Klatt J, Hartung H-P, Hohlfeld R
Novartis Pharma GmbH Nürnberg.
Nervenarzt. 2007 Oct;78(10):1200-8. doi: 10.1007/s00115-007-2298-9.
All currently available therapeutic options for multiple sclerosis have to be administered parenterally. Several oral substances are currently in the late clinical development stage. One of them, FTY720 (also known as fingolimod) is highlighted in this review. The biological effects of FTY720 are presented as well as animal data and first clinical data from a phase II trial in multiple sclerosis patients. The effects of FTY720 are based on an innovative approach and apparently target several key elements in the pathogenesis of multiple sclerosis. The first clinical data with FTY720 show very promising results, with a relapse reduction of over 50% compared to placebo and an acceptable safety profile. These results currently await confirmation in two international phase III studies which are recruiting patients worldwide.
目前所有可用于治疗多发性硬化症的疗法都必须通过肠胃外途径给药。目前有几种口服药物正处于临床开发后期阶段。其中一种药物FTY720(也称为芬戈莫德)在本综述中被重点介绍。本文介绍了FTY720的生物学效应,以及来自动物实验的数据和针对多发性硬化症患者的II期试验的首批临床数据。FTY720的作用基于一种创新方法,显然针对多发性硬化症发病机制中的几个关键因素。FTY720的首批临床数据显示出非常有前景的结果,与安慰剂相比复发率降低了50%以上,且安全性良好。目前,这些结果有待两项正在全球招募患者的国际III期研究加以证实。