An evidence-based review of the potential role of icatibant in the treatment of acute attacks in hereditary angioedema type I and II.

Core Evidence Pub Date : 2012-01-01 Epub Date: 2012-09-27 DOI:10.2147/CE.S24743
Bernard Floccard, Etienne Hautin, Laurence Bouillet, Brigitte Coppere, Bernard Allaouchiche
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引用次数: 10

Abstract

Introduction: Icatibant, a first-in-class B2 bradykinin receptor antagonist, appears to have a favorable efficacy and safety profile for the treatment of acute attacks of hereditary angioedema in adults.

Aims: To update the evidence and provide an overview of the available data on icatibant.

Evidence review: Peer reviewed articles published and listed in Medline Search and published updated guidelines for the treatment of acute attacks in hereditary angioedema type I and II in adults were reviewed. The validity and quality of evidence were evaluated.

Place in therapy: Clinical evidence for the treatment of acute hereditary angioedema attacks with icatibant is strong. Approximately 10% of the patients require a second dose. No serious adverse reactions have been reported. The only significant side effects consistently registered by 90% of patients are transient local pain, swelling, and erythema at the local injection site.

Conclusion: Subcutaneously administered 30 mg icatibant has been shown to be a safe and efficacious treatment in clinical trials. It is the only specific treatment authorized for self-administration by the subcutaneous route offering increased patient independence.

伊卡替特治疗遗传性I型和II型血管性水肿急性发作的潜在作用的循证综述。
Icatibant是一种一流的B2缓激肽受体拮抗剂,在治疗成人遗传性血管性水肿急性发作方面具有良好的疗效和安全性。目的:更新证据并提供icatibant可用数据的概述。证据审查:对Medline Search中发表和列出的同行评议文章以及已发表的成人遗传性I型和II型血管性水肿急性发作治疗指南进行了审查。评估了证据的有效性和质量。在治疗中的地位:临床证据表明伊卡替班特治疗急性遗传性血管性水肿发作是强有力的。大约10%的患者需要第二次注射。未见严重不良反应报告。90%的患者一致记录的唯一显著副作用是局部注射部位的短暂性局部疼痛、肿胀和红斑。结论:临床试验表明,皮下注射伊卡替特30 mg是一种安全有效的治疗方法。这是唯一一种被授权通过皮下途径自我给药的特殊治疗,增加了患者的独立性。
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来源期刊
Core Evidence
Core Evidence PHARMACOLOGY & PHARMACY-
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期刊介绍: Core Evidence evaluates the evidence underlying the potential place in therapy of drugs throughout their development lifecycle from preclinical to postlaunch. The focus of each review is to evaluate the case for a new drug or class in outcome terms in specific indications and patient groups The emerging evidence on new drugs is reviewed at key stages of development and evaluated against unmet needs
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