首页|胃肠间质瘤患者服用甲磺酸伊马替尼仿制药和原研药的血药浓度及安全性评估

胃肠间质瘤患者服用甲磺酸伊马替尼仿制药和原研药的血药浓度及安全性评估

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目的:比较胃肠间质瘤患者服用甲磺酸伊马替尼仿制药与原研药的血药浓度和不良反应,为临床医生和患者选择药物提供参考.方法:收集河北医科大学第四医院2020年12月至2023年12月,在门诊使用甲磺酸伊马替尼药物的胃肠间质瘤患者,分为原研药甲磺酸伊马替尼片组,仿制药甲磺酸伊马替尼片组,以及仿制药甲磺酸伊马替尼胶囊组.通过高效液相色谱质谱联用仪检测患者用药后的伊马替尼及其代谢产物N-去甲基伊马替尼的血液稳态谷浓度.收集患者用药后的所有不良反应,并根据常见不良反应评估标准5.0版(CTCAE 5.0)确定不良反应等级.分析3组患者血药浓度和服药后不良反应的差异.结果:原研药组和两个仿制药组伊马替尼稳态谷浓度,N-去甲基伊马替尼稳态谷浓度,以及伊马替尼和N-去甲基伊马替尼稳态谷浓度之和,差异均无统计学意义(P均>0.05).原研药和两个仿制药组不良反应等级也无显著差异(P均>0.05).结论:甲磺酸伊马替尼原研药和两个仿制药安全性无显著差异.
Efficacy evaluation in patients with gastrointestinal stromal tumors treated with the generic or branded domestic imatinib
OBJECTIVE:TTo evaluate the blood concentrations and safety among gastrointestinal stromal tumor patients treated with the generic or branded domestic imatinib,and to provide recommendations for their use.METHODS:From December 2020 to December 2023,information on gastrointestinal stromal tumor patients who were treated with imatinib mesylate in the Fourth Hospital of Hebei Medical University were collected.The patients were divided into the original research drug imatinib mesylate tablets group,generic imatinib mesylate tablets group,and generic drug imatinib mesylate capsule group.Steady-state trough concentrations of imatinib and its active metabolite,N-desmethyl matinib,were measured by ultra-performance liquid chromatography with the Triple Quad 4500 Mass Spectrometry System.All the adverse reactions were collected and determined according to Common Adverse Event Evaluation Standard 5.0(CTCAE 5.0).Differences in the plasma concentrations and adverse effects among the three groups were analyzed.RESULTS:There were no significance differences in trough concentrations of imatinib,N-desmethyl imatinib,the sum of imatinib and N-desmethyl imatinib,and side reaction grades among the generic and the two branded groups(all P>0.05).CONCLUSION:The branded and generic drugs of Imatinib mesylate had the same safety profile among treated patients.

imatinibbranded druggeneric drugdrug blood concentrationside reactioncohort study

陈欣然、刘明峰、郭腾、杜丽英、侯娟、霍丽曼

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河北医科大学第四医院药学部,河北省临床药学重点实验室,河北 石家庄 050011

伊马替尼 仿制药 原研药 血药浓度 不良反应 队列研究

河北省科技厅重点科技计划民生科技专项

20377757D

2024

癌变·畸变·突变
中国环境诱变剂学会

癌变·畸变·突变

CSTPCD
影响因子:0.35
ISSN:1004-616X
年,卷(期):2024.36(4)
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