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干扰素 β 治疗复发缓解型多发性硬化症:它们的疗效是否相当?单独或联合使用不同干扰素 β 制剂的疗效、安全性或剂量的开放性研究的比较评价。

The interferon beta therapies for treatment of relapsing-remitting multiple sclerosis: are they equally efficacious? A comparative review of open-label studies evaluating the efficacy, safety, or dosing of different interferon beta formulations alone or in combination.

机构信息

Department of Neurology, Cologne City Hospitals (Merheim), Ostmerheimer Strasse 200, 51109 Cologne, Germany.

出版信息

Ther Adv Neurol Disord. 2011 Sep;4(5):281-96. doi: 10.1177/1756285611413825.

DOI:10.1177/1756285611413825
PMID:22010041
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3187676/
Abstract

Interferon beta preparations are the most widely used initial therapies prescribed for patients with relapsing-remitting multiple sclerosis. Phase III studies have demonstrated comparable efficacy on clinical measures of disease activity, variable benefits on radiological measures, and good overall tolerability. Subsequent clinical studies have attempted to compare directly the three available interferon beta preparations, reporting both safety and efficacy data. We review the literature on studies evaluating interferon beta therapy for patients with relapsing-remitting multiple sclerosis, discuss reasons for discrepant findings, and assess the utility of interferon beta-based combination regimens as the focus of future studies in the increasingly complex multiple sclerosis therapy landscape.

摘要

干扰素 β 制剂是目前最广泛应用于治疗复发缓解型多发性硬化症的初始治疗药物。III 期临床试验已经证明其在疾病活动的临床评估指标方面具有相似的疗效,在影像学评估指标方面具有不同程度的获益,且总体耐受性良好。随后的临床研究尝试直接比较三种已上市的干扰素 β 制剂,报告了安全性和疗效数据。我们对评估干扰素 β 治疗复发缓解型多发性硬化症的文献进行了综述,讨论了研究结果不一致的原因,并评估了基于干扰素 β 的联合方案作为未来研究的重点在日益复杂的多发性硬化症治疗领域的应用价值。

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本文引用的文献

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250 microg or 500 microg interferon beta-1b versus 20 mg glatiramer acetate in relapsing-remitting multiple sclerosis: a prospective, randomised, multicentre study.复发缓解型多发性硬化症中250微克或500微克β-1b干扰素与20毫克醋酸格拉替雷的对比:一项前瞻性、随机、多中心研究
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Randomized study of interferon beta-1a, low-dose azathioprine, and low-dose corticosteroids in multiple sclerosis.干扰素β-1a、低剂量硫唑嘌呤和低剂量皮质类固醇治疗多发性硬化症的随机研究。
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NORdic trial of oral Methylprednisolone as add-on therapy to Interferon beta-1a for treatment of relapsing-remitting Multiple Sclerosis (NORMIMS study): a randomised, placebo-controlled trial.口服甲泼尼龙作为干扰素β-1a附加疗法治疗复发缓解型多发性硬化症的北欧试验(NORMIMS研究):一项随机、安慰剂对照试验。
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Results of the Avonex Combination Trial (ACT) in relapsing-remitting MS.复发缓解型多发性硬化症的阿沃尼单抗联合试验(ACT)结果。
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Genomic effects of once-weekly, intramuscular interferon-beta1a treatment after the first dose and on chronic dosing: Relationships to 5-year clinical outcomes in multiple sclerosis patients.首剂及长期每周一次肌肉注射β-1a干扰素治疗的基因组效应:与多发性硬化症患者5年临床结局的关系。
J Neuroimmunol. 2008 Dec 15;205(1-2):113-25. doi: 10.1016/j.jneuroim.2008.09.004. Epub 2008 Oct 23.
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Combination therapies in multiple sclerosis.多发性硬化症的联合疗法。
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