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干性和新生血管性“湿性”年龄相关性黄斑变性:即将出现的疗法。

Dry and neovascular "wet" age-related macular degeneration: Upcoming therapies.

作者信息

Yan Audrey, Hasan Nasiq, Chhablani Jay

机构信息

Department of Medicine, West Virginia School of Osteopathic Medicine, Lewisburg, WV, USA.

Department of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburg, PA, USA.

出版信息

Indian J Ophthalmol. 2025 Jan 1;73(Suppl 1):S55-S65. doi: 10.4103/IJO.IJO_1120_24. Epub 2024 Oct 25.

DOI:10.4103/IJO.IJO_1120_24
PMID:39446815
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11834902/
Abstract

The age-related macular degeneration (AMD) field is witnessing promising advancements in therapeutic options. Breakthrough drugs such as pegcetacoplan and avacincaptad have been FDA-approved for dry AMD, marking a significant development as there were no treatment options until August 2023. While several antivascular endothelial growth factor (VEGF) inhibitors have been approved for wet AMD, challenges persist with the need for frequent dosing. New treatments such as gene therapy, cell therapy, WNT pathway agonists, complement inhibitors, and anti-VEGF combination drugs are under development to address these issues. These developments are exciting and hold promise for transforming the field of medicine, offering hope for improved outcomes and enhanced patient care in managing AMD.

摘要

年龄相关性黄斑变性(AMD)领域在治疗选择方面正取得令人鼓舞的进展。诸如培西加可普朗和阿伐西普他等突破性药物已获美国食品药品监督管理局(FDA)批准用于治疗干性AMD,这是一项重大进展,因为在2023年8月之前尚无治疗选择。虽然几种抗血管内皮生长因子(VEGF)抑制剂已被批准用于湿性AMD,但由于需要频繁给药,挑战依然存在。基因治疗、细胞治疗、WNT通路激动剂、补体抑制剂和抗VEGF联合药物等新疗法正在研发中,以解决这些问题。这些进展令人兴奋,有望变革医学领域,为改善AMD治疗效果和加强患者护理带来希望。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f3b/11834902/1bbf2419d659/IJO-73-55-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f3b/11834902/7743be7cd66f/IJO-73-55-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f3b/11834902/e9ea1772b829/IJO-73-55-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f3b/11834902/1bbf2419d659/IJO-73-55-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f3b/11834902/7743be7cd66f/IJO-73-55-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f3b/11834902/e9ea1772b829/IJO-73-55-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f3b/11834902/1bbf2419d659/IJO-73-55-g003.jpg

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本文引用的文献

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Pegcetacoplan for the treatment of geographic atrophy secondary to age-related macular degeneration (OAKS and DERBY): two multicentre, randomised, double-masked, sham-controlled, phase 3 trials.
培格司他单抗治疗与年龄相关的黄斑变性(OAKS 和 DERBY)相关的地图状萎缩:两项多中心、随机、双盲、假对照、3 期临床试验。
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Efficacy and safety of avacincaptad pegol in patients with geographic atrophy (GATHER2): 12-month results from a randomised, double-masked, phase 3 trial.阿伐西普妥单抗治疗地图样萎缩患者的疗效和安全性(GATHER2):一项随机、双盲、3期试验的12个月结果
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