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Retina:亚洲群体中兰尼单抗与维替泊芬光动力疗法对近视脉络膜新生血管造成的视力障碍的治疗效果比较

2018-09-23 MedSci MedSci原创

北京协和医院眼科的Chen Y和纽约哥伦比亚大学Edward S. Harkness眼科研究所的Sharma T近日在Retina发表了一项重要的研究,他们在亚洲患者中,评估了0.5 mg兰尼单抗与维替泊芬光动力疗法2种给药方案对近视脉络膜新生血管造成的视力障碍治疗的的疗效和安全性。

北京协和医院眼科的Chen Y和纽约哥伦比亚大学Edward S. Harkness眼科研究所的Sharma T近日在Retina发表了一项重要的研究,他们在亚洲患者中,评估了0.5 mg兰尼单抗与维替泊芬光动力疗法2种给药方案对近视脉络膜新生血管造成的视力障碍治疗的的疗效和安全性。

他们对符合条件的患者(年龄≥18岁)按2:2:1随机分组,第I组有182名患者,按标准流程进行雷尼单抗治疗;第II组有184名患者,以疾病活动为指导进行雷尼单抗治疗;第III组有91名患者,从第1天开始进行维替泊芬光动力治疗,从第3个月开始进行雷珠单抗和维替泊芬光动力疗法两种方法联合治疗。

结果发现,第I、II组与第III组相比,从开始到第1个月,再到第3个月的平均最佳矫正视力变化显着更高(第I / II组:+ 9.5 / + 9.8,第III组:+4.5;两组的P <0.001)。对于从开始到第1个月,再到第6个月的平均最佳矫正视力变化,组II在统计学上不比组I差(10.7对10.4, P <0.001)。超过12个月时,第I、II、III组接受雷珠单抗注射的平均数为4.6、 3.9 、3.2。

因此,他们认为,在亚洲患者中,雷珠单抗治疗在第3个月时显示出更优于维替泊芬光动力疗法的治疗效果,并且这种更好的治疗效果持续到第12个月。总之,兰尼单抗具有良好的耐受性,同时具有良好的安全性。

原文出处:

Chen, Y., et al., RANIBIZUMAB VERSUS VERTEPORFIN PHOTODYNAMIC THERAPY IN ASIAN PATIENTS WITH MYOPIC CHOROIDAL NEOVASCULARIZATION: BRILLIANCE, a 12-Month, Randomized, Double-Masked Study. Retina, 2018

