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The essential medicines list for inflammatory bowel disease: time to raise the standards of global care 炎症性肠病基本药物清单:是时候提高全球护理标准了
IF 35.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-11-17 DOI: 10.1016/s2468-1253(25)00299-7
Nanne K de Boer, Richard B Gearry, Charles N Bernstein, Rupa Banerjee, David T Rubin, Gilaad G Kaplan
No Abstract
没有抽象的
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引用次数: 0
Safety and pharmacokinetics of SOR102, an oral bispecific inhibitor of TNF and interleukin-23 in healthy participants and patients with ulcerative colitis: a first-in-human, double-blind, randomised, placebo-controlled, phase 1 trial SOR102(一种口服TNF和白细胞介素-23双特异性抑制剂)在健康参与者和溃疡性结肠炎患者中的安全性和药代动力学:一项首次人体、双盲、随机、安慰剂对照的1期试验
IF 35.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-11-13 DOI: 10.1016/s2468-1253(25)00296-1
Vipul Jairath, Silvio Danese, Geert R D’Haens, Brian G Feagan, Laurent Peyrin-Biroulet, Bruce E Sands, Ingrid Gaemers, Matt Westfall, Allyson Q Terry, Kevin J Roberts, Sara Barbat, Pamela Wedel, Jacqueline M Benson, Carlos Sattler
<h3>Background</h3>SOR102 is an oral bispecific antibody comprised of single domain antibodies targeting TNF and interleukin (IL)-23p19. We aimed to assess the safety, pharmacokinetics, clinical, and biological activity of SOR102 in healthy participants and in patients with active ulcerative colitis.<h3>Methods</h3>This phase 1 first-in-human, double-blind, randomised, placebo-controlled, trial was done in the UK, Ukraine, and Georgia in clinical research centres. Central randomisation was by an interactive web response system and a randomisation scheme produced by an unmasked, independent statistician. In part 1, healthy participants were randomly assigned (6:2) to single ascending doses of SOR102 or placebo. In part 2, healthy participants were randomly assigned (8:2) to SOR102 or placebo twice daily for 7 days. In part 3, patients with mildly-to-severely active ulcerative colitis were randomly assigned (1:1:1) to once-daily or twice-daily SOR102 or placebo for 42 days. The primary objective was to evaluate the safety and tolerability of SOR102. Safety analyses were done on all participants or patients who received at least one dose of study drug. This trial is registered with <span><span>ClinicalTrials.gov</span><svg aria-label="Opens in new window" focusable="false" height="20" viewbox="0 0 8 8"><path d="M1.12949 2.1072V1H7V6.85795H5.89111V2.90281L0.784057 8L0 7.21635L5.11902 2.1072H1.12949Z"></path></svg></span>, <span><span>NCT06080048</span><svg aria-label="Opens in new window" focusable="false" height="20" viewbox="0 0 8 8"><path d="M1.12949 2.1072V1H7V6.85795H5.89111V2.90281L0.784057 8L0 7.21635L5.11902 2.1072H1.12949Z"></path></svg></span> and is complete.<h3>Findings</h3>From Oct 9, 2023, to Oct 16, 2024, 157 participants were assessed for eligibility, of whom 93 were excluded and 64 were randomly assigned to either SOR102 (n=48) or placebo (n=16) across all three parts of the study. In part 1, six participants were randomly assigned to receive SOR102 135 mg, six to receive SOR102 405 mg, six to receive SOR102 1215 mg, six to receive SOR102 3645 mg, and eight to receive placebo. In part 2, eight participants were randomly assigned to receive SOR102 1215 mg twice-daily and two to receive placebo. In part 3, seven patients with ulcerative colitis were randomly assigned to receive SOR102 810 mg once-daily, nine to receive the same dose twice-daily, and six to receive placebo. In part 1, treatment-emergent adverse events (TEAEs) occurred in three (13%) of 24 participants who received SOR102 (two in the SOR102 135 mg dose group and one in the SOR102 405 mg dose group; mild diarrhoea and moderate dysmenorrhoea both in a single participant in the SOR102 135 mg group and mild flatulence in a second participant in same group; mild dysmenorrhoea in one participant in the SOR102 405 mg group) compared with two (25%) of eight participants who received placebo (mild catheter site pain; mild headache). Only the TEAE of mild diarrhoea was deemed trea
