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Takayasu大动脉炎

Takayasu arteritis

定义 英文原文(暂无中文)

A rare predominantly large-vessel vasculitis that is characterized by affected aorta and its major branches, but also other large vessels, causing stenosis, occlusion, or aneurysm.

基本事实

遗传方式
不适用
发病年龄
青少年期、成年期
患病率
<1 / 1 000 000(Europe)

相关基因 3

基因名称关联类型
HLA-Bmajor histocompatibility complex, class I, BMajor susceptibility factor in
IL12Binterleukin 12BMajor susceptibility factor in
MLXMAX dimerization protein MLXMajor susceptibility factor in

临床表型 54

极常见 99–80%9

  • 心脏瓣膜形态异常 HP:0001654
  • 动脉狭窄 HP:0100545
  • 动脉炎 HP:0012089
  • 血管扩张 HP:0002617
  • 疲乏 HP:0012378
  • 发热 HP:0001945
  • 高血压危象 HP:0100735
  • 血管炎 HP:0002633
  • 体重减轻 HP:0001824

常见 79–30%24

  • 主动脉瓣形态异常 HP:0001646
  • 无脉 HP:0032554
  • 贫血 HP:0001903
  • 厌食症 HP:0002039
  • 关节炎 HP:0001369
  • 生主动脉动脉瘤 HP:0004970
  • 双臂血压不对称 HP:6000945
  • 腿部血压明显高于手臂 HP:0020141
  • 颈动脉痛 HP:6000944
  • 胸痛 HP:0100749
  • 红细胞沉降速度升高 HP:0003565
  • 坏疽 HP:0100758
  • 头痛 HP:0002315
  • 高血压 HP:0000822
  • 炎症反应增强 HP:0012649
  • 间歇性跛行 HP:0004417
  • 偏头痛 HP:0002076
  • 肌无力 HP:0001324
  • 肌痛 HP:0003326
  • 心肌梗死 HP:0001658
  • 肺动脉高压 HP:0002092
  • 肾动脉狭窄 HP:0001920
  • 癫痫发作 HP:0001250
  • 皮肤溃疡 HP:0200042

偶见 29–5%21

  • 异常言语模式 HP:0002167
  • 心内膜形态异常 HP:0004306
  • 一时性黑蒙 HP:0100576
  • 主动脉瓣反流 HP:0001659
  • 关节疼痛 HP:0002829
  • 脑缺血 HP:0002637
  • 充血性心力衰竭 HP:0001635
  • 扩张型心肌病 HP:0001644
  • 呼吸困难 HP:0002094
  • C-反应蛋白水平升高 HP:0011227
  • 结节性红斑 HP:0012219
  • 胃肠道梗塞 HP:0005244
  • 咯血 HP:0002105
  • 全身乏力不适 HP:0033834
  • 盗汗 HP:0030166
  • 意识下降 HP:0004372
  • 视网膜病变 HP:0000488
  • 卒中 HP:0001297
  • 短暂性脑缺血发作 HP:0002326
  • 眩晕 HP:0002321
  • 视觉障碍 HP:0000505

