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布地奈德 2 毫克泡沫剂每日 2 次治疗溃疡性结肠炎的真实世界安全性和疗效:上市后监测的中期分析。

Real-world safety and efficacy of twice-daily budesonide 2-mg foam in patients with ulcerative colitis: interim analysis of post-marketing surveillance.

机构信息

Institute of Gastroenterology, Tokyo Women's Medical University, Tokyo, Japan.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan.

出版信息

Expert Opin Pharmacother. 2021 Aug;22(11):1505-1511. doi: 10.1080/14656566.2021.1905796. Epub 2021 Apr 9.

DOI:10.1080/14656566.2021.1905796
PMID:33832402
Abstract

: Budesonide foam 2 mg twice daily induced complete mucosal healing in patients with mild-to-moderate ulcerative colitis (UC) in a phase 3 study. Post-marketing surveillance is underway to assess the real-world outcomes in UC patients.: The authors performed an interim analysis of post-marketing surveillance in 182 patients with mild-to-moderate UC who received 2 mg budesonide foam rectally.: Budesonide foam was prescribed twice daily to 76.4% of patients for 7.6 ± 3.8 weeks (mean ± standard deviation). Seven patients (3.8%) had at least one adverse drug reaction (ADR). A serious ADR of enteritis infectious and glucocorticoid-related ADRs of acne and hypertrichosis were observed in one patient (0.5%) each. The partial Mayo scores significantly decreased from baseline to week 2 in patients with proctitis, left-sided colitis, and pancolitis ( < 0.01 versus baseline each). Clinical response and remission at week 6 were 75.9% (60/79) and 68.4% (54/79), respectively. At week 6, 72.6% (77/106) of the patients reported as 'good compliance' and 54.7% (58/106) of the patients as 'very easy' for administration, using a self-administered questionnaire.: Budesonide foam appeared to be safe, efficacious, and well-accepted in a real-world cohort of patients with UC. : JapicCTI-183858.

摘要

布地奈德泡沫 2 毫克,每日两次,可诱导轻度至中度溃疡性结肠炎(UC)患者的黏膜完全愈合。正在进行上市后监测,以评估 UC 患者的真实世界结局。

作者对接受 2 毫克布地奈德泡沫直肠给药的 182 例轻度至中度 UC 患者的上市后监测进行了中期分析。

布地奈德泡沫每日两次处方给 76.4%的患者,疗程为 7.6±3.8 周(均数±标准差)。7 例患者(3.8%)出现至少 1 种药物不良反应(ADR)。1 例患者(0.5%)出现 1 例感染性肠炎和 1 例糖皮质激素相关的痤疮和多毛症的严重 ADR。直肠炎、左半结肠炎和全结肠炎患者的部分 Mayo 评分从基线至第 2 周显著降低(<0.01 与基线相比)。第 6 周时,临床缓解率和缓解率分别为 75.9%(60/79)和 68.4%(54/79)。第 6 周时,72.6%(77/106)的患者报告“依从性好”,54.7%(58/106)的患者报告“非常容易”接受治疗,使用自我管理问卷。

布地奈德泡沫在 UC 真实世界队列中似乎安全、有效且被广泛接受。

JapicCTI-183858。

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