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Improvement in symptoms of Rett syndrome with trofinetide beyond clinical trial efficacy assessments: case reports 使用特罗菲奈德对雷特综合征症状的改善超出了临床试验的疗效评估:病例报告
Pub Date : 2024-07-15 DOI: 10.1080/23995270.2024.2375191
Robin C. Ryther, Christine Palladino, Sanjeev V Kothare
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引用次数: 0
Supporting positive patient experiences for rare disease care during disruptive times: findings from a national study 在混乱时期为罕见病护理提供积极的患者体验:一项全国性研究的结果
Pub Date : 2024-07-03 DOI: 10.1080/23995270.2024.2366153
S. Kellett, V. Tadic, H. Petrushkin, Jane Ashworth, Alan Connor, E. McLoone, Srilakshmi Sharma, E. Agorogiannis, Patrick Watts, Edward Hughes, Ailsa Ritchie, Rachel Pilling, J. Benzimra, Catherine Marsh, Daniel Pharoah, Jessy Choi, Andrew D Dick, J. Rahi, A. L. Solebo
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引用次数: 0
Managing high blood sugar (hyperglycemia) during pasireotide treatment: A plain language summary of the B2219 study 帕西瑞奥肽治疗期间的高血糖(高血糖症)管理:B2219 研究的简明摘要
Pub Date : 2024-03-19 DOI: 10.2217/frd-2023-0025
S. L. Samson, U. Feldt-Rasmussen, Shao-Ling Zhang, Yerong Yu, Przemysław Witek, Pramila Kalra, Marek Bolanowski
Pasireotide is a medication used to treat people with acromegaly or Cushing's disease, both of which are hormonal disorders caused by a non-cancerous tumor (adenoma) in the pituitary gland. Because of the way pasireotide works to treat these conditions, sometimes blood sugar levels can increase during treatment, causing a side effect known as hyperglycemia. This is a summary about a study called B2219 (ClinicalTrials.gov ID: NCT02060383), which was designed specifically to look at which additional medication(s) work(s) best to reduce blood sugar levels (antihyperglycemic medication) for people who require treatment for hyperglycemia while receiving pasireotide. Researchers found that 4 in every 10 people who took part in the; study did not develop hyperglycemia and therefore did not require antihyperglycemic medication. For those who did, metformin was a good treatment option, followed by incretin-based therapy (sitagliptin and/or liraglutide) if hyperglycemia continued. This study shows that if hyperglycemia occurs during pasireotide treatment, it is manageable in most people. As such, people with acromegaly or Cushing's disease can experience long-term treatment benefits with pasireotide. Clinical Trial Registration: NCT02060383 ( ClinicalTrials.gov ) (B2219 study); 2012-002916-16 (B2219 study)
帕司瑞奥肽是一种用于治疗肢端肥大症或库欣病的药物,这两种疾病都是由垂体中的非肿瘤(腺瘤)引起的激素紊乱。由于帕西瑞肽治疗这些疾病的方式,有时血糖水平会在治疗过程中升高,从而引起一种称为高血糖的副作用。这是关于一项名为 B2219(ClinicalTrials.gov ID:NCT02060383)的研究的摘要,该研究专门针对在接受帕西瑞奥肽治疗期间因高血糖而需要治疗的患者,研究哪种额外药物(降糖药物)对降低血糖水平最有效。研究人员发现,参加这项研究的每 10 人中就有 4 人没有出现高血糖,因此不需要服用降糖药物。对于那些出现高血糖的人来说,二甲双胍是一种很好的治疗选择,如果高血糖持续存在,还可以使用增量素疗法(西他列汀和/或利拉鲁肽)。这项研究表明,如果在帕西瑞肽治疗期间出现高血糖,大多数人都可以控制。因此,患有肢端肥大症或库欣氏症的患者可以通过使用帕西瑞肽获得长期治疗效果。临床试验注册:NCT02060383(ClinicalTrials.gov)(B2219 研究);2012-002916-16(B2219 研究)
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引用次数: 0
Spesolimab treatment for the prevention of flares in people with generalized pustular psoriasis (GPP): a plain language summary of the Effisayil™ 2 study 为预防泛发性脓疱型银屑病(GPP)患者复发而进行的斯贝单抗治疗:Effisayil™ 2 研究的简明摘要
Pub Date : 2024-02-23 DOI: 10.2217/frd-2023-0023
Akimichi Morita, Bruce Strober, A. D. Burden, S. Choon, Milan J Anadkat, S. Marrakchi, Tsen-Fang Tsai, Kenneth B Gordon, Diamant Thaçi, Min Zheng, Na Hu, T. Haeufel, C. Thoma, Mark G Lebwohl
Generalized pustular psoriasis (shortened to GPP) is a rare, potentially life-threatening disease in which pus-filled blisters or pustules may suddenly form all over the body. The drug spesolimab has been approved to treat worsening GPP (known as flares) in many countries. However, it was not known if spesolimab could prevent the symptoms of GPP. This summary reports the results from a clinical study called Effisayil™ 2, that was done to understand if spesolimab was a safe and effective way to prevent flares in people with GPP. In the study, 123 participants, recruited in 20 different countries, were given one of three different doses of spesolimab (low, medium, or high) or a non-active medicine (placebo) over 48 weeks. Participants who received spesolimab had fewer GPP flares over the course of the 48-week study. Different doses of the drug were tested and compared to placebo, and a high dose of spesolimab worked better than low and medium doses. Using spesolimab also reduced the chance of developing skin symptoms, such as redness or pustules, and prevented quality of life getting worse over 48 weeks. While some participants experienced unwanted effects, they were mostly mild or moderate and most did not appear to be caused by spesolimab, or the dose at which it was given. The results indicate that a high dose of spesolimab works well to prevent GPP flares and stop the disease getting worse. Health authorities are looking at the results of this study to decide if spesolimab can also be prescribed for the prevention of GPP flares.
