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给战友点希望--硝唑尼特治疗慢肝   [复制链接]

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发表于 2009-10-15 11:48 |只看该作者
特版,硝唑尼特的事,建议问问411兄,求证一下

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发表于 2009-10-15 16:34 |只看该作者
原帖由 2009苹果 于 2009-10-15 11:48 发表
特版,硝唑尼特的事,建议问问411兄,求证一下

。。。。。。。。。
那杀不死我的,使我变的更强
只有你我才懂得不可思议
这注定是一场持久的大战,有人死去,有人活下来。尘封我的忧伤,一直到坟墓里,默默是你的坚强;长久的并肩已经使我们能在无言的相视中心意相通;回首万里征途,醉爱夕阳美。

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风雨同舟

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发表于 2009-10-15 17:29 |只看该作者
原帖由 生命满希望 于 2009-10-15 11:29 发表
2006年已经有此消息出现,但几年过去也没用在临床,估计是假的!

硝错尼特在c型肝炎的治疗中的确可圈可点,美国有很多二期的实验呢?估计对b型也的确有效的。
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发表于 2009-10-15 18:35 |只看该作者

我们的希望在这里

Romark实验室正在研制第二代和具有缓释功能的thiazolides类药物。
实验显示,编号RM-4863
候选药物治疗丙肝的效果、耐受性比硝唑尼特更好,毒性更低。药效能稳定12-24小时。并去除了第一代硝唑尼特的广谱抗寄生虫和抗细菌感染功能。

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风雨同舟

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发表于 2009-10-15 19:53 |只看该作者
Romark实验室正在研制第二代和具有缓释功能的thiazolides类药物。
实验显示,编号RM-4863
候选药物治疗丙肝的效果、耐受性比硝唑尼特更好,毒性更低。药效能稳定12-24小时。并去除了第一代硝唑尼特的广谱抗寄生虫和抗细菌感染功能。可能已进入临床(丙肝)。

从上面的介绍,第二代确实比第一代有很大的提高。治疗丙肝比第一代好,我想,乙肝也应该要好一点。硝唑尼特HBsAg转阴率在25%左右,第二代希望能达到40~50%
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风雨同舟

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发表于 2009-10-15 20:49 |只看该作者
Romark Laboratories Initiates Phase II Study of Nitazoxanide in Treatment-Naive Patients With Chronic Hepatitis C Genotype 1
2008年04月18日 19:07 来源: PRNewswire 【字体:大 中 小】  



  TAMPA, Fla., April 18 /PRNewswire/ -- Romark Laboratories, a privately held biopharmaceutical company, today announced that it has begun enrolling patients in a U.S. clinical trial to evaluate nitazoxanide for the treatment of chronic hepatitis C. Preliminary data from the study is expected in the second half of 2008.
    The study, STEALTH C-3 (Studies to Evaluate Alinia for Treatment of Hepatitis C), is a Phase II randomized, double-blind, placebo-controlled clinical trial designed to evaluate the safety and efficacy of nitazoxanide in combination with peginterferon alpha-2a (Pegasys?, Roche) and ribavirin (Copegus?, Roche) in treatment naive patients with chronic hepatitis C infected with genotype 1.

    The primary objective of STEALTH C-3 is to evaluate sustained virologic response (SVR) with a treatment regimen of 4 weeks of nitazoxanide lead-in therapy followed by 48 weeks of standard of care plus nitazoxanide versus 4 weeks of placebo lead-in followed by 48 weeks of standard of care and placebo. The trial will enroll 60 patients at 15 centers in the U.S.

    "Earlier clinical studies in patients with chronic hepatitis C infected with genotype 4 have shown that nitazoxanide improves virologic response rates when used in combination with standard of care," said Dr. Emmet B. Keeffe, Chief Medical Officer of Romark. "This study and our ongoing STEALTH C-2 trial, are designed to evaluate the effect of treatment with nitazoxanide plus standard of care in patients with genotype 1. Future clinical trials will explore new combinations and treatment durations, including current and emerging HCV therapies."

    STEALTH C Clinical Development Program

    STEALTH C-3 is the latest in a series of clinical trials aimed at gaining a broad understanding of how nitazoxanide may benefit patients with chronic hepatitis C genotype 1 when used in combination with peginterferon and ribavirin. Other studies in the STEALTH C program include the following:

    -- STEALTH C-2, a randomized, double-blind, placebo-controlled trial currently enrolling up to 60 patients in the U.S. with chronic hepatitis C genotype 1 who have previously failed to respond to the standard of care with peginterferon and ribavirin. This trial is designed to evaluate the effectiveness and safety of nitazoxanide administered 500 mg twice daily for 4 weeks followed by nitazoxanide plus standard of care for 48 weeks compared to placebo for 4 weeks followed by standard of care plus placebo for 48 weeks. -- STEALTH C-1, an international study in 120 treatment-naive and interferon-experienced patients with chronic hepatitis C genotype 4. Interim results from the randomized controlled Phase II clinical trial were presented at the 58th Annual Meeting of the American Association for the Study of Liver Diseases (AASLD) in Boston, MA and demonstrated that 79 percent of interferon-naive patients with chronic hepatitis C genotype 4 receiving nitazoxanide plus the standard of care had a sustained viral response (SVR) at 12 weeks following treatment, compared to 43 percent of patients receiving the standard of care without nitazoxanide. The patients treated with nitazoxanide also experienced no relapse and no more side effects than patients who received the standard of care. Final study results (SVR-24) will be presented at the European Association for the Study of the Liver (EASL) in April 2008.

