Kou Haiyang, Chen Bo
College of Acumox and Tuina, Guizhou University of Traditional Chinese Medicine, Gui Yang, 553001, Guizhou, China.
Clin Rheumatol. 2025 Apr;44(4):1417-1426. doi: 10.1007/s10067-024-07292-w. Epub 2025 Feb 25.
To assess the impact of fulranumab intervention on osteoarthritis (OA) patients and offer a clinically relevant, evidence-based guide for fulranumab intervention in patients with OA. RevMan 5.4 was utilized to conduct a meta-analysis after relevant data on randomized controlled trials of therapeutic interventions for patients with OA were gathered from literature databases such PubMed, Embase, Web of Science, and the Cochrane Library. A total of 8 randomized controlled studies were included, including 1927 patients with osteoarthritis. Meta-analysis showed that compared with the control group, fulranumab intervention had more gains, (MD = - 6.76, 95% CI [- 13.37 to - 0.15]; Z = 2.00; P = 0.05), WOMAC pain (3 mg, week 17) (MD = - 0.78, 95% CI [- 1.10 to - 0.46]; Z = 4.79; P < 0.00001), BPI-SF: pain intensity score (1 mg, week 12) (MD = - 4.29, 95% CI [- 9.15 to 0.57]; Z = 1.73; P = 0.08), and BPI-SF: pain interference (1 mg, week 12) (MD = - 5.98, 95% CI [- 6.64 to - 5.32]; Z = 17.84; P < 0.00001). When used in conjunction with nerve growth factor (NGF) therapy, fulranumab offers an efficient osteoarthritis therapeutic alternative. Patients with osteoarthritis can have a considerable improvement in their WOMAC, short pain inventory, patient global assessment scores, clinical symptoms, and overall quality of life. One possible therapeutic approach for the condition might be to use fulranumab.
评估富兰单抗干预对骨关节炎(OA)患者的影响,并为OA患者的富兰单抗干预提供临床相关的、基于证据的指导。从PubMed、Embase、Web of Science和Cochrane图书馆等文献数据库收集OA患者治疗干预随机对照试验的相关数据后,使用RevMan 5.4进行荟萃分析。共纳入8项随机对照研究,包括1927例骨关节炎患者。荟萃分析表明,与对照组相比,富兰单抗干预有更多益处,(平均差[MD]= - 6.76,95%可信区间[CI][- 13.37至 - 0.15];Z = 2.00;P = 0.05),WOMAC疼痛评分(3毫克,第17周)(MD = - 0.78,95% CI[- 1.10至 - 0.46];Z = 4.79;P < 0.00001),简明疼痛量表(BPI-SF):疼痛强度评分(1毫克,第12周)(MD = - 4.29,95% CI[- 9.15至0.57];Z = 1.73;P = 0.08),以及BPI-SF:疼痛干扰(1毫克,第12周)(MD = - 5.98,95% CI[- 6.64至 - 5.32];Z = 17.84;P < 0.00001)。当与神经生长因子(NGF)疗法联合使用时,富兰单抗提供了一种有效的骨关节炎治疗选择。骨关节炎患者的WOMAC、简短疼痛量表、患者整体评估评分、临床症状和总体生活质量可得到显著改善。针对该病症的一种可能治疗方法可能是使用富兰单抗。