首页|新型钙调神经磷酸酶抑制药伏环孢素临床研究进展

新型钙调神经磷酸酶抑制药伏环孢素临床研究进展

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伏环孢素是一种口服新型钙调神经磷酸酶抑制药,是环孢素A的衍生物,主要用于治疗自身免疫性疾病,如银屑病、非感染性葡萄膜炎和器官移植后排斥反应.2021年1月,基于两个Ⅱ期和Ⅲ期临床试验的积极结果,FDA批准伏环孢素与标准治疗方案联合用于治疗成人活动性狼疮肾炎.目前,也有研究在探索伏环孢素用于新型冠状病毒感染的肾移植患者.本文对伏环孢素的作用机制、药动学和药效学、用法用量、联合用药和疾病中应用进行归纳总结,为其临床用药提供参考.
Research progress in clinical application of a novel calcineurin inhibitor:voclosporin
Voclosporin,an analogue of cyclosporine A,is an oral novel calcineurin inhibitor for autoimmune diseases such as plaque psoriasis,non-infectious uveitis and prevention of renal transplant rejection.Based on positive results from two pivotal phase Ⅱ and Ⅲ clinical trials,voclosporin was aproved by FDA in January 2021 for adult patients with active lupus nephritis in combination with a standrand treatment regimen.Recently,voclosporin has been explored for kidney transplant recipients with corona virus disease 2019(COVID-19).This article summarized the mechanism of action,pharmacokinetics and pharmacodynamics,dosage,co-administration and in-disease application of voclosporin in clinical treatment.

voclosporinlupus nephritiscalcineurin inhibitorcorona virus disease 2019

邓伟萍、胡长平、罗平

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中南大学湘雅药学院药理学系,长沙 410078

中南大学湘雅医院药学部,长沙 410008

伏环孢素 狼疮肾炎 钙调神经磷酸酶抑制药 新型冠状病毒感染

国家自然科学基金国家自然科学基金长沙市自然科学基金

8217381782241025kq2208366

2024

中南药学
湖南省药学会

中南药学

CSTPCD
影响因子:0.736
ISSN:1672-2981
年,卷(期):2024.22(7)
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