近两年的全球研究 1,231L2

2024/10 起在 Europe PMC 检索所得,按发表时间倒序显示最近 20 篇。标题未译成中文——自动翻译需要接入 LLM 服务,尚未引入。

  • 2026-10
    [Expert consensus on the operational protocol for radionuclide pulmonary ventilation/perfusion scintigraphy of pulmonary thromboembolism]
    Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chine · DOI · Europe PMC
  • 2026-09
    Comparative Effectiveness of Tocilizumab and Tumor Necrosis Factor Inhibitors in Takayasu Arteritis: Age-Related Differences in Treatment Response
    Arthritis care & research · DOI · Europe PMC
  • 2026-09综述
    Takayasu Arteritis Presenting With Upper Extremity Ischemia Treated by Carotid-Humeral Bypass: A Case-Based Review
    The American surgeon · DOI · Europe PMC
  • 2026-09
    Increased mortality rate in patients with Takayasu arteritis is largely driven by early disease activity and damage: analysis of two cohorts
    Rheumatology (Oxford, England) · DOI · Europe PMC
  • 2026-09病例报告
    Takayasu arteritis manifesting as pyrexia of unknown origin and massive splenomegaly
    BMJ case reports · DOI · Europe PMC
  • 2026-09开放获取
    Giant abdominal hematoma from injection into an insulin ball during dual antithrombotic and corticosteroid therapy
    Journal of diabetes investigation · DOI · Europe PMC
  • 2026-09综述
    The MHC-I-opathy architecture: immunogenetic and biomechanical determinants of disease expression
    Zeitschrift fur Rheumatologie · DOI · Europe PMC
  • 2026-09
    Reversing the Reverse: Nitrate-Enhanced Tc-99m MIBI MPS Unmasking Microvascular Dysfunction in Takayasu Arteritis
    Clinical nuclear medicine · DOI · Europe PMC
  • 2026-09开放获取
    Geometric morphological parameters from cardiac magnetic resonance imaging in assessment of chronic pulmonary thromboembolism, a prospective pilot study
    European radiology experimental · DOI · Europe PMC
  • 2026-09病例报告开放获取
    Unusual blue discolouration of the ascending aorta in a patient with Churg-Strauss syndrome undergoing surgical aortic valve replacement: a case report
    Journal of surgical case reports · DOI · Europe PMC
  • 2026-09开放获取
    Proceedings of the 33rd European Paediatric Rheumatology Congress
    Pediatric rheumatology online journal · DOI · Europe PMC
  • 2026-09综述开放获取
    How Organ Manifestations Beyond the Bone May Guide Risk Stratification and Treatment Decisions in Chronic Nonbacterial Osteomyelitis
    Paediatric drugs · DOI · Europe PMC
  • 2026-09开放获取
    Takayasu Arteritis in a G6PD Deficient Female Patient With Recurrent Axillary Artery Stenosis: A Case Report
    Clinical case reports · DOI · Europe PMC
  • 2026-09综述开放获取
    Interface between inborn errors of immunity and rheumatological disorders in children: A pediatrician's conundrum
    World journal of clinical pediatrics · DOI · Europe PMC
  • 2026-09
    Collateral vessels supplying blood to the brain and the entire upper body in a patient with Takayasu arteritis
    Journal of vascular surgery · DOI · Europe PMC
  • 2026-09
    Bilateral Pulmonary Arterial Involvement in Takayasu Arteritis
    Balkan medical journal · DOI · Europe PMC
  • 2026-09开放获取
    Cardiovascular Risks in Autoimmune and Inflammatory Diseases
    Journal of clinical medicine · DOI · Europe PMC
  • 2026-09开放获取
    Takayasu arteritis presenting with dysphagia and morning stiffness: a diagnostic challenge in a middle-aged woman
    The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian · DOI · Europe PMC
  • 2026-09综述
    Undiagnosed Thoracic Aortic Aneurysms: Prevalence, Risk Factors, Screening Modalities
    Deutsches Arzteblatt international · DOI · Europe PMC
  • 2026-09
    Time Passes, The Valve Migrates: Silent Prosthetic Valve Migration in Takayasu Arteritis
    JACC. Case reports · DOI · Europe PMC

境外已获批用于本病的药物 0L2

欧盟与美国均未检索到已获批用于本病的药物。

尚未获批的在研药物(2 项)

这些药已被欧盟或美国的监管机构认定为罕见病用药(英文 orphan drug designation,中文行业里通称「孤儿药资格」——「孤儿」说的是这类药市场太小、没有厂商愿意认领,不是在说病人)。但这只是一种监管身份:意味着监管机构给予研发上的激励,不代表这个药已被证明有效,也不代表将来一定能上市,绝大多数最终不会成药。列在这里是为了看清有哪些方向正在被尝试。

