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重组干扰素-β治疗尖锐湿疣的随机双盲试验

Randomised double-blind trial of recombinant interferon-beta for condyloma acuminatum.

作者信息

Monsonego J, Cessot G, Ince S E, Galazka A R, Abdul-Ahad A K

机构信息

Institut Alfred Fournier, Paris, France.

出版信息

Genitourin Med. 1996 Apr;72(2):111-4. doi: 10.1136/sti.72.2.111.

DOI:10.1136/sti.72.2.111
PMID:8698357
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1195619/
Abstract

OBJECTIVE

To evaluate the safety and efficacy of two intralesional doses of recombinant human interferon-beta (r-hIFN-beta: Rebif, Ares Serono), given 3 times a week for 3 weeks, in the treatment of condyloma acuminatum.

DESIGN

A randomised, double-blind, within-patient, placebo-controlled study.

SUBJECTS

25 patients (24 males, 1 female) with a history of condyloma acuminatum. Twenty had failed previous treatment for condyloma acuminatum. In each patient, 3 distinct lesions were selected for treatment. Each selected lesion was randomly assigned to receive intralesionally one of the following: r-hIFN-beta 33,000 IU/day, r-hIFN-beta 1 x 10(6) IU/day, or matching placebo.

SETTING

Institut Alfred Fournier, Paris, France.

OUTCOME MEASURES

Response was evaluated colposcopically at the end of treatment (day 22) and 5 weeks later (month 2). Complete response (CR) was defined as disappearance of the treated lesion. Partial response (PR) was defined as at least a 50% reduction in size, but not disappearance of the treated lesion.

RESULTS

The higher dose of 1 x 10(6) IU achieved significantly more complete and partial remissions than placebo, both by the end of treatment, and 5 weeks later.

CONCLUSIONS

r-hIFN-beta appears to be safe and effective when administered intralesionally to patients with condyloma acuminatum. Most of the treated patients had failed previous treatments and were therefore a resistant population.

摘要

目的

评估每周3次、连续3周给予两种瘤内注射剂量的重组人干扰素-β(r-hIFN-β:Rebif,阿瑞斯·雪兰诺公司)治疗尖锐湿疣的安全性和有效性。

设计

一项随机、双盲、患者自身对照、安慰剂对照研究。

研究对象

25例有尖锐湿疣病史的患者(24例男性,1例女性)。其中20例既往尖锐湿疣治疗失败。为每位患者选择3个不同的病损进行治疗。每个选定的病损随机分配接受以下瘤内注射之一:r-hIFN-β 33,000 IU/天、r-hIFN-β 1×10⁶ IU/天或匹配的安慰剂。

研究地点

法国巴黎阿尔弗雷德·富尼埃研究所。

观察指标

在治疗结束时(第22天)和5周后(第2个月)通过阴道镜评估反应。完全缓解(CR)定义为治疗病损消失。部分缓解(PR)定义为大小至少减少50%,但治疗病损未消失。

结果

在治疗结束时和5周后,1×10⁶ IU的较高剂量比安慰剂显著实现了更多的完全缓解和部分缓解。

结论

对尖锐湿疣患者进行瘤内注射时,r-hIFN-β似乎是安全有效的。大多数接受治疗的患者既往治疗失败,因此是一个耐药群体。

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