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Tình hình tuân thủ điều trị bệnh nhân ngoại trú tăng huyết áp tại bệnh viện Vũng Tàu năm 2023 2023 年,我们将继续努力。
Pub Date : 2024-07-05 DOI: 10.59882/1859-364x/213
Đinh Thị Thúy Hà, Trần Phúc
Nghiên cứu gánh nặng bệnh tật toàn cầu năm 2017 cho thấy tăng huyết áp gây ra khoảng 925 nghìn ca tử vong, ảnh hưởng đến khoảng 1,4 tỷ người trên toàn thế giới. Tuân thủ làm tăng hiệu quả điều trị. Các nghiên cứu về tăng huyết áp trên thế giới và ở Việt Nam cho thấy tỷ lệ tuân thủ điều trị có sự biến động ở các vùng khác nhau, dao động từ 25 đến 45,2%. Mục tiêu nghiên cứu xác định tỷ lệ tuân thủ điều trị và một số yếu tố liên quan ở bệnh nhân tăng huyết áp ngoại trú tại bệnh viện Vũng Tàu năm 2023. Nghiên cứu cắt ngang được thực hiện trên 306 bệnh nhân tăng huyết áp từ tháng 1/2023 đến tháng 4/2023. Thang đo tuân thủ thuốc chung (GMAS) của Atta Abbas Naqvi được sử dụng. Nghiên cứu cho thấy 65,4% bệnh nhân tăng huyết áp tuân thủ GMAS 30-33 điểm (GMAS=33 chiếm 25,8%, GMAS=30-32 điểm chiếm 39,5%). Phân tích hồi quy logistic đa biến cho thấy kiểm soát tăng huyết áp (p < 0,01; OR = 3,005; 95% Cl = 1,701-5,311) và số lượng thuốc (p = 0,007; OR = 0,127; 95% Cl = 0,028-0,570) có ảnh hưởng đến việc tuân thủ điều trị có ý nghĩa thống kê.
在2017年的925个国家中,有1,4个国家的企业被评为 "优秀企业"。Tuân thủ làm tăng hiệu quả điều trị.在越南,您可以从您的网站上了解到,在您的网站上,您可以看到许多关于您的产品的信息,其中包括:您的产品名称、产品型号、产品规格、产品种类、产品价格、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道、产品销售渠道。从2023年开始,该地区的经济将继续增长。现在的汉字包含306个汉语拼音,在2023年1月1日到2023年4月4日之间。阿塔-阿巴斯-纳克维(Atta Abbas Naqvi)是全球排雷行动处处长。有65.4%的人通过GMAS 30-33分的测试(GMAS=33分的人占25.8%,GMAS=30-32分的人占39.5%)。逻辑分析结果表明,GMAS=25.8%(GMAS=33;GMAS=30-32;GMAS=39.5%)和Sưng thuốc(P = 0.007;OR = 0,127; 95% Cl = 0,028-0,570) có ảnh hưởng đến việc tuân thủ tuị có ý nghĩa thống kê.
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引用次数: 0
Synergistic effect of Erythrina variegata L. and tamoxifen against the growth of breast cancer cells Erythrina variegata L.和他莫昔芬对乳腺癌细胞生长的协同作用
Pub Date : 2024-02-20 DOI: 10.59882/1859-364x/120
Van Thi-Hong Tran, Thi Van Anh Hoang, Viet Hung Lai, Thi Hong Khanh Do, Duc-Vinh Pham
Breast cancer is the most common malignancy and the second leading cause of death in women. While tamoxifen (TAM) remains to be a first-line agent for prevention and treatment of estrogen-receptor (ER) positive breast tumors, TAM resistance represents one of the biggest clinical challenges in breast cancer therapy. Therefore, there has been growing interest in the identification of novel agents including those of plant origin that enhance the TAM sensitivity of breast cancer cells. In the present study, we aimed to evaluate the synergistic effect of Erythrina variegata extract (EVE) and TAM on the suppression of breast cancer cell growth using MCF-7 cell model and conventional bioassays such as MTT and colony formation assay, cell cycle analysis, and immunocytochemistry. Interestingly, MTT assay in combination with Chou-Talalay analysis demonstrated the potent synergism between EVE and tamoxifen against MCF-7 cell survival. Additionally, co-treatment of MCF-7 cells with EVE and TAM more significantly suppressed colony formation, cell cycle progression, and the nuclear expression of proliferative marker Ki67 compared to TAM alone. These findings imply that EVE potentiates the anti-proliferative effect of TAM in MCF-7 breast cancer cells and may become a promising agent in the treatment of ER positive breast cancer.
