[Efficacy and safety of tocilizumab in patients with Takayasu arteritis].
Identifieur interne : 000632 ( Main/Exploration ); précédent : 000631; suivant : 000633[Efficacy and safety of tocilizumab in patients with Takayasu arteritis].
Auteurs : H. Liao [République populaire de Chine] ; L L Pan ; J. Du ; N. Gao ; T. WangSource :
- Zhonghua nei ke za zhi [ 0578-1426 ] ; 2019.
Descripteurs français
- KwdFr :
- Anticorps monoclonaux humanisés (administration et posologie), Anticorps monoclonaux humanisés (usage thérapeutique), Cyclophosphamide (administration et posologie), Cyclophosphamide (usage thérapeutique), Humains, Maladie de Takayashu (anatomopathologie), Maladie de Takayashu (traitement médicamenteux), Résultat thérapeutique, Études rétrospectives.
- MESH :
- administration et posologie : Anticorps monoclonaux humanisés, Cyclophosphamide.
- anatomopathologie : Maladie de Takayashu.
- traitement médicamenteux : Maladie de Takayashu.
- usage thérapeutique : Anticorps monoclonaux humanisés, Cyclophosphamide.
- Humains, Résultat thérapeutique, Études rétrospectives.
English descriptors
- KwdEn :
- Antibodies, Monoclonal, Humanized (administration & dosage), Antibodies, Monoclonal, Humanized (therapeutic use), Cyclophosphamide (administration & dosage), Cyclophosphamide (therapeutic use), Humans, Retrospective Studies, Takayasu Arteritis (drug therapy), Takayasu Arteritis (pathology), Treatment Outcome.
- MESH :
- chemical , administration & dosage : Antibodies, Monoclonal, Humanized, Cyclophosphamide.
- chemical , therapeutic use : Antibodies, Monoclonal, Humanized, Cyclophosphamide.
- drug therapy : Takayasu Arteritis.
- pathology : Takayasu Arteritis.
- Humans, Retrospective Studies, Treatment Outcome.
Abstract
Objective: To assess the efficacy and safety of tocilizumab and cyclophosphamide in patients with Takayasu arteritis (TA). Methods: Twenty-seven TA patients treated with tocilizumab (TCZ group) and 22 treated with cyclophosphamide (CTX group) were enrolled and retrospectively analyzed. The duration of treatment was 6 months. Disease activity and side effects were compared between the two groups. Results: After treatment, the median C-reactive protein (CRP), erythrocyte sedimentation rate (ESR) and disease activity scores in TCZ group were significantly lower than those in CTX group respectively [ESR 3 mm/1h vs. 8 mm/1h; CRP 0.13 mg/L vs. 1.09 mg/L; National Institutes of Health (NIH) score 0(0,1) vs. 0(1,1); the Indian Takayasu clinical activity score (ITAS 2010) 0(0,2) vs. 2(0,3.5), and the Indian Takayasu activity score with the acute phase response (ITAS-A) 0(0,2) vs. 2.5(0,3.5); all P<0.05]. The daily prednisone doses before treatment and after treatment in TCZ group were significantly lower than those in CTX group [(20.1±15.9) mg/d vs. (39.3±16.7) mg/d;(5.1±4.2)mg/d vs. (12.1±4.6) mg/d,both P<0.05)].The incidence of drug-related side effects in TCZ group was significantly lower than that in CTX group, which was 22.2% vs. 54.5% (P<0.05). Conclusion: Compared with CTX treatment, TCZ treatment for TA with less prednisone has better efficacy and safety.
DOI: 10.3760/cma.j.issn.0578-1426.2019.06.009
PubMed: 31159524
Affiliations:
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Le document en format XML
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<term>Cyclophosphamide (usage thérapeutique)</term>
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<term>Maladie de Takayashu (traitement médicamenteux)</term>
<term>Résultat thérapeutique</term>
<term>Études rétrospectives</term>
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<front><div type="abstract" xml:lang="en"><b>Objective:</b>
To assess the efficacy and safety of tocilizumab and cyclophosphamide in patients with Takayasu arteritis (TA). <b>Methods:</b>
Twenty-seven TA patients treated with tocilizumab (TCZ group) and 22 treated with cyclophosphamide (CTX group) were enrolled and retrospectively analyzed. The duration of treatment was 6 months. Disease activity and side effects were compared between the two groups. <b>Results:</b>
After treatment, the median C-reactive protein (CRP), erythrocyte sedimentation rate (ESR) and disease activity scores in TCZ group were significantly lower than those in CTX group respectively [ESR 3 mm/1h vs. 8 mm/1h; CRP 0.13 mg/L vs. 1.09 mg/L; National Institutes of Health (NIH) score 0(0,1) vs. 0(1,1); the Indian Takayasu clinical activity score (ITAS 2010) 0(0,2) vs. 2(0,3.5), and the Indian Takayasu activity score with the acute phase response (ITAS-A) 0(0,2) vs. 2.5(0,3.5); all <i>P<</i>
0.05]. The daily prednisone doses before treatment and after treatment in TCZ group were significantly lower than those in CTX group [(20.1±15.9) mg/d vs. (39.3±16.7) mg/d;(5.1±4.2)mg/d vs. (12.1±4.6) mg/d,both <i>P<</i>
0.05)].The incidence of drug-related side effects in TCZ group was significantly lower than that in CTX group, which was 22.2% vs. 54.5% (<i>P<</i>
0.05). <b>Conclusion:</b>
Compared with CTX treatment, TCZ treatment for TA with less prednisone has better efficacy and safety.</div>
</front>
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<name sortKey="Pan, L L" sort="Pan, L L" uniqKey="Pan L" first="L L" last="Pan">L L Pan</name>
<name sortKey="Wang, T" sort="Wang, T" uniqKey="Wang T" first="T" last="Wang">T. Wang</name>
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