- ÅàĪɳëÄÕë¶Ô·Ç͸ÎöCKDƶѪ»¼ÕߵĢóÆÚÁÙ´²Ñо¿Êý¾Ý´ËǰÒÑÓÚ¹ú¼ÊÉöÔಡÁìÓòÖøÃûÆÚ¿¯Kidney International Reports·¢²¼1¡£
- Ϊ½øÒ»²½Ì½Ë÷ÅàĪɳëÄÔÚ·Ç͸ÎöCKDƶѪ»¼ÕßÖеĻñÒæ£¬Ñо¿ÕßÕë¶ÔÉÏÊö¢óÆÚÁÙ´²Ñо¿¿ªÕ¹ÁËÒ»Ïîʺó·ÖÎö¡£
- ¸Ãʺó·ÖÎö½á¹ûÓÚWCN2025Äê»á·¢²¼£¬½øÒ»²½Ö§³ÖÁËÅàĪɳëÄÔÚ·Ç͸ÎöÈËȺÖеÄÓ¦ÓÃÓÅÊÆ¡£

ÒÔÏÂΪ¸ÃÑо¿µÄ¾ßÌåÐÅÏ¢¡£
Ñо¿½éÉÜ
ÅàĪɳëÄÖÎÁÆ·Ç͸ÎöÒÀÀµÐÔÂýÐÔÉöÔಡ»¼Õ߯¶Ñª£ºÒ»Ïî¢óÆÚÁÙ´²Ñо¿Êºó·ÖÎö
Ñо¿Õߣº¹ã¶«Ê¡ÈËÃñÒ½Ôº ÓàѧÇåµÈ
ÕªÒª±àºÅ£ºWCN25-679
ÏòÉÏ»¬¶¯ÔÄÀÀ
¡¾Ñо¿±³¾°¡¿
ÅàĪɳëÄÊÇÒ»ÖÖÐÂÐͳ¤Ð§¾ÛÒÒ¶þ´¼»¯´Ùºìϸ°ûÉú³ÉËØÄ£ÄâëÄ£¨EMP£©£¬ÔÚÒ»ÏîËæ»ú¡¢¶àÖÐÐÄ¡¢¿ª·Å±êÇ©¡¢·ÇÁÓЧÐÔ¢óÆÚÊÔÑ飨NCT03903809£©ÖÐÏÔʾ³öÓë°¢·¨ÒÀ²´Í¡£¨epoetin-¦Á£©Ï൱µÄÁÆÐ§ºÍ°²È«ÐÔ¡£ÕâÏîʺó·ÖÎöÖ¼ÔÚ½øÒ»²½Ì½ÌÖÅàĪɳëÄÔÚ·Ç͸ÎöÒÀÀµÐÔÂýÐÔÉöÔಡ£¨NDD-CKD£©Æ¶Ñª»¼ÕßÖеĻñÒæ¡£
¡¾Ñо¿·½·¨¡¿
¡¾Ñо¿½á¹û¡¿
Óë°¢·¨ÒÀ²´Í¡×éÏà±È£¬ÅàĪɳëÄ×é´Ó»ùÏßµ½ÁÆÐ§ÆÀ¹ÀÆÚµÄHbÔö¼Ó·ù¶È¸ü´ó£¨P=0.0163£©¡£ÔÚ¡Ý65Ëê¡¢»ùÏßeGFR <15mL/min/1.73m2»òSF<200ng/mLµÄ»¼ÕßÖй۲쵽¸ü¼ÑµÄÁÆÐ§¡£Óë°¢·¨ÒÀ²´Í¡×éÏà±È£¬ÅàĪɳëÄ×éÐèÒª²¹³äÌú¼Á£¨41.7% vs. 56.9%£©»òÒ¶ËáºÍάÉúËØB12 £¨24.3% vs. 29.3%£©µÄ»¼ÕßÊýÁ¿½ÏÉÙ¡£ÔÚ52ÖÜÑо¿ÆÚ¼ä£¬½ÓÊÜÅàĪɳëÄÖÎÁƵϼÕßSFºÍTSATµÄϽµ·ù¶È¾ù¸üС¡£
¡¾Ñо¿½áÂÛ¡¿
