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[多发性硬化症的新兴疗法]

[Emerging therapies for multiple sclerosis].

作者信息

de Lorenzo-Pinto Ana, Rodríguez-González Carmen Guadalupe, Ais-Larisgoitia Arantza

机构信息

Servicio de Farmacia, Hospital General Universitario Gregorio Marañón, Madrid, España.

出版信息

Med Clin (Barc). 2013 Jan 19;140(2):76-82. doi: 10.1016/j.medcli.2012.05.008. Epub 2012 Jul 4.

Abstract

Multiple sclerosis (MS) is an immune-mediated inflammatory disease of the central nervous system considered the second cause of disability in young adults. The prognosis of MS has improved significantly since the approval of the first interferon β in 1993 but, compared to other diseases, few new therapeutic products have been commercialized in the last years. However, currently, there are more than 600 ongoing clinical trials and new drugs that aim to improve efficacy and a more convenient schedule of administration, will appear shortly on the market. On the other hand, new safety issues will arise as well as a significant economic impact on the health system. The main efficacy and safety results of these drugs are reviewed in this paper. They can be classified into 2 groups: oral (fingolimod, laquinimod, teriflunomide, BG-12 [dimethyl fumarate], oral cladribine, dalfampridine) and monoclonal antibodies (rituximab, ocrelizumab, ofatumumab, daclizumab, alemtuzumab).

摘要

多发性硬化症(MS)是一种中枢神经系统的免疫介导性炎症疾病,被认为是年轻成年人残疾的第二大原因。自1993年首个干扰素β获批以来,MS的预后有了显著改善,但与其他疾病相比,近年来商业化的新治疗产品较少。然而,目前有600多项正在进行的临床试验,旨在提高疗效且给药方案更便捷的新药不久将上市。另一方面,新的安全问题将会出现,同时对卫生系统也会产生重大经济影响。本文对这些药物的主要疗效和安全性结果进行了综述。它们可分为两类:口服药物(芬戈莫德、拉喹莫德、特立氟胺、BG-12[富马酸二甲酯]、口服克拉屈滨、达氟吡啶)和单克隆抗体(利妥昔单抗、奥瑞珠单抗、奥法木单抗、达利珠单抗、阿仑单抗)。

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