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[用β-1b干扰素治疗多发性硬化症时中和抗体的形成。疑似治疗失败的实际处理方法]

[Formation of neutralizing antibodies in therapy of multiple sclerosis with interferon beta-1b. Practical procedure in suspected therapeutic failure].

作者信息

Walther E U, Dang T, Hartung H P, Hohlfeld R

机构信息

Neurologische Klinik und Poliklinik, Klinikum Grosshadern, Ludwig-Maximilians-Universität, München.

出版信息

Nervenarzt. 1997 Dec;68(12):935-9. doi: 10.1007/s001150050219.

DOI:10.1007/s001150050219
PMID:9465334
Abstract

Interferon beta-1b has been shown to reduce the frequency and severity of exacerbations in relapsing-remitting multiple sclerosis (MS). In the North American study, however, approximately 35% of patients developed neutralizing antibodies leading to a diminution of therapeutic efficacy according to current investigations. In contrast, antibody-negative patients showed a 50% reduction in the annual relapse rate compared to patients receiving placebo. Here we provide practical guidelines for neutralizing antibody testing if treatment failure is suspected.

摘要

β-1b干扰素已被证明可降低复发缓解型多发性硬化症(MS)病情加重的频率和严重程度。然而,在北美进行的研究中,根据目前的调查,约35%的患者产生了中和抗体,导致治疗效果减弱。相比之下,抗体阴性的患者与接受安慰剂治疗的患者相比,年复发率降低了50%。在此,我们提供了在怀疑治疗失败时进行中和抗体检测的实用指南。

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