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托法替布治疗溃疡性结肠炎:从临床试验到真实世界经验的疗效与安全性

Tofacitinib in the treatment of ulcerative colitis: efficacy and safety from clinical trials to real-world experience.

作者信息

D'Amico Ferdinando, Parigi Tommaso Lorenzo, Fiorino Gionata, Peyrin-Biroulet Laurent, Danese Silvio

机构信息

Department of Biomedical Sciences, Humanitas University, Milan, Italy.

Department of Biomedical Sciences, Humanitas University, Milan, Italy Department of Gastroenterology, Humanitas Clinical and Research Center, Milan, Italy.

出版信息

Therap Adv Gastroenterol. 2019 May 16;12:1756284819848631. doi: 10.1177/1756284819848631. eCollection 2019.

DOI:10.1177/1756284819848631
PMID:31205486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6535722/
Abstract

Tofacitinib is an oral small molecule directed against the JAK/STAT pathway, blocking the inflammatory cascade. Oral formulation of tofacitinib has recently been approved for the treatment of patients with moderate-severe ulcerative colitis. Its efficacy and safety have been demonstrated in three phase III clinical trials and confirmed by promising real-life data. The purpose of this review is to summarize the available evidence on the efficacy and safety of tofacitinib and to define its role and position in the treatment algorithms for patients with ulcerative colitis.

摘要

托法替布是一种针对JAK/STAT通路的口服小分子药物,可阻断炎症级联反应。托法替布的口服制剂最近已被批准用于治疗中重度溃疡性结肠炎患者。其疗效和安全性已在三项III期临床试验中得到证实,并得到了有前景的真实世界数据的佐证。本综述的目的是总结关于托法替布疗效和安全性的现有证据,并明确其在溃疡性结肠炎患者治疗方案中的作用和地位。

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本文引用的文献

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Real-World Experience with Tofacitinib in IBD at a Tertiary Center.真实世界中在三级中心使用托法替布治疗炎症性肠病的经验。
Dig Dis Sci. 2019 Jul;64(7):1945-1951. doi: 10.1007/s10620-019-05492-y. Epub 2019 Feb 7.
2
Systematic review and network meta-analysis of treatment for moderate-to-severe ulcerative colitis.中度至重度溃疡性结肠炎治疗的系统评价和网状Meta分析
Int J Clin Pharm. 2018 Dec;40(6):1411-1419. doi: 10.1007/s11096-018-0743-4. Epub 2018 Nov 26.
3
Tofacitinib Induction Therapy Reduces Symptoms Within 3 Days for Patients With Ulcerative Colitis.托法替尼诱导治疗可在 3 天内减轻溃疡性结肠炎患者的症状。
Clin Gastroenterol Hepatol. 2019 Jan;17(1):139-147. doi: 10.1016/j.cgh.2018.07.009. Epub 2018 Sep 10.
4
Outcomes of Pregnancies With Maternal/Paternal Exposure in the Tofacitinib Safety Databases for Ulcerative Colitis.托法替尼治疗溃疡性结肠炎安全性数据库中母体/父体暴露的妊娠结局。
Inflamm Bowel Dis. 2018 Nov 29;24(12):2494-2500. doi: 10.1093/ibd/izy160.
5
Herpes Zoster Infection in Patients With Ulcerative Colitis Receiving Tofacitinib.接受托法替尼治疗的溃疡性结肠炎患者的带状疱疹感染。
Inflamm Bowel Dis. 2018 Sep 15;24(10):2258-2265. doi: 10.1093/ibd/izy131.
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Tofacitinib induction and maintenance therapy in East Asian patients with active ulcerative colitis: subgroup analyses from three phase 3 multinational studies.托法替布用于东亚活动性溃疡性结肠炎患者的诱导和维持治疗:三项3期多国研究的亚组分析
Intest Res. 2018 Apr;16(2):233-245. doi: 10.5217/ir.2018.16.2.233. Epub 2018 Apr 30.
7
Cost-Effectiveness of Different Strategies for the Treatment of Moderate-to-Severe Ulcerative Colitis.中重度溃疡性结肠炎治疗策略的成本-效果分析。
Inflamm Bowel Dis. 2018 Oct 12;24(11):2291-2302. doi: 10.1093/ibd/izy114.
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Systematic review with network meta-analysis: comparative assessment of tofacitinib and biological therapies for moderate-to-severe ulcerative colitis.系统评价与网络荟萃分析:托法替布与生物疗法治疗中重度溃疡性结肠炎的比较评估。
Aliment Pharmacol Ther. 2018 Feb;47(4):454-465. doi: 10.1111/apt.14449. Epub 2017 Dec 4.
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Tofacitinib in Patients with Ulcerative Colitis: Health-Related Quality of Life in Phase 3 Randomised Controlled Induction and Maintenance Studies.托法替布治疗溃疡性结肠炎患者的研究:3 期随机对照诱导和维持研究中的健康相关生活质量。
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Herpes Zoster and Tofacitinib: Clinical Outcomes and the Risk of Concomitant Therapy.带状疱疹和托法替尼:临床结局和伴随治疗的风险。
Arthritis Rheumatol. 2017 Oct;69(10):1960-1968. doi: 10.1002/art.40189. Epub 2017 Sep 6.