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复发缓解型多发性硬化症的当代治疗选择

Contemporary treatment options for relapsing-remitting multiple sclerosis.

作者信息

Salhofer-Polanyi S, Leutmezer F

机构信息

Department of Neurology, Medical University of Vienna, Vienna, Austria.

出版信息

Drugs Today (Barc). 2014 May;50(5):365-83. doi: 10.1358/dot.2014.50.5.2132741.

DOI:10.1358/dot.2014.50.5.2132741
PMID:24918837
Abstract

Multiple sclerosis (MS) is an autoimmune disease of the central nervous system, encompassing both neuroinflammatory as well as prominent neurodegenerative aspects. A significant proportion of MS patients will develop neurological disability over time and up until recently licensed drugs could not satisfactorily halt this process. However, in the last years MS treatment has raised a stage of rapid progress. Several new drugs with significantly improved efficacy have entered the therapeutic field and several others are currently undergoing phase III clinical trials. In this review, we will summarize efficacy data as well as safety and tolerability issues of currently licensed drugs for relapsing-remitting MS and will give a short update on new drugs currently undergoing late-stage clinical trials.

摘要

多发性硬化症(MS)是一种中枢神经系统的自身免疫性疾病,兼具神经炎症和显著的神经退行性病变特征。随着时间推移,相当一部分MS患者会出现神经功能障碍,直到最近,获批药物仍无法令人满意地阻止这一进程。然而,在过去几年中,MS治疗取得了快速进展。几种疗效显著提高的新药已进入治疗领域,还有几种正在进行III期临床试验。在本综述中,我们将总结复发缓解型MS目前获批药物的疗效数据以及安全性和耐受性问题,并简要介绍目前正在进行后期临床试验的新药情况。

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Oral BG-12 (dimethyl fumarate) for relapsing-remitting multiple sclerosis: a review of DEFINE and CONFIRM. Evaluation of: Gold R, Kappos L, Arnold D, et al. Placebo-controlled phase 3 study of oral BG-12 for relapsing multiple sclerosis. N Engl J Med 2012;367:1098-107; and Fox RJ, Miller DH, Phillips JT, et al. Placebo-controlled phase 3 study of oral BG-12 or glatiramer in multiple sclerosis. N Engl J Med 2012;367:1087-97.口服 BG-12(富马酸二甲酯)治疗复发缓解型多发性硬化症:DEFINE 和 CONFIRM 研究回顾。评价:Gold R, Kappos L, Arnold D, 等。口服 BG-12 治疗复发多发性硬化症的安慰剂对照 3 期研究。N Engl J Med 2012;367:1098-107;和 Fox RJ, Miller DH, Phillips JT, 等。口服 BG-12 或那他珠单抗治疗多发性硬化症的安慰剂对照 3 期研究。N Engl J Med 2012;367:1087-97。
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Ther Adv Neurol Disord. 2017 Jan;10(1):3-17. doi: 10.1177/1756285616670060. Epub 2016 Oct 19.
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Consensus opinion of US neurologists on practice patterns in RIS, CIS, and RRMS: Evolution of treatment practices.美国神经科医生对临床孤立综合征、临床孤立症和复发缓解型多发性硬化症实践模式的共识意见:治疗实践的演变
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Fludarabine add-on therapy in interferon-beta-treated patients with multiple sclerosis experiencing breakthrough disease.
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