首页|新型降脂药物PCSK9抑制剂临床疗效研究进展

新型降脂药物PCSK9抑制剂临床疗效研究进展

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PCSK9抑制剂作为一类新型降脂药,可显著降低低密度脂蛋白胆固醇(LDL-C)水平,且在他汀类药物治疗基础上可进一步降低心肌梗死率,使主要不良心血管事件风险下降.本研究主要总结了Alirocumab(阿利西尤单抗)和Evolocumab(依伏库单抗)这两种已在我国上市并纳入医保,且临床上逐渐得到广泛应用的PCSK9抑制剂的相关研究进展,对两者的降脂疗效与安全性、有效性等进行了综述与对比,旨在为高脂血症患者提供更好的治疗与临床服务.相关文献汇总的结果表明,Alirocumab、Evo-locumab的降脂疗效均较好,尤其适用于不适合使用其他降脂药物的人群,或使用常用治疗方法无法达到降脂目标的人群.但在降脂的达标率上,Alirocumab优于Evolocumab.在临床综合评价上,安全性、有效性、适宜性等方面Alirocumab优于Evolocumab(但仍需要进一步的研究来证实).Alirocumab、Evolocumab作为PCSK9抑制剂中单克隆抗体的代表药,其临床疗效确切,安全性较好.
Research Progress on Clinical Efficacy of Novel Lipid-Lowering Drug PCSK9 Inhibitor
PCSK9 inhibitors,as a novel class of lipid-lowering drug,can significantly reduce low-density lipoprotein cholesterol(LDL-C)levels and further reduce the rate of myocardial infarction on the basis of statin therapy,and reduce the risk of major cardiovas-cular events.This study summarizes the research progress on two PCSK9 inhibitors,Alirocumab and Evolocumab,which have been listed and included in medical insurance in China,and are gradually being widely used in clinical practice.The lipid-lowering efficacy,safety,and efficacy of Alirocumab and Evolocumab are reviewed and compared,aiming to provide better treatment and clinical services for patients with hyperlipemia..The summary of relevant literatures shows that Alirocumab and Evolocumab have good lipid-lowering effects,especially for those who are not suitable for using other lipid-lowering drugs,or those who cannot achieve their lipid-lowering goals with common treatment methods.But in terms of achieving lipid-lowering standards,Alirocumab is superior to Evolocumab.In terms of clinical comprehensive evaluation,Alirocumab is superior to Evolocumab in terms of safety,efficacy,and suitability(although further research is needed to confirm).Alirocumab and Evolocumab,as representative monoclonal antibodies in PCSK9 inhibitors,have definite clinical efficacy and good safety.

Novel lipid-lowering drugsPCSK9 inhibitorsAlirocumabEvolocumab

吴小燕、肖凯、文晓柯、湛亚

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湖南省妇幼保健院药学研究部,湖南 长沙 410008

湖南省妇幼保健院药学制剂部,湖南 长沙 410008

新型降脂药物 PCSK9抑制剂 Alirocumab Evolocumab

湖南省自然科学基金部门联合基金

2023JJ60287

2024

中国医药导刊
国家食品药品监督管理局信息中心

中国医药导刊

影响因子:1.408
ISSN:1009-0959
年,卷(期):2024.26(3)
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