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替拉瑞林治疗光化性角化病的真实世界疗效:专家共识与临床见解

Real-World Efficacy of Tirbanibulin in Actinic Keratosis Treatment: Expert Consensus and Clinical Insights.

作者信息

Ardigò Marco, Argenziano Giuseppe, Campione Elena, Guida Stefania, Longo Caterina, Micali Giuseppe, Nazzaro Gianluca, Peris Ketty, Venturi Federico, Villani Alessia, Zalaudek Iris

机构信息

Dermatology Unit, IRCCS Humanitas Research Hospital, Rozzano, Italy.

Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milano, Italy.

出版信息

Dermatol Pract Concept. 2025 Jul 31;15(3):5921. doi: 10.5826/dpc.1503a5921.

Abstract

INTRODUCTION

Tirbanibulin, a topical treatment for actinic keratosis (AK) with a novel antiproliferative mechanism of action, has demonstrated efficacy and a favorable tolerability profile in clinical trials and real-life studies. An insight into best-practice use of tirbanibulin in different clinical presentations of AK would be useful.

OBJECTIVES

The aim of this article was to deliver advice, via expert consensus, on the optimal use of tirbanibulin in the real-life management of AK.

METHODS

A panel of 11 dermatologists with expertise in the treatment of AK convened to develop consensus statements about key aspects of tirbanibulin treatment in AK patients based on selected literature data and on their own clinical experience.

RESULTS

Two areas were examined and discussed: clinical assessment/diagnostic procedures and key aspects of tirbanibulin therapy. A total of 19 statements concerning clinical evaluation of AK patients, routine and advanced diagnostic instruments, patient selection, treatment modalities, and key messages for patient communication were drafted and voted on.

CONCLUSION

Tirbanibulin should be considered as a first-line option for most patients with AK owing to its proven efficacy, good local and systemic tolerability, and a short treatment regimen of five days. All these factors encourage patient acceptability and treatment compliance. The favorable safety profile and tolerability of tirbanibulin also enable flexible therapeutic schedules, including repeated treatment cycles, if needed.

摘要

引言

替瑞布林是一种用于治疗光化性角化病(AK)的局部用药,具有新型抗增殖作用机制,已在临床试验和实际研究中证明了其疗效和良好的耐受性。深入了解替瑞布林在AK不同临床表现中的最佳应用方法将很有帮助。

目的

本文旨在通过专家共识,就替瑞布林在AK实际管理中的最佳应用提供建议。

方法

由11名在AK治疗方面具有专业知识的皮肤科医生组成的小组召开会议,根据选定的文献数据和他们自己的临床经验,就替瑞布林治疗AK患者的关键方面制定共识声明。

结果

研究并讨论了两个领域:临床评估/诊断程序和替瑞布林治疗的关键方面。共起草了19条关于AK患者临床评估、常规和先进诊断工具、患者选择、治疗方式以及患者沟通关键信息的声明,并进行了投票。

结论

由于替瑞布林已证实的疗效、良好的局部和全身耐受性以及为期五天的短疗程治疗方案,应将其视为大多数AK患者的一线选择。所有这些因素都有利于患者接受治疗并提高治疗依从性。替瑞布林良好的安全性和耐受性还允许采用灵活的治疗方案,包括在需要时重复治疗周期。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e57c/12339078/2107b429ae80/dp1503a5921g001.jpg

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