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[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. Wang

Source :

RBID : pubmed:31159524

Descripteurs français

English descriptors

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 (administration & dosage)</term>
<term>Cyclophosphamide (therapeutic use)</term>
<term>Humans</term>
<term>Retrospective Studies</term>
<term>Takayasu Arteritis (drug therapy)</term>
<term>Takayasu Arteritis (pathology)</term>
<term>Treatment Outcome</term>
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<term>Anticorps monoclonaux humanisés (administration et posologie)</term>
<term>Anticorps monoclonaux humanisés (usage thérapeutique)</term>
<term>Cyclophosphamide (administration et posologie)</term>
<term>Cyclophosphamide (usage thérapeutique)</term>
<term>Humains</term>
<term>Maladie de Takayashu (anatomopathologie)</term>
<term>Maladie de Takayashu (traitement médicamenteux)</term>
<term>Résultat thérapeutique</term>
<term>Études rétrospectives</term>
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<term>Cyclophosphamide</term>
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<term>Anticorps monoclonaux humanisés</term>
<term>Cyclophosphamide</term>
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<term>Maladie de Takayashu</term>
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<term>Takayasu Arteritis</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Takayasu Arteritis</term>
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<term>Maladie de Takayashu</term>
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<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr">
<term>Anticorps monoclonaux humanisés</term>
<term>Cyclophosphamide</term>
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<term>Treatment Outcome</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>
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