在遗传性血管方面将长期预防转换为Donidalorsen:一年的OASISplus结果
Marc A Riedl1, Jonathan A Bernstein2, Joshua S Jacobs3
1Division of Allergy and Immunology, University of California at San Diego, La Jolla, California, USA.
Allergy
|March 14, 2026
概括
多尼达尔森有效地减少了遗传性血管 (HAE) 发作,并改善了从其他长期预防治疗转换的患者的生活质量. 这种治疗在一年内表现出良好的耐受性.
科学领域:
- 药理学和治疗学 药理学和治疗学
- 临床医学 临床医学
- 遗传学和基因组学 遗传学和基因组学
背景情况:
- 多尼达尔森是一种针对血前性蛋白的反感性寡核酸,用于遗传性血管 (HAE).
- 转换队列的OASISplus研究 (NCT05392114) 评估了从其他预防疗法过渡的HAE患者的长期使用.
研究的目的:
- 评估多尼达尔森在HAE患者的1年安全性和有效性,这些患者从长期预防性治疗 (LTP) 转换.
- 评估治疗出现的不良事件 (TEAE),HAE发作率,生活质量 (AE-QoL) 和疾病控制 (AECT).
主要方法:
- 注册的HAE患者 (≥12年) 在稳定的LTP (lanadelumab,berotralstat,C1抑制剂) 上.
- 患者转换为每4周服用多尼达洛森80毫克皮下注射.
- 在基线和第52周评估了TEAE,每月HAE攻击率,AE-QoL和AECT.
主要成果:
- 与基线LTP相比,Donidalorsen在52周内将HAE攻击率降低了67.6%,比起基线LTP.
- 87.5%的患者经历了TEAE,大多为轻度至中度;注射部位反应是最常见的.
- 在52周观察到AE-QoL (12.2分) 和疾病控制 (90.4%与AECT≥10) 的显著改善.
结论:
- 在HAE患者从其他LTPs切换时,Donidalorsen被很好地容忍.
- 治疗显著改善了长期HAE攻击率,生活质量和疾病控制.
- 多尼达洛森为治疗遗传性血管提供了一种可行的长期治疗选择.
相关概念视频
Treatment for Pulmonary Arterial Hypertension: Receptor Tyrosine Kinase Inhibitors and Calcium Channel Blockers
615
Receptor tyrosine kinase inhibitors (TKIs) and calcium channel blockers (CCBs) are two critical categories of drugs employed in the treatment of pulmonary artery hypertension (PAH). PAH is a disease that causes high blood pressure in the pulmonary arteries, resulting in chest pain, fatigue, and shortness of breath.
TKIs, such as imatinib (Gleevec), are particularly effective in tackling the growth and mitogenic factors that become upregulated in PAH patients. These factors contribute to the...
TKIs, such as imatinib (Gleevec), are particularly effective in tackling the growth and mitogenic factors that become upregulated in PAH patients. These factors contribute to the...
615
Treatment for Pulmonary Arterial Hypertension: Prostacyclin Receptor Agonists
580
Prostacyclin receptor agonists are a class of therapeutic agents integral to managing pulmonary arterial hypertension (PAH). These drugs operate by mimicking the action of prostaglandin I2, or PGI2, a naturally occurring compound in the body.
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
580
Venous Thrombosis III: Interprofessional Care
449
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
449
Angina IV: Management
374
IntroductionThe management of angina requires a comprehensive approach that includes pharmacological therapies, medical procedures, and lifestyle modifications.Pharmacological TherapiesAntiplatelet agents, such as aspirin, clopidogrel, prasugrel, and ticagrelor, play a pivotal role in preventing thrombus formation in patients with angina. These medications inhibit platelet aggregation and reduce the likelihood of myocardial infarction and other cardiovascular events.Anticoagulants, including...
374
Antiplatelet Drugs: Prostaglandin Synthesis, P2Y12 and Glycoprotein IIb/IIIa Inhibitors
1.5K
Antiplatelet drugs emerge as frontline defenders against the insidious threat of thromboembolic diseases, where abnormal clots obstruct vital blood vessels. These drugs stand as bulwarks, inhibiting platelet aggregation and clot formation, thereby mitigating the risk of life-threatening conditions like myocardial infarction, coronary artery disease, and thrombotic strokes.
Prostaglandin synthesis inhibitors, exemplified by the widely known aspirin, wield their power by irreversibly acetylating...
Prostaglandin synthesis inhibitors, exemplified by the widely known aspirin, wield their power by irreversibly acetylating...
1.5K
Peripheral Artery Disease III: Interprofessional Care
494
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
494


