Application of N-acetylcysteine in preparation of medicine for treating hematopoietic stem cell transplantation related thrombotic microangiopathy
A technology of acetylcysteine and hematopoietic stem cells, applied in the direction of extracellular fluid diseases, cardiovascular system diseases, blood diseases, etc., to achieve definite curative effect
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[0019] Embodiment 1: clinical case
[0020] The First Affiliated Hospital of Soochow University carried out a prospective randomized clinical trial. A total of 140 patients who underwent allogeneic hematopoietic stem cell transplantation were enrolled, of which 66 patients received NAC prophylactically from 9 days before the transplantation to 30 days after the transplantation, and 74 patients in the control group used it. amount of placebo. The incidence of TA-TMA was 9.1% (95% CI, 0.02-0.162) in the NAC group and 23% (95% CI, 0.132-0.328) in the control group, with a ratio ratio (RR) of 0.34 (95% CI, 0.123-0.911; P=0.039), thus indicating that NAC can significantly prevent the occurrence of TA-TMA. The 2-year OS rates of the NAC group and the control group were 75.4% (95%CI, 2.865-7.353) and 63.0% (95%CI, 0.508-0.735), respectively, and the HR was 0.622 (95%CI, 0.334-1.155; P= 0.132).
[0021] Activity was assessed in 66 patients from the NAC cohort and 74 patients from t...
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