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Cladribine in myasthenia gravis: a pilot open‐label study

机译:粘土干酪在MyAsthenia gravis:飞行员开放标签学习

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Background and purpose The aim of this study was to assess the effectiveness of cladribine treatments in a population of patients with refractory myasthenia gravis (MG). Methods In a prospective open‐label study of cladribine in refractory MG, 13 patients received cladribine at baseline with repetitive cycles driven by clinical response. A Myasthenia Gravis Composite (MGC) score was obtained and a standard dose of steroids was administered. Results A total of 11 patients achieved significant clinical improvement in MGC score during their therapy. The mean MGC score declined from 15.1 to 6.3 points within 4?months of observation. The dosage of prednisolone declined from 9.5 to 1.9?mg. None of the patients required intravenous immunoglobulin or plasma exchange treatments and no adverse events occurred in the study period. Conclusion Cladribine seems to be a safe and effective emergency therapy in a population of patients with refractory MG.
机译:背景和目的本研究的目的是评估克拉代里胺治疗在难治性肌炎肌炎肌醇(MG)患者中的有效性。 方法在难治性Mg中克拉替宾中的预期开放标签研究中,13名患者在基线中接受克拉酮,通过临床反应驱动的重复循环。 获得了肌肌炎肌炎重子(MGC)得分,并施用标准剂量的类固醇。 结果11名患者共有11名患者在其治疗过程中取得了显着的临床改善。 平均MGC评分从4?几个月内从15.1到6.3点下降。 泼尼松龙的剂量从9.5到1.9?mg下降。 患者均未需要静脉内免疫球蛋白或血浆交换治疗,并且研究期间没有发生不良事件。 结论Cladribine似乎是难治性MG患者患者的安全有效的急诊治疗。

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