在ARISE研究中的患者的试验行为,基线特征和症状负担
Charles L Daley1, James D Chalmers2, Patrick A Flume3
1National Jewish Health and the University of Colorado School of Medicine, Denver, CO, USA.
Pulmonary therapy
|April 8, 2025
概括
在ARISE试验中,评估了Mycobacterium avium复杂肺病 (MACLD) 患者报告的结果. 新诊断或复发的MACLD患者在基线时表现出显著的疲劳和生活质量受损.
科学领域:
- 肺部病理学 肺部病理学
- 临床试验 临床试验
- 患者报告的结果
背景情况:
- 在ARISE试验中,评估了Mycobacterium avium复杂肺病 (MACLD) 中患者报告的结果仪器.
- 仪器包括生命质量-支气管切除 (QOL-B) 呼吸道领域和PROMIS疲劳简短形式 (PROMIS F SF-7a).
- 重点是新诊断或复发MACLD的患者.
研究的目的:
- 描述ARISE全球临床试验的进行情况.
- 在MACLD中描述患者的人口统计和基线症状.
- 为了证明QOL-B和PROMIS F SF-7a在MACLD中的实用性.
主要方法:
- 全球临床试验招募新诊断或复发性非腔性MACLD的成年患者.
- 患者尚未开始针对当前MAC感染的抗生素治疗.
- 使用QOL-B,PROMIS F SF-7a和FACIT问卷进行症状负担评估.
主要成果:
- 来自12个国家的99名患者被录取;中位数年龄为69岁,主要是白人 (80.8%) 和女性 (77.8%).
- 72.7%的患者首次被诊断为MACLD;常见的并发症包括支气管切除 (49.5%),喘 (21.2%),慢性肺炎 (16.2%).
- 基线得分表明损伤:QOL-B RD平均值为65.0,PROMIS F SF-7aT-score平均值为53.8,FACIT-Fatigue平均值为35.0. 这是一个很好的例子.
结论:
- ARISE注册的患者代表了现实世界的MACLD人群.
- 在MACLD患者中,并发性慢性呼吸道疾病很常见.
- 实质性的疾病负担,包括疲劳和生活质量受损,在治疗开始时是明显的.
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