英文药名: Macugen (pegaptanib sodium prefilled syringe) 中文药名: 默克制药(之前7天注射液) 品牌药生产厂家: Pfizer 美国FDA批准用于治疗视网膜老年黄斑病变(AMD)的新药Macugen(商品名;通用名:pegaptanib sodium[哌加他尼钠])注射液 AMD是一种导致严重和不可逆的视力丧失的视网膜疾病,是造成55岁以上人群失明的一个主要原因。如不予治疗,大多数受湿性AMD影响的眼睛可能恶化为机能性失明。 两项关于Macugen的安全性和有效性的临床试验在湿性AMD患者中开展了两年。在这两项临床试验中,接受Macugen治疗的患者发生视力丧失的人数显著减少。与注射过程相关的严重不良事件包括感染、视网膜脱落和创伤性白内障。 以Macugen治疗的患者中其它常被报告的不良事件是眼刺激、眼痛、眼结膜下出血和视力模糊。 Macugen的新药申请被收到后在6个月内得到批准。 Macugen® (pegaptanib sodium injection) is indicated for the treatment of neovascular age-related macular degeneration. Important Safety Information MACUGEN is contraindicated in patients with ocular or periocular infections or with known hypersensitivity to pegaptanib sodium or any other excipient in this product. Safety or efficacy of MACUGEN beyond 2 years has not been demonstrated. Intravitreal injections including those with MACUGEN have been associated with endophthalmitis. Proper aseptic injection technique—which includes use of sterile gloves, a sterile drape, and a sterile eyelid speculum (or equivalent)—should always be utilized when administering MACUGEN. In addition, patients should be monitored during the week following the injection to permit early treatment, should an infection occur. Increases in intraocular pressure (IOP) have been seen within 30 minutes of injection with MACUGEN. Therefore, IOP as well as the perfusion of the optic nerve head should be monitored and managed appropriately. Rare cases of anaphylaxis/anaphylactoid reactions, including angioedema, have been reported in postmarketing experience following the intravitreal administration procedure. Serious adverse events related to the injection procedure occurring in <1% of intravitreal injections included endophthalmitis, retinal detachment, and iatrogenic traumatic cataract. Most frequently reported adverse events in patients treated for up to 2 years were anterior chamber inflammation, blurred vision, cataract, conjunctival hemorrhage, corneal edema, eye discharge, eye irritation, eye pain, hypertension, increased IOP, ocular discomfort, punctate keratitis, reduced visual acuity, visual disturbance, vitreous floaters, and vitreous opacities. These events occurred in approximately 10% to 40% of patients. Macugen是目前美国FDA批准用于治疗年龄相关性黄斑变性的唯一的抗血管内皮生长因子的适体。临床试验显示,该药玻璃体内注射后具有一定疗效,副作用较少。 Macugen治疗糖尿病视网膜病变的有效性 一项II期临床试验结果表明,Macugen(一种血管内皮生长因子类似物)在治疗糖尿病视网膜病变方面有广泛的应用前景。 172名平均年龄为62岁的入组糖尿病患者临床上均明显的视网膜增厚,至少有半个区域及黄斑中心的受累。眼底荧光造影和摄片均可见眼底有渗出性表现。将患者随机分为Macugen 0.3mg治疗组(44人)、1.0mg治疗组(44人)、3.0mg治疗组(42人)及安慰剂对照组(42人)。四组在视力、视网膜厚度、病程、糖尿病类型和严重程度及其他并发症方面均具有可比性。结果发现,0.3mg和1.0mg治疗组中分别约有60%和45%的患者至少能看见视力表上的一行。3.0mg治疗组和安慰剂组中约有30%的患者视力有了一行以上的进步。此外,0.3mg治疗组中有49%的患者视网膜厚度变薄了75纳米,该比例在1.0mg治疗组中为28%。两组患者视网膜厚度变薄的平均值分别为68纳米和23纳米。各剂量治疗组中需要激光治疗的患者人数明显少于安慰剂组。Macugen的副作用较少见,有1例患者发生了内眼炎(0.2%),另有5例患者发生了玻璃体出血(5%)。未发现新发白内障或原有白内障加重的患者。研究人员指出,与常规治疗相比,36周的Macugen治疗能有效改善糖尿病视网膜病变患者的视力,视网膜厚度有明显的变薄,可安全有效地用于糖尿病视网膜病变的治疗。 |
哌加他尼钠注射液(pegaptanib sodium 商品名;Macugen)简介:
英文药名: Macugen (pegaptanib sodium prefilled syringe)
中文药名: 默克制药(之前7天注射液)
品牌药生产厂家: Pfizer
美国FDA批准用于治疗视网膜老年黄斑病变(AMD)的新药Macugen(商品名;通 ... 责任编辑:admin
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