阵发性夜间血红蛋白尿患者长期使用依库珠单抗生物类似物治疗的结果。

IF 1.7 4区 医学 Q3 HEMATOLOGY
Alexander D Kulagin, Vadim V Ptushkin, Elena A Lukina, Igor L Davydkin, Alexander V Korobkin, Tatiana S Konstantinova, Elena Yu Komartseva, Natalia V Minaeva, Tatiana A Mitina, Olesya U Klimova, Evgeniya G Arshanskaya, Vitalii D Latyshev, Oksana A Markova, Eugene V Zuev
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引用次数: 0

摘要

引言该研究旨在评估PNH患者长期使用依库珠单抗(Elizaria®)生物类似物治疗的安全性、免疫原性和疗效:研究纳入了 30 名已完成先前临床试验的 PNH 患者。其中,25 名患者继续接受生物类似物治疗,5 名患者从原研产品 Soliris 转为生物类似物治疗。随访时间最长为104周,在此期间按标准剂量给药52次:在整个研究过程中,与基线相比,无论之前接受了哪种治疗,LDH、血红蛋白、网织红细胞和PNH克隆的水平均保持稳定(P > 0.05)。研究期间,不同就诊时间的慢性肾病患者人数以及接受供体红细胞和血小板输注的患者人数均无明显差异(P > 0.05)。有两例患者(6.6%)报告了不良反应:天冬氨酸氨基转移酶升高(3.3%)和脱发(3.3%)。免疫原性分析表明,与基线相比,抗药抗体检测频率无明显差异(P > 0.05):研究结果证实了生物类似物对 PNH 患者的长期疗效和安全性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
RESULTS OF LONG-TERM THERAPY WITH A BIOSIMILAR OF ECULIZUMAB IN PATIENTS WITH PAROXYSMAL NOCTURNAL HEMOGLOBINURIA.

Introduction: The study aimed to assess the safety, immunogenicity, and efficacy of long-term therapy with biosimilar of eculizumab (Elizaria®) in PNH patients.

Methods: The study included 30 patients with PNH who had completed previous clinical trials. Of these, 25 patients continued receiving the biosimilar product, and 5 patients switched from the originator product Soliris. The maximum duration of follow-up was 104 weeks, during which the investigational product was administered 52 times at a standard dose.

Results: Throughout the study, the levels of LDH, hemoglobin, reticulocytes, and PNH clone remained stable compared to baseline, regardless of the previous therapy (p > 0.05). There were no significant differences in the number of patients with chronic kidney disease at different visits, as well as in the number of patients who received donor red blood cell and platelet transfusions during the study (p > 0.05). There were two cases of adverse reactions reported in two patients (6.6%): elevated aspartate aminotransferase (3.3%) and alopecia (3.3%). Immunogenicity analysis showed no significant differences in the frequency of anti-drug antibody detection compared to baseline (p > 0.05).

Conclusion: The study findings confirm the long-term efficacy and safety of biosimilar in patients with PNH.

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来源期刊
Acta Haematologica
Acta Haematologica 医学-血液学
CiteScore
4.90
自引率
0.00%
发文量
61
审稿时长
6-12 weeks
期刊介绍: ''Acta Haematologica'' is a well-established and internationally recognized clinically-oriented journal featuring balanced, wide-ranging coverage of current hematology research. A wealth of information on such problems as anemia, leukemia, lymphoma, multiple myeloma, hereditary disorders, blood coagulation, growth factors, hematopoiesis and differentiation is contained in first-rate basic and clinical papers some of which are accompanied by editorial comments by eminent experts. These are supplemented by short state-of-the-art communications, reviews and correspondence as well as occasional special issues devoted to ‘hot topics’ in hematology. These will keep the practicing hematologist well informed of the new developments in the field.
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