乌司奴单克隆抗体和维得利珠单克隆抗体失应答的发生情况及对策

来源 :中华炎性肠病杂志 | 被引量 : 0次 | 上传用户:nieaobama
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乌司奴单克隆抗体(UST)和维得利珠单克隆抗体(VDZ)在中国已经上市1年余,初始对药物治疗应答的患者在后续继续治疗的过程中均可能存在失应答的情况,如何进行有效、规范的针对性处理成为临床工作者面临的重要问题。由于这两种药物的作用机制、剂型、使用方法及免疫原性均与既往药物不尽相同,故针对其失应答的应对策略也应作出改变。本文结合近年来国内外发表的与UST及VDZ相关的循证医学证据来探讨这两种新型生物制剂失应答的发生情况及应对策略。“,”Ustekinumab (UST) and vedolizumab (VDZ) have been marketed in China for more than a year. Patients who initially respond to these drugs may experience loss of response (LOR) during subsequent treatment. How to carry out effective and standardized targeted treatment of LOR has become an important problem faced by clinicians. Since the mechanism of action, dosage form, method of use and immunogenicity of the two drugs are different from the previous biologics, the coping strategies for their LOR should also be changed accordingly. This article combines the evidence-based medical evidence related to UST and VDZ published in recent years to discuss the prevalence and coping strategies of LOR to the two new biologics.
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多种生物制剂已被批准用于治疗炎症性肠病(IBD)。但由于缺乏比较生物制剂间疗效和安全性的头对头的随机对照研究,以及缺乏准确预测生物制剂疗效的方法,临床医生常存在如何选择生物制剂的困惑。本文参考目前已有的临床研究证据,再结合国际主流意见和我国的应用经验,提出IBD治疗过程中生物制剂选择和转换的建议,供同行参考。“,”Many biologics have been approved for the treatment of inflammatory bowel disease (IBD). However,