Anti-TNF-alpha therapy in ankylosing spondylitis

被引:20
作者
De Keyser, F [1 ]
Van den Bosch, F [1 ]
Mielants, H [1 ]
机构
[1] State Univ Ghent Hosp, Dept Rheumatol, B-9000 Ghent, Belgium
关键词
infliximab; etanercept; ankylosing spondylitis;
D O I
10.1016/j.cyto.2006.01.004
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Ankylosing spondylitis (AS) is the prototype disease within the spondyloarthropathies (SpA), a group of diseases presenting mainly with spondylitis, pauci-articular peripheral arthritis and enthesiopathy. Non-steroidal anti-inflammatory drugs (NSAID) are the classical cornerstone of medical therapy in these patients; no real disease modifying antirheumatic treatment was available, until recently. TNF-alpha blocking agents (monoclonal antibodies or soluble receptors) are the first representative drugs, of which the indication has recently been expanded to encompass also patients with AS. Here, we review the data on clinical efficacy and safety, with focus on the compounds infliximab and etanercept. Publication of trial results with adalimumab is still under way; the efficacy of this compound in AS seems comparable with the other two agents. (c) 2006 Elsevier Ltd. All rights reserved.
引用
收藏
页码:294 / 298
页数:5
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