诊断学理论与实践 ›› 2021, Vol. 20 ›› Issue (01): 37-42.doi: 10.16150/j.1671-2870.2021.01.005
史玉玲
收稿日期:
2021-02-01
出版日期:
2021-02-25
发布日期:
2022-06-28
Received:
2021-02-01
Online:
2021-02-25
Published:
2022-06-28
中图分类号:
史玉玲. 英国《皮肤科医师协会银屑病生物制剂治疗指南》(2020版)解读[J]. 诊断学理论与实践, 2021, 20(01): 37-42.
表1
2020版指南涵盖的常见生物制剂种类、维持治疗阶段具体用法及疗效欠佳时的剂量调整(适用范围为英国银屑病人群)
生物制剂 | 靶抗原 | 维持治疗阶段常规剂量 | 疗效欠佳时剂量调整 |
---|---|---|---|
依那西普(etanercept) | TNF-α | 50 mg每周1次,皮下注射 | 50 mg每周2次,皮下注射 |
英夫利西单抗(infliximab) | TNF-α | 5 mg/kg每8周1次,静脉滴注 | 5 mg/kg每6周1次,静脉滴注 |
阿达木单抗(adalimumab) | TNF-α | 40 mg每2周1次,皮下注射 | 40 mg每周1次,皮下注射 |
赛妥珠单抗(certolizumab) | TNF-α | 200 mg每2周1次,皮下注射 | 400 mg每2周1次,皮下注射 |
乌司奴单抗(ustekinumab) | IL-12/23p40 | 体重≤100 kg,45 mg每12周1次,皮下注射; 体重>100 kg,90 mg每12周1次,皮下注射 | 体重≤100 kg,90 mg每8周或12周1次, 皮下注射;体重>100 kg,90 mg每8周1次, 皮下注射 |
替拉珠单抗(tildrakizumab) | IL-23p19 | 100 mg每12周1次,皮下注射 | 200 mg每12周1次,皮下注射(病情急性加 重或体重≥ 90 kg) |
依奇珠单抗(ixekizumab) | IL-17A | 80 mg每4周1次,皮下注射 | 80 mg每2周1次,皮下注射 |
[1] | 中华医学会皮肤性病学分会银屑病专业委员会. 中国银屑病诊疗指南(2018完整版)[J]. 中华皮肤科杂志, 2019, 52(10):667-710. |
[2] | 丁晓岚, 王婷琳, 沈佚葳, 等. 中国六省市银屑病流行病学调查[J]. 中国皮肤性病学杂志, 2010, 24(7):598-601. |
[3] | 王晓晖. 西南4省市银屑病流行病学调查研究[J]. 哈尔滨医药, 2017, 37(5):426-427. |
[4] |
Menter A, Strober BE, Kaplan DH, et al. Joint AAD-NPF guidelines of care for the management and treatment of psoriasis with biologics[J]. J Am Acad Dermatol, 2019, 80(4):1029-1072.
doi: S0190-9622(18)33001-9 pmid: 30772098 |
[5] |
Smith CH, Yiu ZZN, Bale T, et al. British Association of Dermatologists guidelines for biologic therapy for psoriasis 2020: a rapid update[J]. Br J Dermatol, 2020, 183(4):628-637.
doi: 10.1111/bjd.19039 URL |
[6] |
Samarasekera E, Sawyer L, Parnham J, et al. Assessment and management of psoriasis: summary of NICE guidance[J]. BMJ, 2012, 345:e6712.
doi: 10.1136/bmj.e6712 URL |
[7] | NICE pathways. 2020 Musculoskeletal conditions overview[R/OL].(2020-02-25) http://pathways.nice.org.uk/pathways/musculoskeletalconditions#content=view_node%3Anodes-psoriatic-arthritis&path=view%3A/pathways/musculoskeletal_conditions/arthritis.xml In, Vol. [Accessed 26th February 2020]. |
[8] | Samarasekera EJ, Smith CH, National Institute of Health and Care Excellence, et al. Psoriasis: guidance on assessment and referral[J]. Clin Med (Lond), 2014, 14(2):178-182. |
[9] |
Eworuke E, Panucci G, Goulding M, et al. Use of tumor necrosis factor-alpha inhibitors during pregnancy among women who delivered live born infants[J]. Pharmacoepidemiol Drug Saf, 2019, 28(3):296-304.
doi: 10.1002/pds.4695 pmid: 30430682 |
[10] | Ferreira C, Azevedo A, Nogueira M, et al. Management of psoriasis in pregnancy - a review of the evidence to date[J]. Drugs Context, 2020, 9:2019-11-6. |
[11] | 中华医学会皮肤性病学分会, 中国医师协会皮肤科医师分会, 中国中西医结合学会皮肤性病专业委员会. 中国银屑病生物治疗专家共识(2019)[J]. 中华皮肤科杂志, 2019, 52(12):863-871. |
[12] |
Motaparthi K, Stanisic V, Van Voorhees AS, et al. From the Medical Board of the National Psoriasis Foundation: recommendations for screening for hepatitis B infection prior to initiating anti-tumor necrosis factor-alfa inhibitors or other immunosuppressive agents in patients with psoria-sis[J]. J Am Acad Dermatol, 2014, 70(1):178-186.
doi: 10.1016/j.jaad.2013.08.049 pmid: 24220724 |
[13] |
Baddley JW, Cantini F, Goletti D, et al. ESCMID Study Group for Infections in Compromised Hosts (ESGICH) Consensus Document on the safety of targeted and biologi-cal therapies: an infectious diseases perspective (soluble immune effector molecules [I]: anti-tumor necrosis factor-α agents)[J]. Clin Microbiol Infect, 2018, 24(Suppl 2):S10-S20.
