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依库珠单抗治疗重症肌无力:综述

Eculizumab in myasthenia gravis: A review.

作者信息

Zhou Avery, Ho Sabrina, Vickers Aroucha

机构信息

Kirk Kerkorian School of Medicine, Las Vegas, NV, USA.

Department of Neurology, Valley Hospital Medical Center, Las Vegas, NV, USA.

出版信息

Saudi J Ophthalmol. 2024 Jan 6;38(1):34-40. doi: 10.4103/sjopt.sjopt_74_23. eCollection 2024 Jan-Mar.

DOI:10.4103/sjopt.sjopt_74_23
PMID:38628404
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11016999/
Abstract

Eculizumab, a monoclonal antibody against complement C5, is a novel therapy to treat refractory myasthenia gravis (MG). The present review was undertaken to study the role of eculizumab in MG. This includes the drug's mechanism, pharmacokinetics, clinical trial findings, tolerability, side effects, safety, dosage, administration, and cost. An English-language search for relevant items was undertaken using Embase and PubMed from 1946 to present. Clinical trial registries/databases and websites were also searched for relevant data. Keywords were eculizumab and MG. The present review found 103 articles after initial screening. Current data support eculizumab as an effective, safe, and tolerable drug in cases of refractory MG. However, its cost can prevent it from being widely accessible to a majority of the general population.

摘要

依库珠单抗是一种抗补体C5的单克隆抗体,是治疗难治性重症肌无力(MG)的一种新型疗法。本综述旨在研究依库珠单抗在重症肌无力中的作用。这包括该药物的作用机制、药代动力学、临床试验结果、耐受性、副作用、安全性、剂量、给药方式和成本。使用Embase和PubMed对1946年至今的相关英文文献进行了检索。还检索了临床试验注册库/数据库和网站以获取相关数据。关键词为依库珠单抗和重症肌无力。本综述在初步筛选后共找到103篇文章。目前的数据支持依库珠单抗在难治性重症肌无力病例中是一种有效、安全且耐受性良好的药物。然而,其成本可能使其无法被大多数普通人群广泛使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/361b/11016999/df3b19ebcbe2/SJO-38-34-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/361b/11016999/df3b19ebcbe2/SJO-38-34-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/361b/11016999/df3b19ebcbe2/SJO-38-34-g001.jpg

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本文引用的文献

1
Terminal Complement Inhibitor Ravulizumab in Generalized Myasthenia Gravis.瑞昔珠单抗治疗全身性重症肌无力。
NEJM Evid. 2022 May;1(5):EVIDoa2100066. doi: 10.1056/EVIDoa2100066. Epub 2022 Apr 26.
2
Different Monoclonal Antibodies in Myasthenia Gravis: A Bayesian Network Meta-Analysis.重症肌无力中的不同单克隆抗体:一项贝叶斯网络荟萃分析。
Front Pharmacol. 2022 Jan 18;12:790834. doi: 10.3389/fphar.2021.790834. eCollection 2021.
3
Efficacy and Safety of Immunotherapies in Refractory Myasthenia Gravis: A Systematic Review and Meta-Analysis.
免疫疗法在难治性重症肌无力中的疗效与安全性:一项系统评价与荟萃分析
Front Neurol. 2021 Dec 1;12:725700. doi: 10.3389/fneur.2021.725700. eCollection 2021.
4
Quantitative evaluation of drug efficacy in the treatment of myasthenia gravis.定量评估药物治疗重症肌无力的疗效。
Expert Opin Investig Drugs. 2021 Dec;30(12):1231-1240. doi: 10.1080/13543784.2021.2010704. Epub 2021 Dec 6.
5
Eculizumab Pharmacokinetics and Pharmacodynamics in Patients With Generalized Myasthenia Gravis.依库珠单抗在全身型重症肌无力患者中的药代动力学和药效学
Front Neurol. 2021 Nov 2;12:696385. doi: 10.3389/fneur.2021.696385. eCollection 2021.
6
Eculizumab in refractory generalized myasthenia gravis previously treated with rituximab: subgroup analysis of REGAIN and its extension study.依库珠单抗治疗既往接受利妥昔单抗治疗的难治性全身性重症肌无力:REGAIN 及其扩展研究的亚组分析。
Muscle Nerve. 2021 Dec;64(6):662-669. doi: 10.1002/mus.27422. Epub 2021 Oct 14.
7
Myasthenia Gravis: Epidemiology, Pathophysiology and Clinical Manifestations.重症肌无力:流行病学、病理生理学及临床表现
J Clin Med. 2021 May 21;10(11):2235. doi: 10.3390/jcm10112235.
8
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Ann Clin Transl Neurol. 2021 Jul;8(7):1398-1407. doi: 10.1002/acn3.51376. Epub 2021 May 27.
9
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