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Immunogenicity of biologics in inflammatory bowel disease.生物制剂在炎症性肠病中的免疫原性。
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A systematic review of cost-effectiveness studies comparing conventional, biological and surgical interventions for inflammatory bowel disease.一项关于比较炎症性肠病的传统、生物和手术干预措施的成本效益研究的系统评价。
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Indicators of suboptimal biologic therapy over time in patients with ulcerative colitis and Crohn's disease in the United States.美国溃疡性结肠炎和克罗恩病患者随时间推移生物治疗欠佳的指标
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本文引用的文献

1
The efficacy and safety of a third anti-TNF monoclonal antibody in Crohn's disease after failure of two other anti-TNF antibodies.在两种其他抗 TNF 抗体治疗失败后,一种新的抗 TNF 单克隆抗体在克罗恩病中的疗效和安全性。
Aliment Pharmacol Ther. 2010 Jan;31(1):92-101. doi: 10.1111/j.1365-2036.2009.04130.x.
2
Sequential therapies for Crohn's disease: optimizing conventional and biologic strategies.克罗恩病的序贯疗法:优化传统和生物治疗策略
Rev Gastroenterol Disord. 2008 Spring;8(2):109-16.
3
Withdrawal of immunosuppression in Crohn's disease treated with scheduled infliximab maintenance: a randomized trial.接受定期英夫利昔单抗维持治疗的克罗恩病患者免疫抑制的撤减:一项随机试验
Gastroenterology. 2008 Jun;134(7):1861-8. doi: 10.1053/j.gastro.2008.03.004. Epub 2008 Mar 8.
4
Early combined immunosuppression or conventional management in patients with newly diagnosed Crohn's disease: an open randomised trial.新诊断克罗恩病患者早期联合免疫抑制治疗或传统治疗:一项开放性随机试验
Lancet. 2008 Feb 23;371(9613):660-667. doi: 10.1016/S0140-6736(08)60304-9.
5
Maintenance therapy with certolizumab pegol for Crohn's disease.聚乙二醇化赛妥珠单抗用于克罗恩病的维持治疗。
N Engl J Med. 2007 Jul 19;357(3):239-50. doi: 10.1056/NEJMoa062897.
6
Certolizumab pegol for the treatment of Crohn's disease.聚乙二醇化赛妥珠单抗用于治疗克罗恩病。
N Engl J Med. 2007 Jul 19;357(3):228-38. doi: 10.1056/NEJMoa067594.
7
Natalizumab for the treatment of active Crohn's disease: results of the ENCORE Trial.那他珠单抗治疗活动性克罗恩病:ENCORE试验结果
Gastroenterology. 2007 May;132(5):1672-83. doi: 10.1053/j.gastro.2007.03.024. Epub 2007 Mar 21.
8
Infliximab dose intensification in Crohn's disease.英夫利昔单抗在克罗恩病中的剂量强化
Inflamm Bowel Dis. 2007 Sep;13(9):1093-9. doi: 10.1002/ibd.20177.
9
Adalimumab induction therapy for Crohn disease previously treated with infliximab: a randomized trial.阿达木单抗用于曾接受英夫利昔单抗治疗的克罗恩病诱导治疗:一项随机试验。
Ann Intern Med. 2007 Jun 19;146(12):829-38. doi: 10.7326/0003-4819-146-12-200706190-00159. Epub 2007 Apr 30.
10
Induction and maintenance infliximab therapy for the treatment of moderate-to-severe Crohn's disease in children.英夫利昔单抗诱导和维持治疗儿童中重度克罗恩病
Gastroenterology. 2007 Mar;132(3):863-73; quiz 1165-6. doi: 10.1053/j.gastro.2006.12.003. Epub 2006 Dec 3.

生物制剂在克罗恩病治疗中的最佳应用。

Optimal use of biologics in the management of Crohn's disease.

机构信息

Director, Inflammatory Bowel Disease Clinic, Assistant Professor of Medicine, University of Calgary, Rm. 6D32, TRW Building, 3280 Hospital Drive NW, Calgary, Alberta T2N 4N1.

出版信息

Therap Adv Gastroenterol. 2010 May;3(3):179-89. doi: 10.1177/1756283X09357579.

DOI:10.1177/1756283X09357579
PMID:21180600
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3002580/
Abstract

Crohn's disease (CD) is a chronic relapsing and remitting disorder of the gastrointestinal tract with no known cure. The inflammation that drives the disease can lead to debilitating symptoms and a number of complications that may lead to surgery. The introduction of biologic therapy a decade ago has offered a new option for patients failing conventional therapy. Over time, biologic therapy has also led to the desire to achieve treatment goals beyond the control of symptoms. In order to achieve short-term and long-term goals with these new agents, it is important to review how these therapies may be optimized for the best results.

摘要

克罗恩病(CD)是一种慢性复发性胃肠道疾病,目前尚无治愈方法。导致疾病的炎症可导致衰弱的症状和许多并发症,可能导致手术。十年前生物治疗的引入为传统治疗失败的患者提供了新的选择。随着时间的推移,生物治疗也促使人们希望实现超越症状控制的治疗目标。为了通过这些新药物实现短期和长期目标,重要的是要回顾如何优化这些治疗以获得最佳效果。