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Safety and efficacy of givinostat in boys with Duchenne muscular dystrophy (EPIDYS): a multicentre, randomised, double-blind, placebo-controlled, phase 3 trial. givinostat 在患有杜氏肌营养不良症(EPIDYS)男孩中的安全性和有效性:一项多中心、随机、双盲、安慰剂对照、3 期临床试验。
Lancet Neurol. 2024 Apr;23(4):393-403. doi: 10.1016/S1474-4422(24)00036-X.
2
Population pharmacokinetic-pharmacodynamic analysis of givinostat.吉伏他滨的群体药代动力学-药效学分析。
Expert Opin Drug Metab Toxicol. 2023 Apr;19(4):229-238. doi: 10.1080/17425255.2023.2219839. Epub 2023 Jun 12.
3
Givinostat as metabolic enhancer reverting mitochondrial biogenesis deficit in Duchenne Muscular Dystrophy.给予司他夫定作为代谢增强剂可恢复杜氏肌营养不良症中线粒体生物发生缺陷。
Pharmacol Res. 2021 Aug;170:105751. doi: 10.1016/j.phrs.2021.105751. Epub 2021 Jun 29.
4
Duchenne muscular dystrophy.杜氏肌营养不良症。
Nat Rev Dis Primers. 2021 Feb 18;7(1):13. doi: 10.1038/s41572-021-00248-3.
5
Therapeutic Strategies for Duchenne Muscular Dystrophy: An Update.杜氏肌营养不良症的治疗策略:最新进展。
Genes (Basel). 2020 Jul 23;11(8):837. doi: 10.3390/genes11080837.
6
Duchenne Muscular Dystrophy: From Diagnosis to Therapy.杜氏肌营养不良症:从诊断到治疗
Molecules. 2015 Oct 7;20(10):18168-84. doi: 10.3390/molecules201018168.
7
Duchenne muscular dystrophy.杜兴氏肌肉营养不良症
J Paediatr Child Health. 2015 Aug;51(8):759-64. doi: 10.1111/jpc.12868. Epub 2015 Mar 9.
8
Duchenne muscular dystrophy.杜兴氏肌肉营养不良症
Tidsskr Nor Laegeforen. 2014 Aug 5;134(14):1361-4. doi: 10.4045/tidsskr.13.0836.

杜维扎特(吉维司他):杜氏肌营养不良症患者的新希望。

Duvyzat (givinostat): a new hope for Duchenne muscular dystrophy patients.

作者信息

Syed Nabiha, Un Nisa Mughal Zaib, Haseeb Abdul, Alemam Manhal Gaffar, Yasir Eissa Abdullatif, Abbasher Hussien Mohamed Ahmed Khabab

机构信息

Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan.

Department of Medicine, Jinnah Sindh Medical University, Karachi, Pakistan.

出版信息

Ann Med Surg (Lond). 2025 Mar 28;87(5):2529-2531. doi: 10.1097/MS9.0000000000003196. eCollection 2025 May.

DOI:10.1097/MS9.0000000000003196
PMID:40337409
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12055071/
Abstract

The approval of Duvyzat (givinostat) by the Food and Drug Administration (FDA) marks a significant milestone in the treatment of Duchenne muscular dystrophy (DMD), offering renewed hope for patients and their families. DMD is a rare genetic disorder characterized by progressive muscle degeneration and weakness, often leading to loss of mobility and life-threatening complications. Currently, there is no cure for DMD, and available treatments focus on managing symptoms and slowing disease progression. Duvyzat belongs to a class of drugs known as histone deacetylase inhibitors, which have shown promise in preclinical studies for their ability to modulate gene expression and potentially improve muscle function in DMD. Clinical trials evaluating the safety and efficacy of Duvyzat in DMD patients have demonstrated encouraging results, prompting the FDA's approval. The approval of Duvyzat represents a significant advancement in the field of DMD therapeutics, providing patients with a much-needed treatment option that targets the underlying mechanisms of the disease. By inhibiting histone deacetylases, Duvyzat has the potential to restore dystrophin expression, reduce inflammation, and preserve muscle integrity, ultimately improving the quality of life for individuals with DMD. However, it is essential to recognize that while Duvyzat represents a step forward, it is not a cure for DMD. Continued research and development efforts are needed to further refine treatment approaches and address the complex challenges associated with this devastating disorder. Nonetheless, the approval of Duvyzat offers hope and optimism for the DMD community, signaling progress toward more effective therapies and improved outcomes for patients.

摘要

美国食品药品监督管理局(FDA)批准Duvyzat(givinostat)标志着杜氏肌营养不良症(DMD)治疗领域的一个重要里程碑,为患者及其家人带来了新的希望。DMD是一种罕见的遗传性疾病,其特征是进行性肌肉退化和无力,常常导致行动能力丧失和危及生命的并发症。目前,DMD无法治愈,现有的治疗方法主要集中在控制症状和减缓疾病进展。Duvyzat属于一类被称为组蛋白脱乙酰酶抑制剂的药物,在临床前研究中,这类药物已显示出通过调节基因表达来改善DMD患者肌肉功能的潜力。评估Duvyzat在DMD患者中安全性和有效性的临床试验取得了令人鼓舞的结果,促使FDA批准了该药物。Duvyzat的批准代表了DMD治疗领域的重大进展,为患者提供了一种急需的针对疾病潜在机制的治疗选择。通过抑制组蛋白脱乙酰酶,Duvyzat有可能恢复抗肌萎缩蛋白的表达,减轻炎症,并维持肌肉完整性,最终改善DMD患者的生活质量。然而,必须认识到,虽然Duvyzat是向前迈出的一步,但它并不能治愈DMD。仍需要持续的研发努力来进一步优化治疗方法,并应对与这种毁灭性疾病相关的复杂挑战。尽管如此,Duvyzat的批准为DMD群体带来了希望和乐观情绪,标志着朝着更有效的治疗方法和改善患者预后取得了进展。