  • adalimumab美国2025-03-13
    treatment of Takayasu arteritis
    官方记录
  • tocilizumab美国2025-12-05
    treatment of Takayasu arteritis
    官方记录

数据来自欧洲药品管理局(EMA)的药品与罕见病用药资格公开导出表,以及美国 FDA 的罕见病用药资格数据库(Orphan Drug Product Designation Database)。两边口径不同:欧盟一侧取的是当前状态仍为「已授权」的药品;美国一侧记录的是「曾获批准」这一事实,FDA 的公开表不追踪药物此后是否退市(例如 Relyvrio 于 2024 年撤市,表中仍记为已获批)。请以官方记录页为准。

在中国开展的临床试验 25L2

按病名在 ClinicalTrials.gov 检索、并校验研究中心含中国大陆而来。登记状态不等于现在真的能入组——务必按 NCT 号到原站核实,并与主治医生商量。

登记为可入组 10

  • 招募中NCT05388682
    Treatment of Patients With Takayasu Arteritis Complicated With Pulmonary Artery Involvement
    观察性 · 2014/01/19Chinese Pulmonary Vascular Disease Research Group
    中国研究中心 1 个:Beijing
  • 招募中NCT03372980
    A Registry Study on Biomarkers of Takayasu's Arteritis (ARSBTA)
    观察性 · 2016/01Beijing Institute of Heart, Lung and Blood Vessel Diseases
    中国研究中心 1 个:Beijing
  • 招募中NCT07184814
    Clinical Features and Prognosis of Takayasu's Arteritis With Pulmonary Arteries Involvement
    观察性 · 2016/01/01China-Japan Friendship Hospital
    中国研究中心 1 个:Beijing
  • 招募中NCT04300686
    A Pilot Study in Severe Patients With Takayasu Arteritis.
    IV 期 · 干预性 · 2020/03/01Shanghai Zhongshan Hospital
    中国研究中心 1 个:Shanghai
  • 招募中NCT05102448
    Comparison of Tofacitinib and Methotrexate in Takayasu's Arteritis
    IV 期 · 干预性 · 2021/11/01Shanghai Zhongshan Hospital
    中国研究中心 1 个:Shanghai
  • 招募中NCT06178419
    Remote Ischemic Conditioning for Cerebral Ischemia in Patients With Takayasu Arteritis (TARIC-1)
    不适用 · 干预性 · 2024/01/01Xuanwu Hospital, Beijing
    中国研究中心 1 个:Beijing
  • 招募中NCT06498089
    A Randomized, Controlled, Open-label, Multicenter Clinical Trial Comparing the Efficacy and Safety of a Precision Treatment Regimen Based on Clinical-molecular Phenotypes with a Conventional Treatment Regimen in the Treatment of Patients with Active Takayasu's Arteritis
    IV 期 · 干预性 · 2024/06/28Shanghai Zhongshan Hospital
    中国研究中心 1 个:Shanghai
  • 尚未开始招募NCT06766552
    A Registry Study Assessing PRO, Dosing Patterns, and Safety of Vunakizumab in Patients With General Rheumatic Diseases.
    观察性 · 2025/01/30Second Affiliated Hospital, Zhejiang University, School of Medicine
    中国研究中心 1 个:Hangzhou
  • 尚未开始招募NCT07013838
    The Efficacy and Safety of Deucravacitinib in Takayasu's Arteritis
    IV 期 · 干预性 · 2025/06/15Chinese SLE Treatment And Research Group
    中国研究中心 1 个:Beijing
  • 尚未开始招募NCT07451665
    Efficacy and Safety of Vunakizumab and Ivarmacitinib in the Treatment of Active Takayasu's Arteritis
    IV 期 · 干预性 · 2026/04/01Chinese SLE Treatment And Research Group
    中国研究中心 20 个:Baotou、Beijing、Chengdu、Ch’ang-ch’un、Guanzhou、Hangzhou 等 17 地
