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0.18% 透明质酸钠滴眼液(海露,瑞嘉)治疗干眼症的疗效验证。

Demonstration of efficacy in the treatment of dry eye disease with 0.18% sodium hyaluronate ophthalmic solution (vismed, rejena).

机构信息

Rx Development Resources, LLC, Tampa, Florida, USA.

出版信息

Am J Ophthalmol. 2010 Apr;149(4):594-601. doi: 10.1016/j.ajo.2009.09.023.

Abstract

PURPOSE

To evaluate the efficacy and safety of 0.18% sodium hyaluronate ophthalmic solution (Rejena, Vismed) compared with its vehicle for the treatment of signs and symptoms of dry eye disease.

DESIGN

Randomized, placebo-controlled clinical trial.

METHODS

A total of 444 subjects with dry eye disease were randomized 1:1 to active study drug (n = 221) or vehicle control (n = 223) in this multicenter, double-masked trial. Subjects instilled 1 to 2 drops, 3 to 6 times daily for 14 days, with evaluations at Days 7 and 14. The study's 2 primary efficacy endpoints were change from baseline at Day 7 in lissamine green staining scores (objective) and in global symptom frequency scores (subjective). Results were analyzed using Wilcoxon rank sum test and Student t test in the intent-to-treat (ITT) population with last observation carried forward (LOCF).

RESULTS

At Day 7, the differences between the active and vehicle groups in change from baseline for lissamine green staining score (P = .050, Wilcoxon; P = .029, t test) and global symptom frequency score (P = .050, Wilcoxon; P = .017, t test) were both statistically significant. There were no clinically relevant safety findings related to the use of Rejena.

CONCLUSIONS

This study demonstrated the clinical efficacy of Rejena in the treatment of dry eye disease in both a primary objective endpoint and a primary subjective endpoint when compared to its vehicle. The study results also supported the well-known safety profile of Rejena.

摘要

目的

评估 0.18%透明质酸钠滴眼液(瑞珍,Vismed)与赋形剂治疗干眼症的疗效和安全性。

设计

随机、安慰剂对照的临床试验。

方法

共有 444 例干眼症患者按 1:1 随机分为活性研究药物组(n = 221)或赋形剂对照组(n = 223),进行这项多中心、双盲试验。患者每日 1 至 2 滴,滴 3 至 6 次,共 14 天,在第 7 天和第 14 天进行评估。该研究的 2 个主要疗效终点是第 7 天基线时 lissamine 绿染色评分(客观)和总症状频率评分(主观)的变化。使用意向治疗(ITT)人群的 Wilcoxon 秩和检验和最后观察结转(LOCF)的学生 t 检验对结果进行分析。

结果

第 7 天,活性组与赋形剂组 lissamine 绿染色评分(P =.050,Wilcoxon;P =.029,t 检验)和总症状频率评分(P =.050,Wilcoxon;P =.017,t 检验)的差异均有统计学意义。使用瑞珍没有与安全性相关的临床相关发现。

结论

与赋形剂相比,本研究显示瑞珍在原发性客观终点和原发性主观终点治疗干眼症方面具有临床疗效。研究结果还支持瑞珍已知的良好安全性。

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