接受ustekinumab治疗的中重度克罗恩病患者一年的真实生活数据。

IF 1.4 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Scottish Medical Journal Pub Date : 2021-08-01 Epub Date: 2021-04-09 DOI:10.1177/00369330211008587
Ferhat Bacaksız, Derya Arı, Volkan Gökbulut, Ömer Öztürk, Ertuğrul Kayaçetin
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引用次数: 2

摘要

目的:本研究的目的是提供我们的乳糜泻患者一年的真实数据,这些患者对生物药物无反应和/或不耐受,然后通过早期获取计划接受了ustekinumab治疗。材料和方法:回顾性研究回顾了10例接受ustekinumab治疗的中重度CD患者的52周临床资料。结果:10例患者中男性7例(70%),女性3例(30%),平均年龄38±11.3岁。平均病程13.5±8.5年。预处理平均CDAI评分为273.5±92分,预处理平均HBI评分为11.6±3.8分。8周静脉诱导治疗结束时,根据CDAI和HBI评分,5例(55%)患者出现临床缓解。此外,根据CDAI和HBI评分,62.5%的患者在第52周末达到临床缓解。在整个治疗过程中,没有观察到任何患者的药物相关副作用。结论:Ustekinumab在治疗中度和重度CD方面似乎是有效和安全的,特别是在对抗tnf等生物制剂无反应和不耐受的情况下,以及在实现临床缓解方面。
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One-year real life data of our patients with moderate-severe Crohn's disease who underwent ustekinumab therapy.

Aim: The aim of this study was to present one-year real-life data of our patients with CD who showed unresponsiveness and/or intolerance to biological agents and then received ustekinumab treatment through an early access program.

Materials and methods: The retrospective study reviewed the 52-week clinical data of 10 patients with moderate or severe CD who underwent ustekinumab therapy.

Results: The 10 patients comprised 7 (70%) men and 3 (30%) women with a mean age of 38 ± 11.3 years. Mean disease duration was 13.5 ± 8.5 years. Mean pretreatment CDAI score was 273.5 ± 92 and mean pretreatment HBI score was 11.6 ± 3.8. At the end of the 8-week intravenous induction treatment, 5 (55%) patients showed clinical remission according to the CDAI and HBI scores. Additionally, 62.5% of the patients were in clinical remission at the end of week 52 according to the CDAI and HBI scores. No drug-related side effects were observed in any patient throughout the treatment.

Conclusion: Ustekinumab appears to be effective and safe in the treatment of moderate and severe CD, particularly in cases of unresponsiveness and intolerance to biological agents such as anti-TNF, and in the achievement of clinical remission.

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来源期刊
Scottish Medical Journal
Scottish Medical Journal 医学-医学:内科
CiteScore
4.80
自引率
3.70%
发文量
42
审稿时长
>12 weeks
期刊介绍: A unique international information source for the latest news and issues concerning the Scottish medical community. Contributions are drawn from Scotland and its medical institutions, through an array of international authors. In addition to original papers, Scottish Medical Journal publishes commissioned educational review articles, case reports, historical articles, and sponsoring society abstracts.This journal is a member of the Committee on Publications Ethics (COPE).
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