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Tanezumab for Patients with Osteoarthritis of the Knee: A Meta-Analysis  期刊论文  

  • 编号:
    b0b53c61-1866-47ba-9168-af11eb1c6da4
  • 作者:
  • 语种:
    英文
  • 期刊:
    PLOS ONE ISSN:1932-6203 2016 年 11 卷 6 期 ; JUN 13
  • 收录:
  • 摘要:

    Objective
    Tanezumab is a new therapeutic intervention for patients with osteoarthritis (OA) of the knee. We performed the present meta-analysis to appraise the efficacy and safety of tanezumab for patients with knee OA.
    Methods
    We systematically searched randomized controlled trials from PubMed, EMBASE, and the Cochrane Central Register of Controlled Trials (CENTRAL). The primary outcomes were mean change in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain, the WOMAC physical function and patient"s global assessment (PGA). Outcomes were reported as the standard mean difference (SMD) or relative risk (RR) with 95% confidence interval (CI). We assessed the pooled data using a random-effects model.
    Results
    Of the identified studies, four were eligible and were included in this meta-analysis (N = 1839 participants). Compared with the placebo groups, tanezumab yielded a significant reduction in mean change in the WOMAC pain (SMD = 0.51, 95% CI 0.34 to 0.69, P<0.00001), the WOMAC physical function (SMD = 0.56, 95% CI 0.38 to 0.74, P<0.00001) and PGA (SMD = 0.34, 95% CI 0.22 to 0.47, P<0.00001). There was no significant difference in serious adverse events (RR = 1.06, 95% CI 0.59 to 1.92, P = 0.84) between the tanezumab and placebo groups. Tanezumab significantly increased discontinuations due to adverse events (RR = 2.89, 95% CI 1.59 to 5.26, P = 0.0005), abnormal peripheral sensations (RR = 3.14, 95% CI 2.12 to 4.66, P<0.00001), and peripheral neuropathy (RR = 6.05, 95% CI 2.32 to 15.81, P = 0.0002).
    Conclusion
    Tanezumab can alleviate pain and improve function for patients with OA of the knee. However, considering the limited number of studies, this conclusion should be interpreted cautiously and more clinical randomized controlled trials are needed to verify the efficacy and safety of tanezumab for OA of the knee.

  • 推荐引用方式
    GB/T 7714:
    Kan Shun-Li,Li Yan,Ning Guang-Zhi, et al. Tanezumab for Patients with Osteoarthritis of the Knee: A Meta-Analysis [J].PLOS ONE,2016,11(6).
  • APA:
    Kan Shun-Li,Li Yan,Ning Guang-Zhi,Yuan Zhi-Fang,&Feng Shi-Qing.(2016).Tanezumab for Patients with Osteoarthritis of the Knee: A Meta-Analysis .PLOS ONE,11(6).
  • MLA:
    Kan Shun-Li, et al. "Tanezumab for Patients with Osteoarthritis of the Knee: A Meta-Analysis" .PLOS ONE 11,6(2016).
  • 入库时间:
    12/16/2019 3:18:32 PM
  • 更新时间:
    12/16/2019 3:18:32 PM
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