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[慢性瘙痒症的治疗:最新进展与展望]

[Treatment of chronic prurigo: update and perspectives].

作者信息

Witte F, Ständer S, Zeidler C

机构信息

Sektion Pruritusmedizin, Kompetenzzentrum Chronischer Pruritus (KCP), Klinik für Hautkrankheiten, Universitätsklinikum Münster, Von-Esmarch-Str. 58, 48149, Münster, Deutschland.

出版信息

Dermatologie (Heidelb). 2024 Aug;75(8):623-628. doi: 10.1007/s00105-024-05375-y. Epub 2024 Jun 13.

DOI:10.1007/s00105-024-05375-y
PMID:38869847
Abstract

BACKGROUND

Despite the high burden in patients with chronic prurigo (CPG), the first and so far only approved systemic therapy for this disease, dupilumab, has only been available since 2022. Therefore, treatment is mostly based on expert recommendations for off-label therapies. We aim to provide an overview of current therapies and possible future therapeutic drugs for CPG patients, which are currently in clinical trials.

MATERIALS AND METHODS

For this review, a systematic literature and clinical trial search was conducted via PubMed and Clinical Trials using the terms "chronic prurigo", "chronic nodular prurigo", "prurigo nodularis" and "therapy".

CONCLUSION

Multiple new therapeutic agents are currently under investigation in clinical trials, providing promising results for future treatment options. Moreover, an annotated checklist was developed recently to improve therapeutic decision-making in daily clinical practice with CPG patients.

摘要

背景

尽管慢性痒疹(CPG)患者负担沉重,但针对该疾病的首个且迄今唯一获批的全身治疗药物度普利尤单抗自2022年才开始可用。因此,治疗大多基于专家对非标签疗法的建议。我们旨在概述目前针对CPG患者的疗法以及目前正在临床试验中的可能的未来治疗药物。

材料与方法

对于本综述,通过PubMed和临床试验数据库,使用“慢性痒疹”“慢性结节性痒疹”“结节性痒疹”和“治疗”等术语进行了系统的文献和临床试验检索。

结论

目前多种新治疗药物正在临床试验中进行研究,为未来的治疗选择提供了有前景的结果。此外,最近制定了一份注释清单,以改善CPG患者日常临床实践中的治疗决策。

相似文献

1
[Treatment of chronic prurigo: update and perspectives].[慢性瘙痒症的治疗:最新进展与展望]
Dermatologie (Heidelb). 2024 Aug;75(8):623-628. doi: 10.1007/s00105-024-05375-y. Epub 2024 Jun 13.
2
Chronic Prurigo Including Prurigo Nodularis: New Insights and Treatments.慢性瘙痒症,包括结节性瘙痒症:新的见解和治疗方法。
Am J Clin Dermatol. 2024 Jan;25(1):15-33. doi: 10.1007/s40257-023-00818-z. Epub 2023 Sep 17.
3
A critical evaluation of nemolizumab for prurigo nodularis.对治疗结节性痒疹的 nemolizumab 的评价。
Expert Rev Clin Immunol. 2024 Jun;20(6):577-587. doi: 10.1080/1744666X.2024.2306225. Epub 2024 Jan 19.
4
Chronic Prurigo.慢性痒疹。
J Dtsch Dermatol Ges. 2024 Jun;22(6):813-823. doi: 10.1111/ddg.15317. Epub 2024 May 9.
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Trial of Nemolizumab in Moderate-to-Severe Prurigo Nodularis.尼莫利珠单抗治疗中重度结节性痒疹的试验。
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A critical review of dupilumab for adult patients with prurigo nodularis.度普利尤单抗治疗成年结节性痒疹患者的批判性综述。
Expert Rev Clin Immunol. 2024 Mar;20(3):249-254. doi: 10.1080/1744666X.2023.2268291. Epub 2023 Oct 12.
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Therapeutic potential of biologics in prurigo nodularis.生物制剂在结节性痒疹中的治疗潜力。
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Dupilumab for the Treatment of Prurigo Nodularis.度普利尤单抗治疗结节性痒疹。
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Dupilumab for prurigo nodularis: Case series and review of the literature.度普利尤单抗治疗结节性痒疹:病例系列及文献综述
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Prurigo nodularis: new insights into pathogenesis and novel therapeutics.结节性痒疹:发病机制的新见解和新疗法。
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本文引用的文献

