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[胸腺五肽用于慢性多关节炎的免疫调节治疗。一项针对119例患者的多中心安慰剂对照研究]

[Immunomodulating therapy in chronic polyarthritis with thymopentin. A multicenter placebo-controlled study of 119 patients].

作者信息

Lemmel E M, Bach G L, Bolten W, Brackertz D, Fahmy Z, Mattern H, Stroehmann I, Wittenborg A

机构信息

Staatliches Rheumakrankenhaus, Wildbad.

出版信息

Dtsch Med Wochenschr. 1988 Feb 5;113(5):172-6. doi: 10.1055/s-2008-1067614.

DOI:10.1055/s-2008-1067614
PMID:3276492
Abstract

In a multicenter, placebo-controlled and randomized double-blind trial 119 patients with rheumatoid arthritis were treated with thymopentin, an immunoregulating drug. The data of 107 patients were complete enough to be evaluated: 51 were given intravenous injections over ten minutes of 50 mg thymopentin three times weekly, 56 were similarly treated with a placebo solution. Significant improvement of five among nine clinical criteria were obtained with thymopentin after the third week of treatment. The response rate (improvement of a clinical parameter by at least 40%) was significantly greater for all clinical parameters in the thymopentin group. Regression to a functionally more favourable class (Steinbrocker's classification) occurred in seven thymopentin-treated, but in none of the placebo-treated patients. The improvement gradually subsided over four weeks after the end of treatment. There were no changes during the trial with respect to immunological, biochemical or haematological findings. Except for one systemic allergic reaction there were no side effects.

摘要

在一项多中心、安慰剂对照的随机双盲试验中,119名类风湿性关节炎患者接受了免疫调节药物胸腺五肽治疗。107名患者的数据完整,足以进行评估:51名患者每周三次静脉注射50毫克胸腺五肽,每次注射持续十分钟;56名患者接受安慰剂溶液的类似治疗。治疗三周后,胸腺五肽组在九个临床标准中的五个方面取得了显著改善。胸腺五肽组所有临床参数的反应率(临床参数至少改善40%)显著更高。七名接受胸腺五肽治疗的患者病情回归到功能更有利的类别(斯坦布鲁克分类),而接受安慰剂治疗的患者无一如此。治疗结束后四周内,改善情况逐渐消退。试验期间,免疫学、生化或血液学检查结果无变化。除了一例全身性过敏反应外,未出现副作用。

相似文献

1
[Immunomodulating therapy in chronic polyarthritis with thymopentin. A multicenter placebo-controlled study of 119 patients].[胸腺五肽用于慢性多关节炎的免疫调节治疗。一项针对119例患者的多中心安慰剂对照研究]
Dtsch Med Wochenschr. 1988 Feb 5;113(5):172-6. doi: 10.1055/s-2008-1067614.
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Surv Immunol Res. 1985;4 Suppl 1:81-6.
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Interim results on the clinical effects of i.v. administered thymopentin in active rheumatoid arthritis.静脉注射胸腺五肽治疗活动性类风湿关节炎的临床疗效中期结果。
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Confirmative study of the effectiveness of thymopentin in active rheumatoid arthritis.胸腺五肽治疗活动性类风湿关节炎有效性的验证性研究
Surv Immunol Res. 1985;4 Suppl 1:87-93. doi: 10.1007/BF02919062.
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[A case of juvenile rheumatoid arthritis treated with thymopentin].[一例用胸腺五肽治疗的青少年类风湿关节炎病例]
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Thymopoietin pentapeptide (thymopentin, TP-5) in the treatment of rheumatoid arthritis. A compilation of several short- and longterm clinical studies.胸腺生成素五肽(胸腺五肽,TP - 5)治疗类风湿性关节炎。多项短期和长期临床研究汇编。
J Rheumatol. 1984 Aug;11(4):462-6.
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First observations on high-dosed and long-term thymopentin treatment in active rheumatoid arthritis.关于高剂量和长期胸腺五肽治疗活动性类风湿关节炎的初步观察
Int J Clin Pharmacol Res. 1984;4(6):445-9.
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Treatment of active rheumatoid arthritis with slow intravenous injections of thymopentin. A double-blind placebo-controlled randomised study.用胸腺五肽缓慢静脉注射治疗活动性类风湿关节炎。一项双盲安慰剂对照随机研究。
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Thymopentin in chronic Trichophyton rubrum infection.胸腺五肽治疗红色毛癣菌慢性感染
Surv Immunol Res. 1985;4 Suppl 1:135-8.

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Double blind controlled phase III multicenter clinical trial with interferon gamma in rheumatoid arthritis. German Lymphokine Study Group.
Rheumatol Int. 1992;12(5):175-85. doi: 10.1007/BF00302149.