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IV 替奈普酶:阿替普酶的非劣效替代选择?

IV tenecteplase: A non-inferior alternative to alteplase?

机构信息

Department of Neurology, Yale School of Medicine, New Haven, CT, USA.

Department of Neurology, Yale School of Medicine, New Haven, CT, USA; Division of Neurocritical Care and Emergency Neurology, Yale School of Medicine, New Haven, CT, USA.

出版信息

Med. 2022 Aug 12;3(8):519-520. doi: 10.1016/j.medj.2022.07.006.

DOI:10.1016/j.medj.2022.07.006
PMID:35963230
Abstract

The standard medical therapy for intravenous thrombolysis in patients with stroke presenting within 3 h is alteplase, a tissue plasminogen activator. Menon and colleagues assessed the non-inferiority, efficacy, and safety of tenecteplase, a modified version of alteplase, in patients with acute ischemic stroke presenting within 4.5 h of onset.

摘要

对于发病 3 小时内的静脉溶栓患者,标准的医学治疗是阿替普酶(一种组织型纤溶酶原激活物)。Menon 及其同事评估了替奈普酶(阿替普酶的改良版)在发病 4.5 小时内的急性缺血性脑卒中患者中的非劣效性、疗效和安全性。

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IV tenecteplase: A non-inferior alternative to alteplase?IV 替奈普酶:阿替普酶的非劣效替代选择?
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Tenecteplase versus alteplase in acute ischaemic cerebrovascular events (TRACE-2): a phase 3, multicentre, open-label, randomised controlled, non-inferiority trial.替奈普酶与阿替普酶治疗急性缺血性脑血管事件的疗效对比(TRACE-2):一项3期、多中心、开放标签、随机对照、非劣效性试验
Lancet. 2023 Feb 25;401(10377):645-654. doi: 10.1016/S0140-6736(22)02600-9. Epub 2023 Feb 9.
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In acute ischemic stroke, early IV tenecteplase was noninferior to alteplase for excellent functional outcome.在急性缺血性脑卒中患者中,早期静脉注射替奈普酶不劣于阿替普酶,可获得良好的功能结局。
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In Silico Study of Different Thrombolytic Agents for Fibrinolysis in Acute Ischemic Stroke.急性缺血性卒中纤溶不同溶栓剂的计算机模拟研究
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