泛发性脓疱型银屑病(简称 GPP)是一种罕见的、可能危及生命的疾病,患者会在全身突然形成充满脓液的水疱或脓疱。许多国家已批准使用药物 spesolimab 治疗恶化的 GPP(称为复发)。然而,斯派索利单抗能否预防 GPP 的症状尚不得而知。本摘要报告了一项名为 "Effisayil™ 2 "的临床研究的结果,该研究旨在了解斯来索利单抗是否能安全有效地预防 GPP 患者的病情复发。在这项研究中,从 20 个不同国家招募了 123 名参与者,他们在 48 周内分别服用了三种不同剂量的斯派索利单抗(低、中、高)或非活性药物(安慰剂)。在为期48周的研究中,接受斯派索利单抗治疗的患者GPP复发的次数较少。研究人员对不同剂量的药物进行了测试,并与安慰剂进行了比较,结果发现高剂量的斯派索利单抗比低、中剂量的效果更好。使用斯派索利单抗还能降低出现皮肤症状(如红肿或脓疱)的几率,并防止生活质量在48周内恶化。虽然有些参与者出现了不良反应,但大多是轻度或中度的,而且大多数似乎不是由斯来索利单抗或其剂量引起的。结果表明,大剂量的斯来索利单抗能很好地预防GPP复发并阻止病情恶化。卫生部门正在研究这项研究的结果,以决定是否也可以用斯来索利单抗来预防GPP复发。
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引用次数: 0
Study design of BI 1015550 for idiopathic pulmonary fibrosis and progressive pulmonary fibrosis: a plain language summary BI 1015550治疗特发性肺纤维化和进行性肺纤维化的研究设计:通俗易懂的摘要
Pub Date : 2024-02-19 DOI: 10.2217/frd-2023-0001
Toby M. Maher, Arata Azuma, Vincent Cottin, S. Assassi, A. Hoffmann-Vold, Michael Kreuter, Fernando J. Martinez, J. Oldham, Claudia Valenzuela, M. Wijsenbeek, Yi Liu, D. Wachtlin, S. Stowasser, D. Zoz, Luca Richeldi
Two ongoing clinical studies are part of a programme called FIBRONEER. The FIBRONEER studies are testing the drug BI 1015550 as a treatment for people with idiopathic pulmonary fibrosis (IPF) and people with progressive pulmonary fibrosis (PPF). IPF is a severe lung disease where scar tissue builds up in the lungs. The ‘idiopathic’ part means that doctors do not know the cause of the lung scarring. PPF is a general term to describe the worsening of lung scarring in any disease where scar tissue forms in the lungs, both from known causes such as other underlying diseases and for unknown reasons. While IPF can be considered to be a typical form of worsening lung scarring, in clinical studies, IPF and PPF are usually considered separately. In both IPF and PPF, scar tissue builds up in the lungs, making them smaller and no longer able to take in oxygen well. This leads to difficulty in breathing and getting oxygen to the tissues, making it difficult to perform daily activities and reducing the patient's quality of life. The symptoms and outcomes of PPF are often similar to IPF. BI 1015550 is a new study drug being developed to reduce scarring in the lungs in IPF and PPF. In the FIBRONEER studies, some participants are taking BI 1015550 and others are taking placebo. The placebo looks identical to BI 1015550 but does not contain any medicine. Researchers will compare the study drug to placebo to find out how well the study drug works. Participants may also take another approved medicine to treat their lung scarring. The FIBRONEER studies are investigating the effects of BI 1015550 alone and in combination with any existing medicines the participants are taking. The goal is to see whether BI 1015550 can slow down or stop a decline in lung function in people with IPF and PPF, and how well it is tolerated.
