Meplazumab,a humanized CD147 antibody,has shown favourable safety and efficacy in our previous clinical studies.In DEFLECT(NCT04586153),167 patients with severe COVID-19 were enroled and randomized to receive three do...Meplazumab,a humanized CD147 antibody,has shown favourable safety and efficacy in our previous clinical studies.In DEFLECT(NCT04586153),167 patients with severe COVID-19 were enroled and randomized to receive three dosages of meplazumab and a placebo.Meplazumab at 0.12 mg/kg,compared to the placebo group,showed clinical benefits in significantly reducing mortality by 83.6%(2.4%vs.14.6%,p=0.0150),increasing the proportion of patients alive and discharged without supplemental oxygen(82.9%vs.70.7%,p=0.0337)and increasing the proportion of patients who achieved sustained clinical improvement(41.5%vs.31.7%).The response rate in the 0.2 mg/kg group was relatively increased by 16.0%compared with the placebo group(53.7%vs.46.3%).Meplazumab also reduced the viral loads and multiple cytokine levels.Compare with the placebo group,the 0.3 mg/kg significantly increased the virus negative rate by 40.6%(p=0.0363)and reduced IL-8 level(p=0.0460);the 0.2 mg/kg increased the negative conversion rate by 36.9%,and reduced IL-4(p=0.0365)and IL-8 levels(p=0.0484).In this study,the adverse events occurred at a comparable rate across the four groups,with no unexpected safety findings observed.In conclusion,meplazumab promoted COVID-19 convalescence and reduced mortality,viral load,and cytokine levels in severe COVID-19 population with good safety profile.展开更多
Scleroderma is an autoimmune fibrosing disorder that can be further subclassified as localized scleroderma(LSc)and systemic sclerosis(SSc).LSc is characterized by sclerotic and pigmented skin lesions,while SSc is a mo...Scleroderma is an autoimmune fibrosing disorder that can be further subclassified as localized scleroderma(LSc)and systemic sclerosis(SSc).LSc is characterized by sclerotic and pigmented skin lesions,while SSc is a more generalized disorder of the connective tissue involving a number of organs.SSc is characterized by the thickening of dermal collagen bundles,fibrosis,and vascular abnormalities in the visceral organs.[1]Despite the differences in their morphologic features and clinical presentation,these two diseases do share some characteristics including endothelial cell dysfunction,T helper 2(Th2)cell dominance during immune activation and excess fibrosis of the skin with similar pathologic findings,leading to the hypothesis that SSc and LSc share an underlying mechanism of pathogensis.Currently,multiple lines of evidence suggest that genetic factors may contribute to SSc susceptibility.展开更多
基金The DEFLECT is supported by grants from National Natural Science Foundation of China(No.92169211).Jiangsu Pacific Meinuoke Biopharmaceuticals provided meplazumab.The views expressed in this article is the authors’opinion,not the opinion or policy of funder.
文摘Meplazumab,a humanized CD147 antibody,has shown favourable safety and efficacy in our previous clinical studies.In DEFLECT(NCT04586153),167 patients with severe COVID-19 were enroled and randomized to receive three dosages of meplazumab and a placebo.Meplazumab at 0.12 mg/kg,compared to the placebo group,showed clinical benefits in significantly reducing mortality by 83.6%(2.4%vs.14.6%,p=0.0150),increasing the proportion of patients alive and discharged without supplemental oxygen(82.9%vs.70.7%,p=0.0337)and increasing the proportion of patients who achieved sustained clinical improvement(41.5%vs.31.7%).The response rate in the 0.2 mg/kg group was relatively increased by 16.0%compared with the placebo group(53.7%vs.46.3%).Meplazumab also reduced the viral loads and multiple cytokine levels.Compare with the placebo group,the 0.3 mg/kg significantly increased the virus negative rate by 40.6%(p=0.0363)and reduced IL-8 level(p=0.0460);the 0.2 mg/kg increased the negative conversion rate by 36.9%,and reduced IL-4(p=0.0365)and IL-8 levels(p=0.0484).In this study,the adverse events occurred at a comparable rate across the four groups,with no unexpected safety findings observed.In conclusion,meplazumab promoted COVID-19 convalescence and reduced mortality,viral load,and cytokine levels in severe COVID-19 population with good safety profile.
文摘Scleroderma is an autoimmune fibrosing disorder that can be further subclassified as localized scleroderma(LSc)and systemic sclerosis(SSc).LSc is characterized by sclerotic and pigmented skin lesions,while SSc is a more generalized disorder of the connective tissue involving a number of organs.SSc is characterized by the thickening of dermal collagen bundles,fibrosis,and vascular abnormalities in the visceral organs.[1]Despite the differences in their morphologic features and clinical presentation,these two diseases do share some characteristics including endothelial cell dysfunction,T helper 2(Th2)cell dominance during immune activation and excess fibrosis of the skin with similar pathologic findings,leading to the hypothesis that SSc and LSc share an underlying mechanism of pathogensis.Currently,multiple lines of evidence suggest that genetic factors may contribute to SSc susceptibility.