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  4. 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beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=58548, encryptionId=64e05854824, topicName=新生血管)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d68830606495, createdName=chenzhuanggui, createdTime=Fri Oct 26 13:14:00 CST 2018, time=2018-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1913891, encodeId=0e0c1913891ee, content=<a href='/topic/show?id=4684153e41f' target=_blank style='color:#2F92EE;'>#RET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=15374, encryptionId=4684153e41f, topicName=RET)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=96d4340, createdName=ysjykql, createdTime=Fri Aug 09 17:14:00 CST 2019, time=2019-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1687022, 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  5. 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14 05:14:00 CST 2019, time=2019-04-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1894077, encodeId=c57b18940e70d, content=<a href='/topic/show?id=5e456463eee' target=_blank style='color:#2F92EE;'>#治疗效果#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64637, encryptionId=5e456463eee, topicName=治疗效果)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=373a131, createdName=jxrzshh, createdTime=Sat Oct 27 10:14:00 CST 2018, time=2018-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1390203, encodeId=8c84139020337, content=<a href='/topic/show?id=000990686c8' target=_blank style='color:#2F92EE;'>#视力障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90686, encryptionId=000990686c8, topicName=视力障碍)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/fa8I6JticHgohY5FSGE98I1F4gpCjrpl2nbN6jZJY6JEqAjUibjItOA9AsgbBwTuBzAPbU5Tl8DxfemWUFFzBOYw/132, createdBy=24c12500054, createdName=ms2186806800017884, createdTime=Tue Sep 25 04:14:00 CST 2018, time=2018-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1546310, encodeId=1f451546310e4, content=<a href='/topic/show?id=0da528e33ce' target=_blank style='color:#2F92EE;'>#光动力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=28733, encryptionId=0da528e33ce, topicName=光动力)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2b6213920685, createdName=luckyshitiancai_42705688, createdTime=Tue Sep 25 04:14:00 CST 2018, time=2018-09-25, status=1, ipAttribution=)]
    2019-08-09 ysjykql
  6. 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  7. [GetPortalCommentsPageByObjectIdResponse(id=1793310, encodeId=19601e93310d6, content=<a href='/topic/show?id=5400153e639' target=_blank style='color:#2F92EE;'>#Retina#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=15376, encryptionId=5400153e639, topicName=Retina)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0d342500153, createdName=12498bf3m25暂无昵称, createdTime=Mon Oct 15 01:14:00 CST 2018, time=2018-10-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1813941, encodeId=c1ae181394157, content=<a href='/topic/show?id=a3df9430950' target=_blank style='color:#2F92EE;'>#近视脉络膜新生血管#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=94309, encryptionId=a3df9430950, topicName=近视脉络膜新生血管)], attachment=null, authenticateStatus=null, createdAvatar=, 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beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=58548, encryptionId=64e05854824, topicName=新生血管)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d68830606495, createdName=chenzhuanggui, createdTime=Fri Oct 26 13:14:00 CST 2018, time=2018-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1913891, encodeId=0e0c1913891ee, content=<a href='/topic/show?id=4684153e41f' target=_blank style='color:#2F92EE;'>#RET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=15374, encryptionId=4684153e41f, topicName=RET)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=96d4340, createdName=ysjykql, createdTime=Fri Aug 09 17:14:00 CST 2019, time=2019-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1687022, 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14 05:14:00 CST 2019, time=2019-04-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1894077, encodeId=c57b18940e70d, content=<a href='/topic/show?id=5e456463eee' target=_blank style='color:#2F92EE;'>#治疗效果#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64637, encryptionId=5e456463eee, topicName=治疗效果)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=373a131, createdName=jxrzshh, createdTime=Sat Oct 27 10:14:00 CST 2018, time=2018-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1390203, encodeId=8c84139020337, content=<a href='/topic/show?id=000990686c8' target=_blank style='color:#2F92EE;'>#视力障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90686, encryptionId=000990686c8, topicName=视力障碍)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/fa8I6JticHgohY5FSGE98I1F4gpCjrpl2nbN6jZJY6JEqAjUibjItOA9AsgbBwTuBzAPbU5Tl8DxfemWUFFzBOYw/132, createdBy=24c12500054, createdName=ms2186806800017884, createdTime=Tue Sep 25 04:14:00 CST 2018, time=2018-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1546310, encodeId=1f451546310e4, content=<a href='/topic/show?id=0da528e33ce' target=_blank style='color:#2F92EE;'>#光动力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=28733, encryptionId=0da528e33ce, topicName=光动力)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2b6213920685, createdName=luckyshitiancai_42705688, createdTime=Tue Sep 25 04:14:00 CST 2018, time=2018-09-25, status=1, ipAttribution=)]
    2019-04-14 xjy13
  8. 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  9. 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  10. 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14 05:14:00 CST 2019, time=2019-04-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1894077, encodeId=c57b18940e70d, content=<a href='/topic/show?id=5e456463eee' target=_blank style='color:#2F92EE;'>#治疗效果#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64637, encryptionId=5e456463eee, topicName=治疗效果)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=373a131, createdName=jxrzshh, createdTime=Sat Oct 27 10:14:00 CST 2018, time=2018-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1390203, encodeId=8c84139020337, content=<a href='/topic/show?id=000990686c8' target=_blank style='color:#2F92EE;'>#视力障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90686, encryptionId=000990686c8, topicName=视力障碍)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/fa8I6JticHgohY5FSGE98I1F4gpCjrpl2nbN6jZJY6JEqAjUibjItOA9AsgbBwTuBzAPbU5Tl8DxfemWUFFzBOYw/132, createdBy=24c12500054, createdName=ms2186806800017884, createdTime=Tue Sep 25 04:14:00 CST 2018, time=2018-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1546310, encodeId=1f451546310e4, content=<a href='/topic/show?id=0da528e33ce' target=_blank style='color:#2F92EE;'>#光动力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=28733, encryptionId=0da528e33ce, topicName=光动力)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2b6213920685, createdName=luckyshitiancai_42705688, createdTime=Tue Sep 25 04:14:00 CST 2018, time=2018-09-25, status=1, ipAttribution=)]
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