    To learn more about Romark clinical trials currently under way, or to find out if a study is recruiting patients in your area, please visit www.romarktrials.com, or www.clinicaltrials.gov (for the latter, enter the search terms "nitazoxanide hepatitis United States.")

    About Hepatitis C

    Hepatitis C is a blood-borne infectious disease that is caused by the hepatitis C virus (HCV). It is the most common cause of chronic hepatitis in the U.S. and may eventually lead to cirrhosis, liver cancer and liver failure. The disease is transmitted by contact with HCV-infected blood. A large majority of those infected do not show symptoms, but fatigue, abdominal pain and nausea can be common. The current standard treatment of care, peginterferon and ribavirin, is effective in about half of all patients treated. According to the Centers for Disease Control, HCV affects an estimated 4.1 million Americans.

    About Romark Laboratories

    Romark Laboratories (www.romark.com), a privately held biopharmaceutical company, has discovered and developed a new class of small molecule antivirals known as thiazolides. The Company is developing nitazoxanide, the first of the thiazolide class, for the treatment of chronic hepatitis C, and is developing other new thiazolides for treating viral diseases including chronic hepatitis B. Alinia? (nitazoxanide) is approved by the U.S. Food and Drug Administration and marketed by Romark for the treatment of infections caused by Cryptosporidium or Giardia.

    Source: Romark Laboratories
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发表于 2009-10-15 21:10 |只看该作者
翻译一下好吗谢谢啦他们认识我  可是我不认识他们嘎嘎!!!!!!!!!!!看来我们的希望真的在这里啊!!!什么时候才能进入中国市场啊?急啊!!!!!!!!!!!

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发表于 2009-10-15 21:16 |只看该作者
大家看看这个,这个应该是新的。有人英语好吗翻译下谢谢啦               


六月肝病摘要
Treatment of chronic viral hepatitis with nitazoxanide and second generation thiazolides.


    Nitazoxanide, the first thiazolide, was originally developed for the treatment of Cryptosporidium parvum. More recently, antiviral activity of nitazoxanide against hepatitis B virus (HBV) and hepatitis C virus was recognized in in vitro systems. These basic studies led to phase II clinical trials that demonstrated the safety and efficacy of nitazoxanide in combination with peginterferon, with or without ribavirin, in the treatment of chronic hepatitis C genotype 4. The sustained virologic response rate was 79% and 80% in two studies, which was higher than the response rate of 50% with the standard of care with peginterferon plus ribavirin. In very preliminary studies of patients with chronic hepatitis B, nitazoxanide suppressed serum HBV DNA and led to loss of hepatitis B e antigen in the majority of patients and hepatitis B surface antigen in approximately a quarter of patients. Randomized controlled studies of naive and nonresponder patients with chronic hepatitis C genotype 1 are underway, new second generation and controlled release thiazolides are being developed, and future studies of patients with chronic hepatitis B are planned.


硝唑尼特及第二代thiazolides类药物治疗慢性病毒性肝炎

    硝唑尼特是第一代thiazolides类药物,原本是用于治疗隐孢子虫感染的药物。最近硝唑尼特对于乙肝病毒及丙肝病毒的抗病毒活性在体外试验中得到证实。这些基础研究使得硝唑尼特联合长效干扰素和/或利巴韦林治疗基因4型的慢丙肝患者的安全性和有效性的II期临床试验得以开展。在两项试验中,持续的病毒学应答率为79%和80%,相比标准治疗方案,即长效干扰素联合利巴韦林的应答率50%更高。慢乙肝患者的初步试验显示,硝唑尼特可抑制血清HBVDNA,可使大部分患者的e抗原转阴,接近1/4的患者表面抗原转阴。对于初治或无应答的基因1型的慢丙肝患者的随机对照试验正在进行中,新的第二代以及控释的thiazolides类药物正在研制中,正在计划对慢乙肝患者进行进一步的临床试验。

——肝炎科 诸思赟 摘译自
Keeffe EB, Rossignol JF. World J Gastroenterol. 2009 Apr 21;15(15):1805-8.

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发表于 2009-10-15 21:19 |只看该作者
看到这个了吗????这是希望啊四分之一啊不知道那四分之一有多少个小三阳、有多少个大三阳


慢乙肝患者的初步试验显示,硝唑尼特可抑制血清HBVDNA,可使大部分患者的e抗原转阴,接近1/4的患者表面抗原转阴。

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发表于 2009-10-16 10:01 |只看该作者
Keeffe EB, Rossignol JF. World J Gastroenterol. 2009 Apr 21;15(15):1805-8.
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