È«ÉíÐÍÉÙÓ×ÌØ·¢ÐԹؽÚÑ×È«¹úÊ׳¡×¨¼Ò×êÑлᱱ¾©Õ¾³É¹¦½øÐÐ
°ä²¼¹¦·ò
2026-03-12
ÔĶÁÁ¿
4215
·ÖÏí
Óɱ±¾©ÕûºÏҽѧ»ù½ð»áÖ÷°ì¡¢3377ÌåÓýÈ«ÍøÒ©ÒµÖ§³ÖµÄ¡°È«ÉíÐÍÉÙÓ×ÌØ·¢ÐԹؽÚÑ×È«¹úÊ׳¡×¨¼Ò×êÑлᡪ±±¾©Õ¾¡±ÓÚ2026Äê3ÔÂ7ÈÕÔ²ÂúÕÙ¿ª£¬£¬£¬£¬£¬£¬£¬»áÒé»ã¾ÛÈ«¹ú¶ùͯ·çʪÃâÒßÁìÓò¶¥¼âר¼Ò£¬£¬£¬£¬£¬£¬£¬3377ÌåÓýÈ«ÍøÒ©Òµ´ÞÏþÓðÏÈÉú³öϯ²¢Ö´ǡ£¡£¡£¡£¡£¡£¡£¡£´ÞÏþÓð°µÊ¾£¬£¬£¬£¬£¬£¬£¬3377ÌåÓýÈ«ÍøÒ©ÒµÉî¸û¶ù¿ÆÁìÓò¶þÊ®ÓàÄ꣬£¬£¬£¬£¬£¬£¬ÔÚ¶ùͯ×ÔÉíÃâÒßÐÔ¼²²¡ÁìÓò£¬£¬£¬£¬£¬£¬£¬²¼¾ÖϵͳÐÔºì°ßÀÇ´¯¡¢¸ÉÔï×ÛºÏÕ÷µÈϵÁвúÆ·£»£»£»£»£»£»£»ÔÚ¶ùͯº±¼û²¡ÓëÃâÒßÑ×Ö¢ÁìÓò£¬£¬£¬£¬£¬£¬£¬ÝÓÈÆsJIAµÈÍÆ¶¯¶àÏîÔÚÑÐÒ©Î£»£»£»£»£»£»ÔÚ¶ùͯºôÎüÓë·¢ÓýÓйؼ²²¡·½Ã棬£¬£¬£¬£¬£¬£¬Õë¶Ô¹ýÃô¡¢Ö§Æø¹Ü·Î·¢Óý²»Á¼µÈÊÊÓ¦Ö¢µÄÓйØÏîĿҲ½øÈëIND³ï±¸½×¶Î£¬£¬£¬£¬£¬£¬£¬Ðγɡ°¶àÁìÓò¸²¸Ç¡¢¶à½×¶ÎÍÆ¶¯¡¢¶à¼¼ÊõÈںϡ±µÄÑз¢¸ñ¾Ö¡£¡£¡£¡£¡£¡£¡£¡£ÆäÖÐ3377ÌåÓýÈ«ÍøÒ©Òµ×ÔÖ÷Ñз¢µÄ1.1ÀàÐÂÒ©·üÐÀÆæ°Ýµ¥¿¹ÔÚsJIA IIÆÚÁÙ´²×êÑÐÏÔʾÆäÓ¦´ðÂʸߡ¢°²È«ÐÔÓÅÁ¼£¬£¬£¬£¬£¬£¬£¬Ä¿Ç°IIIÆÚÁÙ´²Õý¼Ó¿ìÍÆ¶¯£¬£¬£¬£¬£¬£¬£¬µÈ´ýÔçÈÕΪȫÇò»¼¶ù´øÀ´¸üÓÅÒ½ÖÎÑ¡Ôñ¡£¡£¡£¡£¡£¡£¡£¡£
Ò»¡¢´ó»áÖ÷Ìâ·ÖÏí
1.1sJIA·¢²¡»úÔì
sJIAÒÔ¸ßÈÈ¡¢Æ¤Õ£¬£¬£¬£¬£¬£¬°é»ò²»°é¹Ø½ÚÑ×ÎªÖØÒªÌØµã£¬£¬£¬£¬£¬£¬£¬¼«ÒשÕïºÍÎóÕ£¬£¬£¬£¬£¬£¬¿ÉÀÛ¼°È«Éí¶àÔàÆ÷£¬£¬£¬£¬£¬£¬£¬ÑϳÁÕ߿ɲ¢·¢¾ÞÊÉϸ°û»î»¯×ÛºÏÕ÷£¨MAS£©£¬£¬£¬£¬£¬£¬£¬Î£¼°»¼¶ùÐÔÃü¡£¡£¡£¡£¡£¡£¡£¡£1-3sJIA·¢²¡