乳腺癌是最常见的恶性肿瘤,也是导致女性死亡的第二大原因。尽管他莫昔芬(TAM)仍然是预防和治疗雌激素受体(ER)阳性乳腺肿瘤的一线药物,但他莫昔芬的耐药性是乳腺癌治疗中最大的临床挑战之一。因此,越来越多的人开始关注新型药物的鉴定,包括那些能增强乳腺癌细胞对 TAM 敏感性的植物源药物。在本研究中,我们使用 MCF-7 细胞模型和传统生物检测方法(如 MTT 和菌落形成检测、细胞周期分析和免疫细胞化学),旨在评估变节红景天提取物(EVE)和 TAM 对抑制乳腺癌细胞生长的协同作用。有趣的是,MTT 试验与 Chou-Talalay 分析相结合,证明了 EVE 和他莫昔芬对 MCF-7 细胞存活的强效协同作用。此外,与单独使用 TAM 相比,EVE 和 TAM 联合处理 MCF-7 细胞能更显著地抑制集落形成、细胞周期进展和增殖标志物 Ki67 的核表达。这些研究结果表明,EVE 能增强 TAM 在 MCF-7 乳腺癌细胞中的抗增殖作用,可能成为一种治疗 ER 阳性乳腺癌的有效药物。
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引用次数: 0
Enhancement of The Anti-Hyperuricemic Activity of Modified Simiao Wan by Optimizing The Conditions of Extraction of The Active Compounds, Using Network Pharmacology Approach 利用网络药理学方法优化活性化合物的提取条件,提高改良四妙丸的抗高尿酸血症活性
Pub Date : 2023-12-29 DOI: 10.59882/1859-364x/97
Nguyen Thu Hang, Than Thi Kieu My Than Thi Kieu, Nguyen Van Phuong
The objective of this study was to enhance the anti-hyperuricemic activity of modified Simiao wan (MSW) by optimizing the conditions of extraction of the active group of compounds determined from network pharmacology analysis. The main group of compounds involved in the uric acid lowering effect of MSW was identified based on the herb-compound-target network. After that, the optimal conditions of extraction of these compounds from MSW were determined using response surface methodology. Then, the biological effects of MSW extracted at optimal conditions and sub-optimal conditions were evaluated. The binding mode of the key compounds of MSW with the potent target was also explored using molecular docking and molecular dynamics. The results suggested that flavonoids, particularly quercetin, luteolin, kaempferol, and wogonin, might be important compounds involved in the anti-hyperuricemic activity of MSW. After that, the optimal conditions of extraction of flavonoid from MSW were determined, including ethanol concentration of 80% and time of extraction of 60 minutes. The results of the pharmacological assay indicated that MSW extracted at optimal conditions could significantly reduce uric acid levels compared with MSW extracted under sub-optimal conditions. The protein-protein interaction network, molecular docking, and molecular dynamics simulation showed that besides anti-hyperuricemic activity, flavonoids from MSW could also exhibit anti-inflammatory effects through inhibiting TNFα. Our study suggested that optimization of extraction based on network pharmacology analysis might be an effective approach to improve the therapeutic activity of this traditional medicine.
