EVALUATION OF THE EFFECTIVENESS OF A TUMOR NECROSIS FACTOR INHIBITOR IN THE TREATMENT OF ANKYLOSING SPONDYLITIS
Keywords:
анкилозловчи спондилоартрит, диагностика, даволаш, ЎНО-α ингибиторлари, инфликсимабAbstract
This article is devoted to the effectiveness of treating ankylosing spondylitis (AS), a chronic inflammatory disease of the musculoskeletal system. The study included 53 patients with active AS (BASDAI activity index >4) and failure of standard therapy, which included the TNF-a inhibitor infliximab (INF) at a dose of 3-5 mg/kg intravenously for 0, 2, 6 weeks and next every 8 weeks. In patients treated with INF, a positive clinical effect was achieved by indicators BASDAI and BASMI scores, as well as a remarkable positive result in dynamics vertebral mobility index and BASFI score. Tolerability of INF patients was satisfactory.
References
Burmester GR, Bijlsma JWJ, Cutolo M, McInnes IB. Managing rheumatic and musculoskeletal diseases – past, present and future. Nat Rev Rheumatol. 2017;13(7):443-8. doi: 10.1038/nrrheum.2017.95
Jog NR, James JA. Biomarkers in connective tissue diseases. J Allergy Clin Immunol. 2017;140(6):1473-83. doi: 10.1016/j.jaci.2017.10.003
Ivison S, Des Rosiers C, Lesage S, et al. Biomarker-guided stratification of autoimmune patients for biologic therapy. Curr Opin Immunol. 2017;49:56-63. doi: 10.1016/j.coi.2017.09.006
Giacomelli R, Afeltra A, Alunno A, et al. Guidelines for biomarkers in autoimmune rheumatic diseases – evidence based analysis. Autoimmun Rev. 2019;18(1):93-106. doi: 10.1016/j.autrev.2018.08.003
Smolen JS. Treat-to-target as an approach in inflammatory arthritis. Curr Opin Rheumatol. 2016 May;28(3):297-302. doi: 10.1097/BOR.0000000000000284
Насонов Е.Л., Олюнин Ю.А., Лила А.М. Ревматоидный артрит: проблемы ремиссии и резистентности к терапии. Научно-практическая ревматология. 2018;56(3):263-71
Агафонова ЕМ, Дубинина ТВ, Демина АБ и др. Поражение тазобедренных суставов при анкилозирующем спондилите по данным магнитно-резонансной томографии. Научно-практическая ревматология. 2017;55(S1):5.
Boonen A, Cruyssen BV, de Vlam K, et al. Spinal radiographic changes in ankylosing spondylitis: association with clinical characteristics and functional out-come. J Rheumatol. 2009 Jun;36(6):1249-55. doi: 10.3899/jrheum.080831. Epub 2009 May 15.
Агафонова ЕМ, Дубинина ТВ, Демина АБ. и др. Особенности лечения коксита у пациентов с анкилозирующим спондилитом. Современная ревматология. 2018;12(2):88–92.
Лапшина С.А., Дубинина Т.В., Бадокин В.В. и др. Ингибиторы фактора некроза опухоли α в лечении аксиальных спондилоартритов (включая анкилозирующий спондилит) // Научно-практическая ревматология ревматология. ― 2016. ― 54(Прил. 1). ― С. 75-79.
Arends S., Lebbink H.R., Spoorenberg A., et al. The formation of autoantibodies and antibodies to TNF-α blocking agents in relation to clinical response in patients with ankylosing spondylitis // Clin.Exp. Rheumatol. ― 2010 Sep-Oct. ― 28 (5). ― P. 661-8. Epub 2010Oct 22.
Бунчук Н.В., Румянцева О.А., Логинова Е.Ю. и др. Эффективность и безопасность инфликсимаба у больных анкилозирующим спондилитом: результаты открытого многоцентрового исследования. Тер арх 2014;10:41–6
Breban M. Efficacy of infliximab in refractori ankylosing spondylitis results of a six-month open-label stady. Rheumatology 2012;41:1280–5.
Schiff M., Keiserman M., Codding C. et al. Efficacy and safety ofabatacept or infliximab vs placebo in ATTEST: a phase III, multicentre, randomised, double-blind, placebo-controlled study in patients with rheumatoid arthritis and an inadequate response to methotrexate. Ann Rheum Dis 2008;67:1096–103.
Carmona L., Gomez-Reino J.J. and on behalf of the BIOBADASER Group Survival of TNF antagonists in spondyloarthritis is better than in rheumatoid arthritis Data from the Spanish registry BIOBADASER. Arthr Res Ther 2016;R:72(doi:10.1186/ar1941).
Tubach F., Salmon D., Ravaud P. et al. Research Axed on Tolerance of Biotherapies Group. Risk of tuberculosis is higher with anti-tumor necrosis factor monoclonal antibody therapy than with soluble tumor tumor necrosis factor receptor therapy: The three-year prospective french research axed on tolerance of biotherapies registry. Arthr Rheum 2009;60(7):1884–94.