»úÔìÊǹÌÓÐÃâÒßʧµ÷Çý¶¯µÄ×ÔÉíÑ×Ö¢·ç±©¡£¡£¡£¡£¡£¡£¡£¡£µ±Î£ÏÕÓйطÖ×Óģʽ£¨DAMPs£©»ò²¡ÔÌåÓйطÖ×Óģʽ£¨PAMPs£©¼¤»îNLRP3Ñ×Ö¢Ó×Ìåºó£¬£¬£¬£¬£¬£¬£¬caspase-1½éµ¼pro-IL-1¦Â¼ôÇÐΪ»îÐÔģʽ£¬£¬£¬£¬£¬£¬£¬ºóÕßÓëIL-1R1½áºÏ´¥·¢NF-kB/MAPKÐźż¶Áª£¬£¬£¬£¬£¬£¬£¬ÓÕµ¼IL-6,TNF-¦Á,Ç÷»¯Òò×ӵȿªÊÍ£¬£¬£¬£¬£¬£¬£¬Ðγɡ°IL-1¦Â×Ô·´À¡Ñ»·¡±4-7¡£¡£¡£¡£¡£¡£¡£¡£Í¨¹ýÒÖÔìIL-1¦ÂÐźÅÒѳÉΪsJIAÒ½ÖÎÖØÒªÒ©ÎïÑз¢Õ½Êõ¡£¡£¡£¡£¡£¡£¡£¡£8

1.2sJIAÒ½ÖÎÒ©Îï
»áÒé½éÉÜÁËÖйúÊ׸ö¡¢3377ÌåÓýÈ«Íø×ÔÖ÷Ñз¢µÄ1.1ÀàÐÂÒ©·üÐÀÆæ°Ýµ¥¿¹ÔÚsJIAµÄPhase II×êÑÐÊý¾Ý¡£¡£¡£¡£¡£¡£¡£¡£9
Ò»¡¢×êÑÐÉè¼Æ
×êÑй²ÄÉÈë50ÀýsJIA»¼¶ù£¬£¬£¬£¬£¬£¬£¬Ëæ»ú·ÖÅäÖÁ·üÐÀÆæ°Ýµ¥¿¹3.0 mg/kg×飨17Àý£©¡¢4.0 mg/kg×飨16Àý£©»òÍÐÖéµ¥¿¹×飨17Àý£©¡£¡£¡£¡£¡£¡£¡£¡£×êÑÐÔ̺¬É¸Ñ¡ÆÚ¡¢µ¼ÈëÒ½ÖÎÆÚ£¨4ÖÜ£©¡¢Î¬³ÖÒ½ÖÎÆÚ£¨20ÖÜ£©ºÍËæ·ÃÆÚ¡£¡£¡£¡£¡£¡£¡£¡£¹²·ÖΪÈý¸öÒ½ÖÎ×飬£¬£¬£¬£¬£¬£¬±ðÀëΪ·üÐÀÆæ°Ýµ¥¿¹3.0 mg/kg£¨Ã¿4ÖܸøÒ©Ò»´Î£¬£¬£¬£¬£¬£¬£¬Æ¤ÏÂ×¢É䣩¡¢4.0 mg/kgÿ4ÖܸøÒ©Ò»´Î£¬£¬£¬£¬£¬£¬£¬Æ¤ÏÂ×¢ÉäºÍÍÐÖéµ¥¿¹×飨ÿ2ÖܸøÒ©Ò»´Î£¬£¬£¬£¬£¬£¬£¬¾²ÂöÊä×¢£©¡£¡£¡£¡£¡£¡£¡£¡£×êÑÐD28´ïµ½ACR Pedi 30Ó¦´ðµÄÊÜÊÔÕß½øÈëά³ÖÒ½ÖÎÆÚ£»£»£»£»£»£»£»Î´´ïµ½ÕßʵÏÖÒ½ÖΣ¬£¬£¬£¬£¬£¬£¬½øÈëËæ·ÃÆÚ¡£¡£¡£¡£¡£¡£¡£¡£

¶þ¡¢¼±¾çǿЧӦ´ð£ºÖØÒªÖÕµãDay 28 ACR Pedi 30¸ß´ï94.1%
·üÐÀÆæ°Ýµ¥¿¹ 3.0 mg/kg×é¸Ä½øACR Pedi30Ϊ94.1%£¬£¬£¬£¬£¬£¬£¬ÍÐÖéµ¥¿¹×éΪ82.4%¡£¡£¡£¡£¡£¡£¡£¡£

