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干扰素 beta-1a(Rebif®)治疗复发缓解型多发性硬化症。

Interferon beta 1a (Rebif®) in relapsing remitting multiple sclerosis.

机构信息

Neuromuscular Diseases Clinic, International Center for Neurological Restoration, Habana, Cuba.

Division of Neuromuscular Diseases Clinic, Abel Santamaria Cuadrado University Hospital, Pinar del Río, Cuba.

出版信息

Drug Dev Res. 2021 Aug;82(5):707-715. doi: 10.1002/ddr.21798. Epub 2021 Feb 15.

DOI:10.1002/ddr.21798
PMID:33586209
Abstract

Multiple sclerosis (MS) is an autoimmune neurodegenerative disease that affects the central nervous system. It is the second cause of neurological disability in young adults. The exact cause of the disease remains unknown and there is no curative treatment. It is imperative to evaluate the efficacy of newest, biotechnological products modifying the disease. This study was designed to evaluate the use of interferon beta 1a (Rebif®) in patients with relapsing remitting MS treated at International Center for Neurological Restoration. Thirty-one patients with relapsing remitting MS, between 10 and 65 years of age, four males and 27 females, were treated with Rebif® three times per week during 1 year. The safety of the treatment was evaluated based on the adverse events and the efficacy based on the disability scale score, the number of attacks and the number of lesions at magnetic resonance imaging (MRI). The public clinical trial is registered in Cuba (Number B-10-030-L03). Adverse effects occurred in 75% of the cases, but they were mild. A significant reduction in the number of attacks, the disability scale score and the number of lesions at MRI were observed in patients with relapsing remitting MS treated with Rebif®. The use of interferon beta 1a showed safety and efficacy in the treatment of patients with relapsing remitting MS.

摘要

多发性硬化症(MS)是一种影响中枢神经系统的自身免疫性神经退行性疾病。它是导致年轻人神经功能障碍的第二大原因。该病的确切病因仍不清楚,也没有治愈方法。评估最新生物技术产品对疾病的疗效至关重要。本研究旨在评估在国际神经康复中心接受治疗的复发性缓解型多发性硬化症患者使用干扰素β 1a(Rebif®)的效果。

31 名年龄在 10 至 65 岁之间的复发性缓解型多发性硬化症患者(4 名男性和 27 名女性)接受 Rebif®每周三次治疗,为期 1 年。根据不良反应评估治疗的安全性,根据残疾量表评分、发作次数和磁共振成像(MRI)上的病变数量评估疗效。该公开临床试验在古巴注册(编号 B-10-030-L03)。

75%的患者出现不良反应,但均为轻度。Rebif®治疗的复发性缓解型多发性硬化症患者的发作次数、残疾量表评分和 MRI 上的病变数量均显著减少。干扰素β 1a 的使用在复发性缓解型多发性硬化症患者的治疗中显示出安全性和疗效。

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Interferon beta 1a (Rebif®) in relapsing remitting multiple sclerosis.干扰素 beta-1a(Rebif®)治疗复发缓解型多发性硬化症。
Drug Dev Res. 2021 Aug;82(5):707-715. doi: 10.1002/ddr.21798. Epub 2021 Feb 15.
2
Comparison of subcutaneous interferon beta-1a with glatiramer acetate in patients with relapsing multiple sclerosis (the REbif vs Glatiramer Acetate in Relapsing MS Disease [REGARD] study): a multicentre, randomised, parallel, open-label trial.皮下注射干扰素β-1a与醋酸格拉替雷治疗复发型多发性硬化症的比较(复发型多发性硬化症中重组人干扰素β-1a对比醋酸格拉替雷[REGARD]研究):一项多中心、随机、平行、开放标签试验。
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Lancet Neurol. 2019 Nov;18(11):1021-1033. doi: 10.1016/S1474-4422(19)30238-8. Epub 2019 Sep 3.
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Mult Scler. 2002 Apr;8(2):119-23. doi: 10.1191/1352458502ms788oa.
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Neutralizing antibody production against Rebif® and ReciGen® in Relapsing-Remitting Multiple Sclerosis (RRMS) patients and its association with patient's disability.在复发缓解型多发性硬化症(RRMS)患者中针对 Rebif® 和 ReciGen® 的中和抗体产生及其与患者残疾的关系。
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Spotlight on subcutaneous recombinant interferon-beta-1a (Rebif) in relapsing-remitting multiple sclerosis.皮下注射重组干扰素β-1a(利比)治疗复发缓解型多发性硬化症的研究聚焦
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Safety and efficacy of ozanimod versus interferon beta-1a in relapsing multiple sclerosis (SUNBEAM): a multicentre, randomised, minimum 12-month, phase 3 trial.奥扎莫德与干扰素β-1a 在复发型多发性硬化症中的安全性和疗效(SUNBEAM):一项多中心、随机、至少 12 个月、3 期临床试验。
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Immunomodulators and immunosuppressants for multiple sclerosis: a network meta-analysis.用于多发性硬化症的免疫调节剂和免疫抑制剂:一项网状Meta分析
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Effect of interferon beta-1a subcutaneously three times weekly on clinical and radiological measures and no evidence of disease activity status in patients with relapsing-remitting multiple sclerosis at year 1.皮下注射干扰素β-1a每周三次对复发缓解型多发性硬化症患者1年时临床和影像学指标及无疾病活动证据状态的影响。
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引用本文的文献

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Predictive value of number and volume of demyelinating plaques in treatment response in patients with multiple sclerosis treated with INF-B.干扰素-β治疗的多发性硬化症患者中,脱髓鞘斑块数量和体积对治疗反应的预测价值。
Am J Neurodegener Dis. 2022 Apr 15;11(1):10-16. eCollection 2022.