本研究的目的是通过优化网络药理学分析确定的活性化合物组的提取条件,提高改良四妙丸(MSW)的抗高尿酸血症活性。根据药材-化合物-靶标网络,确定了参与改良四妙丸降尿酸作用的主要化合物群。随后,利用响应面方法确定了从 MSW 中提取这些化合物的最佳条件。然后,评估了在最佳条件和次佳条件下提取的 MSW 的生物效应。此外,还利用分子对接和分子动力学方法探讨了 MSW 中主要化合物与强效靶点的结合模式。结果表明,黄酮类化合物,尤其是槲皮素、木犀草素、山奈酚和木犀草素,可能是参与 MSW 抗高尿酸血症活性的重要化合物。随后,确定了从 MSW 中提取黄酮类化合物的最佳条件,包括乙醇浓度为 80%、提取时间为 60 分钟。药理实验结果表明,与次优条件下提取的味精相比,最佳条件下提取的味精能显著降低尿酸水平。蛋白质-蛋白质相互作用网络、分子对接和分子动力学模拟表明,除了抗高尿酸血症活性外,MSW 中的黄酮类化合物还能通过抑制 TNFα 发挥抗炎作用。我们的研究表明,基于网络药理学分析优化提取可能是提高这种传统药物治疗活性的有效方法。
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引用次数: 0
The essential role of glucose metabolism in chemoresistance of colorectal cancer - a mini review 葡萄糖代谢在结直肠癌化疗耐药性中的重要作用 - 综述
Pub Date : 2023-12-29 DOI: 10.59882/1859-364x/155
Phung Thanh Huong, Nguyen Thi Lap, Dao Thi Mai Anh, Nguyen Xuan Bac, Mai Van Hien, Pham Tran Thu Ha, Vu Thi Phuong
Colorectal cancer (CRC) ranks third in terms of incidence, but second in terms of mortality among all types of cancer globally. Despite emerging advances in cancer remedies, chemotherapy remains the major standard treatment for CRC patients. However, poor prognosis is still a great concern and chemoresistance is detected in 90% of patients with metastatic CRC. Recently, the reprogramming of multiple metabolisms in cancer cells has emerged as an essential effector in tumor growth and drivers of chemoresistance. Understanding the significant mechanisms of chemoresistance would help to find effective solutions to overcome drug resistance and improve the therapeutic efficacy of chemotherapy, thereby prolonging the survival of cancer patients. This review discusses the mechanisms of glucose metabolism reprogramming in the context of CRC chemoresistance and the perspectives of targeting glucose metabolism for the improvement of CRC therapy.
大肠癌(CRC)的发病率在全球各类癌症中排名第三,但死亡率却排名第二。尽管癌症疗法在不断进步,但化疗仍是治疗结直肠癌患者的主要标准疗法。然而,预后不良仍是一个令人担忧的问题,90% 的转移性 CRC 患者都会出现化疗耐药性。最近,癌细胞中多种代谢的重编程已成为肿瘤生长的重要影响因素和化疗耐药性的驱动因素。了解化疗耐药性的重要机制有助于找到克服耐药性的有效解决方案,提高化疗的疗效,从而延长癌症患者的生存期。本综述讨论了 CRC 化疗耐药性背景下糖代谢重编程的机制,以及靶向糖代谢改善 CRC 治疗的前景。
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引用次数: 0
Formulation of tablets containing lyophilized powder to improve the stability of alpha-chymotrypsin 配制含冻干粉的片剂以提高α-糜蛋白酶的稳定性
Pub Date : 2023-12-29 DOI: 10.59882/1859-364x/119
Quoc Hoai Nguyen, The Khang Duong, Ngoc Quang Do, Vu Minh Duc, Thanh Tung Pham, Thi Lien Nguyen, Nguyen Thach Tung
This study aimed to develop a stable lyophilized formulation and the tableting process of lyophilized powder to improve the stability of the enzyme alpha-chymotrypsin (ACT). The impacts of the bulking agent and stabilizer on the freeze-drying process and the stability of ACT were determined. The effects of the filler excipients and the compression force on the activity of ACT tablets containing lyophilized powder were also evaluated. The findings revealed that arginine HCl, which had a multipoint interaction with the surface of ACT, and the crystalline excipient mannitol stabilized the structure of the enzyme and the lyophilized cake. The dehydration process through freeze-drying effectively protected the active substance against denaturing factors such as heat, moisture, and mechanical force. The study also demonstrated that the use of elastic fillers such as compressuc and a minor compression force contributed to the enhancement of ACT tablet stability. In summary, the study successfully developed a formulation for tablets containing ACT lyophilized powder, initially overcoming the poor stability of this enzyme to environmental factors, showing the applicability of lyophilization and stabilizing excipients in enhancing the stability of biomolecules.
