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干眼病药物治疗的最新进展。

Recent advances in drug treatments for dry eye disease.

机构信息

Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, Rome, Italy.

Department of Ophthalmology, University of Magna Græcia, Catanzaro, Italy.

出版信息

Expert Opin Pharmacother. 2023 Sep-Dec;24(18):2059-2079. doi: 10.1080/14656566.2023.2269090. Epub 2024 Jan 5.

Abstract

INTRODUCTION

Dry eye disease (DED) is a common ocular condition with a significant impact on patients' quality of life. Conventional treatments include behavioral changes, tear substitutes, and anti-inflammatory agents; however, recent advances in the understanding of DED pathogenesis have opened the way to the development of novel treatment strategies able to target several pathways involved in the onset and persistence of DED.

AREAS COVERED

Literature search was conducted on PubMed and Scopus around the term 'dry eye disease' and others involving its pathophysiology and therapeutic strategy. The primary focus was on recent drugs approved by FDA or under investigation in phase 3 clinical trials. Google and ClinicalTrials.gov were used for obtaining information about the status of FDA approval and ongoing clinical trials.

EXPERT OPINION

Due to its multifaced pathogenesis, DED management is often challenging, and patients' needs are frequently unmet. Recently, several novel treatments have been either FDA-approved or studied in late-phase trials. These novel drugs target-specific biological components of the ocular surface and reduce inflammation and ocular pain. Additionally, new drug delivery systems allow for increased bioavailability, improve effective dosing, and minimize ocular side effects. These advances in drug therapies show real promise for better management of DED patients.

摘要

简介

干眼(DED)是一种常见的眼部疾病,对患者的生活质量有重大影响。常规治疗包括行为改变、人工泪液和抗炎药;然而,对 DED 发病机制的理解的最新进展为开发能够针对 DED 发病和持续存在的多个途径的新型治疗策略开辟了道路。

涵盖领域

围绕“干眼(DED)”及其病理生理学和治疗策略等术语在 PubMed 和 Scopus 上进行了文献检索。主要重点是最近获得 FDA 批准或处于 3 期临床试验阶段的药物。谷歌和 ClinicalTrials.gov 用于获取有关 FDA 批准状态和正在进行的临床试验的信息。

专家意见

由于其多方面的发病机制,DED 的治疗管理常常具有挑战性,患者的需求经常得不到满足。最近,几种新的治疗方法已获得 FDA 批准或在 3 期临床试验中进行研究。这些新型药物针对眼表的特定生物成分,减少炎症和眼部疼痛。此外,新的药物输送系统可提高生物利用度、改善有效剂量并最小化眼部副作用。这些药物治疗方面的进展为更好地管理 DED 患者带来了真正的希望。

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