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特普替尼单抗治疗甲状腺眼病。

Teprotumumab for the treatment of thyroid eye disease.

机构信息

Central Hospital of Linyi City , Yishui, Shandong, China.

出版信息

Expert Rev Clin Immunol. 2020 Aug;16(8):739-743. doi: 10.1080/1744666X.2020.1801421. Epub 2020 Aug 9.

DOI:10.1080/1744666X.2020.1801421
PMID:32707005
Abstract

INTRODUCTION

Thyroid eye disease is a debilitating, disfiguring, and potentially blinding periocular condition. Teprotumumab is a human insulin-like growth factor-I receptor monoclonal inhibitor antibody which indicated for treating thyroid eye disease.

AREAS COVERED

The authors performed a systematic review of the literature using the PubMed database, and the following keywords were used: 'teprotumumab,' 'thyroid eye disease,' and 'insulin-like growth factor I receptor.' The chemical property, mechanism of action, pharmacokinetics, clinical efficacy, and safety of teprotumumab were introduced in this paper.

EXPERT OPINION

Teprotumumab is a human monoclonal antibody targeting insulin-like growth factor-I receptor. Clinical trials indicated that proptosis response of teprotumumab was 83%, and clinical activity score, diplopia, and quality of life were also better than placebo. Teprotumumab was well tolerated, common adverse reactions included muscle spasm, nausea, alopecia, diarrhea, fatigue, hyperglycemia, hearing impairment, dysgeusia, headache, and dry skin.

摘要

简介

甲状腺眼病是一种使人衰弱、毁容且可能致盲的眼周疾病。特普罗鲁单抗是一种人胰岛素样生长因子-I 受体单克隆抑制剂抗体,用于治疗甲状腺眼病。

涵盖领域

作者使用 PubMed 数据库进行了系统的文献回顾,并使用了以下关键词:“特普鲁单抗”、“甲状腺眼病”和“胰岛素样生长因子 I 受体”。本文介绍了特普鲁单抗的化学性质、作用机制、药代动力学、临床疗效和安全性。

专家意见

特普鲁单抗是人胰岛素样生长因子-I 受体的单克隆抗体。临床试验表明,特普鲁单抗的眼球突出反应为 83%,临床活动评分、复视和生活质量也优于安慰剂。特普鲁单抗耐受性良好,常见不良反应包括肌肉痉挛、恶心、脱发、腹泻、疲劳、高血糖、听力障碍、味觉障碍、头痛和皮肤干燥。

相似文献

1
Teprotumumab for the treatment of thyroid eye disease.特普替尼单抗治疗甲状腺眼病。
Expert Rev Clin Immunol. 2020 Aug;16(8):739-743. doi: 10.1080/1744666X.2020.1801421. Epub 2020 Aug 9.
2
Teprotumumab for patients with active thyroid eye disease: a pooled data analysis, subgroup analyses, and off-treatment follow-up results from two randomised, double-masked, placebo-controlled, multicentre trials.替普罗单抗治疗活动性甲状腺眼病患者:两项随机、双盲、安慰剂对照、多中心试验的汇总数据分析、亚组分析及停药后随访结果
Lancet Diabetes Endocrinol. 2021 Jun;9(6):360-372. doi: 10.1016/S2213-8587(21)00056-5. Epub 2021 Apr 15.
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Teprotumumab for the Treatment of Active Thyroid Eye Disease.特罗特鲁单抗治疗活动性甲状腺眼病。
N Engl J Med. 2020 Jan 23;382(4):341-352. doi: 10.1056/NEJMoa1910434.
4
Teprotumumab: a novel therapeutic monoclonal antibody for thyroid-associated ophthalmopathy.特普替尼单抗:一种用于甲状腺相关眼病的新型治疗性单克隆抗体。
Expert Opin Investig Drugs. 2020 Jul;29(7):645-649. doi: 10.1080/13543784.2020.1772752. Epub 2020 Jun 10.
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Teprotumumab: Interpreting the Clinical Trials in the Context of Thyroid Eye Disease Pathogenesis and Current Therapies.特罗特单抗:从甲状腺眼病发病机制和现有疗法的角度解读临床试验。
Ophthalmology. 2021 Nov;128(11):1627-1651. doi: 10.1016/j.ophtha.2021.04.024. Epub 2021 Apr 28.
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Teprotumumab: A Review in Thyroid Eye Disease.特罗特单抗:甲状腺眼病治疗的研究进展。
Drugs. 2022 Nov;82(17):1663-1670. doi: 10.1007/s40265-022-01804-1. Epub 2022 Nov 23.
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Long-Term Efficacy of Teprotumumab in Thyroid Eye Disease: Follow-Up Outcomes in Three Clinical Trials.甲状腺眼病中特罗特单抗的长期疗效:三项临床试验的随访结果。
Thyroid. 2024 Jul;34(7):880-889. doi: 10.1089/thy.2023.0656. Epub 2024 Jun 2.
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Teprotumumab for the Treatment of Recalcitrant Thyroid Eye Disease.替普罗单抗治疗难治性甲状腺眼病
Ophthalmic Plast Reconstr Surg. 2024;40(3):276-285. doi: 10.1097/IOP.0000000000002564. Epub 2023 Nov 16.
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Thyroid Eye Disease, Teprotumumab, and Hearing Loss: An Evolving Role for Otolaryngologists.甲状腺眼病、替普罗单抗与听力损失:耳鼻喉科医生的角色演变
Otolaryngol Head Neck Surg. 2021 Dec;165(6):757-758. doi: 10.1177/01945998211004240. Epub 2021 Mar 30.
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Efficacy and Safety of Teprotumumab in Patients With Thyroid Eye Disease of Long Duration and Low Disease Activity.特罗特单抗治疗长病程和低疾病活动度甲状腺眼病患者的疗效和安全性。
J Clin Endocrinol Metab. 2023 Dec 21;109(1):25-35. doi: 10.1210/clinem/dgad637.

引用本文的文献

1
Teprotumumab in the management of thyroid eye disease mechanistic insights and adverse reactions: a comprehensive review.替普罗单抗治疗甲状腺眼病的机制见解与不良反应:一项全面综述
Front Endocrinol (Lausanne). 2025 May 27;16:1480195. doi: 10.3389/fendo.2025.1480195. eCollection 2025.
2
Thyroid dermopathy responds to teprotumumab therapy.甲状腺皮肤病对替普罗图单抗治疗有反应。
Endocrinol Diabetes Metab Case Rep. 2022 Mar 1;2022. doi: 10.1530/EDM-21-0201.
3
Infusion Center Guidelines for Teprotumumab Infusions: Informed Consent, Safety, and Management of Side Effects.
输液中心特罗特单抗输注指南:知情同意、安全性和副作用管理。
J Infus Nurs. 2021;44(6):331-338. doi: 10.1097/NAN.0000000000000446.