Bosentan for patients with steroid-resistant pulmonary sarcoidosis: a randomised controlled trial.

Author: BatyFlorent, BrutscheMartin, HostettlerKatrin, JunkerLilian, KleinerRebekka, TammMichael

Paper Details 
Original Abstract of the Article :
BACKGROUND: Sarcoidosis is a disorder of unknown aetiology. Most patients have steroid-responsive disease, but side effects and steroid resistance may necessitate alternative treatments. Endothelin has in-vitro fibrogenic activity and the endothelin system is activated in sarcoidosis. OBJECTIVES: W...See full text at original site
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引用元:
https://pubmed.ncbi.nlm.nih.gov/30378090

データ提供:米国国立医学図書館(NLM)

Bosentan: A New Frontier in Sarcoidosis Treatment?

Sarcoidosis is a chronic inflammatory disease that affects various organs, primarily the lungs. This research explores the efficacy and safety of bosentan, an endothelin receptor antagonist, as a potential treatment for steroid-resistant pulmonary sarcoidosis. The authors conducted a 12-month, double-blind, randomized, placebo-controlled phase II trial involving patients with steroid-resistant sarcoidosis and impaired exercise capacity and/or lung function. The study found no statistically significant differences between bosentan and placebo in the primary endpoints, suggesting that bosentan may not be an effective treatment for steroid-resistant pulmonary sarcoidosis. However, bosentan was well tolerated, with no serious drug-related adverse events reported.

The Journey Continues: Exploring New Treatment Options for Sarcoidosis

While this study did not demonstrate the efficacy of bosentan for steroid-resistant sarcoidosis, it provides valuable information about its safety profile. Further research is needed to explore other potential treatment options for this challenging disease. The quest for effective treatments for sarcoidosis is like searching for a hidden oasis in the vast desert, requiring perseverance, innovation, and collaboration.

Managing Sarcoidosis: The Importance of Early Detection and Lifestyle Modifications

Early detection and prompt treatment are crucial for managing sarcoidosis. If you experience any symptoms such as shortness of breath, fatigue, cough, or chest pain, it's essential to seek medical attention promptly. Maintaining a healthy lifestyle, including a balanced diet, regular exercise, and stress management, can also help manage the disease and improve quality of life. Remember, taking an active role in your health journey can make a significant difference.

Dr. Camel's Conclusion

The search for effective treatments for sarcoidosis is a continuous journey through the desert of medical research. While this study did not find evidence to support the efficacy of bosentan, it highlights the importance of ongoing exploration and the need for new treatment options. Let us continue to seek out promising avenues, guided by the principles of scientific rigor and a commitment to improving patient outcomes.

Date :
  1. Date Completed 2018-12-18
  2. Date Revised 2018-12-18
Further Info :

Pubmed ID

30378090

DOI: Digital Object Identifier

Swiss med Wkly. 2018;148:w14677

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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