正在进行的两项临床研究是一项名为 FIBRONEER 的计划的一部分。FIBRONEER 研究正在测试 BI 1015550 作为特发性肺纤维化 (IPF) 患者和进行性肺纤维化 (PPF) 患者的治疗药物。特发性肺纤维化是一种严重的肺部疾病,患者的肺部会出现瘢痕组织。特发性 "的意思是医生不知道肺部疤痕形成的原因。PPF 是一个通用术语,用于描述任何疾病中肺部瘢痕组织的恶化,这种瘢痕组织的形成既有已知的原因,如其他潜在疾病,也有未知的原因。虽然 IPF 可被视为肺部瘢痕恶化的一种典型形式,但在临床研究中,IPF 和 PPF 通常是分开考虑的。在 IPF 和 PPF 中,瘢痕组织都会在肺部堆积,使肺部变小,不再能够很好地吸收氧气。这导致患者呼吸困难,无法将氧气输送到组织中,从而难以进行日常活动,降低了患者的生活质量。PPF 的症状和结果通常与 IPF 相似。BI 1015550 是一种正在开发的新研究药物,用于减少 IPF 和 PPF 患者肺部的瘢痕形成。在 FIBRONEER 研究中,一些参与者服用 BI 1015550,另一些服用安慰剂。安慰剂看起来与 BI 1015550 相同,但不含任何药物。研究人员将对研究药物和安慰剂进行比较,以了解研究药物的效果如何。参与者还可能服用另一种已获批准的药物来治疗肺部瘢痕。FIBRONEER 研究正在调查 BI 1015550 单独使用或与参与者正在服用的任何药物联合使用的效果。目的是了解 BI 1015550 能否减缓或阻止 IPF 和 PPF 患者肺功能的下降,以及患者的耐受性如何。
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引用次数: 0
Plain language summary of efanesoctocog alfa for patients with severe hemophilia A 用于重症 A 型血友病患者的依法尼辛可克α的通俗语言摘要
Pub Date : 2024-01-26 DOI: 10.2217/frd-2023-0024
A. Drygalski, P. Chowdary, Roshni Kulkarni, Sophie Susen, Barbara A. Konkle, Johannes Oldenburg, Davide Matino, R. Klamroth, Angela C Weyand, V. Jiménez‐Yuste, Keiji Nogami, Bent Winding, Annemieke Willemze, Karin Knobe
This is a plain language summary of a clinical research study called XTEND-1. The study looked into how safe and effective a medicine called efanesoctocog alfa is for people with severe hemophilia A. Hemophilia A is a genetic condition in which the body does not produce enough or makes dysfunctional clotting factor VIII (eight) – a protein that is essential for blood clotting. People with hemophilia A are prone to dangerous bleeding, particularly internally and into their joints and muscles. The XTEND-1 study compared two ways of using the medication to treat bleeding episodes: (1) injecting it once a week for 12 months as a prophylaxis (regular preventative) treatment, or (2) injecting it as needed for 6 months, followed by weekly prophylaxis treatment for a further 6 months. People who had prophylaxis treatment with efanesoctocog alfa injections for one year saw a significant reduction in the amount of bleeding they experienced compared to their pre-study prophylaxis treatment. The effects of the treatment also lasted longer, with higher factor VIII levels for longer, than previous prophylaxis treatment and less frequent injections were needed. There was a significant reduction in the amount of bleeding in people taking once-weekly prophylaxis treatment compared to ‘as needed’ treatment.