Èý¡¢¼¤ËؼõÍ££ºÁÙ´²»ñÒæµÄÓ²ÖÕµã
ÌÇÆ¤Öʼ¤ËؼõÍ£ÊÇÆÀ¹ÀÉúÎïÔì¼Á¡°ÕæÊµ¼ÛÖµ¡±µÄ¹Ø¼üÖ¸±ê¡£¡£¡£¡£¡£¡£¡£¡£ÖÁÒ½ÖÎʵÏÖʱ£¬£¬£¬£¬£¬£¬£¬·üÐÀÆæ°Ýµ¥¿¹3.0 mg/kg×é¼¤ËØ¼õÍ£³É¹¦Âʸߴï75.0%£¬£¬£¬£¬£¬£¬£¬¶øÍÐÖéµ¥¿¹×éΪ62.5%¡£¡£¡£¡£¡£¡£¡£¡£½Ï¸ßµÄ¼¤ËؼõÍ£±ÈÀýÌáÐÑ£¬£¬£¬£¬£¬£¬£¬¸Ã¹æ»®ÔÚÏ÷¼õ¼¤ËØÂ¶³ö·½ÃæÓµÓлý¼«Òâ˼£¬£¬£¬£¬£¬£¬£¬ÓÐÖúÓÚ½µµÍ³Ö¾ÃʹÓÃÌÇÆ¤Öʼ¤ËØÓйز»Á¼Ó°ÏìµÄ·çÏÕ¡£¡£¡£¡£¡£¡£¡£¡£

ËÄ¡¢ °²È«ÐÔ¡°ÈýÁ㡱¼Í¼
·üÐÀÆæ°Ýµ¥¿¹3.0 mg/kg×éÔÚ×êÑÐÖÐÌåÏÖÁ˽Ϻð²È«ÐÔ£¬£¬£¬£¬£¬£¬£¬ÊµÏÖ¡°ÈýÁ㡱¼Í¼
¡¤ 0 ¡Ý3¼¶Ò½ÖÎÆÚ¼ä²»Á¼ÊÂÎñ£¨TEAEs£©
¡¤ 0 ÑϳÁ²»Á¼ÊÂÎñ£¨SAEs£©
¡¤ 0 ¾ÞÊÉϸ°û»î»¯×ÛºÏÕ÷£¨MAS£©ÊÂÎñ

¶þ¡¢´ó»áרÌâ»áÉÌ
1.sJIAδ±»Âú×ãµÄÕïÖÎÐèÒª
2024Å·ÖÞ¿¹·çʪ²¡ÁªÃËÓëÅ·ÖÞ¶ù¿Æ·çʪ²¡Ñ§»á¹ØÓÚstill²¡£¡£¡£¡£¡£¡£¡£¡£¨Ô̺¬sJIAºÍ³ÉÈËstill²¡£¡£¡£¡£¡£¡£¡£¡£©µÄÕï¶ÏºÍÖÎÀí½¨ÒéΪԤ·À³Ö¾ÃʹÓÃÈ«ÉíÐÔÌÇÆ¤Öʼ¤ËØÀ´ÊµÏÖ²¢Î¬³ÖÒ½ÖÎÖ¸±ê£¬£¬£¬£¬£¬£¬£¬¸ßˮƽµÄÖ¤¾ÝÖ§³ÖÓ¦ÓÅÏÈʹÓÃIL-1ºÍIL-6ÒÖÔì¼Á£¬£¬£¬£¬£¬£¬£¬Í¬Ê±½¨ÒéÈ·ÕïºóÓ¦¾¡ÔçÆðͷʹÓÃIL-1ÒÖÔì¼Á»òIL-6ÒÖÔì¼Á10£»£»£»£»£»£»£»2025·ºÃÀ·çʪ²¡Ð»áÁªÃ˹ØÓÚÈ«ÉíÐÍÉÙÓ×ÌØ·¢ÐԹؽÚÑ×µÄÒ½Öν¨Òé¶ÔÓÚÒÔÈ«ÉíÖ¢×´ÎªÖØÒª²û·¢ÇÒ¼²²¡»î¶¯¶È¸ßµÄÐÂÕï¶ÏsJIA»¼Õߣ¬£¬£¬£¬£¬£¬£¬Ó¦½«°ÐÏòIL-1ͨ·ҩÎï»òIL-6ÊÜÌåÞ׿¹¼Á×÷ΪһÏßÒ½Öι滮¡£¡£¡£¡£¡£¡£¡£¡£11 