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2019美国甲状腺学会ATA:临床试验证实Teprotumumab可显着改善甲状腺眼病的眼胀、复视和炎症

2019-11-04 不详 MedSci原创

第 89 届美国甲状腺学会(ATA)年会上,Horizon Therapeutics宣布与安慰剂相比,teprotumumab用于治疗活动性甲状腺眼病(TED)的2期和3期临床试验的汇总疗效数据。这些结果支持先前的teprotumumab可显着减少炎症、眼球突出(眼球突出)和复视(双眼)以及改善生活质量(QoL)的分析。这是汇总分析的首次展示,并建立在2期和3期临床研究的个别阳性结果的基础上。

第 89 届美国甲状腺学会(ATA)年会上,Horizon Therapeutics宣布与安慰剂相比,teprotumumab用于治疗活动性甲状腺眼病(TED)的2期和3期临床试验的汇总疗效数据。这些结果支持先前的teprotumumab可显着减少炎症、眼球突出(眼球突出)和复视(双眼)以及改善生活质量(QoL)的分析。这是汇总分析的首次展示,并建立在2期和3期临床研究的个别阳性结果的基础上。

Teprotumumab是一种全人源的单克隆抗体(mAb),靶向胰岛素样生长因子1受体(IGF-1R)。目前teprotumumab已获得美国食品和药物管理局(FDA)的优先审查,如果获得批准,teprotumumab将成为首个获得FDA批准用于治疗活性TED的药物。

ATA期间进行的2期(NCT01868997)和3期OPTIC(NCT03298867)研究的汇总分析代表每三周接受teprotumumab或安慰剂治疗的171例近期发生TED(少于9个月)患者。

主要研究结果包括:

1.眼前突:在第24周,接受teprotumumab的患者中眼突减少≥2 mm的比例为77.4%,而接受安慰剂的患者为14.9%(p <0.001)。

2.复视:复视改善1级或更高等级的患者所占的百分比,teprotumumab(69.7%)高于安慰剂(30.5%)。

3.生活质量:使用teprotumumab治疗的患者从基线到第24周的QoL得分平均改善(总体15.55 vs 5.92,p <0.001),包括视觉功能(16.81 vs 6.10,p <0.001)和外观(13.51 vs 5.78,p = 0.002)。

4.临床活动评分(CAS):在第24周时,经teprotumumab治疗的患者中有近三分之二(61.9%)没有或只有极少的炎症性症状(用CAS表示为0或1),而安慰剂为21.8%治疗的患者(p <0.001)。

此外,在第24周时,teprotumumab患者的73.8%与安慰剂患者的13.8%相比有总体缓解-定义为CAS基线降低≥2点且眼球突出比基线降低≥2 mm的患者百分比。

原始出处:


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    2020-04-22 ymljack
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    2019-11-10 snf701207
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encodeId=308f3e478640, content=学习打卡, beContent=null, objectType=article, channel=null, level=null, likeNumber=136, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4e612177064, createdName=dandande1994_64316415, createdTime=Mon Nov 04 11:58:25 CST 2019, time=2019-11-04, status=1, ipAttribution=)]
    2019-11-07 医非小道

