米利珠单抗作为溃疡性结肠炎的诱导和维持疗法

Ventakata Raju Cheedarala
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摘要

一种名为 mirikizumab 的单克隆抗体用于治疗溃疡性结肠炎。它以 Omvoh 品牌销售。其目的是与白细胞介素-23(IL-23)结合并阻碍其功能。上呼吸道(鼻和喉)感染、头痛、皮疹和注射部位反应(皮下注射时)是最常见的不良反应。米利珠单抗于 2023 年 10 月在美国、2023 年 5 月在欧盟获准用于医疗用途。对于中度至高度活动性溃疡性结肠炎患者,如果对生物疗法或传统疗法反应不佳、失去反应性或不耐受,建议使用米利珠单抗进行治疗。尽管溃疡性结肠炎(UC)的药物治疗取得了进步,但仍有一部分溃疡性结肠炎患者对现有药物没有反应。许多创新药物最近已获得监管部门批准用于溃疡性结肠炎,或正处于研发的后期阶段。新型抗体米利珠单抗(mirikizumab)可通过静脉注射与炎症蛋白白细胞介素 23 结合并抑制其功能,从而阻止炎症的诱发。因此,对于中度至高度活动性 UC 患者来说,如果米利珠单抗合法化,将为他们提供额外的治疗选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mirikizumab as Induction and Maintenance Therapy for Ulcerative Colitis
A monoclonal antibody called mirikizumab is used to treat ulcerative colitis. It is marketed under the Omvoh brand. It is intended to bind to interleukin-23 (IL-23) and obstruct its function. Upper respiratory tract (nose and throat) infections, headaches, rashes, and injection site responses (when administered by subcutaneous injection) are the most frequent adverse effects. In the United States in October 2023 and the European Union in May 2023, mirikizumab was authorized for medicinal use. For the treatment of people with moderately to highly active ulcerative colitis who have not responded well to, have lost responsiveness to, or are intolerant to either biologic therapy or conventional therapy, mirikizumab is suggested. A subset of people with ulcerative colitis (UC) do not react to currently available medications, despite advancements in UC medical therapy. Many innovative medications have recently acquired regulatory approval for use in UC, or are in the latter stages of development. The novel antibody mirikizumab, which is given intravenously (IV), binds to the inflammatory protein interleukin 23 and inhibits its function, preventing inflammation from being triggered. For individuals with moderately to highly active UC, mirikizumab would therefore provide an additional therapy choice if legalized.
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