗目标方面表现出类似的疗效.
- 不良事件很少发生,包括注射部位红血和疹.
结论:
- 在日常临床实践中,PCSK9抑制剂是有效和安全的,其结果与随机对照试验相当.
- 不管使用的是哪种特定的PCSK9抑制剂,降脂效果都是一致的.
- 诸如年龄,吸烟,性别,基线LDL-C和他类药物不耐受等因素会影响治疗结果.
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