中国药师-专业站 - 近期刊登

治疗慢性乙型肝炎的新型药物-07.7

阅读: 时间: 2007-7-18 15:05:00

崔岚  安富荣  (上海交通大学附属仁济医院药剂科  上海 200127)

关键词  慢性乙型肝炎;聚乙二醇化干扰素α;恩替卡韦;恩曲他滨;克立夫定;替诺福韦DF;替比夫定

中图分类号:R978

文献标识码:A

文章编号:1008-049X(2007)07-0692-03

    乙型肝炎是世界上最严重的传染病之一,也是人类第九大死亡原因。乙型肝炎的流行因地区而异,中国、东南亚和非洲的发病率高,西欧、北美和澳洲的发病率低。临床上用于治疗慢性乙型肝炎(CHB)的常用药物有:干扰素-α(IFN-α)、拉米夫定(lamivudine)和阿德福韦酯(adefovir dipivoxil)。IFN-α需注射给药,拉米夫定和阿德福韦酯均可口服。由于这三种药物治疗CHB的长期应答率不够理想以及出现越来越多的耐药,使寻求新型的治疗CHB的药物尤显重要。本文就治疗CHB的新型抗病毒和免疫调节药作一介绍和讨论。……

参  考  文  献

1  Cooksley WG, Piratvisuth T,Lee SD,et al.Peginterferon alpha-2a (40 kDa):an advance in the treatment of hepatitis B e antigenpositive chronic hepatitis B[J].J Viral Hepat,2003,10(4):298-305
2  Marcellin P,Lau GK, Bonino F,et al.Peginterferon alfa-2a alone, lamivudine alone,and the two in combination in patients with HBeAg-negative chronic hepatitis B[J].N Engl J Med,2004,351(12):1206-1217
3  Colombatto P,Civitano L,Bizzarri R,et al.A multiphase model of the dynamics of HBV infection in HBeAgnegative patients during pegylated interferonalpha2a,lamivudine and combination therapy[J].Antivir Ther,2006,11(2):197-212
4  Janssen HL,van Zonneveld M,Senturk H,et al.Pegylated interferon alfa-2b alone or in combination with lamivudine for HBeAg-positive chronic hepatitis B:a randomised trial[J].Lancet, 2005, 365(9454):123-129
5  Lai CL,Rosmawati M,Lao J,et al.Entecavir is superior to lamivudine in reducing hepatitis B virus DNA in patients with chronic hepatitis B infection[J].Gastroenterology, 2002, 123(6):1831-1838
6  Lampertico P.Entecavir versus lamivudine for HBeAg-positive and negative chronic hepatitis B[J].J Hepatol,2006,45(3):457-460
7  Chang TT,Gish RG,Hadziyannis SJ,et al.A doseranging study of the efficacy and tolerability of entecavir in Lamivudine refractory chronic hepatitis B patients[J].Gastroenterology, 2005,129(4):1198-1209
8  Sherman M,Yurdaydin C,Sollano J,et al.Entecavir for treatment of lamivudinerefractory,HBeAg-positive chronic hepatitis B[J] Gastroenterology,2006,130(7):2039-2049
9  Delaney WE 4th,Yang H, Miller MD,et al.Combinations of adefovir with nucleoside analogs produce additive antiviral effects against hepatitis B virus in vitro[J].Antimicrob Agents Chemother,2004,48(10):3702-3710
10  Yang H,Qi X,Sabogal A,et al.Crossresistance testing of nextgeneration nucleoside and nucleotide analogues against lamivudineresistant HBV[J].Antivir Ther,2005,10(5):625-633
11  Gish RG,Leung NW,Wright TL,et al.Dose range study of pharmacokinetics,safety,and preliminary antiviral activity of emtricitabine in adults with hepatitis B virus infection[J].Antimicrob Agents Chemother, 2002, 46(6):1734-1740
12  Gish RG,Trinh H,Leung N,et al.Safety and antiviral activity of emtricitabine (FTC) for the treatment of chronic hepatitis B infection: a twoyear study[J].J Hepatol,2005,43(1):60-66
13  Lim SG,Ng TM,Kung N,et al.A doubleblind placebocontrolled study of emtricitabine in chronic hepatitis B[J].Arch Intern Med,2006,166(1):49-56
14  Korba BE,Cote PJ,Menne S,et al.Clevudine therapy with vaccine inhibits progression of chronic hepatitis and delays onset of hepatocellular carcinoma in chronic woodchuck hepatitis virus infection[J].Antivir Ther,2004,9(6):937-952
15  Marcellin P,MommejaMarin H,Sacks SL,et al.A phase II doseescalating trial of clevudine in patients with chronic hepatitis B[J].Hepatology,2004,40(1):140-148
16  Lee HS,Chung YH,Lee K,et al.A 12-week clevudine therapy showed potent and durable antiviral activity in hbeAgpositive chronic hepatitis B[J].Hepatology,2006,43(5):982-988
17  Lim SG,Krastev Z,Ng TM,et al. Randomized,doubleblind study of emtricitabine (FTC) plus clevudine versus FTC alone in treatment of chronic hepatitis B[J].Antimicrob Agents Chemother, 2006, 50(5):1642-1648
18  Menne S,Cote PJ,Korba BE,et al.Antiviral effect of oral administration of tenofovir disoproxil fumarate in woodchucks with chronic woodchuck hepatitis virus infection[J].Antimicrob Agents Chemother, 2005, 49(7):2720-2728
19  Dore GJ,Cooper DA, Pozniak AL,et al.Efficacy of tenofovir disoproxil fumarate in antiretroviral therapy-naive and experienced patients coinfected with HIV-1 and hepatitis B virus[J].J Infect Dis,2004,189(7):1185-1192
20  Benhamou Y,Fleury H,Trimoulet P,et al.Antihepatitis B virus efficacy of tenofovir disoproxil fumarate in HIVinfected patients[J]. Hepatology,2006,43(3):548-555
21  Lada O, Benhamou Y,Cahour A,et al.In vitro susceptibility of lamivudineresistant hepatitis B virus to adefovir and tenofovir[J]. Antivir Ther, 2004, 9(3):353-363
22  Kuo A, Dienstag JL,Chung RT. Tenofovir disoproxil fumarate for the treatment of lamivudineresistant hepatitis B[J]. Clin Gastroenterol Hepatol, 2004,2(3):266-272
23  van Bommel F, Wunsche T,Mauss S,et al.Comparison of adefovir and tenofovir in the treatment of lamivudineresistant hepatitis B virus infection[J].Hepatology,2004, 40(6):1421-1425
24  Lai CL, Lim SG,Brown NA,et al.A dose-finding study of oncedaily oral telbivudine in HBeAg-positive patients with chronic hepatitis B virus infection[J].Hepatology, 2004, 40(3):719-726
25  Lai CL,Leung N,Teo EK,et al.A 1-year trial of telbivudine, lamivudine, and the combination in patients with hepatitis B e antigen-positive chronic hepatitis B[J].Gastroenterology, 2005, 129(2):528-536

资料来自:中国药师-专业站
参与评论(条评论)
发表评论请遵守国家法律
笔名:
邮箱:
查看评论

搜索
请输入关键词:
网上调查
相关资源
  • 聚乙二醇干扰素治疗慢性乙型肝炎 [2005-6-23]