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多组分、多靶点疗法治疗猫慢性肾病:一项多中心、前瞻性、观察性、非随机队列研究

The Multicomponent, Multitarget Therapy SUC in Cats with Chronic Kidney Disease: A Multicenter, Prospective, Observational, Nonrandomized Cohort Study.

作者信息

Brandenburg Uta, Braun Gabriele, Klein Peter, Reinhart Erich

机构信息

Tierärztliches Institut Göttingen, Göttingen, Germany.

Klifovet AG, Munich, Germany.

出版信息

Complement Med Res. 2020;27(3):163-173. doi: 10.1159/000506698. Epub 2020 Mar 26.

Abstract

BACKGROUND

We compared the natural multicomponent, multitarget therapy SUC (Solidago compositum ad us. vet., Ubichinon compositum and Coenzyme compositum, Heel GmbH, Baden-Baden, Germany) to the well-known angiotensin-converting enzyme inhibitor benazepril in a prospective, observational, nonrandomized, two-arm cohort study of cats with chronic kidney disease (CKD). The objective was to assess the tolerability and the effectiveness of SUC in cats with CKD.

MATERIAL AND METHODS

One hundred thirty-six cats were screened for CKD, and 70 cats were eligible for the study. Thirty-three cats were assigned to the SUC treatment, and 35 cats received benazepril. All cats were diagnosed with CKD. The follow-up period was 168 days. Response was assessed as an improved or stable serum creatinine from baseline to the end of the study. Additionally, a clinical summary score, as measure of quality of life, was evaluated.

RESULTS

Serum creatinine remained close to baseline in both study groups with slightly improved values in the SUC group. The clinical summary score improved significantly in the SUC group on days 3, 7, 28, 56 and 112, but not on day 168.

CONCLUSIONS

Within the limitations of the study, the results carry implications for the usefulness of SUC as an interesting new treatment option for feline CKD. The results indicate that SUC might be more effective if given at least twice weekly.

摘要

背景

在一项针对患有慢性肾病(CKD)的猫的前瞻性、观察性、非随机、双臂队列研究中,我们将天然多成分、多靶点疗法SUC(德国巴登-巴登市Heel GmbH公司生产的复方一枝黄花酊、泛癸利酮复方制剂和辅酶复方制剂)与知名的血管紧张素转换酶抑制剂苯那普利进行了比较。目的是评估SUC对患有CKD的猫的耐受性和有效性。

材料与方法

对136只猫进行了CKD筛查,70只猫符合研究条件。33只猫被分配接受SUC治疗,35只猫接受苯那普利治疗。所有猫均被诊断为CKD。随访期为168天。将从基线到研究结束时血清肌酐改善或稳定作为反应评估指标。此外,还评估了作为生活质量衡量指标的临床综合评分。

结果

两个研究组的血清肌酐均接近基线水平,SUC组的值略有改善。SUC组在第3、7、28、56和112天的临床综合评分显著改善,但在第168天没有改善。

结论

在该研究的局限性范围内,这些结果对SUC作为猫CKD一种有趣的新治疗选择的有用性具有启示意义。结果表明,如果每周至少给药两次,SUC可能更有效。

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