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研究通讯:布地奈德口腔崩解片治疗嗜酸性食管炎的真实世界有效性:耐心和教育的重要性

Research Communication: Real-World Effectiveness of Budesonide Orodispersible Tablets for Eosinophilic Oesophagitis: The Importance of Patience and Education.

作者信息

Taylor Sarah, Barwick Emily, Perananthan Varan, Parkash Nikita, Lucas Sarah, Chauhan Ayushi, Yu Catherine, Tan Katrina, Sepe Gloria, Suleiman Mani, Lewis Diana, Basnayake Chamara, Philpott Hamish, Nandurkar Sanjay, Burgell Rebecca, Garg Mayur

机构信息

Department of Gastroenterology, Northern Health, Epping, Victoria, Australia.

The University of Melbourne, Melbourne, Victoria, Australia.

出版信息

Aliment Pharmacol Ther. 2025 Jul;62(2):204-207. doi: 10.1111/apt.70197. Epub 2025 May 14.

DOI:10.1111/apt.70197
PMID:40366270
Abstract

Budesonide orodispersible tablets (BOT) have been shown to be efficacious for eosinophilic oesophagitis (EoE) in clinical trials. This study evaluated the real-world effectiveness of BOT in a retrospective cohort of 94 patients across six tertiary centres. 61% of patients achieved histological remission and 39% clinicohistological remission following induction therapy. Adverse events were reported by 16% of patients and 17% were noted to have incorrect technique of administration. BOT was demonstrated to have lower rates of clinicohistological remission in real-world practice than reported in clinical trials, largely due to incorrect technique and cessation due to adverse events.

摘要

布地奈德口腔崩解片(BOT)在临床试验中已被证明对嗜酸性食管炎(EoE)有效。本研究评估了BOT在6个三级中心的94例患者回顾性队列中的实际疗效。诱导治疗后,61%的患者实现了组织学缓解,39%实现了临床组织学缓解。16%的患者报告了不良事件,17%的患者存在给药技术错误。在实际临床实践中,BOT的临床组织学缓解率低于临床试验报告,这主要是由于给药技术错误和因不良事件而停药。

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Aliment Pharmacol Ther. 2025 Jul;62(2):204-207. doi: 10.1111/apt.70197. Epub 2025 May 14.
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本文引用的文献

1
A retrospective real-world study on the safety and efficacy of budesonide orodispersible tablets for the induction therapy of eosinophilic oesophagitis.一项关于布地奈德口腔崩解片诱导治疗嗜酸性食管炎安全性和有效性的回顾性真实世界研究。
Therap Adv Gastroenterol. 2024 Oct 16;17:17562848241290346. doi: 10.1177/17562848241290346. eCollection 2024.
2
Effectiveness of treatment with budesonide orodispersible tablets in 76 patients with eosinophilic oesophagitis - real-life experience from the population-based DanEoE cohort.76 例嗜酸性食管炎患者使用布地奈德口腔崩解片治疗的疗效 - 基于人群的丹麦嗜酸性食管炎队列的真实经验。
Scand J Gastroenterol. 2024 Oct;59(10):1137-1143. doi: 10.1080/00365521.2024.2395865. Epub 2024 Sep 12.
3
Dupilumab in Adults and Adolescents with Eosinophilic Esophagitis.
度普利尤单抗在成人和青少年嗜酸性食管炎中的应用。
N Engl J Med. 2022 Dec 22;387(25):2317-2330. doi: 10.1056/NEJMoa2205982.
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Eosinophilic oesophagitis: recent advances and practical management.嗜酸性粒细胞性食管炎:最新进展与实际管理
Frontline Gastroenterol. 2020 Sep 7;12(7):644-649. doi: 10.1136/flgastro-2019-101313. eCollection 2021.
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Budesonide Orodispersible Tablets Maintain Remission in a Randomized, Placebo-Controlled Trial of Patients With Eosinophilic Esophagitis.布地奈德口腔崩解片在嗜酸性粒细胞性食管炎患者的随机、安慰剂对照试验中维持缓解。
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Efficacy of Budesonide Orodispersible Tablets as Induction Therapy for Eosinophilic Esophagitis in a Randomized Placebo-Controlled Trial.布地奈德口腔崩解片作为嗜酸细胞性食管炎诱导治疗的疗效:一项随机安慰剂对照试验。
Gastroenterology. 2019 Jul;157(1):74-86.e15. doi: 10.1053/j.gastro.2019.03.025. Epub 2019 Mar 26.
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Natural history of eosinophilic esophagitis: a systematic review of epidemiology and disease course.嗜酸性粒细胞性食管炎的自然病史:流行病学与疾病进程的系统评价
Dis Esophagus. 2018 Aug 1;31(8). doi: 10.1093/dote/doy015.
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Epidemiology and Natural History of Eosinophilic Esophagitis.嗜酸性食管炎的流行病学与自然史
Gastroenterology. 2018 Jan;154(2):319-332.e3. doi: 10.1053/j.gastro.2017.06.067. Epub 2017 Aug 1.
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Eosinophilic Esophagitis.嗜酸性食管炎
N Engl J Med. 2015 Oct 22;373(17):1640-8. doi: 10.1056/NEJMra1502863.
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Evaluating the endoscopic reference score for eosinophilic esophagitis: moderate to substantial intra- and interobserver reliability.评估嗜酸性食管炎的内镜参考评分:观察者内及观察者间的可靠性为中度至高度。
Endoscopy. 2014 Dec;46(12):1049-55. doi: 10.1055/s-0034-1377781. Epub 2014 Sep 10.