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本文引用的文献

1
Treatment of canine atopic dermatitis: 2015 updated guidelines from the International Committee on Allergic Diseases of Animals (ICADA).犬特应性皮炎的治疗:动物过敏性疾病国际委员会(ICADA)2015年更新指南。
BMC Vet Res. 2015 Aug 16;11:210. doi: 10.1186/s12917-015-0514-6.
2
Long-term compassionate use of oclacitinib in dogs with atopic and allergic skin disease: safety, efficacy and quality of life.奥克拉替尼在患有特应性和过敏性皮肤病的犬类中的长期同情用药:安全性、有效性和生活质量
Vet Dermatol. 2015 Jun;26(3):171-9, e35. doi: 10.1111/vde.12194. Epub 2015 Feb 16.
3
A blinded, randomized clinical trial comparing the efficacy and safety of oclacitinib and ciclosporin for the control of atopic dermatitis in client-owned dogs.一项比较奥克拉替尼和环孢素在控制宠物狗特应性皮炎方面的疗效和安全性的双盲、随机临床试验。
Vet Dermatol. 2015 Feb;26(1):23-30, e7-8. doi: 10.1111/vde.12186. Epub 2014 Dec 12.
4
Efficacy of oclacitinib (Apoquel®) compared with prednisolone for the control of pruritus and clinical signs associated with allergic dermatitis in client-owned dogs in Australia.在澳大利亚,比较奥克拉替尼(爱波克®)与泼尼松龙对控制宠物犬过敏性皮炎相关瘙痒及临床症状的疗效。
Vet Dermatol. 2014 Dec;25(6):512-8, e86. doi: 10.1111/vde.12166. Epub 2014 Aug 11.
5
Ciclosporin 10 years on: indications and efficacy.环孢素 10 年:适应证和疗效。
Vet Rec. 2014 Mar;174 Suppl 2(Suppl 2):13-21. doi: 10.1136/vr.102484.
6
Life-long diseases need life-long treatment: long-term safety of ciclosporin in canine atopic dermatitis.终身疾病需要终身治疗:环孢素治疗犬特应性皮炎的长期安全性。
Vet Rec. 2014 Mar;174 Suppl 2(Suppl 2):3-12. doi: 10.1136/vr.102471.
7
A blinded, randomized, placebo-controlled trial of the efficacy and safety of the Janus kinase inhibitor oclacitinib (Apoquel®) in client-owned dogs with atopic dermatitis.一项关于Janus激酶抑制剂奥克拉替尼(Apoquel®)在患有特应性皮炎的宠物犬中的疗效和安全性的双盲、随机、安慰剂对照试验。
Vet Dermatol. 2013 Dec;24(6):587-97, e141-2. doi: 10.1111/vde.12088.
8
Oclacitinib (APOQUEL(®)) is a novel Janus kinase inhibitor with activity against cytokines involved in allergy.奥克拉替尼(APOQUEL(®))是一种新型的 Janus 激酶抑制剂,对参与过敏反应的细胞因子具有活性。
J Vet Pharmacol Ther. 2014 Aug;37(4):317-24. doi: 10.1111/jvp.12101. Epub 2014 Feb 5.
9
Concurrent short-term use of prednisolone with cyclosporine A accelerates pruritus reduction and improvement in clinical scoring in dogs with atopic dermatitis.伴用泼尼松龙和环孢素 A 的短期联合治疗可加速犬特应性皮炎瘙痒的缓解和临床评分的改善。
BMC Vet Res. 2013 Sep 3;9:173. doi: 10.1186/1746-6148-9-173.
10
Efficacy and safety of oclacitinib for the control of pruritus and associated skin lesions in dogs with canine allergic dermatitis.奥拉替尼用于控制犬过敏性皮炎犬瘙痒及相关皮肤病变的疗效与安全性。
Vet Dermatol. 2013 Oct;24(5):479-e114. doi: 10.1111/vde.12047. Epub 2013 Jul 5.

环孢素与奥克拉替尼同时给药三周的犬重复口服剂量耐受性研究

Repeated oral dose tolerance in dogs treated concomitantly with ciclosporin and oclacitinib for three weeks.

作者信息

Panteri Alessandro, Strehlau Günther, Helbig Rainer, Prost Christine, Doucette Kelly

机构信息

Elanco Centre de Recherche Santé Animale (CRA), 20 route de la petite glâne, CH 1566, St Aubin, Switzerland.

Elanco Animal Health, Schwarzwaldallee 215, CH 4058, Basel, Switzerland.

出版信息

Vet Dermatol. 2016 Feb;27(1):22-e7. doi: 10.1111/vde.12278. Epub 2015 Dec 11.

DOI:10.1111/vde.12278
PMID:26660461
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4737300/
Abstract

BACKGROUND

Ciclosporin and oclacitinib are immunomodulators approved for the treatment of canine atopic dermatitis. The administration of a short course of prednisolone at the beginning of ciclosporin therapy hastens the efficacy of this drug; oclacitinib has a rapid antipruritic effect similar to that of prednisolone.

OBJECTIVES

To evaluate the oral tolerance of oclacitinib and ciclosporin given concurrently for three weeks.

ANIMALS

Two groups of eight beagles.

METHODS

Dogs were randomized to receive oclacitinib alone (0.4-0.6 mg/kg twice daily for 14 days then once daily for seven days) or in combination with ciclosporin (5 mg/kg once daily) for three weeks. They were examined every day and adverse events were recorded. Blood samples were collected during the acclimatization phase, weekly during treatment and at the end of the study for haematology, clinical chemistry and coagulation evaluation.

RESULTS

There were no abnormal clinical observations following treatment with oclacitinib given alone or concomitantly with ciclosporin, with the exception of diarrhoea in two dogs receiving both drugs. Three dogs from each group experienced transient inappetence; three dogs treated with oclacitinib had mild weight loss. Clinical pathology parameters remained within the reference range for beagle dogs at that facility.

CONCLUSIONS AND CLINICAL IMPORTANCE

The concomitant administration of ciclosporin and oclacitinib for three weeks to beagles was well tolerated and was not associated with an increase in the number of adverse events or laboratory abnormalities beyond those associated with oclacitinib given alone.

摘要

背景

环孢素和奥克拉替尼是被批准用于治疗犬特应性皮炎的免疫调节剂。在环孢素治疗开始时给予短期泼尼松龙可加速该药物的疗效;奥克拉替尼具有与泼尼松龙相似的快速止痒作用。

目的

评估同时给予奥克拉替尼和环孢素三周的口服耐受性。

动物

两组,每组八只比格犬。

方法

将犬随机分为单独接受奥克拉替尼(0.4 - 0.6毫克/千克,每日两次,共14天,然后每日一次,共7天)或与环孢素联合使用(5毫克/千克,每日一次)三周。每天对它们进行检查并记录不良事件。在适应期、治疗期间每周以及研究结束时采集血样进行血液学、临床化学和凝血评估。

结果

单独使用奥克拉替尼或与环孢素联合使用后,除两只同时接受两种药物的犬出现腹泻外,没有异常临床观察结果。每组有三只犬出现短暂食欲不振;三只接受奥克拉替尼治疗的犬体重轻度减轻。该机构比格犬的临床病理学参数仍在参考范围内。

结论及临床意义

对比格犬同时给予环孢素和奥克拉替尼三周耐受性良好,且与单独使用奥克拉替尼相比,不良事件数量或实验室异常并未增加。