    学习

    0

  5. 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    2019-11-06 bbjsj_1981
  6. 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    2019-11-06 pps20023
  7. 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  8. 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createdBy=2c8d35156774, createdName=ymljack, createdTime=Wed Apr 22 04:13:00 CST 2020, time=2020-04-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1912240, encodeId=fd461912240ae, content=<a href='/topic/show?id=4de7112046c' target=_blank style='color:#2F92EE;'>#mAb#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11204, encryptionId=4de7112046c, topicName=mAb)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=25e7304, createdName=snf701207, createdTime=Sun Nov 10 23:13:00 CST 2019, time=2019-11-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=374895, encodeId=a9383e489576, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=127, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/11/07/3e05ad54b4fdc7c4d368267931b3c325.jpg, createdBy=af885223419, createdName=医非小道, createdTime=Thu Nov 07 13:01:26 CST 2019, time=2019-11-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1466091, encodeId=f29d146609157, content=<a href='/topic/show?id=217c292009' target=_blank style='color:#2F92EE;'>#ATA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2920, encryptionId=217c292009, topicName=ATA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=387a6772119, createdName=bbjsj_1981, createdTime=Wed Nov 06 02:13:00 CST 2019, time=2019-11-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1540525, encodeId=c404154052591, content=<a href='/topic/show?id=fbbce2786cc' target=_blank style='color:#2F92EE;'>#眼病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=72786, encryptionId=fbbce2786cc, topicName=眼病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b85c13256921, createdName=pps20023, createdTime=Wed Nov 06 02:13:00 CST 2019, time=2019-11-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1598456, encodeId=32fa159845618, content=<a href='/topic/show?id=52d91e27773' target=_blank style='color:#2F92EE;'>#Teprotumumab#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17277, encryptionId=52d91e27773, topicName=Teprotumumab)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=13c418593236, createdName=lhlxtx, createdTime=Wed Nov 06 02:13:00 CST 2019, time=2019-11-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1602208, encodeId=d61b160220830, content=<a href='/topic/show?id=2f801469e57' target=_blank style='color:#2F92EE;'>#PRO#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14697, encryptionId=2f801469e57, topicName=PRO)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a60b18898917, createdName=sunylz, createdTime=Wed Nov 06 02:13:00 CST 2019, time=2019-11-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=374787, encodeId=c3a23e478742, content=学习到了,打卡, beContent=null, objectType=article, channel=null, level=null, likeNumber=118, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4e612177064, createdName=dandande1994_64316415, createdTime=Mon Nov 04 11:58:38 CST 2019, time=2019-11-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=374786, encodeId=308f3e478640, content=学习打卡, beContent=null, objectType=article, channel=null, level=null, likeNumber=136, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4e612177064, createdName=dandande1994_64316415, createdTime=Mon Nov 04 11:58:25 CST 2019, time=2019-11-04, status=1, ipAttribution=)]
    2019-11-06 sunylz
  9. [GetPortalCommentsPageByObjectIdResponse(id=2023973, encodeId=2c0e20239e383, content=<a href='/topic/show?id=55f5699017b' target=_blank style='color:#2F92EE;'>#甲状腺眼病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=69901, encryptionId=55f5699017b, topicName=甲状腺眼病)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b09892, createdName=qidongfanjian, createdTime=Thu Jan 23 09:13:00 CST 2020, time=2020-01-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1743604, encodeId=e8271e4360465, content=<a href='/topic/show?id=c92c42e3055' target=_blank style='color:#2F92EE;'>#复视#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42730, encryptionId=c92c42e3055, topicName=复视)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2c8d35156774, createdName=ymljack, createdTime=Wed Apr 22 04:13:00 CST 2020, time=2020-04-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1912240, encodeId=fd461912240ae, content=<a href='/topic/show?id=4de7112046c' target=_blank style='color:#2F92EE;'>#mAb#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11204, encryptionId=4de7112046c, topicName=mAb)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=25e7304, createdName=snf701207, createdTime=Sun Nov 10 23:13:00 CST 2019, time=2019-11-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=374895, encodeId=a9383e489576, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=127, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/11/07/3e05ad54b4fdc7c4d368267931b3c325.jpg, createdBy=af885223419, createdName=医非小道, createdTime=Thu Nov 07 13:01:26 CST 2019, time=2019-11-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1466091, encodeId=f29d146609157, content=<a href='/topic/show?id=217c292009' target=_blank style='color:#2F92EE;'>#ATA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2920, encryptionId=217c292009, topicName=ATA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=387a6772119, createdName=bbjsj_1981, createdTime=Wed Nov 06 02:13:00 CST 2019, time=2019-11-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1540525, encodeId=c404154052591, content=<a href='/topic/show?id=fbbce2786cc' target=_blank style='color:#2F92EE;'>#眼病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=72786, encryptionId=fbbce2786cc, topicName=眼病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b85c13256921, createdName=pps20023, createdTime=Wed Nov 06 02:13:00 CST 2019, time=2019-11-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1598456, encodeId=32fa159845618, content=<a href='/topic/show?id=52d91e27773' target=_blank style='color:#2F92EE;'>#Teprotumumab#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17277, encryptionId=52d91e27773, topicName=Teprotumumab)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=13c418593236, createdName=lhlxtx, createdTime=Wed Nov 06 02:13:00 CST 2019, time=2019-11-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1602208, encodeId=d61b160220830, content=<a href='/topic/show?id=2f801469e57' target=_blank style='color:#2F92EE;'>#PRO#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14697, encryptionId=2f801469e57, topicName=PRO)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a60b18898917, createdName=sunylz, createdTime=Wed Nov 06 02:13:00 CST 2019, time=2019-11-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=374787, encodeId=c3a23e478742, content=学习到了,打卡, beContent=null, objectType=article, channel=null, level=null, likeNumber=118, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4e612177064, createdName=dandande1994_64316415, createdTime=Mon Nov 04 11:58:38 CST 2019, time=2019-11-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=374786, encodeId=308f3e478640, content=学习打卡, beContent=null, objectType=article, channel=null, level=null, likeNumber=136, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4e612177064, createdName=dandande1994_64316415, createdTime=Mon Nov 04 11:58:25 CST 2019, time=2019-11-04, status=1, ipAttribution=)]
    2019-11-04 dandande1994_64316415

