Bova Maria, Valerieva Anna, Wu Maddalena Alessandra, Senter Riccardo, Perego Francesca
Department of Translational Medical Sciences and Interdepartmental Center for Research in Basic and Clinical Immunology Sciences, University of Naples Federico II, Naples, Italy.
Clinical Centre of Allergology, Medical University of Sofia, Sofia, Bulgaria.
Drug Des Devel Ther. 2019 Oct 22;13:3635-3646. doi: 10.2147/DDDT.S192475. eCollection 2019.
Despite the efficacy of the on-demand treatment for the control of acute attacks of Hereditary Angioedema due to C1-Inhibitor Deficiency (C1-INH-HAE), the number and severity of attacks and the impairment in the quality of life of the affected patients have led to the development of a new monoclonal antibody, lanadelumab, directly addressed to the blockage of bradykinin, the principal mediator of vasodilation during angioedema attacks. It is indicated for the prophylactic treatment, it is easy to administer, highly effective and with known limited side effects. The current review summarizes the development of the drug, its clinical background and its perspectives.
尽管按需治疗对于控制因C1抑制剂缺乏引起的遗传性血管性水肿(C1-INH-HAE)急性发作有效,但发作的次数和严重程度以及受影响患者生活质量的受损情况促使开发了一种新的单克隆抗体——拉那芦人单抗,其直接作用于阻断缓激肽,缓激肽是血管性水肿发作期间血管舒张的主要介质。它适用于预防性治疗,易于给药,高效且已知副作用有限。本综述总结了该药物的研发情况、临床背景及其前景。