本研究旨在开发一种稳定的冻干制剂和冻干粉的压片工艺,以提高α-糜蛋白酶(ACT)的稳定性。研究确定了膨松剂和稳定剂对冻干过程和 ACT 稳定性的影响。此外,还评估了填充辅料和压缩力对含有冻干粉的 ACT 片剂活性的影响。研究结果表明,与 ACT 表面有多点相互作用的精氨酸盐酸盐和结晶辅料甘露醇稳定了酶的结构和冻干粉饼。通过冷冻干燥的脱水过程有效地保护了活性物质,使其免受热量、水分和机械力等变性因素的影响。研究还表明,使用弹性填料(如 compressuc)和较小的压缩力有助于提高 ACT 片剂的稳定性。总之,该研究成功开发了一种含 ACT 冻干粉片剂的配方,初步克服了该酶对环境因素稳定性差的问题,显示了冻干和稳定辅料在提高生物大分子稳定性方面的适用性。
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引用次数: 0
Bio-guided isolation of antimicrobial compounds from Cnestis palala 以生物为导向从巴拉拉巢虫中分离抗菌化合物
Pub Date : 2023-12-29 DOI: 10.59882/1859-364x/15
Hoang Quynh Hoa, Pham Thi Linh Giang, Nguyen Thi Van Anh, Vu Thi Quyen, Nguyen Ngoc Hieu, Pham Ha Thanh Tung
Day khe (Cnestis palala (Lour.) Merr., Connaraceae) has been widely distributed in Hoa Binh province, Vietnam. The aqueous and ethanolic extracts of the stems of C. palala (10 mg/well) showed antibacterial effects on Staphylococcus aureus and Bacillus subtilis by agar diffusion method with diameter antibacterial zone values ranged from 8,3 ± 0,4 mm to 12,3 ± 0,4 mm. Maximum antibacterial activity was exhibited by ethanol 96 % extract against Staphylococcus aureus and Bacillus subtilis with MBC values of 5,2 and 41,5 mg/ml, respectively. This study aimed to isolate and evaluate the antimicrobial activity of some bioactive compounds from C. palala stem using bioguided fractionation. Their activities on S. aureus and S. epidermidis have been evaluated. Various chromatographical techniques were applied for isolation and purification. Antimicrobial activity was determined by multi-concentration dilution. Two bioactive compounds 3,4-dihydroxybenzoic acid (protocatechuic) (1) and 2,10-bis(3,4-dihydroxyphenyl)-3,5-dihydroxy-3,4,9,10-tetrahydro-2H,8H-pyrano[2,3-f]chromen-8-on (cinchonain) (2) were purified and determined structure. Their antimicrobial activities were confirmed using the microdilution method on S. aureus and S. epidermidis. The activity of compound 1 against S. aureus and S. epidermidis: MIC was 128 µg/ml and 16 µg/ml, respectively, and IC50 was 46,78 ± 1,36 µg/ml and 5,67 ± 1,36 µg/ml, respectively. The activity of compound 2 against S. aureus and S. epidermidis: MIC were 128 µg/ml và 16 µg/ml respectively, and IC50 was 43,23 ± 2,45 µg/ml and 6,34 ± 2,45 µg/ml, respectively. These results highlight the ethno-traditional use of Cnestis palala for infections and recommend further developing antimicrobial products.
Day khe(Cnestis palala (Lour.) Merr.,驽马科)广泛分布于越南和平省。通过琼脂扩散法,茎的水提取物和乙醇提取物(10 毫克/孔)对金黄色葡萄球菌和枯草杆菌有抗菌作用,抗菌区直径范围为 8.3 ± 0.4 毫米至 12.3 ± 0.4 毫米。96 %乙醇提取物对金黄色葡萄球菌和枯草杆菌的抗菌活性最高,MBC 值分别为 5.2 和 41.5 mg/ml。本研究旨在利用生物导向分馏法从巴拉拉茎中分离和评估一些生物活性化合物的抗菌活性。评估了它们对金黄色葡萄球菌和表皮葡萄球菌的活性。在分离和纯化过程中采用了多种色谱技术。抗菌活性是通过多浓度稀释法测定的。纯化并确定了两种生物活性化合物 3,4-二羟基苯甲酸(原儿茶酸)(1)和 2,10-双(3,4-二羟基苯基)-3,5-二羟基-3,4,9,10-四氢-2H,8H-吡喃并[2,3-f]色烯-8-酮(金鸡纳)(2)的结构。采用微量稀释法证实了它们对金黄色葡萄球菌和表皮葡萄球菌的抗菌活性。化合物 1 对金黄色葡萄球菌和表皮葡萄球菌的活性:MIC 分别为 128 µg/ml 和 16 µg/ml,IC50 分别为 46,78 ± 1,36 µg/ml 和 5,67 ± 1,36 µg/ml。化合物 2 对金黄色葡萄球菌和表皮葡萄球菌的活性:MIC 分别为 128 µg/ml 和 16 µg/ml,IC50 分别为 43,23 ± 2,45 µg/ml 和 6,34 ± 2,45 µg/ml。这些结果突显了 Cnestis palala 用于治疗感染的民族传统用途,并建议进一步开发抗菌产品。