ÅàĪɳëÄÔÚÉý¸ßHbˮƽ·½Ãæ·ÇÁÓÓÚ°¢·¨ÒÀ²´Í¡£¬ÇÒ¿ÉÄÜÓÐÖúÓÚ¼õÉÙNDD-CKD»¼Õß¶ÔÌú¼ÁµÄʹÓúʹٽøÌúÀûÓá£
Óɹú¼ÊÉöÔಡѧ»á£¨ISN£©Ö÷°ìµÄÊÀ½çÉöÔಡѧ´ó»á(WCN)ÊÇÊ×ÇüÒ»Ö¸µÄ¹ú¼ÊÉöÔಡѧ½ÌÓý»î¶¯£¬»áÒé»ã¾ÛÁËÀ´×ÔÈ«ÊÀ½çÉöÔಡÁìÓòµÄÊýǧÃûר¼Ò£¬½éÉܺͽ»Á÷×îÐÂÑо¿½øÕ¹¼°ÁÙ´²Ó¦Óã¬Ö¼ÔÚ¸ÄÉÆÉöÔཡ¿µºÍÔ¤·ÀÉöÔ༲²¡¡£ Ê¥ÂÞÀ³?£¨ÅàĪɳëÄ×¢ÉäÒº£©ÊǵÏÍþÖÆµÏÍþ¹ú¼Ê×ÔÖ÷Ñз¢µÄÈ«ÇòΨһ»ñÅúÉÏÊеÄEPOÄ£ÄâëÄ£¬ÓÚ2023Äê6Ô»ñÅúÓÃÓÚ͸ÎöºÍ·Ç͸ÎöCKD»¼ÕßÉöÐÔÆ¶ÑªµÄÖÎÁÆ¡£2024Äê12Ô£¬¹ú¼ÊÉöÔಡÁìÓòÖøÃûÆÚ¿¯Kidney International Reports£¨Ó°ÏìÒò×Ó£º5.7£©Ôø·¢²¼ÅàĪɳëÄÕë¶Ô·Ç͸ÎöCKDƶѪ»¼ÕߵĢóÆÚÁÙ´²Êý¾Ý¡£¸ÃÑо¿±íÃ÷ÔÚ·Ç͸ÎöCKDƶѪ»¼ÕßÖУ¬ÅàĪɳëÄÔÚÁÆÐ§ÉÏÓë°¢·¨ÒÀ²´Í¡×ÜÌåÏ൱£¬ÇÒûÓгöÏÖÐµİ²È«ÐÔÎÊÌâ1¡£ µÏÍþÖÆµÏÍþ¹ú¼ÊÊÇÖйúÁìÏȵĴ´ÐÂÇý¶¯ÐÍÖÆµÏÍþ¹ú¼ÊÆóÒµ£¬ÖØµã¹Ø×¢¿¹Ö×Áö¡¢¿¹¸ÐȾ¡¢ÖÐÊàÉñ¾ÏµÍ³¡¢´úл¼°×ÔÉíÃâÒßµÈÖØ´ó¼²²¡ÖÎÁÆÁìÓò£¬ÖÂÁ¦ÓÚͨ¹ý³ÖÐø´´ÐÂÌá¸ßÈËÀàÉúÃüÖÊÁ¿¡£½ØÖÁĿǰ£¬µÏÍþÖÆµÏÍþ¹ú¼ÊÒÑÉÏÊÐ7¿î´´ÐµÏÍþ¹ú¼Ê£¬ÐγÉÁ˷ḻµÄ²úÆ·¹ÜÏß¡£µÏÍþÖÆµÏÍþ¹ú¼ÊÁ¬Ðø¶àÄêλ¾ÓÈ«ÇòÖÆµÏÍþ¹ú¼ÊÆóÒµ°ÙÇ¿¡¢ÖйúÒ½µÏÍþ¹ú¼ÊÑз¢²úÆ·Ïß×î¼Ñ¹¤ÒµÆóҵǰ3Ç¿£¬Êǹú¼ÒÖØµã¸ßм¼ÊõÆóÒµ¡¢¹ú¼Ò¼¼Êõ´´ÐÂʾ·¶ÆóÒµ¡£µÏÍþÖÆµÏÍþ¹ú¼ÊÓÚ2019Äê6ÔÂÔÚÏã¸ÛÁª½»Ëù¹ÒÅÆÉÏÊУ¨¹ÉƱ´úÂ룺03692.HK£©¡£¸ü¶àÐÅÏ¢Çë·ÃÎÊ£º/¡£ 1.Xie,Jianteng,et
