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阿法西普。重度银屑病的成功长期治疗

[Alefacept. Successful long-term therapy of a severe psoriasis].

作者信息

Schmitt J, Stoller E, Wozel G

机构信息

Klinik und Poliklinik für Dermatologie, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden.

出版信息

Hautarzt. 2005 Apr;56(4):360-2. doi: 10.1007/s00105-004-0831-3.

DOI:10.1007/s00105-004-0831-3
PMID:15580452
Abstract

Alefacept, a recombinant protein produced by fusion of human LFA(3 )and IgG(1), was the first biologic specially designed and approved for the treatment of psoriasis. Results of clinical trials reveal both an efficacy comparable to established systemic therapies and a high drug safety. A 62-year old male patient with psoriasis and incomplete response to several standard therapies was treated with alefacept (baseline PASI 23.1). After three courses of 15 mg alefacept i.m. weekly for 12 weeks, each followed by a 12 week post-dosing observation period, the PASI regressed to 2.0. Adverse drug reactions were not observed.

摘要

阿法赛特是一种通过将人淋巴细胞功能相关抗原-3(LFA-3)与免疫球蛋白G1(IgG1)融合产生的重组蛋白,是首个专门设计并获批用于治疗银屑病的生物制剂。临床试验结果显示其疗效与已有的全身治疗相当,且药物安全性高。一名62岁男性银屑病患者对多种标准治疗反应不完全,接受了阿法赛特治疗(基线银屑病面积和严重程度指数PASI为23.1)。每周肌肉注射15毫克阿法赛特,共12周,进行三个疗程,每个疗程后有12周的给药后观察期,之后PASI降至2.0。未观察到药物不良反应。

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1
[Alefacept. Successful long-term therapy of a severe psoriasis].阿法西普。重度银屑病的成功长期治疗
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引用本文的文献

1
[A decade of biologics in dermatology].[皮肤科生物制剂的十年]
Hautarzt. 2012 Apr;63 Suppl 1:53-8. doi: 10.1007/s00105-011-2296-5.

本文引用的文献

1
[The role of biologics into the management of psoriasis: a consensus paper by the Psoriasis Study Group, Arbeitsgemeinschaft Dermatologische Forschung].[生物制剂在银屑病治疗中的作用:银屑病研究组、皮肤病研究工作小组的共识文件]
J Dtsch Dermatol Ges. 2003 Aug;1(8):620-8. doi: 10.1046/j.1610-0387.2003.03014.x.
2
Treatment of psoriasis with alefacept: correlation of clinical improvement with reductions of memory T-cell counts.用阿法赛特治疗银屑病:临床改善与记忆性T细胞计数减少的相关性
Arch Dermatol. 2003 Dec;139(12):1563-70. doi: 10.1001/archderm.139.12.1563.
3
Immunomodulatory drugs for psoriasis.
用于治疗银屑病的免疫调节药物。
BMJ. 2003 Sep 20;327(7416):634-5. doi: 10.1136/bmj.327.7416.634.
4
[Psoriasis therapy with biologicals].[生物制剂治疗银屑病]
Hautarzt. 2003 Mar;54(3):224-9. doi: 10.1007/s00105-003-0497-2. Epub 2003 Feb 11.
5
Treatment targeted to cell surface epitopes.针对细胞表面表位的治疗。
Clin Exp Dermatol. 2002 Oct;27(7):591-6. doi: 10.1046/j.1365-2230.2002.01171.x.
6
A randomized, double-blind, placebo-controlled phase III study evaluating efficacy and tolerability of 2 courses of alefacept in patients with chronic plaque psoriasis.一项评估两疗程阿法西普对慢性斑块状银屑病患者疗效和耐受性的随机、双盲、安慰剂对照III期研究。
J Am Acad Dermatol. 2002 Dec;47(6):821-33. doi: 10.1067/mjd.2002.127247.
7
Treatment of chronic plaque psoriasis by selective targeting of memory effector T lymphocytes.通过选择性靶向记忆效应T淋巴细胞治疗慢性斑块状银屑病。
N Engl J Med. 2001 Jul 26;345(4):248-55. doi: 10.1056/NEJM200107263450403.