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引用次数: 0
Nghiên cứu bào chế viên nén acid 5-aminosalicylic dạng cốt giải phóng kéo dài Nghiên cứu bào chế viên nén acid 5-aminosalicylic dạng cốt giải phóng kéo dài
Pub Date : 2023-12-29 DOI: 10.59882/1859-364x/154
Phạm An Khánh, Đỗ Ngọc Quang, Nguyễn Thị Hoàn, Nguyễn Thạch Tùng
Nghiên cứu được thực hiện nhằm mục đích tìm ra công thức viên nén acid 5-aminosalicylic giải phóng kéo dài sử dụng hệ cốt trương nở hòa tan. Viên nén giải phóng kéo dài được bào chế bằng phương pháp tạo hạt ướt, sử dụng các tá dược hydroxypropyl methyl cellulose, Avicel PH101, Talc, magnesium stearate và tá dược dính. Tốc độ giải phóng của 5-ASA từ viên được đánh giá trên thiết bị thử hòa tan kiểu cánh khuấy trong môi trường đệm phosphat pH 7,5. Trên cơ sở nghiên cứu đánh giá tương tác dược chất - tá dược và các nghiên cứu đánh giá ảnh hưởng của yếu tố công thức và quy trình tới phần trăm giải phóng dược chất, nhóm nghiên cứu đã tìm ra được công thức viên nén 5-ASA dạng cốt giải phóng kéo dài. Đồ thị hòa tan của viên nghiên cứu ở môi trường pH 1,2 và 7,5 tương đồng với đồ thị hòa tan của viên đối chiếu Pentasa®
Nghiên cu được thc hiện nhằm mục đích tìm ra công thứn c viên nén acid 5-aminosalicylic giải phóng kéo dài sử dụng hốtệ c trương nở hòa tan.您可以使用羟丙基甲基纤维素、Avicel PH101、滑石粉、硬脂酸镁或其他材料。使用 5-ASA 来控制 PH 值为 7.5 的磷酸盐。如果您想了解更多信息,请联系我们、我们的 5-ASA 技术已被广泛应用。PH值为1.2或7.5时,可使用Pentasa®。
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引用次数: 0
Xây dựng và thẩm định phương pháp HPTLC để định lượng fenofibrat trong bán thành phẩm và viên nén 汉字和汉语拼音HPTLC法测定非诺贝特的作用
Pub Date : 2023-12-29 DOI: 10.59882/1859-364x/152
Phạm Lê Minh, Ngô Minh Thúy, Đào Thị Hương, Vũ Thị Thu Trang, Nguyễn Thị Kiều Anh
Nghiên cứu đã xây dựng và thẩm định phương pháp sắc ký lớp mỏng hiệu năng cao (HPTLC) nhanh, đặc hiệu và chính xác để định lượng fenofibrat trong bán thành phẩm và viên nén. Pha tĩnh là bản mỏng nhôm tráng silicagel 60 F254, dung môi rửa giải gồm toluen - cloroform (4:7, tt/tt) cho vết chất phân tích gọn và rõ ràng (Rf là 0,50 ± 0,01). Chế độ đo độ hấp thụ ở bước sóng 298 nm bằng quét mật độ vết được sử dụng để định lượng. Phương pháp được thẩm định về độ chọn lọc, độ tuyến tính, độ đúng và độ chính xác theo hướng dẫn của ICH. Kết quả cho thấy, phương pháp có độ tuyến tính tốt (r = 0,999), độ chính xác trong ngày và độ chính xác khác ngày lần lượt là 0,73% và 0,98%, độ đúng nằm trong khoảng 98,1-100,3%. Phương pháp đã ứng dụng thành công trong định lượng chất phân tích trong cốm, bán thành phẩm và thành phẩm. Giá trị RSD của hàm lượng fenofibrate trong mẫu thử thấp (<1%) chứng tỏ phương pháp HPTLC xây dựng được phù hợp để áp dụng trong phân tích thường qui hoạt chất này trong kiểm tra chất lượng.