ÓÐ×êÑÐÅú×¢Ò»ÏßʹÓÃIL-1ÒÖÔì¼ÁÒ½ÖÎsJIA£¬£¬£¬£¬£¬£¬£¬¿ÉÏ÷¼õÒ½ÁÆÓöÈÖ§³ö¡£¡£¡£¡£¡£¡£¡£¡£12È»¶ø¹úÄÚÉúÎïÔì¼ÁÒòÒ½ÖμÛÖµ¼°²¿ÃÅÐÂÒ©²»³É¼°£¬£¬£¬£¬£¬£¬£¬µÈ´ý¹ú²ú¿¹IL-1¦Âµ¥¿¹Ò©ÎォÀ´ÄÜ»ñÅú£¬£¬£¬£¬£¬£¬£¬¸ÄÉÆsJIA¼°×ÔÉíÑ×Ö¢¼²²¡Ò½Öνü¿öºÍ»¼¶ùÔ¤ºó¡£¡£¡£¡£¡£¡£¡£¡£


2.¿¹IL-1¦Âµ¥¿¹ÁÙ´²Ò½ÖμÛÖµ
Óë»áר¼Ò°µÊ¾IL-1¦Â×÷Ϊ×ÔÉíÑ×Ö¢µÄÖ÷ÌâÇý¶¯Òò×Ó£¬£¬£¬£¬£¬£¬£¬ÔÚ²»½öÔÚsJIA£¬£¬£¬£¬£¬£¬£¬»¹ÔÚCAPS¡¢TRAPS¡¢MKD¡¢DIRAµÈ¼²²¡µÄ·¢²¡»úÔìÖÐÆð¹Ø¼ü×÷Óᣡ£¡£¡£¡£¡£¡£¡£13

Èý¡¢sJIAÈ«³ÌÖÎÀíõè¾¶
Óë»áר¼Ò°µÊ¾sJIAµÄ¼²²¡¹ý³ÌÓµÓÐÏÔÖøÒìÖÊÐÔ£¬£¬£¬£¬£¬£¬£¬?¹ÌÓÐÃâÒ߽׶εĹýÎÊ´°¿ÚÆÚÓÈΪ¹Ø¼ü?¡£¡£¡£¡£¡£¡£¡£¡£ÈôÄÜÔÚÑ×Ö¢³õÆÚͨ¹ý°ÐÏòÒ½ÖÎ×è¶Ï¼¶Áª·´Ó³£¬£¬£¬£¬£¬£¬£¬Ò©ÎïÒ½ÖÎÁƳ̹淶»¯£¬£¬£¬£¬£¬£¬£¬¿ÉÏÔÖø½µµÍ¹Ø½ÚÑ×½øÕ¹¼°MASµÈÑϳÁ²¢·¢Ö¢·çÏÕ¡£¡£¡£¡£¡£¡£¡£¡£Óë»áר¼Ò¾Í?"¼²²¡½¨ÊΣ¨Disease Modification£©"?ÀíÏëÔÚsJIAµÄʹÓ÷¢Õ¹»áÉÌ£¬£¬£¬£¬£¬£¬£¬Ç¿µ÷ͨ¹ýÔçÆÚ¾«×¼¹ýÎÊŤתÌìÈ»²¡³Ì£¬£¬£¬£¬£¬£¬£¬Ô¤·À»¼Õß½øÕ¹ÖÁÄÑÖÎÐԹؽÚΣÏÕ»ò²»³ÉÄæ²Ð¼²¡£¡£¡£¡£¡£¡£¡£¡£
´ó»á×ܽá
·üÐÀÆæ°Ýµ¥¿¹ÔÚsJIA Phase II×¢²áÁÙ´²ÖÐչʾ³öÓÅÁ¼Ç±Á¦£¬£¬£¬£¬£¬£¬£¬IIIÆÚÊÔÑ齫½øÒ»²½À©´óÑù±¾Á¿ÒÔÑéÖ¤ÁÆÐ§¡£¡£¡£¡£¡£¡£¡£¡£IL-1ͨ·Òì³£»£»£»£»£»£»£»î»¯¿í·º´æÔÚÓÚ¶àÖÖ×ÔÉíÑ×Ö¢ÐÔ¼²²¡£¬£¬£¬£¬£¬£¬£¬Í¨¹ý¹æ·¶ÁÙ´²×êÑÐÀ©´óÊÊÓ¦Ö¢£¬£¬£¬£¬£¬£¬£¬²»½öÄÜÌáÉýÒ©Îï¿É¼°ÐÔ£¬£¬£¬£¬£¬£¬£¬×îÖջݼ°¸ü¶àº±¼û²¡»¼ÕßȺÌå¡£¡£¡£¡£¡£¡£¡£¡£
²Î¿¼Îļþ
