Efficacy of pentahydroxyethylnaphthoquinone for the treatment and prevention of retinopathy of prematurity

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Abstract

Background. Retinopathy of prematurity (RP) remains one of the causes of bilateral visual impairment in children. The main cause of RP is not only an imbalance of factors regulating angiogenesis, but also oxidative stress.

Objective. Meta-analysis of studies of the pentahydroxyethylnaphthoquinone, which was developed, patented and has a full production cycle in the Russian Federation; evaluation of the effectiveness of its use in premature newborns to prevent the development and progression of retinopathy.

Methods. The effectiveness of pentahydroxyethylnaphthoquinone in premature newborns to prevent the development and progression of retinopathy was evaluated.

Results. A pilot meta-analysis on the use of pentahydroxyethylnaphthoquinone indicates its benefits in preventing the development and progression of retinopathy. The results depend on the methodology and methods of the study, and therefore should be taken with caution. At the same time, the findings correlate with the positive experience of using this drug in the Russian Federation.

Conclusion. The minimum number of studies included in the meta-analysis allows for indicative results. With a large number of studies in different groups of patients, it is possible that different results will be obtained.

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About the authors

Yu. V. Feoktistova

Pacific State Medical University

Email: evgeny_brain@rambler.ru
ORCID iD: 0000-0003-4070-9842
Russian Federation, Vladivostok

Evgeny A. Poddubniy

Pacific State Medical University

Author for correspondence.
Email: evgeny_brain@rambler.ru
ORCID iD: 0000-0003-0075-303X
SPIN-code: 6109-7743

Cand. Sci. (Med.), Associate Professor, Department of General and Clinical Pharmacology

Russian Federation, Vladivostok

A. V. Tyrtyshnikova

Pacific State Medical University

Email: evgeny_brain@rambler.ru
ORCID iD: 0000-0002-8947-7803
Russian Federation, Vladivostok

E. V. Eliseeva

Pacific State Medical University

Email: evgeny_brain@rambler.ru
ORCID iD: 0000-0001-6126-1253
Russian Federation, Vladivostok

E. D. Feoktistova

Pacific State Medical University

Email: evgeny_brain@rambler.ru
ORCID iD: 0000-0001-8382-4184
Russian Federation, Vladivostok

N. A. Shulgina

Pacific State Medical University

Email: evgeny_brain@rambler.ru
ORCID iD: 0000-0002-3105-2562
Russian Federation, Vladivostok

References

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  2. Osipova N.A. Clinical and experimental study of the pathogenesis of retinopathy of prematurity. Diss. Cand. Med. Science. M., 2016. (In Russ.).
  3. Savchenko O.A., Pavlinova E.B., Mingairova A.G., et al. Polymorphism of antioxidant enzyme genes as a risk factor for the development of radical-induced damage in premature newborns. Sovremennye problemy nauki i obrazovaniya. 2016;6 (In Russ.).
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  6. Vakhramova N.G., Kavaleva D.A., Ramazanova L.Sh., Pavlova E.A. Experience in the use of the drug «Histochrome» in the prevention and treatment of the active phase of retinopathy of prematurity. Rossiiskii pediatricheskaya oftal’mologiya. 2014;3:39. (In Russ.). doi: 10.17816/rpoj37609.
  7. Petrova N.I., Rascheskov A.Yu., Bolgova L.P. Khabibullina N.M. The effectiveness of the drug Pentahydroxyethylnaphthoquinone (Histochrome) 0.02% in the active and cicatricial phases of retinopathy of prematurity. Kazanskiy meditsinskiy zhurnal=Kazan Med J. 2012;93(6):978–81. (In Russ.).
  8. Demchenko E.N., Belyaeva I.A., Katargina L.A. The results of the use of the drug histochrome in children with active retinopathy of prematurity. Rossiiskaya pediatricheskaya oftal’mologiya. 2013;1:15–1. (In Russ.). doi: 10.17816/rpoj37532.
  9. Omel’yanovsky V.V., Avksent’eva M.V., Sura M.V., et al. Guidelines for conducting a meta-analysis. Approved by order of the Federal State Budgetary Institution «TsEKKMP» of the Ministry of Health of Russia dated December 29, 2017 No181-od. M., 2017. 28 p. (In Russ.).

Supplementary files

Supplementary Files
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1. JATS XML
2. Fig.1. "Forest"-graph of a meta-analysis of positive outcomes in preterm infants at risk for the development of retinopathy

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3. Fig.2. "Forest"-graph of a meta-analysis of cases of spontaneous regression of retinopathy

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4. Fig.3. "Forest"-graph of a meta-analysis of slowing the progression of retinopathy

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