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早期使用吡非尼酮治疗可改善特发性肺纤维化患者的肺功能。

Early pirfenidone treatment enhances lung function in idiopathic pulmonary fibrosis patients.

作者信息

Zhang Jin-Wei

机构信息

Medical School, University of Exeter, Exeter EX4 4PS, United Kingdom.

出版信息

World J Clin Cases. 2024 Oct 6;12(28):6247-6249. doi: 10.12998/wjcc.v12.i28.6247.

DOI:10.12998/wjcc.v12.i28.6247
PMID:39371563
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11362896/
Abstract

This editorial comments on the study by Lei investigating the efficacy of early treatment with pirfenidone on the lung function of patients with idiopathic pulmonary fibrosis (IPF) published. This study evaluates the efficacy of early treatment with pirfenidone on lung function in patients with IPF. The early and advanced stages of IPF are defined, highlighting the drug's benefits. While prior research indicates pirfenidone's effectiveness in advanced IPF, this study focuses on its advantages in early stages. The study emphasizes the importance of computed tomography imaging alongside biochemical data and lung function tests for a comprehensive analysis of symptom relief. Results show that early intervention with pirfenidone significantly reduces disease progression and preserves lung function, underscoring its potential as a critical treatment strategy in early IPF.

摘要

这篇社论评论了雷关于吡非尼酮早期治疗对特发性肺纤维化(IPF)患者肺功能影响的研究。该研究评估了吡非尼酮早期治疗对IPF患者肺功能的疗效。明确了IPF的早期和晚期阶段,突出了该药物的益处。虽然先前的研究表明吡非尼酮在晚期IPF中有效,但本研究重点关注其在早期阶段的优势。该研究强调了计算机断层扫描成像与生化数据和肺功能测试相结合对于全面分析症状缓解情况的重要性。结果表明,吡非尼酮的早期干预显著降低了疾病进展并保留了肺功能,突显了其作为早期IPF关键治疗策略的潜力。

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1
Early pirfenidone treatment enhances lung function in idiopathic pulmonary fibrosis patients.早期使用吡非尼酮治疗可改善特发性肺纤维化患者的肺功能。
World J Clin Cases. 2024 Oct 6;12(28):6247-6249. doi: 10.12998/wjcc.v12.i28.6247.
2
Real-life experiences in a single center: efficacy of pirfenidone in idiopathic pulmonary fibrosis and fibrotic idiopathic non-specific interstitial pneumonia patients.单中心真实世界经验:吡非尼酮治疗特发性肺纤维化和特发性非特异性间质性肺炎纤维化患者的疗效。
Ther Adv Respir Dis. 2020 Jan-Dec;14:1753466620963015. doi: 10.1177/1753466620963015.
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Pirfenidone in patients with progressive fibrotic interstitial lung diseases other than idiopathic pulmonary fibrosis (RELIEF): a double-blind, randomised, placebo-controlled, phase 2b trial.吡非尼酮治疗非特发性肺纤维化的进展性肺纤维化间质性肺疾病患者(RELIEF):一项双盲、随机、安慰剂对照、2b 期试验。
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Assessing the Effectiveness of Pirfenidone in Idiopathic Pulmonary Fibrosis: Long-Term, Real-World Data from European IPF Registry (eurIPFreg).评估吡非尼酮治疗特发性肺纤维化的有效性:来自欧洲特发性肺纤维化注册研究(eurIPFreg)的长期真实世界数据。
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Efficacy and Safety of Pirfenidone in Advanced Idiopathic Pulmonary Fibrosis.吡非尼酮治疗特发性肺纤维化的有效性和安全性。
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Absence of early metabolic response assessed by 18F-FDG PET/CT after initiation of antifibrotic drugs in IPF patients.特发性肺纤维化患者起始抗纤维化治疗后,18F-FDG PET/CT 评估早期代谢无应答。
Respir Res. 2019 Jan 15;20(1):10. doi: 10.1186/s12931-019-0974-5.

本文引用的文献

1
Study on the efficacy of early treatment with pirfenidone on the lung function of patients with idiopathic pulmonary fibrosis.吡非尼酮早期治疗对特发性肺纤维化患者肺功能的疗效研究。
World J Clin Cases. 2024 Aug 6;12(22):4913-4923. doi: 10.12998/wjcc.v12.i22.4913.
2
Current and Future Treatment Landscape for Idiopathic Pulmonary Fibrosis.特发性肺纤维化的当前和未来治疗全景。
Drugs. 2023 Nov;83(17):1581-1593. doi: 10.1007/s40265-023-01950-0. Epub 2023 Oct 26.
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Features and predictive value of 6-min walk test outcomes in interstitial lung disease: an observation study using wearable monitors.使用可穿戴监测仪的间质性肺疾病 6 分钟步行试验结果的特征和预测价值:一项观察性研究。
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Idiopathic Pulmonary Fibrosis.特发性肺纤维化
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Respir Res. 2018 Feb 22;19(1):32. doi: 10.1186/s12931-018-0730-2.
7
Role of pirfenidone in the management of pulmonary fibrosis.吡非尼酮在肺纤维化管理中的作用。
Ther Clin Risk Manag. 2017 Apr 3;13:427-437. doi: 10.2147/TCRM.S81141. eCollection 2017.
8
Safety of pirfenidone in patients with idiopathic pulmonary fibrosis: integrated analysis of cumulative data from 5 clinical trials.吡非尼酮治疗特发性肺纤维化患者的安全性:5 项临床试验累积数据的综合分析。
BMJ Open Respir Res. 2016 Jan 12;3(1):e000105. doi: 10.1136/bmjresp-2015-000105. eCollection 2016.
9
Idiopathic pulmonary fibrosis: current treatment options and critical appraisal of nintedanib.特发性肺纤维化:当前的治疗选择及对尼达尼布的批判性评价
Drug Des Devel Ther. 2015 Dec 14;9:6407-19. doi: 10.2147/DDDT.S76648. eCollection 2015.
10
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N Engl J Med. 2014 May 29;370(22):2083-92. doi: 10.1056/NEJMoa1402582. Epub 2014 May 18.