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了解银屑病的新临床态势:生物制剂的比较性综述

Understanding the new clinical landscape for psoriasis: a comparative review of biologics.

作者信息

Sauder Daniel N, Mamelak Adam J

机构信息

Department of Dermatology, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21205-0900, USA.

出版信息

J Cutan Med Surg. 2004 Jul-Aug;8(4):205-12. doi: 10.1177/120347540400800401.

DOI:10.1177/120347540400800401
PMID:16091996
Abstract

BACKGROUND

Encouraging results from clinical trials suggest that biologic therapies are effective treatments for psoriasis.

OBJECTIVE

The aim of our study was to evaluate the scientific evidence for the efficacy and safety of biologic drugs for psoriasis.

METHODS

The studies reviewed include data on the biologies alefacept, efalizumab, etanercept, and infliximab. This article reviews all data published in the dermatology literature listed in the MEDLINE database, as well as data presented as abstracts and posters at dermatology society meetings, including the annual meetings of the American Academy of Dermatology.

RESULTS

The majority of the studies used an improvement from baseline of 75% or more in the psoriasis area and severity index (PASI 75) as the primary measure of efficacy.

CONCLUSIONS

Overall, biologics represent an important addition to the psoriatic therapies and have a great impact on the disease course and life quality of those afflicted with psoriasis.

摘要

背景

临床试验取得的鼓舞人心的结果表明,生物疗法是治疗银屑病的有效方法。

目的

我们研究的目的是评估生物药物治疗银屑病的疗效和安全性的科学证据。

方法

所综述的研究包括阿法赛特、依法利珠单抗、依那西普和英夫利昔单抗等生物制剂的数据。本文回顾了MEDLINE数据库中列出的皮肤病学文献中发表的所有数据,以及在皮肤病学学会会议(包括美国皮肤病学会年会)上作为摘要和海报展示的数据。

结果

大多数研究将银屑病面积和严重程度指数(PASI 75)较基线改善75%或更多作为疗效的主要衡量指标。

结论

总体而言,生物制剂是银屑病治疗的重要补充,对银屑病患者的病程和生活质量有很大影响。

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Understanding the new clinical landscape for psoriasis: a comparative review of biologics.了解银屑病的新临床态势:生物制剂的比较性综述
J Cutan Med Surg. 2004 Jul-Aug;8(4):205-12. doi: 10.1177/120347540400800401.
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An overview of infliximab, etanercept, efalizumab, and alefacept as biologic therapy for psoriasis.英夫利昔单抗、依那西普、依法利珠单抗和阿法赛特作为银屑病生物治疗药物的概述。
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Comparative effects of biological therapies on the severity of skin symptoms and health-related quality of life in patients with plaque-type psoriasis: a meta-analysis.生物疗法对斑块型银屑病患者皮肤症状严重程度及健康相关生活质量的比较效应:一项荟萃分析
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A review of biologic treatments for psoriasis with emphasis on infliximab.以英夫利昔单抗为重点的银屑病生物治疗综述。
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Safety and efficacy of alefacept, efalizumab, etanercept and infliximab in treating moderate to severe plaque psoriasis: a meta-analysis of randomized controlled trials.阿法赛特、依法利珠单抗、依那西普和英夫利昔单抗治疗中度至重度斑块状银屑病的安全性和有效性:一项随机对照试验的荟萃分析
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Biologic therapy for psoriasis--the first wave: infliximab, etanercept, efalizumab, and alefacept.银屑病的生物治疗——第一波:英夫利昔单抗、依那西普、依法利珠单抗和阿法赛特。
J Drugs Dermatol. 2002 Dec;1(3):303-10.
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Integrating biologic therapies into a dermatology practice: practical and economic considerations.将生物疗法纳入皮肤科临床实践:实际与经济考量
J Am Acad Dermatol. 2003 Aug;49(2 Suppl):S139-42. doi: 10.1016/mjd.2003.558.

引用本文的文献

1
Infliximab for the treatment of plaque psoriasis.英夫利昔单抗用于治疗斑块状银屑病。
Biologics. 2008 Mar;2(1):115-24. doi: 10.2147/btt.s2116.