sor102是一种口服双特异性抗体,由靶向TNF和白细胞介素(IL)-23p19的单域抗体组成。我们的目的是评估SOR102在健康参与者和活动性溃疡性结肠炎患者中的安全性、药代动力学、临床和生物活性。该临床研究在英国、乌克兰和格鲁吉亚的临床研究中心进行,是一项首次人体、双盲、随机、安慰剂对照的1期临床试验。中央随机化是由一个交互式网络响应系统和一个由公开的独立统计学家制定的随机化方案完成的。在第一部分中,健康参与者被随机分配(6:2)到单次上升剂量的SOR102或安慰剂组。在第2部分中,健康参与者被随机分配(8:2)到SOR102或安慰剂组,每天两次,持续7天。在第3部分中,轻度至重度活动性溃疡性结肠炎患者被随机分配(1:1:1)至每日1次或每日2次SOR102或安慰剂42天。主要目的是评估SOR102的安全性和耐受性。对所有接受至少一剂研究药物的参与者或患者进行了安全性分析。该试验已在ClinicalTrials.gov注册,编号NCT06080048,并已完成。从2023年10月9日到2024年10月16日,157名参与者被评估为合格,其中93人被排除,64人被随机分配到SOR102 (n=48)或安慰剂(n=16)。在第一部分中,6名参与者被随机分配接受SOR102 135 mg, 6名接受SOR102 405 mg, 6名接受SOR102 1215 mg, 6名接受SOR102 3645 mg, 8名接受安慰剂。在第二部分中,8名参与者被随机分配接受SOR102 1215毫克,每日两次,2名接受安慰剂。在第三部分中,7名溃疡性结肠炎患者被随机分配接受SOR102 810 mg每日一次,9名接受相同剂量每日两次,6名接受安慰剂。在第一部分中,24名接受SOR102治疗的参与者中有3名(13%)发生了治疗后出现的不良事件(teae)(2名在SOR102 135 mg剂量组,1名在SOR102 405 mg剂量组);SOR102 135 mg剂量组中有一名参与者出现轻度腹泻和中度痛经,同一组中有另一名参与者出现轻度胀气;SOR102 405 mg组中有1名受试者出现轻度痛经),而8名受试者中有2名(25%)接受安慰剂(轻度导管部位疼痛;轻度头痛)。只有轻度腹泻的TEAE被认为与治疗有关。第2部分中没有发生teae。在第三部分中,16名接受SOR102治疗的患者中有7名(44%)发生了至少一次TEAE(5名在SOR102 810 mg每日两次剂量组,2名在SOR102 810 mg每日一次剂量组),6名接受安慰剂治疗的患者中有3名(50%)发生了TEAE。SOR102每日两次组中有2例患者出现溃疡性结肠炎恶化的TEAE(其中1例严重TEAE[唯一报道的严重TEAE],但与治疗无关),导致研究终止。所有其他teae的性质均为轻度至中度。在研究的任何部分,在任何剂量或给药频率下,均未观察到SOR102对心电图、生命体征、体格检查或实验室参数的临床显著影响,也未发生死亡。在第三部分,到第42天,SOR102每日1次组中7名参与者中有3名(43%),SOR102每日2次组中9名患者中有5名(56%),安慰剂组中6名患者中有1名(17%)达到了梅奥评分临床反应,而每日1次组中有2名(29%)患者,每日2次组中有6名(67%)患者,安慰剂组中有2名(33%)患者达到了改良梅奥评分临床反应。每日一次组中有3例(43%)患者,每日两次组中有5例(56%)患者,安慰剂组中没有患者在第42天达到症状缓解。良好的安全性和有效性的初步证据支持SOR102治疗溃疡性结肠炎的开发。FundingSorriso药品。
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引用次数: 0
Dual targeting of TNF and IL-23 by a bispecific antibody in ulcerative colitis 溃疡性结肠炎双特异性抗体对TNF和IL-23的双重靶向作用
IF 35.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-11-13 DOI: 10.1016/s2468-1253(25)00330-9
Raja Atreya, Markus F Neurath
No Abstract
没有抽象的
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引用次数: 0
Endoscopist deskilling risk after exposure to artificial intelligence in colonoscopy 内镜医师在结肠镜检查中暴露于人工智能后降低风险
IF 35.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-11-06 DOI: 10.1016/s2468-1253(25)00290-0
Kyle Lam
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引用次数: 0
Endoscopist deskilling risk after exposure to artificial intelligence in colonoscopy 内镜医师在结肠镜检查中暴露于人工智能后降低风险
IF 35.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-11-06 DOI: 10.1016/s2468-1253(25)00288-2
Davy van de Sande, Stefan Sleijfer, Stefan N R Buijsman, Diederik Gommers, Michel E van Genderen
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引用次数: 0
Endoscopist deskilling risk after exposure to artificial intelligence in colonoscopy – Authors' reply 内镜医师在结肠镜检查中暴露于人工智能后降低风险——作者的回复
IF 35.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-11-06 DOI: 10.1016/s2468-1253(25)00324-3
Krzysztof Budzyń, Marcin Romańczyk, Yuichi Mori
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引用次数: 0
Endoscopist deskilling risk after exposure to artificial intelligence in colonoscopy 内镜医师在结肠镜检查中暴露于人工智能后降低风险
IF 35.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-11-06 DOI: 10.1016/s2468-1253(25)00289-4
Asaf Levartovsky, Uri Kopylov
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引用次数: 0
Research in Brief 研究简介
IF 35.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-11-06 DOI: 10.1016/s2468-1253(25)00327-9
Holly Baker
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引用次数: 0
Bridging the evidence gap in dietary approaches to gut disorders 弥合饮食方法治疗肠道疾病的证据差距
IF 35.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-11-05 DOI: 10.1016/s2468-1253(25)00326-7
No Abstract
没有抽象的
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引用次数: 0
Linerixibat in patients with primary biliary cholangitis and cholestatic pruritus (GLISTEN): a randomised, multicentre, double-blind, placebo-controlled, phase 3 trial 利奈昔巴治疗原发性胆道炎和胆汁淤积性瘙痒(GLISTEN):一项随机、多中心、双盲、安慰剂对照的3期试验
IF 35.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-10-28 DOI: 10.1016/s2468-1253(25)00192-x
Gideon M Hirschfield, Christopher L Bowlus, David E J Jones, Andreas E Kremer, Marlyn J Mayo, Atsushi Tanaka, Pietro Andreone, Jidong Jia, Qinglong Jin, Ricardo U Macías-Rodríguez, Alexander R Cobitz, Brooke M Currie, Ciara Gorey, Ivana Lazic, Danielle Podmore, Andrea Ribeiro, Jennifer B Shannon, Brandon Swift, Megan M McLaughlin, Cynthia Levy
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引用次数: 0
期刊
Lancet Gastroenterology & Hepatology
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