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爱尔兰爵士制药的去纤维钠怎么样?

Author: Medicalhalo
Release time: 2025-10-19 11:44:20

For some patients with leukemia and lymphoma, hematopoietic stem transplantation (HSCT) is the disease and the only hope to regain health. Hepatic veno-occlusive disease (HVOD) is one of the serious complications after hematopoietic stem transplantation (HSCT), and the mortality rate of severe HVOD can be as high as 100%. (Defibrotide sodium, produced in Italy) is a mixture of single-stranded oligonucleotides with anti-thrombotic and fibrinolytic effects. In recent years, multiple research results have shown that defibrotide is safe and effective in preventing and treating HVOD.

An open-label, randomized phase III trial led by the University of Regensburg in Germany showed that defibrotide can reduce the risk of this disease. In this clinical trial, researchers recruited a total of 356 subjects during three years (2006.1.25-2009.1.29). The subjects were randomly assigned by computer into two groups: prevention group (intravenous administration) and control group (placebo). The results showed that the incidence of veno-occlusive disease in the prevention group within 30 days after hematopoietic stem cell transplantation was 12% (22/180), and that in the control group was 20% (35/176); the risk difference between the two groups was ?7.7%, Z test p=0.0488, the difference was statistically significant; at the same time, 87% (154/177) of the prevention group had side effects within 180 days after transplantation, compared with 20% (35/177) in the control group. 88% (155/176), no difference, indicated that the side effects were caused by blood stem cell transplantation or veno-occlusive disease, not fibrinide.

Therefore, fibrinide can reduce the risk of veno-occlusive disease after blood stem cell transplantation and is well tolerated. In addition, there are data indicating that fibrinic acid can reduce the rate of graft-versus-host reaction, making it a wise choice clinically.

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