doi: 10.1016/j.cmi.2017.12.025 URL |
[14] |
Mikulska M, Lanini S, Gudiol C, et al. ESCMID Study Group for Infections in Compromised Hosts (ESGICH) Consensus Document on the safety of targeted and biological therapies: an infectious diseases perspective (Agents targeting lymphoid cells surface antigens[I]: CD19, CD20 and CD52)[J]. Clin Microbiol Infect, 2018, 24(Suppl 2):S71-S82.
doi: 10.1016/j.cmi.2018.02.003 URL |
[15] |
Ekong N, Curtis H, Ong E, et al. Monitoring of older HIV-1-positive adults by HIV clinics in the United Kingdom: a national quality improvement initiative[J]. HIV Med, 2020, 21(7):409-417.
doi: 10.1111/hiv.12842 pmid: 32125760 |
[16] |
Murdaca G, Negrini S, Pellecchio M, et al. Update upon the infection risk in patients receiving TNF alpha inhibitors[J]. Expert Opin Drug Saf, 2019, 18(3):219-229.
doi: 10.1080/14740338.2019.1577817 URL |
[17] |
Getahun H, Matteelli A, Abubakar I, et al. Management of latent Mycobacterium tuberculosis infection: WHO guidelines for low tuberculosis burden countries[J]. Eur Respir J, 2015, 46(6):1563-1576.
doi: 10.1183/13993003.01245-2015 URL |
[18] |
Doherty SD, van Voorhees A, Lebwohl MG, et al. National Psoriasis Foundation consensus statement on screening for latent tuberculosis infection in patients with psoriasis treated with systemic and biologic agents[J]. J Am Acad Dermatol, 2008, 59(2):209-217.
doi: 10.1016/j.jaad.2008.03.023 pmid: 18485527 |
[19] |
Godfrey MS, Friedman LN. Tuberculosis and biologic therapies: anti-tumor necrosis factor-α and beyond[J]. Clin Chest Med, 2019, 40(4):721-739.
doi: S0272-5231(19)30056-5 pmid: 31731980 |
[20] |
Canouï E, Launay O. History and principles of vaccination[J]. Rev Mal Respir, 2019, 36(1):74-81.
doi: S0761-8425(18)30971-9 pmid: 30579659 |
[21] |
Dobson R, Giovannoni G. Multiple sclerosis - a review[J]. Eur J Neurol, 2019, 26(1):27-40.
doi: 10.1111/ene.13819 pmid: 30300457 |
[22] |
Generali E, Carrara G, Kallikourdis M, et al. Risk of hospitalization for heart failure in rheumatoid arthritis patients treated with etanercept and abatacept[J]. Rheumatol Int, 2019, 39(2):239-243.
doi: 10.1007/s00296-018-4196-9 pmid: 30413926 |
[23] | Sbidian E, Chaimani A, Afach S, et al. Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis[J]. Cochrane Database Syst Rev, 2020, 1(1):CD011535. |
[24] |
Oranges CM, Schaefer DJ. Implications of rheumatic di-sease and biological response-modifying agents in plastic surgery[J]. Plast Reconstr Surg, 2016, 138(1):158e.
doi: 10.1097/PRS.0000000000002312 URL |
[1] | 汤建平, 龚邦东. 干燥综合征的诊治现状、挑战和思考[J]. 诊断学理论与实践, 2022, 21(03): 291-298. |
[2] | 中国高血压联盟《动态血压监测指南》委员会. 2020中国动态血压监测指南[J]. 诊断学理论与实践, 2021, 20(01): 21-36. |
[3] | 黄丹, 陈崑. 银屑病相关流行病学调查进展[J]. 诊断学理论与实践, 2021, 20(01): 48-52. |
[4] | 戴生明. 银屑病关节炎的危害、诊治现状[J]. 诊断学理论与实践, 2018, 17(03): 238-243. |
[5] | 林镇, 郭茹茹, 吕良敬, 陈晓翔. Fra2通过调节白细胞介素23受体参与银屑病发病的研究[J]. 诊断学理论与实践, 2018, 17(03): 254-259. |
[6] | 刘亚群, 叶玲英, 吴歆, 徐沪济. 肿瘤坏死因子α拮抗剂在风湿免疫性疾病中的超适应证使用及其机制[J]. 诊断学理论与实践, 2016, 15(06): 632-636. |
[7] | 鲁智勇, 郑捷,. 银屑病病情严重程度的评价方法[J]. 诊断学理论与实践, 2009, 8(03): 360-362. |
[8] | 陈颖炜, 陈小英, 邬玉美, 鲁智勇, 薛峰, 潘萌, 施若非, 郑捷,. 银屑病患者白介素-20基因多态性和临床表型研究[J]. 诊断学理论与实践, 2008, 7(05): 521-525. |
[9] | 宋珺, 郑捷,. 银屑病与白细胞介素-10关系的研究进展[J]. 诊断学理论与实践, 2007, 6(01): 71-73. |
[10] | 陈珏, 曹华, 潘萌, 郑捷,. 寻常型银屑病伴大疱性皮肤病的诊断和临床分析[J]. 诊断学理论与实践, 2006, 5(04): 306-307. |
[11] | 时国朝,黄绍光. 无创正压通气应用的几个关键问题[J]. 诊断学理论与实践, 2005, 4(03): 248-250. |
[12] | 张华,吴达明,陈克敏. 介入放射学在急诊医学中的应用(1)[J]. 诊断学理论与实践, 2004, 3(02): 86-87. |
阅读次数 | ||||||
全文 |
|
|||||
摘要 |
|
|||||