Scherer H U, Burmester G R
Medizinische Klinik mit Schwerpunkt Rheumatologie und klinische Immunologie, Charité - Universitätsmedizin Berlin, Germany.
Internist (Berl). 2005 Aug;46(8):882-91. doi: 10.1007/s00108-005-1444-3.
The advent of monoclonal antibodies for the treatment of rheumatic diseases has revolutionized our understanding of therapeutic efficacy. Only a few years ago, response rates of >70% combined with significant reductions in inflammatory activity and radiologic progression would have been impossible. At the same time, however, issues of safety and cost have gained in importance and challenge physicians and patients alike. Making these new drugs available to as many eligible patients as possible requires a thorough documentation of disease activity using standardized outcome measures as well as a profound knowledge of their safety profiles. In addition, institutional guidelines for the use of these agents need to be as close to the cutting edge of science as possible. The following article presents an overview of currently available biologic agents in rheumatology and a prospect of those to come.
用于治疗风湿性疾病的单克隆抗体的出现,彻底改变了我们对治疗效果的理解。就在几年前,超过70%的缓解率以及炎症活动和放射学进展的显著降低是不可能实现的。然而,与此同时,安全性和成本问题变得越来越重要,给医生和患者都带来了挑战。要让尽可能多的符合条件的患者能够使用这些新药,就需要使用标准化的结局指标对疾病活动进行全面记录,以及深入了解它们的安全性概况。此外,使用这些药物的机构指南需要尽可能紧跟科学前沿。以下文章概述了目前风湿病领域可用的生物制剂以及对未来制剂的展望。