这是一份名为 XTEND-1 的临床研究的简明摘要。A 型血友病是一种遗传性疾病,患者体内无法产生足够的凝血因子 VIII(8)或凝血因子 VIII(8)功能失调,而凝血因子 VIII(8)是凝血所必需的一种蛋白质。A 型血友病患者容易发生危险的出血,尤其是内出血以及关节和肌肉出血。XTEND-1 研究比较了两种使用药物治疗出血发作的方法:(1) 作为预防(定期预防)治疗,每周注射一次,持续 12 个月;或 (2) 按需注射,持续 6 个月,然后在接下来的 6 个月中每周进行预防治疗。与研究前的预防性治疗相比,接受一年依法尼辛可克α注射预防性治疗的人的出血量明显减少。与之前的预防性治疗相比,这种治疗的效果持续时间更长,VIII因子水平更高,需要注射的次数也更少。与 "按需 "治疗相比,每周一次预防性治疗的患者出血量明显减少。
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引用次数: 0
Garadacimab for the prevention of hereditary angioedema attacks: a plain language summary of the VANGUARD study 预防遗传性血管性水肿发作的加拉地单抗:VANGUARD 研究的简明摘要
Pub Date : 2023-12-22 DOI: 10.2217/frd-2023-0022
Timothy J Craig, Avner Reshef, H. H. Li, J. Jacobs, Jonathan A Bernstein, Henriette Farkas, William H. Yang, Erik S G Stroes, Isao Ohsawa, R. Tachdjian, Michael E Manning, W. Lumry, I. M. Saguer, E. Aygören‐Pürsün, Bruce Ritchie, Gordon L. Sussman, John T. Anderson, K. Kawahata, Yusuke Suzuki, Petra Staubach, Regina Treudler, H. Feuersenger, L. Wieman, Iris Jacobs, Markus Magerl
This summarizes an article about the clinical study ‘VANGUARD’ that was published in The Lancet journal in February 2023. Hereditary angioedema (HAE) is a rare genetic disease that causes swellings throughout the body (called HAE attacks). HAE attacks in the upper airways (including the tongue and vocal cords) can be life threatening by making breathing difficult. HAE attacks may occur frequently and without warning, and people with HAE have a lower quality of life than other people. In the VANGUARD study, researchers tested the safety of a new medicine called garadacimab and whether it could prevent HAE attacks. Garadacimab was injected subcutaneously (just under the skin) with a needle once a month. In the VANGUARD study, patients took garadacimab or placebo (an identical-looking dummy substance with no medical effect, used for comparison). The aim was to see if garadacimab could prevent HAE attacks better than placebo. Patients taking garadacimab had very few or no HAE attacks, but those taking placebo carried on having attacks. Garadacimab gave protection from HAE attacks shortly after it was first used, and this carried on for the 6 months of treatment. Most patients taking garadacimab (62%) had no HAE attacks throughout the 6 months of treatment (were attack free), but 100% of patients taking placebo had HAE attacks throughout the study. More patients taking garadacimab (82%) than placebo (33%) had a ‘good’ or ‘excellent’ experience living with HAE. Patients taking garadacimab and placebo had similar rates of side effects. Only 5% (2 out of 39) of patients taking garadacimab had discomfort or skin changes at the place of injection compared with 12% (3 out of 25) taking placebo. Taking garadacimab once a month helps prevent HAE attacks from happening, with most patients being attack free throughout the 6 months of treatment. Garadacimab had very few and mostly mild or moderate side effects. Overall, garadacimab is a beneficial treatment for preventing HAE attacks.
本文概述了2023年2月发表在《柳叶刀》杂志上的一篇关于临床研究 "精嘉 "的文章。遗传性血管性水肿(HAE)是一种罕见的遗传病,会导致全身肿胀(称为HAE发作)。HAE 在上呼吸道(包括舌头和声带)发作时会导致呼吸困难,危及生命。HAE发作可能频繁且毫无征兆,HAE患者的生活质量低于其他人。在 "VANGUARD "研究中,研究人员测试了一种名为加拉达西单抗的新药的安全性以及它是否能预防HAE发作。加拉达西单抗每月用针头皮下注射一次。在 "万佳 "研究中,患者服用加拉达西单抗或安慰剂(一种外观相同但无医疗效果的假物质,用于比较)。目的是观察加拉达西单抗是否能比安慰剂更好地预防HAE发作。服用加拉达西单抗的患者很少或根本没有HAE发作,而服用安慰剂的患者则继续发作。加拉达西单抗在首次使用后不久就能防止HAE发作,而且这种情况会持续6个月。大多数服用加拉达单抗的患者(62%)在6个月的治疗期间没有HAE发作(不发作),但100%服用安慰剂的患者在整个研究期间都有HAE发作。与安慰剂患者(33%)相比,更多服用加拉达西单抗的患者(82%)在HAE生活中获得了 "良好 "或 "卓越 "的体验。服用加拉达西单抗和安慰剂的患者的副作用发生率相似。服用加拉达西单抗的患者中只有5%(39人中有2人)在注射部位出现不适或皮肤变化,而服用安慰剂的患者中则有12%(25人中有3人)在注射部位出现不适或皮肤变化。每月服用一次加拉达西单抗有助于预防HAE发作,大多数患者在6个月的治疗期间不会发作。加拉达西单抗的副作用非常小,大多为轻度或中度。总的来说,加拉达单抗是一种预防HAE发作的有效治疗方法。
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Future Rare Diseases
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