慢阻肺月报202307(治疗部分)

文摘   科学   2023-07-21 12:17   上海  


American Journal of Respiratory and Critical Care Medicine. 2023 Jun 26; PMID: 37364283
Ensifentrine, a Novel PDE3 and PDE4 Inhibitor for the Treatment of COPD: Randomized, Double-Blind, Placebo-controlled, Multicenter, Phase III Trials (The ENHANCE Trials).
Antonio Anzueto, Igor Z Barjaktarevic, Thomas M Siler, et al

慢阻肺药物治疗领域近期略波澜,一方面是新药研发取得了进展,PDE抑制剂是其中一个类别,一方面是吸入制剂和装置方面的进展。同时,已有药物的优化选择也有持续探讨。这个月治疗方面的文章迎来一个小井喷,为此专列一期。

American Journal of Respiratory and Critical Care Medicine. 2023 Jul 6; PMID: 37411039
Icenticaftor, a CFTR Potentiator, in COPD: A Multicenter, Parallel-Group, Double-Blind Clinical Trial.
Fernando J Martinez, Gerard J Criner, Christian Gessner, et al

CFTR增效剂是治疗囊性纤维化的一类药物,其吸入剂型也在研发中。部分慢阻肺患者具有黏液高分泌表型,而且在慢阻肺患者中观察到了CFTR功能的改变,这建立了用CFTR增效剂治疗慢阻肺的基础。这项2b研究证实icenticaftor在症状特别是咳嗽咳痰方面的效果,并且得到了最佳剂量,为后续研究的设计和开展提供了数据支撑。

American Journal of Respiratory and Critical Care Medicine. 2023 Jul 14; PMID: 37450935
A Double-Blind, Randomised, Placebo-controlled Trial of Long-Term Doxycycline Therapy on Exacerbation Rate in Patients with Stable COPD.
James P Allinson, Ben H Vlies, Simon E Brill, et al

在抗菌药物干预AECOPD方面,关键在于找到合适人群和药物(包括给药方式),具体内容有兴趣的读者可以阅读述评:https://doi.org/10.2478/jtim-2022-0005。

European Respiratory Journal. 2023 Jun 29; PMID: 37385657
Airway smooth muscle area to predict steroid responsiveness in COPD patients receiving triple therapy (HISTORIC): a randomised, placebo-controlled, double-blind, investigator-initiated trial.
Daiana Stolz, Eleni Papakonstantinou, Maria Pascarella, et al


European Respiratory Journal. 2023 Jun 21; PMID: 37343975
Real-world comparative effectiveness of three single-inhaler dual bronchodilators for the treatment of chronic obstructive pulmonary disease.
Jiaying Li, Sophie Dell Aniello, Pierre Ernst, et al


Chest. 2023 Jun 17; PMID: 37419145
The Effect of Inhaled Corticosteroids on Pneumonia Risk in Patients With COPD-Bronchiectasis Overlap: A UK Population-Based Case-Control Study.
Andrew I Ritchie, Aran Singayagam, Sebastian Mitchell, et al


Thorax. 2023 Jun 19; PMID: 37336642
Association between antidepressants with pneumonia and exacerbation in patients with COPD: a self-controlled case series (SCCS).
Rayan A Siraj, Charlotte E Bolton, Tricia M McKeever

慢阻肺手抄本
To cure technically, to comfort psychologically, to relieve morally