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Basic regulatory science behind drug substance and drug product specifications of monoclonal antibodies and other protein therapeutics
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作者 Patanachai K.Limpikirati Sorrayut Mongkoltipparat +7 位作者 Thinnaphat Denchaipradit Nathathai Siwasophonpong Wudthipong Pornnopparat Parawan Ramanandana Phumrapee Pianpaktr Songsak Tongchusak Maoxin Tim Tian Trairak Pisitkun 《Journal of Pharmaceutical Analysis》 SCIE CAS CSCD 2024年第6期785-804,共20页
In this review,we focus on providing basics and examples for each component of the protein therapeutic specifications to interested pharmacists and biopharmaceutical scientists with a goal to strengthen understanding ... In this review,we focus on providing basics and examples for each component of the protein therapeutic specifications to interested pharmacists and biopharmaceutical scientists with a goal to strengthen understanding in regulatory science and compliance.Pharmaceutical specifications comprise a list of important quality attributes for testing,references to use for test procedures,and appropriate acceptance criteria for the tests,and they are set up to ensure that when a drug product is administered to a patient,its intended therapeutic benefits and safety can be rendered appropriately.Conformance of drug substance or drug product to the specifications is achieved by testing an article according to the listed tests and analytical methods and obtaining test results that meet the acceptance criteria.Quality attributes are chosen to be tested based on their quality risk,and consideration should be given to the merit of the analytical methods which are associated with the acceptance criteria of the specifications.Acceptance criteria are set forth primarily based on efficacy and safety profiles,with an increasing attention noted for patient-centric specifications.Discussed in this work are related guidelines that support the biopharmaceutical specification setting,how to set the acceptance criteria,and examples of the quality attributes and the analytical methods from 60 articles and 23 pharmacopeial monographs.Outlooks are also explored on process analytical technologies and other orthogonal tools which are on-trend in biopharmaceutical characterization and quality control. 展开更多
关键词 Biopharmaceutical analysis Biopharmaceutical quality control Biopharmaceutical specifications monoclonal antibodies Protein therapeutics Regulatory science
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Recent progress in the molecular imaging of therapeutic monoclonal antibodies 被引量:2
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作者 Kaifeng He Su Zeng Linghui Qian 《Journal of Pharmaceutical Analysis》 SCIE CAS CSCD 2020年第5期397-413,共17页
Therapeutic monoclonal antibodies have become one of the central components of the healthcare system and continuous efforts are made to bring innovative antibody therapeutics to patients in need.It is equally critical... Therapeutic monoclonal antibodies have become one of the central components of the healthcare system and continuous efforts are made to bring innovative antibody therapeutics to patients in need.It is equally critical to acquire sufficient knowledge of their molecular structure and biological functions to ensure the efficacy and safety by incorporating new detection approaches since new challenges like individual differences and resistance are presented.Conventional techniques for determining antibody disposition including plasma drug concentration measurements using LC-MS or ELISA,and tissue distribution using immunohistochemistry and immunofluorescence are now complemented with molecular imaging modalities like positron emission tomography and near-infrared fluorescence imaging to obtain more dynamic information,while methods for characterization of antibody’s interaction with the target antigen as well as visualization of its cellular and intercellular behavior are still under development.Recent progress in detecting therapeutic antibodies,in particular,the development of methods suitable for illustrating the molecular dynamics,is described here. 展开更多
关键词 therapeutic monoclonal antibodies Molecular structure Biological function Molecular imaging
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HIM_(1) AND HIM4, TWO MONOCLONAL ANTIBODIES POTENTIALLY USEFUL FOR AUTOLOGOUS BONE MARROW TRANSPLANTATION IN CHRONIC MYELOGENOUS LEUKEMIA
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作者 廖晓龙 韩敬淑 +2 位作者 黄丽华 沈德诚 陈璋 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 1990年第3期74-78,共5页
