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1、艾伯维(AbbVie)近日宣布,FDA已批准Humira(修美乐,通用名:adalimumab,阿达木单抗)用于经常规药物(包括硫哇嚓吟,6■筑基嚓吟,甲氨蝶吟)治疗后病情控制不性的6岁及以上儿科克罗恩病(Crohn'sdisease,CD)患者,以减少疾病症状和体征,并实现和维持临床缓解。此前,FDA已授予Humira孤儿药地位。此次批准,代表着Humira在美国的第8个适应症,同时使Humira成为FDA批准用于克罗恩病儿科群体的首个也是唯一一个可在家中用药的生物药。Humira通过抑制肿瘤坏死
2、因子・gTNF・a)发挥作用,接受适当的注射训练后,该药可在患者家屮注射。Humira新适应症的获批,是基于III期IMAglNE-1研究的积极数据,该研究在中度至重度活动性CD儿科患者(6J7岁)屮开展,评价了2种不同的Humira治疗方案对临床缓解的诱导及维持,该项研究也是迄今为止在这一群体屮开展的最大的临床研究。由于尚无治愈的药物,因此,当前儿科CD患者的治疗目标Z—是诱导和维持临床缓解。克罗恩病(CD)是一种严重性慢性炎症性(IBD)肠道疾病(GI),最常发生在小肠的末端及大肠的起始端,该病
3、煤响着全球约20力儿童。除了腹痛、体重减轻、腹泻等症状外,该病还可导致儿童生长/青春期延迟。在美国,估计有3.8万例儿童和青少年克罗恩病患者。2012年,欧盟已批准Humira用于经传统疗法治疗失败或不耐受及有禁忌的6-17岁重度活动性克罗恩病患者。在美国,Humira获批的其他7个适应症包括:屮度至重度类风湿关节炎,中度至重度慢性斑块型银屑病,屮度至重度克罗恩病;屮度至重度溃疡性结肠炎,强肓性脊柱炎,银屑病关节炎,屮度至重度多关节型幼年特发性关节炎。英文原文:AbbVie'sHUMIRAGetsU
4、.S.FDAApprovalForTreatmentOfPediatricPatientsNORTHCHICAGO,III.,Sept.25,2014/PRNewswire/-AbbVie(NYSE:ABBV)announcedtodaythattheU.S.FoodandDrugAdministration(FDA)hasapprovedHUMIRA®(adalimumab)forreducingsignsandsymptoms,andachievingandmaintainingclinical
5、remission,inpediatricCrohn'sdiseasepatients6yearsofageandolderwhencertainothertreatmentshavenotworkedwellenough.ThisFDAapprovalrepresentstheeighthindicationforHUMIRAintheUnitedStatesandmakesitthefirstandonlybiologictreatmentapprovedforuseinthispatientp
6、opulationthatcanbeadministeredathome."ModeratetosevereCrohn'sdiseaseisaseriouschronicdisorderthatcanimpactchildrenandadolescentsinsigrdficantwaysduringthisimportantstageoftheirlives,"saidJeffreyS.Hyams,M.D.,head,DivisionofDigestiveDiseases,Hepatologyan
7、dNutrition,ConnecticutChildren'sMedicalCenter."TheapprovalofHUMIRAforthispatientpopulationoffersanewimportanttreatmentoptionforphysiciansandtheirpatientsthatcanhelpaddressthissometimesdebilitatingdisease."Crohn'sdiseaseisatypeofinflammatoryboweldisease
8、(IBD)whichcommonlyinvolvestheendofthesmallintestineandthelargeintestine.lCrohn'sdiseasecanappearatanyage,butitismostoftendiagnosedinadolescentsandyoungadultsbetween15and35yearsofage.2IntheUnitedStates,thereareanestimated38,000childrenan