梅拉贝格伦在过度活跃膀和下尿道症状的男性中的有效性和安全性:来自综合数据库的分析
Farid Abdul Hadi1, Arianne Schild2, Merete Kock Hansen3
1International Markets and China Medical Affairs, Astellas Pharma Singapore Pte. Ltd., Singapore, Singapore.
European urology open science
|November 17, 2025
概括
米拉贝格伦有效治疗男性的过度活动膀 (OAB),包括那些良性前列腺扩大 (BPE) 和下泌尿道症状 (LUTS) 患者. 这种分析证实了Mirabegron的存在.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 药理学 药理学是指药理学的学科.
- 临床试验 临床试验
背景情况:
- 过度活性膀 (OAB) 影响了许多成年男性.
- 良性前列腺扩大 (BPE) 是老年男性常见的并发症.
- 下尿路症状 (LUTS) 管理对于男性下尿路健康至关重要.
研究的目的:
- 评估Mirabegron在成年男性OAB患者中的疗效和安全性.
- 评估Mirabegron在有或没有BPE的男性中的有效性.
- 为了确定mirabegron在接受同时服用LUTS药物的患者中的效用.
主要方法:
- 对13项2期至4期研究进行了后期分析.
- 包括OAB男性的整体队列,与alpha阻断剂上的BPE,以及与其他LUTS药物上的BPE.
- 主要终点:每日排尿的变化和12周的失禁情节.
主要成果:
- 米拉贝格伦在初级和二级疗效终点上显著改善.
- 接受米拉贝格伦与α阻断剂治疗的患者每次分泌时空化体积增加.
- 安全性概况与已知的mirabegron数据一致;由于某些队列的样本规模较小,结果需要谨慎解释.
结论:
- 米拉贝格朗是男性OAB患者的安全有效的治疗选择.
- 无论 BPE 状态或同时服用 LUTS 药物,都证明了有效性.
- 支持mirabegron在管理复杂的男性下尿路疾病中的作用.
相关概念视频
Urinary Bladder
3.0K
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
3.0K
Urodynamic Studies: Uroflowmetry
3.2K
Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
3.2K
Urinary Tract Calculi III: Medical Management
188
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
188
The Micturition Reflex
2.4K
Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
2.4K
Drugs for Treatment of Diarrhea-Predominant IBS
612
Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
612
Anatomy of the Genitourinary System II: Bladder and Urethra
1.3K
The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...
1.3K