1. È«ÉíÐÍÉÙÓ×ÌØ·¢ÐԹؽÚÑ×¼°¹é²¢¾ÞÊÉϸ°û»î»¯×ÛºÏÕ÷ÕïÁÆ×¨¼Ò¹²Ê¶£¨2022°æ£©[J].ÖлªÊµÓöù¿ÆÁÙ´²ÔÓÖ¾,2022,37(20):1539-1548.
2. È«ÉíÐÍÉÙÓ×ÌØ·¢ÐԹؽÚÑ׹鲢¾ÞÊÉϸ°û»î»¯×ÛºÏÕ÷ÕïÁÆ×¨¼Ò¹²Ê¶£¨2025°æ£©[J].ÖлªÊµÓöù¿ÆÁÙ´²ÔÓÖ¾,2025,40(6):406-413.
3. Àî²Ê·ï,µÈ.ÉÙÓ×ÌØ·¢ÐԹؽÚÑ×ÕïÁƹ淶[J].ÖлªÄÚ¿ÆÔÓÖ¾,2022,61(2): 142-15
4. Lima TS. Exp Physiol. 2023,108(7):917-924
5. Xu J, et al. Trends Biochem Sci. 2023,48(4):331-344
6. Broderick L, et al. Nat Rev Rheumatol. 2022,18(8):448-463
7. Gagro A. Reumatologia. 2024,62(2):71-73
8. Mai W, et al. Front Immunol. 2020,11:589654
9. Efficacy and Safety of Firsekibart in Treatment of Active Systemic Juvenile ldiopathic Arthritis: ARandomized Phase 2 Study. DOl:10.1007/s40744-026-00830-9
10. Fautrel B, et al. Ann Rheum Dis. 2024,83(12):1614-1627£»£»£»£»£»£»£»
11. Franco L, et al. Rheumatol Adv Pract. 2025,9(4):rkaf087
12¡¢Bullement A, et al. Open Access Rheumatol. 2021,13:257-266
13¡¢Romano M, et al. Arthritis Rheumatol. 2022,74(7):1102-112
ÉêÃ÷
1.±¾×ÊÁÏÖ¼ÔÚ´«µÝÇ°ÑØÐÅÏ¢ºÍÂú×ãÒ½ÁÆÎÀÉúרҵÈËÊ¿µÄҽѧÐÅÏ¢±ØÒª£¬£¬£¬£¬£¬£¬£¬ÎÞÒâÏòÄú×öÈκβúÆ·µÄÍÆ¹ã£¬£¬£¬£¬£¬£¬£¬²»×÷ΪÁÙ´²ÓÃÒ©Áìµ¼¡£¡£¡£¡£¡£¡£¡£¡£
2.ÈôÄúÏëÏàʶ¾ßÌå¼²²¡ÕïÁÆÐÅÏ¢£¬£¬£¬£¬£¬£¬£¬Çë×ñ´ÓÒ½ÁÆÎÀÉúרҵÈËÊ¿µÄ¶¨¼ûÓëÁìµ¼¡£¡£¡£¡£¡£¡£¡£¡£