Position on the use of anifrolumab in patients with systemic lupus erythematosus with insufficient efficacy of standard therapy in real-life clinical practice. Comments from Russian experts

E. Aseeva, S. Soloviev, T. Reshetnyak, A. Lila
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Abstract

   Systemic lupus erythematosus (SLE) is a heterogeneous autoimmune disease characterized by unpredictable exacerbations and outcome. Many SLE patients receiving standard therapy (ST) do not achieve the recommended treatment goal of remission or Lupus Low Disease Activity State (LLDAS). Currently, there is still great dissatisfaction with ST in SLE, especially with long-term treatment with glucocorticoids and immunosuppressants. The recently approved type I interferon receptor antagonist anifrolumab (AFM) may be promising in SLE patients who do not respond adequately to ST. Phase III efficacy studies of AFM have demonstrated higher remission rate and lower LLDAS activity in patients treated with AFM compared to placebo. This publication contains comments from Russian experts on the article by Y. Tanaka “Viewpoint on anifrolumab in patients with systemic lupus erythematosus and a high unmet need in clinical practice”.
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关于在实际临床实践中对标准疗法疗效不佳的系统性红斑狼疮患者使用阿尼洛单抗的立场。俄罗斯专家的评论
系统性红斑狼疮(SLE)是一种异质性自身免疫性疾病,其特点是病情恶化和预后难以预测。许多接受标准疗法(ST)的系统性红斑狼疮患者无法达到推荐的治疗目标,即缓解或狼疮低疾病活动状态(LLDAS)。目前,人们对系统性红斑狼疮的标准疗法仍然很不满意,尤其是长期使用糖皮质激素和免疫抑制剂的治疗。最近获批的Ⅰ型干扰素受体拮抗剂阿尼夫单抗(AFM)可能对ST治疗无效的系统性红斑狼疮患者很有希望。AFM的III期疗效研究显示,与安慰剂相比,接受AFM治疗的患者缓解率更高,LLDAS活性更低。本刊物收录了俄罗斯专家对 Y. Tanaka 的文章 "关于系统性红斑狼疮患者使用阿尼洛单抗的观点以及临床实践中尚未满足的大量需求 "的评论。
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