其他状态的试验(15 项)
  • 状态未知NCT01066208
    American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) Diagnostic and Classification Criteria for Primary Systemic Vasculitis
    观察性 · 2011/01University of Oxford
    中国研究中心 1 个:Beijing
  • 已完成NCT03189602
    Pulmonary Artery Involvement in Takayasu's Arteritis
    观察性 · 2014/01/01Peking Union Medical College Hospital
    中国研究中心 1 个:Beijing
  • 状态未知NCT02964364
    China Takayasu Arteritis Registry (CTA Registry)
    观察性 · 2016/08Aimin Dang
    中国研究中心 1 个:Beijing
  • 状态未知NCT03893136
    The Registry Study of Takayasu Arteritis in East China
    观察性 · 2016/11/01Shanghai Zhongshan Hospital
    中国研究中心 1 个:Shanghai
  • 已完成NCT02981979
    Takayasu Arteritis Clinical Trial in China
    不适用 · 干预性 · 2016/12/22Jiang lindi
    中国研究中心 6 个:Beijing、Nanchang、Shanghai、Shenyang、Ürümqi
  • 状态未知NCT03199183
    Registration Study of Takayasu's Arteritis in China
    观察性 · 2017/01/01China National Center for Cardiovascular Diseases
    中国研究中心 1 个:Beijing
  • 已完成NCT03096275
    Comparison of Mycophenolate Mofetil and Cyclophosphamide for Active Takayasu's Arteritis
    III 期 · 干预性 · 2017/03/16Chinese SLE Treatment And Research Group
    中国研究中心 7 个:Beijing、Hohhot、Shijiazhuang、Tianjin、Xian
  • 状态未知NCT04366596
    Drug-eluting Balloon for Treatment of Non-atherosclerotic Renal Artery Stenosis
    III 期 · 干预性 · 2019/10/01Peking Union Medical College Hospital
    中国研究中心 1 个:Beijing
  • 状态未知NCT04137614
    Drug-coated Balloon for Takayasu Arteritis Associated Renal Artery Stenosis
    不适用 · 干预性 · 2019/11/30Shanghai Zhongshan Hospital
    中国研究中心 1 个:Shanghai
  • 进行中·不再招募NCT04161898
    A Study to Evaluate the Efficacy and Safety of Upadacitinib in Participants With Takayasu Arteritis (TAK)
    III 期 · 干预性 · 2020/02/04AbbVie
    中国研究中心 5 个:Beijing、Guangzhou、Shanghai、Shenyang、Shenzhen
  • 状态未知NCT04299971
    Efficiency of Methotrexate and Tofacitinib in Mild and Moderate Patients
    IV 期 · 干预性 · 2020/03/01Shanghai Zhongshan Hospital
    中国研究中心 1 个:Shanghai
  • 状态未知NCT05151848
    Comparison of Adalimumab and Tofacitinib in the Treatment of Active Takayasu Arteritis
    IV 期 · 干预性 · 2022/01/05Chinese SLE Treatment And Research Group
    中国研究中心 4 个:Beijing
  • 状态未知NCT05749666
    Comparison of Tofacitinib and Prednisolone in the Treatment of Active Takayasu's Arteritis
    III 期 · 干预性 · 2023/01/20Chinese SLE Treatment And Research Group
    中国研究中心 1 个:Beijing
  • 已完成NCT06662721
    Baricitinib for Refractory Takayasu Arteritis
    II 期 · 干预性 · 2023/04/03Liu Tian
    中国研究中心 1 个:Beijing
  • 已完成NCT07500467
    Upadacitinib for Refractory Takayasu Arteritis
    观察性 · 2024/03/19Liu Tian
    中国研究中心 1 个:Beijing