我们可以通过使用HPTLC(高效液相色谱法)来检测,也可以通过使用非诺贝特来检测。在贮存硅胶 60 F254 的过程中,用甲苯-氯仿(4:7, tt/tt)来控制其浓度(Rf 为 0.50 ± 0.01)。298 nm 波長的光線會對輻射線造成影響。您可以通过以下方式来了解我们的产品:(1) 您可以在我们的网站上找到我们的产品;(2) 您可以在我们的网站上找到您的产品;(3) 您可以在我们的网站上找到您的产品;(4) 您可以在我们的网站上找到您的产品;(5) 您可以在我们的网站上找到您的产品;(6) 您可以在我们的网站上找到您的产品;(7) 您可以在我们的网站上找到您的产品。根据我们的研究,我们的研究结果表明(r = 0,999),我们的研究成功率为 0.73% 和 0.98%,我们的研究成功率为 98.1-100.3% 。您可以从我们的网站上了解到,我们的产品和服务在全球范围内得到了广泛的认可。非諾貝特(Fenofibrate)的RSD含量(<1%)是經由HPTLC的方法計算出來的。
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引用次数: 0
Cost-effectiveness analysis of secukinumab versus standard of care in the treatment of psoriatic arthritis: A Vietnam National health insurance perspective secukinumab与标准疗法治疗银屑病关节炎的成本效益分析:越南国家医疗保险的视角
Pub Date : 2023-11-27 DOI: 10.59882/1859-364x/122
Nguyen Thi Mai Phuong, Hua Thanh Thuy, Ong The Due, Phung Lam Toi, Do Thi Thu Hien, Nguyen Van Thanh, Vuong Trong Hieu, Pham Nu Hanh Van
Psoriatic arthritis (PsA) is a chronic, systemic inflammatory disease. This study assessed the cost-effectiveness of secukinumab, an interleukin-17A inhibitor, versus standard of care (SoC) from Vietnam’s National Health Insurance (NHI) perspective. Model-based cost-effectiveness analysis, the structure was a 3-month decision tree leading into a Markov model. Clinical parameters, including responses at 3 months, were from the FUTURE 2 trial. Cost parameters were from real data at the National Hospital of Dermatology and Venereology and a research period. The outcome included total costs and quality-adjusted life years (QALYs) over a life-time horizon (3.5% annual discount for both outcomes and cost), and incremental cost-effectiveness ratios (ICER). The robustness of the study findings was evaluated via sensitivity analysis. Patients treated with secukinumab achieved with QALY gain 1.16 versus SoC, but associated with higher total costs was 211.3 million VND over lifetime horizon. ICER for secukinumab vs SoC was 181.6 million VND lower than a willingness to pay threshold recommended in Vietnam (3GDP per capita equal to 286.8 million VND). Deterministic sensitivity analysis indicated that parameters related to Health Assessment Questionnaire scores were most influential. At the willingness to pay threshold of three times the GDPpc, the probability of secukinumab being cost-effective was 90.3% in the probabilistic sensitivity analysis. Secukinumab is a cost-effectiveness treatment versus SoC for PsA patients from the National health insurance’s perspective of Vietnam.
银屑病关节炎(PsA)是一种慢性、全身性炎症性疾病。本研究从越南国家医疗保险(NHI)的角度评估了白细胞介素-17A抑制剂secukinumab与标准治疗(SoC)的成本效益。基于模型的成本效益分析,其结构是一个 3 个月的决策树,然后进入马尔可夫模型。临床参数(包括 3 个月的反应)来自 FUTURE 2 试验。成本参数来自国立皮肤病与性病医院的真实数据和研究期间的数据。结果包括总成本、终生质量调整生命年(QALYs)(结果和成本的年贴现率均为 3.5%)以及增量成本效益比(ICER)。研究结果的稳健性通过敏感性分析进行了评估。与SoC相比,接受secukinumab治疗的患者获得的QALY收益为1.16,但在终生范围内的相关总成本较高,为2.113亿越南盾。secukinumab与SoC相比的ICER为1.816亿越南盾,低于越南建议的支付意愿阈值(人均3GDP等于2.868亿越南盾)。确定性敏感性分析表明,与健康评估问卷得分相关的参数影响最大。在支付意愿阈值为 GDPpc 三倍的情况下,在概率敏感性分析中,secukinumab 具有成本效益的概率为 90.3%。从越南国家医疗保险的角度来看,Secukinumab 对 PsA 患者的治疗与 SoC 相比具有成本效益。
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Tạp chí Nghiên cứu Dược và Thông tin Thuốc
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