机构:[1]China Japan Friendship Hosp, Dept Ophthalmol, Beijing 100029, Peoples R China[2]Beijing Hosp, Dept Ophthalmol, Beijing 100000, Peoples R China[3]Capital Med Univ,Beijing Tongren Hosp,Dept Ophthalmol,Beijing 100730,Peoples R China首都医科大学附属北京同仁医院临床科室眼科眼底科眼科(未分亚科)[4]Capital Med Univ, Beijing Friendship Hosp, Dept Ophthalmol, Beijing 100730, Peoples R China首都医科大学附属北京友谊医院[5]Tianjin Eye Hosp, Tianjin 300020, Peoples R China[6]Chinese Acad Chinese Med Sci, Eye Hosp, Dept Ophthalmol, Beijing 100040, Peoples R China[7]Peking Univ, Peking Univ Eye Ctr, Beijing 100191, Peoples R China[8]Chinese Assoc Tradit Chinese Med, Beijing 100061, Peoples R China[9]Sun Yat Sen Univ, Zhongshan Ophthalm Ctr, State Key Lab Ophthalmol, Guangzhou 510060, Guangdong, Peoples R China[10]Peking Union Med Coll, Dept Ophthalmol, Beijing 100730, Peoples R China
Background: Anti-VEGF agent ranibizumab has been extensively used as a standard treatment for wet AMD. We investigated whether traditional Chinese medicine could serve as a complementary therapy for this disease. Methods: 144 patients with neovascular age-related macular degeneration received either intravitreal ranibizumab treatment as needed plus placebo or intravitreal ranibizumab treatment as needed plus an FDA approved traditional Chinese patent medicine named ZQMT. Both groups received treatment for 24 weeks. The primary outcome was the mean change of visual acuity at week 24 as compared to the baseline. Results: We found that intravitreal ranibizumab treatment plus ZQMT was non-inferior to the treatment with intravitreal ranibizumab alone in improving visual acuity scores at week 24 with patients in both groups who gained substantial numbers of letters. In addition, we found that ZQMT treatment resulted in significant improvements in reducing retinal hemorrhage, fluid, and lesion size. Importantly, administration of ZQMT reduced the number of needed ranibizumab injections (P<0.0001, analysis of variance) in wet AMD patients leading to a significant reduction of drug cost. Conclusion: The combinatory therapy of ranibizumab and traditional Chinese patent medicine ZQMT had equivalent effects on visual acuity improvement and safety profiles as the ranibizumab treatment alone. Ranibizumab injections coupled with ZQMT offer therapeutic advantages in terms of reduction of retinal lesions and ease the financial burden of patients undergoing treatment by reducing the frequency of necessary ranibizumab injections.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China [81373693]
第一作者机构:[1]China Japan Friendship Hosp, Dept Ophthalmol, Beijing 100029, Peoples R China
推荐引用方式(GB/T 7714):
Jin M.,Dai H.,Zhang X.,et al.A Traditional Chinese Patent Medicine ZQMT for Neovascular Age-Related Macular Degeneration: A Multicenter Randomized Clinical Trial[J].CURRENT MOLECULAR MEDICINE.2018,18(9):622-629.doi:10.2174/1566524019666190107155311.
APA:
Jin, M.,Dai, H.,Zhang, X.,Wang, Y.,Han, M....&Chen, Y..(2018).A Traditional Chinese Patent Medicine ZQMT for Neovascular Age-Related Macular Degeneration: A Multicenter Randomized Clinical Trial.CURRENT MOLECULAR MEDICINE,18,(9)
MLA:
Jin, M.,et al."A Traditional Chinese Patent Medicine ZQMT for Neovascular Age-Related Macular Degeneration: A Multicenter Randomized Clinical Trial".CURRENT MOLECULAR MEDICINE 18..9(2018):622-629