中国境外的在招试验 27L2

这些试验在中国没有研究中心,通常无法直接报名——入组一般要求在当地居住并接受随访。列在这里是因为它另有用处:看清楚全世界正在试哪些药、做到了哪一期、由谁在做。把药名和 NCT 编号记下来去问主治医生,或据此进一步查该药是否已在境外获批、是否有拓展性用药(expanded access)通道。

土耳其4美国4英国3加拿大2巴西1法国1Armenia1

CT.gov 报告命中 27 项,此处取回并展示最近的 15 项。

  • 尚未开始招募NCT07737470
    Inflammatory Disease Biobank for Immunophenotyping and Cardiovascular Research
    观察性 · 2026/09/01Assistance Publique - Hôpitaux de Paris
  • 尚未开始招募NCT07571577
    Monitoring Disease Activity in Patients With Takayasu Arteritis With the OMERACT Takayasu Ultrasound Score (OTUS)
    观察性 · 2026/07/01IRCCS San Raffaele
  • 尚未开始招募NCT07628075
    Long-Axial Field of View (LAFOV) [18F]FDG PET/CT Imaging in Large Vessel Vasculitis (LVV): Protocol Optimisation Study.
    不适用 · 干预性 · 2026/07/01Imperial College London
    英国
  • 尚未开始招募NCT07477795
    Phase II Interventional Study Evaluating Efficacy and Safety of Secukinumab in Active Severe Takayasu Patients
    II 期 · 干预性 · 2026/04/01Assistance Publique - Hôpitaux de Paris
  • 招募中NCT07087912
    Safety and Immunogenicity of the Live Attenuated Tetravalent Butantan-Dengue Vaccine in Autoimmune Rheumatic Diseases
    IV 期 · 干预性 · 2026/03/16University of Sao Paulo General Hospital
    巴西
  • 尚未开始招募NCT07325357
    Effect of Pirfenidone on TA Fibrosis
    IV 期 · 干预性 · 2025/12/20Shanghai Zhongshan Hospital
  • 招募中NCT07077304
    EACVI Study on Multimodality Cardiovascular Imaging of Inflammatory Cardiovascular Diseases
    观察性 · 2025/11/19Assistance Publique - Hôpitaux de Paris
    法国
  • 招募中NCT07351422
    Investigating Management, Perspectives and Attitudes Towards Care in Takayasu Arteritis
    观察性 · 2025/10/01University of Edinburgh
    英国
  • 招募中NCT07276087
    Physical and Psychosocial Parameters in Takayasu Arteritis and Behçet's Disease: A Comparative Study With Healthy Controls
    观察性 · 2025/09/11ÖZLEM NUR TOK YAMAN
    土耳其
  • 招募中NCT07558382
    Global Initiative on Takayasu Arteritis (GITA)
    观察性 · 2025/08/05Marmara University
    土耳其
  • 招募中NCT07491913
    Biologic Treatment Withdrawal in Takayasu Arteritis Patients in Sustained Remission
    不适用 · 干预性 · 2025/06/15Marmara University
    土耳其
  • 招募中NCT06887062
    Dapagliflozin and Endothelin Receptor Antagonism in Large Vessel Vasculitis (DERAIL-LVV)
    II 期 · 干预性 · 2025/03/21University of Edinburgh
    英国
  • 招募中NCT05904301
    Armenian NAtionwide REGistry of Systemic Autoimmune and Autoinflammatory Diseases
    观察性 · 2023/06/21Santé Arménie French-Armenian Research Center
    Armenia
  • 招募中NCT02967068
    VCRC Tissue Repository
    观察性 · 2016/11University of Pennsylvania
    加拿大、美国
  • 招募中NCT02593565
    Vasculitis Pregnancy Registry
    观察性 · 2015/11University of Pennsylvania
    美国

外部标识与链接

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本页数据来源

  • 疾病定义、同义词、基因、表型、流行病学:Orphanet(CC BY 4.0)
  • 中文病名:Orphanet 中文包,冻结于 2020-06-01
  • 表型中文标签:HPO 简体中文翻译(CHPO 上游成果)