    学习到了,打卡

    0

  10. [GetPortalCommentsPageByObjectIdResponse(id=2023973, encodeId=2c0e20239e383, content=<a href='/topic/show?id=55f5699017b' target=_blank style='color:#2F92EE;'>#甲状腺眼病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=69901, encryptionId=55f5699017b, topicName=甲状腺眼病)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b09892, createdName=qidongfanjian, createdTime=Thu Jan 23 09:13:00 CST 2020, time=2020-01-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1743604, encodeId=e8271e4360465, content=<a href='/topic/show?id=c92c42e3055' target=_blank style='color:#2F92EE;'>#复视#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42730, encryptionId=c92c42e3055, topicName=复视)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2c8d35156774, createdName=ymljack, createdTime=Wed Apr 22 04:13:00 CST 2020, time=2020-04-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1912240, encodeId=fd461912240ae, content=<a href='/topic/show?id=4de7112046c' target=_blank style='color:#2F92EE;'>#mAb#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11204, encryptionId=4de7112046c, topicName=mAb)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=25e7304, createdName=snf701207, createdTime=Sun Nov 10 23:13:00 CST 2019, time=2019-11-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=374895, encodeId=a9383e489576, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=127, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/11/07/3e05ad54b4fdc7c4d368267931b3c325.jpg, createdBy=af885223419, createdName=医非小道, createdTime=Thu Nov 07 13:01:26 CST 2019, time=2019-11-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1466091, encodeId=f29d146609157, content=<a href='/topic/show?id=217c292009' target=_blank style='color:#2F92EE;'>#ATA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2920, encryptionId=217c292009, topicName=ATA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=387a6772119, createdName=bbjsj_1981, createdTime=Wed Nov 06 02:13:00 CST 2019, time=2019-11-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1540525, encodeId=c404154052591, content=<a href='/topic/show?id=fbbce2786cc' target=_blank style='color:#2F92EE;'>#眼病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=72786, encryptionId=fbbce2786cc, topicName=眼病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b85c13256921, createdName=pps20023, createdTime=Wed Nov 06 02:13:00 CST 2019, time=2019-11-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1598456, encodeId=32fa159845618, content=<a href='/topic/show?id=52d91e27773' target=_blank style='color:#2F92EE;'>#Teprotumumab#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17277, encryptionId=52d91e27773, topicName=Teprotumumab)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=13c418593236, createdName=lhlxtx, createdTime=Wed Nov 06 02:13:00 CST 2019, time=2019-11-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1602208, encodeId=d61b160220830, content=<a href='/topic/show?id=2f801469e57' target=_blank style='color:#2F92EE;'>#PRO#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14697, encryptionId=2f801469e57, topicName=PRO)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a60b18898917, createdName=sunylz, createdTime=Wed Nov 06 02:13:00 CST 2019, time=2019-11-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=374787, encodeId=c3a23e478742, content=学习到了,打卡, beContent=null, objectType=article, channel=null, level=null, likeNumber=118, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4e612177064, createdName=dandande1994_64316415, createdTime=Mon Nov 04 11:58:38 CST 2019, time=2019-11-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=374786, encodeId=308f3e478640, content=学习打卡, beContent=null, objectType=article, channel=null, level=null, likeNumber=136, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4e612177064, createdName=dandande1994_64316415, createdTime=Mon Nov 04 11:58:25 CST 2019, time=2019-11-04, status=1, ipAttribution=)]
    2019-11-04 dandande1994_64316415

    学习打卡

    0

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