*僅供醫(yī)學(xué)專業(yè)人士閱讀參考
原研替奈普酶獲批上市,為中國(guó)卒中患者溶栓增添新選擇!
本期要點(diǎn):
1.在CSA&TISC 2025上,勃林格殷格翰宣布原研替奈普酶于我國(guó)獲批上市,為發(fā)病4.5h內(nèi)AIS患者溶栓治療提供新選擇,此次獲批是基于ORIGINAL研究的積極結(jié)果。
2.原研替奈普酶經(jīng)結(jié)構(gòu)改良后具有顯著藥理學(xué)優(yōu)勢(shì):不僅半衰期延長(zhǎng)、纖維蛋白特異性提高,且給藥方式簡(jiǎn)便,有利于復(fù)雜臨床場(chǎng)景應(yīng)用。目前,其在國(guó)際上多項(xiàng)高質(zhì)量循證研究比如AcT、ATTEST-2、TASTE等研究均證實(shí)其在發(fā)病4.5h內(nèi)AIS患者溶栓療效非劣于阿替普酶。
3.ORIGINAL研究是原研替奈普酶在中國(guó)開展的申請(qǐng)AIS適應(yīng)癥的Ⅲ期注冊(cè)研究,進(jìn)一步證實(shí)了原研替奈普酶在中國(guó)AIS患者中療效非劣于阿替普酶,且亞組分析進(jìn)一步支持其在致殘性輕型卒中患者中的應(yīng)用,為其臨床應(yīng)用提供高質(zhì)量循證支撐。
*以下內(nèi)容僅供在中國(guó)大陸執(zhí)業(yè)的
醫(yī)療衛(wèi)生專業(yè)人士瀏覽。
參考文獻(xiàn):
[1]Paul Tanswell, et al. Pharmacokinetics and Pharmacodynamics of Tenecteplase in Fibrinolytic Therapy of Acute Myocardial Infarction. Clin Pharmacokinet. 2002;41(15):1229-45.
[2]Menon B K, Buck B H, Singh N, et al. Intravenous tenecteplase compared with alteplase for acute ischaemic stroke in Canada (AcT): a pragmatic, multicentre, open-label, registry-linked, randomised, controlled, non-inferiority trial[J]. Lancet, 2022,400(10347):161-169.
[3]Meng X, Li S, Dai H, et al. Tenecteplase vs Alteplase for Patients With Acute Ischemic Stroke: The ORIGINAL Randomized Clinical Trial[J]. JAMA, 2024,332(17):1437-1445.
[4]Shuya Li, Xiaolong Bao, Shijia Yan, Yongjun Wang.Tenecteplase versus alteplase for patients with minor acute ischemic stroke (AIS): An analysis of the ORIGINAL study[C].2025 European Stroke Organisation Conference(ESOC);Presentation ID 118,21–23 May 2025, Helsinki,Finland.
[5]Parsons M W, Yogendrakumar V, Churilov L, et al. Tenecteplase versus alteplase for thrombolysis in patients selected by use of perfusion imaging within 4.5 h of onset of ischaemic stroke (TASTE): a multicentre, randomised, controlled, phase 3 non-inferiority trial[J]. Lancet Neurol, 2024,23(8):775-786.
[6]Muir K W, Ford G A, Ford I, et al. Tenecteplase versus alteplase for acute stroke within 4.5 h of onset (ATTEST-2): a randomised, parallel group, open-label trial[J]. Lancet Neurol, 2024,23(11):1087-1096.
[7]中國(guó)卒中學(xué)會(huì)急性缺血性卒中再灌注治療指南2024 [J]. 中國(guó)卒中雜志, 2024, 19 (12): 1460-1478.
調(diào)研問題:
審批編號(hào): SC-CN-17849
有效期至:7/8/2026
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