1
[Indikation zur Systemtherapie bei chronischer Prurigo: Kommentierte Checkliste für die Praxis].[慢性痒疹系统治疗的适应证:实践注释清单]
J Dtsch Dermatol Ges. 2023 Jul;21(7):822-824. doi: 10.1111/ddg.15152_g.
2
Transcriptomic Landscape of Prurigo Nodularis Lesional Skin CD3+ T Cells Using Single-Cell RNA Sequencing.利用单细胞RNA测序技术分析结节性痒疹皮损皮肤CD3⁺T细胞的转录组图谱
J Invest Dermatol. 2023 Dec;143(12):2525-2529.e5. doi: 10.1016/j.jid.2023.05.011. Epub 2023 May 30.
3
Single-cell RNA sequencing defines disease-specific differences between chronic nodular prurigo and atopic dermatitis.
单细胞 RNA 测序定义了慢性结节性瘙痒症和特应性皮炎之间的疾病特异性差异。
J Allergy Clin Immunol. 2023 Aug;152(2):420-435. doi: 10.1016/j.jaci.2023.04.019. Epub 2023 May 18.
4
Dupilumab in patients with prurigo nodularis: two randomized, double-blind, placebo-controlled phase 3 trials.度普利尤单抗治疗结节性痒疹患者的两项随机、双盲、安慰剂对照 3 期临床试验。
Nat Med. 2023 May;29(5):1180-1190. doi: 10.1038/s41591-023-02320-9. Epub 2023 May 4.
5
The effectiveness and safety of dupilumab in the management of refractory prurigo nodularis in 45 Chinese patients: A real-life observational study.中文译文:在中国 45 例难治性结节性痒疹患者中,度普利尤单抗治疗的有效性和安全性:一项真实世界观察研究。
J Dermatol. 2023 Aug;50(8):1084-1087. doi: 10.1111/1346-8138.16803. Epub 2023 Apr 23.
6
Prurigo nodularis is highly linked with neural sensitization disorders of pain among hospitalized adults in the United States - National Inpatient Sample 2016-2019.在美国2016 - 2019年全国住院患者样本中,结节性痒疹与住院成人的神经痛觉过敏障碍高度相关。
Br J Dermatol. 2023 Jul 17;189(2):240-242. doi: 10.1093/bjd/ljad121.
7
Failure of Dupilimab With Severe Prurigo Nodularis That Responded Well to Abrocitinib.度普利尤单抗治疗重度结节性痒疹失败,而阿布昔替尼治疗效果良好。
Dermatitis. 2023 Nov-Dec;34(6):567. doi: 10.1089/derm.2022.0065. Epub 2023 Feb 27.
8
Efficacy and safety of vixarelimab, a human monoclonal oncostatin M receptor β antibody, in moderate-to-severe prurigo nodularis: a randomised, double-blind, placebo-controlled, phase 2a study.人源单克隆抑瘤素M受体β抗体维卡瑞单抗治疗中度至重度结节性痒疹的疗效和安全性:一项随机、双盲、安慰剂对照的2a期研究
EClinicalMedicine. 2023 Feb 3;57:101826. doi: 10.1016/j.eclinm.2023.101826. eCollection 2023 Mar.
9
Increased sensitivity to touch-evoked itch (punctate hyperknesis) in prurigo nodularis and type 2 inflammation: A cross-sectional pilot study.结节性痒疹中对触摸诱发瘙痒的敏感性增加(点状感觉过敏)与2型炎症:一项横断面试点研究。
J Eur Acad Dermatol Venereol. 2023 Jun;37(6):e789-e791. doi: 10.1111/jdv.18942. Epub 2023 Feb 15.
10
Two Phase 3, Randomized, Controlled Trials of Ruxolitinib Cream for Vitiligo.两项针对 Ruxolitinib 乳膏治疗白癜风的 3 期、随机、对照临床试验。
N Engl J Med. 2022 Oct 20;387(16):1445-1455. doi: 10.1056/NEJMoa2118828.