Lancet:英夫利昔单抗类似物CT-P13对克罗恩病疗效研究

2019-04-27 MedSci MedSci原创

本研究显示,对于活动性克罗恩病患者,英夫利昔单抗类似物CT-P13的疗效与原研相当

在与英夫利昔单抗治疗强直性脊柱炎和类风湿关节炎的临床对照研究后,英夫利昔单抗生物类似物CT-P13被批准用于克罗恩病。近日研究探讨CT-P13在克罗恩病治疗过程中,与英夫利昔单抗的疗效差异。

在这项随机、多中心、双盲、III期非劣效性研究中,对非生物治疗无反应或不耐受的活动性克罗恩病患者参与,随机接受CT-P13-CT-P13、英利昔单抗-CT-P13、CT-P13-英利昔单抗或英利昔单抗-英利昔单抗,在第30周接受药物轮换。患者在第0、2、6周接受5 mg/kg CT-P13或英夫利昔单抗治疗,然后每8周接受一次,直至第54周。主要终点是从基线到第6周,克罗恩病活动指数(CDAI)下降70%或以上的患者比例。非劣效性界限设置为20%。

111人随机被分配到CT-P13组(56人被分配到CT-P13-CT-P13组,55人被分配到CT-P13-英夫利昔单抗组),109人被分配到英夫利昔单抗组(54人被分配到英夫利昔单抗-英夫利昔单抗组,55人被分配到英夫利昔单抗- CT-P13组)。CT-P13组在第6周的CDAI-70应答率与英夫利昔单抗组相似,分别为CT-P13组111人中有77人(69.4%)vs英夫利昔单抗组109人中有81人(74.3%),达到非劣性。在整个研究期间,147名(67%)患者至少经历了一次治疗相关的紧急不良事件(CT-P13-CT-P13组36人,CT-P13-英夫利昔单抗组34人,英夫利昔单抗-英夫利昔单抗组37人,英夫利昔单抗- CT-P13组40人)。

本研究显示,对于活动性克罗恩病患者,英夫利昔单抗类似物CT-P13的疗效与原研相当。

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  1. [GetPortalCommentsPageByObjectIdResponse(id=2068664, encodeId=61a52068664c3, content=<a href='/topic/show?id=78c053e71d' target=_blank style='color:#2F92EE;'>#CT-P13#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5377, encryptionId=78c053e71d, topicName=CT-P13)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=726030, createdName=Boyinsh, createdTime=Mon May 06 12:44:00 CST 2019, time=2019-05-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1830045, encodeId=d313183004537, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Tue Dec 17 10:44:00 CST 2019, time=2019-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=365776, encodeId=1e91365e76c5, content=甲癌患者能用类克吗, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ba705090859, createdName=145d213am21暂无昵称, createdTime=Sun May 05 19:58:00 CST 2019, time=2019-05-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1032140, encodeId=3f83103214012, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Sat Apr 27 12:44:00 CST 2019, time=2019-04-27, status=1, ipAttribution=)]
    2019-05-06 Boyinsh
  2. [GetPortalCommentsPageByObjectIdResponse(id=2068664, encodeId=61a52068664c3, content=<a href='/topic/show?id=78c053e71d' target=_blank style='color:#2F92EE;'>#CT-P13#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5377, encryptionId=78c053e71d, topicName=CT-P13)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=726030, createdName=Boyinsh, createdTime=Mon May 06 12:44:00 CST 2019, time=2019-05-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1830045, encodeId=d313183004537, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Tue Dec 17 10:44:00 CST 2019, time=2019-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=365776, encodeId=1e91365e76c5, content=甲癌患者能用类克吗, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ba705090859, createdName=145d213am21暂无昵称, createdTime=Sun May 05 19:58:00 CST 2019, time=2019-05-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1032140, encodeId=3f83103214012, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Sat Apr 27 12:44:00 CST 2019, time=2019-04-27, status=1, ipAttribution=)]
    2019-12-17 howi
  3. [GetPortalCommentsPageByObjectIdResponse(id=2068664, encodeId=61a52068664c3, content=<a href='/topic/show?id=78c053e71d' target=_blank style='color:#2F92EE;'>#CT-P13#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5377, encryptionId=78c053e71d, topicName=CT-P13)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=726030, createdName=Boyinsh, createdTime=Mon May 06 12:44:00 CST 2019, time=2019-05-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1830045, encodeId=d313183004537, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Tue Dec 17 10:44:00 CST 2019, time=2019-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=365776, encodeId=1e91365e76c5, content=甲癌患者能用类克吗, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ba705090859, createdName=145d213am21暂无昵称, createdTime=Sun May 05 19:58:00 CST 2019, time=2019-05-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1032140, encodeId=3f83103214012, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Sat Apr 27 12:44:00 CST 2019, time=2019-04-27, status=1, ipAttribution=)]
    2019-05-05 145d213am21暂无昵称

    甲癌患者能用类克吗

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=2068664, encodeId=61a52068664c3, content=<a href='/topic/show?id=78c053e71d' target=_blank style='color:#2F92EE;'>#CT-P13#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5377, encryptionId=78c053e71d, topicName=CT-P13)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=726030, createdName=Boyinsh, createdTime=Mon May 06 12:44:00 CST 2019, time=2019-05-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1830045, encodeId=d313183004537, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Tue Dec 17 10:44:00 CST 2019, time=2019-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=365776, encodeId=1e91365e76c5, content=甲癌患者能用类克吗, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ba705090859, createdName=145d213am21暂无昵称, createdTime=Sun May 05 19:58:00 CST 2019, time=2019-05-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1032140, encodeId=3f83103214012, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Sat Apr 27 12:44:00 CST 2019, time=2019-04-27, status=1, ipAttribution=)]
    2019-04-27 内科新手

    谢谢梅斯提供这么好的信息,学到很多

    0

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