Stanford University School of Medicine, Division of Immunology/Rheumatology, 306 Ramona Rd, Portola Valley, CA 94028, USA.
Expert Rev Pharmacoecon Outcomes Res. 2005 Jun;5(3):317-26. doi: 10.1586/14737167.5.3.317.
Patients with systemic lupus erythematosus experience a decreased health-related quality of life due to disease activity, multisystem organ involvement and frequent hospitalization. High levels of anti-double-stranded DNA antibodies are associated with renal disease, a primary cause of morbidity and mortality in systemic lupus erythematosus, and progressive cognitive dysfunction. Post hoc analyses of two clinical trials of abetimus sodium identified responders with sustained reductions in anti-double-stranded DNA antibodies. At 6 and 12 months, responders reported improvement in health-related quality of life, as measured by the Medical Outcomes Survey Short Form 36, compared with no change or deterioration in nonresponders. Sustained reductions in anti-double-stranded DNA antibodies, regardless of treatment group, led to clinically meaningful improvements in patient-reported health-related quality of life.
由于疾病活动、多系统器官受累和频繁住院,红斑狼疮患者的生活质量相关健康状况下降。高水平的抗双链 DNA 抗体与肾脏疾病有关,这是红斑狼疮发病和死亡的主要原因,并且与进行性认知功能障碍有关。abetimus 钠的两项临床试验的事后分析确定了抗双链 DNA 抗体持续降低的应答者。在 6 个月和 12 个月时,与无应答者相比,应答者报告说健康相关生活质量得到改善,这是通过医疗结局研究短式 36 项调查来衡量的。无论治疗组如何,抗双链 DNA 抗体的持续降低都导致了患者报告的健康相关生活质量的临床显著改善。