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<article article-type="research-article" dtd-version="1.2" xml:lang="ru" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink"><front><journal-meta><journal-id journal-id-type="issn">2687-0940</journal-id><journal-title-group><journal-title>Challenges in modern medicine</journal-title></journal-title-group><issn pub-type="epub">2687-0940</issn></journal-meta><article-meta><article-id pub-id-type="doi">10.52575/2687-0940-2025-48-4-457-467</article-id><article-id pub-id-type="publisher-id">264</article-id><article-categories><subj-group subj-group-type="heading"><subject>INTERNAL DISEASES</subject></subj-group></article-categories><title-group><article-title>&lt;strong&gt;Safety and Effectiveness of Lanadelumab in Long-Term Prevention of Hereditary Angiooedema&lt;/strong&gt;</article-title><trans-title-group xml:lang="en"><trans-title>&lt;strong&gt;Safety and Effectiveness of Lanadelumab in Long-Term Prevention of Hereditary Angiooedema&lt;/strong&gt;</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Shkodkina</surname><given-names>Svetlana A.</given-names></name><name xml:lang="en"><surname>Shkodkina</surname><given-names>Svetlana A.</given-names></name></name-alternatives><email>brokeny_2008@mail.ru</email></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Afonina</surname><given-names>Irina A.</given-names></name><name xml:lang="en"><surname>Afonina</surname><given-names>Irina A.</given-names></name></name-alternatives><email>shmaneva@list.ru</email></contrib></contrib-group><pub-date pub-type="epub"><year>2025</year></pub-date><volume>48</volume><issue>4</issue><fpage>0</fpage><lpage>0</lpage><self-uri content-type="pdf" xlink:href="/media/journal-medicine/2025/4/АПМ_2025_Том_48__4_457-467.pdf" /><abstract xml:lang="ru"><p>The purpose of this work is to review the results of modern studies on the effectiveness and safety of lanadelumab, a new drug for biological targeted therapy of hereditary angioedema. The article also presents the results of our own experience in clinical use of this option for long-term prevention of angioedema attacks. In recent years, new genetic mechanisms have been identified that determine the development of hereditary angioedema. C1-inhibitor deficiency (true or functional) leads to uncontrolled activation of the kallikrein-kinin system with the formation of bradykinin, which is the main mediator of hereditary angioedema. In this regard, kallikrein is one of the most significant targets for new targeted inhibitor drugs. Lanadelumab, a kallikrein inhibitor, was used for long-term prevention of exacerbations in a patient with a long history of hereditary angioedema and showed sufficient effectiveness and safety.</p></abstract><trans-abstract xml:lang="en"><p>The purpose of this work is to review the results of modern studies on the effectiveness and safety of lanadelumab, a new drug for biological targeted therapy of hereditary angioedema. The article also presents the results of our own experience in clinical use of this option for long-term prevention of angioedema attacks. In recent years, new genetic mechanisms have been identified that determine the development of hereditary angioedema. C1-inhibitor deficiency (true or functional) leads to uncontrolled activation of the kallikrein-kinin system with the formation of bradykinin, which is the main mediator of hereditary angioedema. In this regard, kallikrein is one of the most significant targets for new targeted inhibitor drugs. Lanadelumab, a kallikrein inhibitor, was used for long-term prevention of exacerbations in a patient with a long history of hereditary angioedema and showed sufficient effectiveness and safety.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>hereditary angioedema</kwd><kwd>kallikrein</kwd><kwd>efficacy and safety</kwd><kwd>lanadelumab</kwd></kwd-group><kwd-group xml:lang="en"><kwd>hereditary angioedema</kwd><kwd>kallikrein</kwd><kwd>efficacy and safety</kwd><kwd>lanadelumab</kwd></kwd-group></article-meta></front><back><ack><p>Informed consent. Informed consent was obtained from the patient for the publication of the case report. All patient data were de-identified.</p></ack><ref-list><title>Список литературы</title><ref id="B1"><mixed-citation>Latysheva E.A., Manto I.A., Aleshina L.V., Bobrikova E.N., Viktorova E.A., Gracheva E.M., Demina D.V., Fomina D.S., Shcherbina A.Yu., Latysheva T.V. 2023. 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