al. Randomized Trial of Pegmolesatide for the Treatment of Anaemia in
Patients with Non-Dialysis Chronic Kidney Disease. Kidney International
Reports.2024.In Press. 2.Xueqing
Yu,et al. Pegmolesatide for the Treatment of Anemia in
Non-dialysis-dependent Chronic Kidney Disease Patients: Post-hoc
Analysis of a Phase 3 Trial. WCN 2025. Abstract No: WCN25-679. ÉùÃ÷£º 1¡¢±¾¹«¸æ½ö¹©Ò½ÁÆÎÀÉúרҵÈËÊ¿²ÎÔÄ£¬·Ç¹ã¸æÓÃ;¡£ 2¡¢µÏÍþÖÆµÏÍþ¹ú¼Ê²»ÍƼöÈκÎδ»ñÅúµÏÍþ¹ú¼ÊƷʹÓúÍ/»òδ»ñÅúÊÊÓ¦Ö¢ÓõÏÍþ¹ú¼Ê£¬Ò಻¶ÔÈκεÏÍþ¹ú¼ÊÆ·ºÍ/»òÊÊÓ¦Ö¢×÷ÍÆ¼ö¡£ 3¡¢±¾¹«¸æÖÐÉæ¼°µÄÐÅÏ¢½ö¹©²Î¿¼£¬Çë×ñ´ÓÒ½Éú»òÆäËûÒ½ÁÆÎÀÉúרҵÈËÊ¿µÄÒâ¼û»òÖ¸µ¼¡£Ò½ÁÆÎÀÉúרҵÈËÊ¿×÷³öµÄÈκÎÓëÖÎÁÆÓйصľö¶¨Ó¦¸ù¾Ý»¼ÕߵľßÌåÇé¿ö²¢×ñÕÕµÏÍþ¹ú¼ÊƷ˵Ã÷Êé¡£ 4¡¢ÈçÐèÁ˽⹫˾ÈκβúÆ·¡¢Ò½ÁÆ»ò¼²²¡µÄÏà¹ØÐÅÏ¢£¬ÇëÎñ±Ø×ÉѯҽÁÆÎÀÉúרҵÈËÊ¿¡£ ǰհÐÔ˵Ã÷ ±¾ÐÂΟåÖ¼ÔÚÌṩ¹ØÓÚµÏÍþÖÆµÏÍþ¹ú¼Ê¼¯ÍÅÓÐÏÞ¹«Ë¾¼°Æä¸½Êô¹«Ë¾£¨°üÀ¨Æä×Ó¹«Ë¾£¬Í³³ÆÎª¡°µÏÍþÖÆµÏÍþ¹ú¼Ê¡±£©µÄÐÅÏ¢¡£Ëü²»¹¹³É¶ÔµÏÍþÖÆµÏÍþ¹ú¼Ê»òÈκÎͶ×ʽ¨ÒéµÄÐÅÏ¢Åû¶¡£ ±¾ÐÂΟå°üº¬µÄÐÅÏ¢¿ÉÄܰüÀ¨ÓëµÏÍþÖÆµÏÍþ¹ú¼ÊÒµÎñºÍ²úƷǰ¾°¡¢¼Æ»®¡¢ÐÅÄî¡¢Ô¤ÆÚºÍ²ßÂÔÏà¹ØµÄǰհÐÔÉùÃ÷¡£ÕâЩÉùÃ÷ÊÇ»ùÓÚÍÆ²âÐÔ¼ÙÉèµÄÔ¤²â£¬²¢²»±£Ö¤Î´À´µÄ±íÏÖ¡£ËüÃÇÊܵ½ÖîÈç¿ÆÑ§¡¢ÉÌÒµ¡¢ÕþÖΡ¢¾¼Ã¡¢²ÆÎñ¡¢·¨ÂÉÒòËØÒÔ¼°¾ºÕù»·¾³ºÍÉç»áÌõ¼þµÈ·çÏպͲ»È·¶¨ÐÔµÄÓ°Ï죬ÕâЩÒòËØºÜ¶à¶¼ÊǵÏÍþÖÆµÏÍþ¹ú¼ÊÎÞ·¨¿ØÖÆÇÒÄÑÒÔÔ¤²âµÄ£¬Òò´Ëʵ¼Ê½á¹û¿ÉÄÜÓë´Ë´¦ËùÊöÓÐÏÔÖø²îÒ죬ÇÒ¹ýÈ¥µÄ֤ȯ¼Û¸ñÇ÷ÊÆ²»Ó¦×÷ΪδÀ´ÐÐÇéµÄÖ¸µ¼¡£Òò´Ë£¬Í¶×ÊÕßÔÚʹÓÃÕâЩÐÅÏ¢½øÐÐͶ×ʾö²ßʱӦ½÷É÷ÐÐÊ¡£¡°ÖÂÁ¦ÓÚ¡±¡°Ô¤ÆÚ¡±¡°ÏàÐÅ¡±¡°Ô¤²â¡±¡°Òâͼ¡±¡°Ô¤¼Æ¡±¡°¿ÉÄÜ¡±¡°½«¡±¡°Ó¦¸Ã¡±¡°¼Æ»®¡±¡°¼ÌÐø¡±¡°Ä¿±ê¡±¡°¿¼ÂÇ¡±¡°¹À¼Æ¡±¡°Ö¸µ¼¡±¡°Ç±ÔÚ¡±¡°×·Çó¡±ÒÔ¼°ÓÚÈκÎδÀ´¼Æ»®¡¢Ðж¯»òʼþµÄÌÖÂÛÖÐʹÓõÄÀàËÆ´ÊÓïºÍÊõÓ¾ù±íʾǰհÐÔÉùÃ÷¡£ µÏÍþÖÆµÏÍþ¹ú¼Ê²»³Ðŵ»ò±£Ö¤Ç°Õ°ÐÔÐÅÏ¢µÄ׼ȷÐÔ¡¢¼°Ê±ÐÔ»òÍêÕûÐÔ£¬²¢ÇÒ²»³Ðµ£¸üлòÐÞ¶©ÕâЩǰհÐÔÉùÃ÷µÄÒåÎñ¡£ÎÞÂÛÊǵÏÍþÖÆµÏÍþ¹ú¼Ê»¹ÊÇÆäÈκζÊ¡¢Ô±¹¤»ò´úÀíÈË£¬¾ù²»¶ÔÈκÎÖ¤Ã÷²»×¼È·»òÎÞ·¨ÊµÏÖµÄǰհÐÔÉùÃ÷¸ºÔð£¬Ò²²»¶ÔÒòÒÀÀµ±¾ÐÂΟåÖÐÌṩµÄÐÅÏ¢¶ø²úÉúµÄÈκÎËðʧ»òË𺦸ºÔ𣬰üÀ¨µ«²»ÏÞÓÚÖ±½Ó¡¢Å¼È»¡¢¼ä½Ó»ò³Í·£ÐÔµÄË𺦡£ ±¾ÐÂΟåÖеÄËùÓÐÐÅÏ¢¾ùΪ·¢²¼Ö®ÈÕµÄ×îÐÂÐÅÏ¢¡£µÏÍþÖÆµÏÍþ¹ú¼Ê²»³Ðµ£Òòз¢Õ¹¡¢Î´À´Ê¼þ»òÆäËûÇé¿ö¶ø¸üлòÐÞ¶©ÕâЩÐÅÏ¢µÄÔðÈΣ¬³ý·Ç·¨ÂÉÒªÇó¡£´ËÍ⣬µÏÍþÖÆµÏÍþ¹ú¼Ê±£ÁôÔÚÈκÎʱºòδ¾Í¨Öª¶Ô±¾ÐÂΟåµÄÈ«²¿»ò²¿·ÖÄÚÈݽøÐиü¸Ä¡¢¸üÕý»òÖжϵÄȨÀû¡£¶ÔÓÚÌØ±ðÓëÉÏÊй«Ë¾ÓйصÄÐÅÏ¢£¬¹«Ë¾¹ÄÀøÍ¶×ÊÕ߲ο¼µÏÍþÖÆµÏÍþ¹ú¼Ê£¨03692.HK£©µÄ¹«¸æºÍ²ÆÎñ±¨¸æ¡£