Risk of Serious Infection Associated with Agents that Target T-Cell Activation and Interleukin-17 and Interleukin-23 Cytokines

被引:9
作者
Shoor, Stanford [1 ]
机构
[1] Stanford Univ, 1000 Welch Rd Suite 203, Palo Alto, CA 94304 USA
关键词
Serious infection; Co-stimulatory molecule inhibitors; IL-17 and IL-23 inhibitors; MODIFYING ANTIRHEUMATIC DRUGS; NECROSIS-FACTOR INHIBITORS; SEVERE PLAQUE PSORIASIS; LONG-TERM EFFICACY; RHEUMATOID-ARTHRITIS; PHASE-III; FUSION PROTEIN; MODERATE; SAFETY; BELATACEPT;
D O I
10.1016/j.idc.2020.02.001
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Co-stimulatory T-cell inhibitors are used in the treatment of rheumatoid arthritis and to prevent rejection of renal transplants. Inhibitors of the interleukin (IL)-17 cytokine are indicated for psoriasis, psoriatic arthritis and ankylosing spondylitis and anti- IL-23 drugs for psoriasis. Serious infections occur in 4.2% to 25.0% of co-stimulatory inhibitors and 1.0% to 2.0% with IL-17 or IL-23 inhibitors. Underlying disease, steroid dose greater than 7.5 to 10.0 mg, and comorbidities influence risk in individual patients. Opportunistic infections or reactivation of tuberculosis are rare.
引用
收藏
页码:179 / +
页数:12
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