安进134亿美元购进!阿普斯特片上市申请拟纳入优先审评
The CDE official website shows in 2021 that Amgen’s marketing application for Apremilast Tablets is planned to be included in priority review for the treatment of psoriasis.阿普斯特(apremilast)是一款小分子磷酸二酯酶4(PDE-4)抑制剂,主要通过调节细胞内促炎因子与抗炎因子发挥作用。最早于2014年3月在美国获批上市,用于治疗成人活动性银屑病关节炎,之后又扩展适应症用于治疗中重度斑块型银屑病和贝赫切特综合征(Behcet)相关的口腔溃疡。
What Apremilast tablets do:
Celgene has developed apremilast (apremilast), a new orally available small molecule drug targeting PDE4.众周所知,脂多糖( LPS)能够刺激人类外周生成并释放许多细胞因子包括IFNγ、TNFα、IL-2、IL-12及IL-23和趋化因子包括CXCL9 ( monokine由 IFN-γ或MIG诱导)及CXCL10 ( IFN-γ诱导的10kDa蛋白或IP-10)的生成,apremilast能抑制单核细胞的这些功能。 Apremilast还抑制巨噬细胞炎性蛋白( MIP )-1、单核细胞诱导蛋白(MCP)-1、外周血单核细胞(PBMC)产生的粒细胞巨噬细胞菌落刺激因子(GM-CSF)和诱导多形核(PMN)细胞的反应的IL-8和LTB4等细胞因子的生成。
Clinical studies on apremilast include a small clinical observation and three phase II clinical trials and one phase III clinical trial. In this small-scale clinical study, 19 patients were enrolled, 17 of whom completed the trial. On the 29th day of treatment, the epidermal thickness decreased by an average of 20.5% compared with baseline. In responding cases, dermal and epidermal T cells decreased by 28.8% and 42.6%, respectively, and CD11c cells decreased by 18.5% and 40.2%, respectively. Fourteen of 19 (73.7%) patients demonstrated improvement in psoriasis area and severity (PASI) scores.
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