État des lieux sur les anti-IL-1 chez la femme enceinte

IF 0.6 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-11-01 DOI:10.1016/j.gofs.2024.04.004
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Abstract

Anti-Interleukin-1 (Anti-IL-1) drugs are used to treat some chronic rheumatic diseases that can affect young people, including women of childbearing age. Two anti-IL-1 drugs are available in France: anakinra and canakinumab. Data on their use during pregnancy are still limited. Based on the published literature, we carried out a review of the use of these anti-IL-1 therapies during pregnancy: therapeutic indications, pharmacological profiles and assessment of embryonic, fetal and neonatal risks. Based on this analysis, and given the absence of any reported concern, it is possible to consider the use of these two treatments during pregnancy if the clinical situation so requires and under certain conditions. Based on the data available to date, anakinra should be preferred to canakinumab whenever possible.
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[孕期使用抗IL-1药物]。
抗白细胞介素-1(Anti-IL-1)药物用于治疗一些可能影响年轻人(包括育龄妇女)的慢性风湿病。法国有两种抗IL-1药物:阿纳金拉(anakinra)和卡纳库单抗(canakinumab)。有关这两种药物在孕期使用的数据仍然有限。根据已发表的文献,我们对孕期使用这些抗IL-1疗法的情况进行了回顾:治疗适应症、药理学特征以及胚胎、胎儿和新生儿风险评估。根据上述分析,并考虑到没有任何相关报道,如果临床情况需要,在特定条件下,可以考虑在孕期使用这两种疗法。根据目前掌握的数据,在可能的情况下,阿纳金雷应优先于卡那单抗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Gynecologie Obstetrique Fertilite & Senologie
Gynecologie Obstetrique Fertilite & Senologie Medicine-Obstetrics and Gynecology
CiteScore
1.70
自引率
0.00%
发文量
170
期刊介绍: Gynécologie Obstétrique Fertilité & Sénologie est un mensuel scientifique d''information et de formation destiné aux gynécologues, aux obstétriciens, aux sénologues et aux biologistes de la reproduction. La revue, dans ses éditoriaux, articles originaux, mises au point, lettres à la rédaction et autres rubriques, donne une information actualisée ayant trait à l''obstétrique et à la gynécologie et aux différentes spécialités développées à partir de ces deux pôles : médecine de la reproduction, médecine maternelle et fœtale, périnatalité, endocrinologie, chirurgie gynécologique, cancérologie pelvienne, sénologie, sexualité, psychosomatique…
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