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氨吡啶在视神经脊髓炎谱系障碍中的疗效:一项初步研究。

Efficacy of dalfampridine in neuromyelitis optica spectrum disorder: A pilot study.

作者信息

de Seze Jérôme, Clerc Christine, Béreau Matthieu, Bourre Bertrand, Zephir Hélène, Collongues Nicolas, Kremer Laurent, Vermersch Patrick, Bigaut Kevin

机构信息

Clinical Investigation Center (CIC), CHU Strasbourg, France.

Department de Neurology, CHU Strasbourg, France.

出版信息

Mult Scler J Exp Transl Clin. 2024 Feb 29;10(1):20552173241233952. doi: 10.1177/20552173241233952. eCollection 2024 Jan-Mar.

DOI:10.1177/20552173241233952
PMID:38435499
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10908237/
Abstract

OBJECTIVE

To assess the efficacy of dalfampridine in patients with neuromyelitis optica spectrum disorder.

METHODS

We included 15 consecutive patients, who were started on a treatment of dalfampridine 10 mg twice daily for 2 weeks. Efficacy assessment was based on walking ability improvement using Timed-25-Foot Walk and 12-item Multiple Sclerosis Walking Scale tests.

RESULTS

The mean Timed-25-Foot Walk score was reduced from 14.8 (±2.4) to 11.3 (±1.9) seconds ( = 0.01). The mean score on the 12-item Multiple Sclerosis Walking Scale was reduced from 41.2 (±3.5) to 31.4 (±3.2) ( = 0.004).

CONCLUSION

Dalfampridine seems to be useful for symptomatic treatment of walking impairment in neuromyelitis optica spectrum disorder.

摘要

目的

评估氨吡啶对视神经脊髓炎谱系障碍患者的疗效。

方法

我们纳入了15例连续的患者,开始给予氨吡啶10毫克每日两次治疗,持续2周。疗效评估基于使用25英尺计时步行测试和12项多发性硬化症步行量表测试来评估步行能力的改善情况。

结果

25英尺计时步行测试的平均得分从14.8(±2.4)秒降至11.3(±1.9)秒(P = 0.01)。12项多发性硬化症步行量表的平均得分从41.2(±3.5)降至31.4(±3.2)(P = 0.004)。

结论

氨吡啶似乎对视神经脊髓炎谱系障碍患者步行障碍的症状性治疗有用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f75/10908237/ffa6cdc1e74e/10.1177_20552173241233952-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f75/10908237/84dbd93af8a7/10.1177_20552173241233952-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f75/10908237/ffa6cdc1e74e/10.1177_20552173241233952-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f75/10908237/84dbd93af8a7/10.1177_20552173241233952-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f75/10908237/ffa6cdc1e74e/10.1177_20552173241233952-fig2.jpg

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本文引用的文献

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International consensus diagnostic criteria for neuromyelitis optica spectrum disorders.视神经脊髓炎谱系障碍国际共识诊断标准
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Development of dalfampridine, a novel pharmacologic approach for treating walking impairment in multiple sclerosis.达氟吡啶的研发,一种治疗多发性硬化症步行障碍的新型药理学方法。
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Timed 25-foot walk: direct evidence that improving 20% or greater is clinically meaningful in MS.
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Neurology. 2013 Apr 16;80(16):1509-17. doi: 10.1212/WNL.0b013e31828cf7f3. Epub 2013 Mar 27.
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