RISE UP
Sise afihan RISE UP, iwadii isegun TUNTUN kan lati ṣe agbeyẹwo isoro irora ati arunmọleegun ninu aarun sẹjẹdọlẹ
RISE UP (2021‑001674‑34)
jẹ idanwo isegun ti ifarahan 2/3, iruniloju, aileto, ti placebo ndari, ọlọpọ ibi1
Iwadii isegun yii nse igbelewọn ilagbara ati aabo mitapivat ninu itẹju aarun sẹjẹdọlẹ fun awọn olukopa ọmọ ọdun 16 ati jubẹẹlọ.1
AGBEKALE IWADII ISEGUN RISE UP1
OJU ORO AKOSO 3 (Ti nforukọsilẹ bayii)
BID=ẹmeji lojumọ; Hb=hemoglobin.
AWỌN KOKO AMUYẸ IKÀKÚN1
- Ọjọ ori 16 tabi jubẹẹlọ, pẹlu akọsilẹ iwadii arun sọjọdọlẹ (HbSS, HbSC, HbS/β0 thalassemia, HbS/β+ thalassemia, tabi awọn orisii other sickle cell syndrome variants sẹjẹdọlẹ yooku)
- O keere tan isoro irora sejẹdọlẹ 2 ti kosi ju 10 lọ ninu awọn osu 12 to kọja saaju ki wọn to gba
- Ti o tumọsi asiko irora to gboro, aya riro to gboro, okó lile pipẹ, tabi ẹjẹ didi ninu ẹdọ tabi ọlọ inu
- Bi lilo hydroxyurea, oogun hydroxyurea gbọdọ wa nilẹ fun o keere tan ọjọ 90 saaju aileto
AWỌN KOKO AMUYẸ IYỌKURO1
- Oyun tabi ifọmọlọyan
- Gbigba eto ẹjẹ loorekoore
- Aisedeede Hepatobiliary, aarun ẹdo lile, aarun oronro, tabi aarun kidirin lile
- Saaju ifarahan si itọju ilera jiini tabi saaju mudunmudun eegun tabi ipaarọ sẹẹli
- To ngba voxelotor, crizanlizumab, tabi L-glutamine lọwọlọwọ
- To ngba itọju pẹlu awọn ohun ti ngbe hematopoietic larugẹ
- Lilo CYP3A4/5 to lagbara ti ngbogunti tabi awọn imugberu CYP3A4 lagbara
PK ACTIVATION NGBARUKUTI ILERA SẸẸLI ẸJẸ PUPA
Mitapivat — iwadii oogun ninu RISE UP — jẹ ohun ti a fi nsewadii, lilo, ohun imusisẹ ẹnsaimu PK1,3
Imusisẹ ẹnsaimu PK le se imugberu ilera, agbara, ati igba awọn sẹlli ẹjẹ pupa (RBC) fun awọn alaisan toni aiṣedede sẹlli ẹjẹ pupa1
- Pipọsi imuwa ATP, lati se iranlọwọ ipese awọn agbara ti RBC nilo
- Dindin 2,3-DPG ku eyiti o npada mu atẹgun gberu sii fun hemoglobin, ti o si ndin aisan ku
- Sise amojuto awọn ohun to ndin ijamba sẹlli ku
Awọn Itọkasi:
1. Data lori faili. Agios Pharmaceuticals, Inc.
2. Iwadii!America. Akojọ ero awujọ apapọ. Osu keje, ọdun 2017. Ti a yẹwo ni Osu Kẹwa, ọjọ 18, ọdun 2023. https://www.researchamerica.org/wp- content/uploads/2022/07/July2017ClinTrialMi norityOversamplesPressReleaseSlidesFINAL_ 0-1.pdf
3. Howard J, Kuo KHM, Oluyadi A, et al. Ifarahan 2/3, iwadii aileto, iruniloju, ti placebo ndari ti mitapivat ninu awọn alaisan toni aaru sẹjẹdọlẹ/ Ejẹ. 2021;138(suppl 1):3109.