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JCC: 维多珠单抗对炎性肠病患者的原发性硬化性胆管炎治疗无效

2019-10-03 不详 MedSci原创

维多珠单抗在炎性肠病[IBD]患者中是否可有效治疗原发性硬化性胆管炎[PSC]仍存在争议。因此,本项研究旨在探究这二者之间的关系。

背景
维多珠单抗在炎性肠病[IBD]患者中是否可有效治疗原发性硬化性胆管炎[PSC]仍存在争议。因此,本项研究旨在探究这二者之间的关系。

方法
研究人员在2015年1月至2016年6月间对患有IBD合并PSC进行了维多珠单抗治疗至少30周的患者回顾性观察研究。主要观察结果包括血清碱性磷酸酶[ALP]浓度,观察其是否降低了从基线到第30或54周至少50%,以及任何血清肝酶浓度的变化,以及维多珠单抗在IBD中的疗效和安全性评估。

结果
在接受维多珠单抗治疗的75例有活动性IBD合并PSC的患者中,有21例患者在第30周之前停用维多珠单抗。在其余的54名患者中,分别从四名[7%]和四名[11%]患者中观察到,从基线到第30和54周,血清ALP浓度至少降低了50%。在第30或54周时,血清肝酶浓度未见明显变化。

结论
在患有IBD合并PSC的患者中,维多珠单抗在第30周或第54周时并未改善血清肝酶浓度。

原始出处:

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