We developed two complement-fixing MoAbsHIMand HIM(murine)that were specifically reac-tive with chronic myelogenous leukemia (CML) cells.They were capable of fixing human or rabbit com-plement and suitable for CML cel... We developed two complement-fixing MoAbsHIMand HIM(murine)that were specifically reac-tive with chronic myelogenous leukemia (CML) cells.They were capable of fixing human or rabbit com-plement and suitable for CML cells purging of re-mission marrow from CML patients.HIMreactedwith majority leukemic cells form 7 out of 10 CMLpatients by complement-mediated cytotoxicity(C’MC)assay(positive cells 80%—90%),HIMreacted withmajority CML cells from 4 out of 5 CML by C’MCassay(positive cells 80%—90%).Treatment withHIMor HIMand human C’was capable of lysing97% of K562,U937,HL-60 and CML cells in a 20fold excess of unrelated cells by indirect FITC+EBstain.Using limited dilution culture,incubation withHIMand C’produced 1.5 logs inhibition of growthin K562 cells,and 1.9 logs in U937 cells,and withHIMand C’produced 2.9 logs inhibition in HL-60cells and 3.0 logs in U937 cells.Both MoAbs cocktailwas shown 1.8 logs in K562 cells and 3.2 logs in U937cells.They were no suppression on the growth o 展开更多
关键词 HIM TWO monoclonal antibodies POTENTIALLY useFUL FOR AUTOLOGOUS BONE MARROW TRANSPLANTATION IN CHRONIC MYELOGENOUS LEUKEMIA AND HIM4 CML
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THE USE OF ANTI-HUMAN GLIOMA MONOCLONAL ANTIBODIES FOR TARGETING CHEMOTHERAPY OF BRAIN GLIOMAS(PREPARATION AND CYTOTOXIC PROPERTIES OF ANTIBODY-ADRIAMYCIN IMMUNOCONJUGATES)
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作者 朱剑虹 杜子威 +2 位作者 黄强 杨伟廉 王尧 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 1990年第2期15-21,共7页
Immunoconjugates are antibody-drug hybrid molecules which combine the exquisite selectivity or monoclonal antibodies with the potent toxicity of anticancer agents. A monoclonal antibody SZ39 against human brain glioma... Immunoconjugates are antibody-drug hybrid molecules which combine the exquisite selectivity or monoclonal antibodies with the potent toxicity of anticancer agents. A monoclonal antibody SZ39 against human brain gliomas was used as a drug carrier. Adriamycin (ADR) was bound covalently to SZ39 to form a SZ39-ADR conjugate. The cytotoxic activity of the SZ39-ADR conjugate was tested in vitro and demonstrated potent and specific killing of cells derived from a human malignant glioma. 50% inhibitory concentration (IC50) for SZ39-ADR to 'target' cells was 8.14×10-9 M. An index of specificity between 'target' and 'non-target' cells was calculated to be 88-fold. These data suggest that the SZ39-ADR may use as a potent and cell type-specific agent and is a likely candidate for the targeting chemotherapy of malignant gliotnas. 展开更多
关键词 ADR THE use OF ANTI-HUMAN GLIOMA monoclonal antibodies FOR TARGETING CHEMOTHERAPY OF BRAIN GLIOMAS PREPARATION AND CYTOTOXIC PROPERTIES OF ANTIBODY-ADRIAMYCIN IMMUNOCONJUGATES
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THE USE OF ANTIHUMAN GLIOMA MONOCLONAL ANTIBODIES FOR TARGETING CHEMOTHERAPY OF BRAIN GLIOMAS(POTENT SUPPRESSION OF MALIGNANT GLIOMA GROWTH WITH IMMUNOCONJUGATES IN VIVO)
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作者 朱剑虹 杜子威 +1 位作者 黄强 杨伟廉 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 1990年第3期31-36,共6页
Athymic nude mice bearing subcutaneous and intracerebral human glioma xenografts were used to assess the therapeutic efficacy of monoclonal anti-body-adriamycin immunoconjugates against malignant gliomas in vivo. Immu... Athymic nude mice bearing subcutaneous and intracerebral human glioma xenografts were used to assess the therapeutic efficacy of monoclonal anti-body-adriamycin immunoconjugates against malignant gliomas in vivo. Immunoconjugates showed a significantly stronger antitumor effect with a T/C (treated/ control tumor volume) of 30% as compared with free drug (T/C of 84%). The targeting treatment with immunoconjugates significantly prolonged 54% of median survival time of nude mice. Side effects of immunoconjugates on the normal bone marrow and small intestines were much slighter than those of the free drug. The results of this study indicate that the use of monoclonal antibodies as carriers of anti-tumor agents may have many therapeutic advantages and potential for the treatment of brain gliomas. 展开更多
关键词 ADR THE use OF ANTIHUMAN GLIOMA monoclonal antibodies FOR TARGETING CHEMOTHERAPY OF BRAIN GLIOMAS POTENT SUPPRESSION OF MALIGNANT GLIOMA GROWTH WITH IMMUNOCONJUGATES IN VIVO
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DETECTION OF CANCER-ASSOCIATED ANTIGEN IN FECES USING MONOCLONAL ANTIBODIES IN THE DIAGNOSIS OF COLON CARCINOMA
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作者 袁玫 刘琰 +4 位作者 费丽华 张小平 张向阳 李力 李华 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 1991年第2期66-70,共5页
Monoclonal antibodies against colon and pancreatic cancer, CL-2, CL-3, PS-9, PS-10, were used to detect the associated antigens in feces of patients with gastrointestinal carcinoma and non-cancer diseases. Binding inh... Monoclonal antibodies against colon and pancreatic cancer, CL-2, CL-3, PS-9, PS-10, were used to detect the associated antigens in feces of patients with gastrointestinal carcinoma and non-cancer diseases. Binding inhibition test by SABC-ELISA method were performed for the measurement of the antigen level. Results showed that the associated antigen detected in feces of patients with colon cancer were significantly higher than that of non-cancer disease or normal subjects. The positive rates were 61.1% as detected with CL-2; 53.4% with CL-3; 55.0%, PS-9; and 53.3% PS-10 in cancer patients while that in normal subjects were 7%; 9%; 8%; and 8% respectively. When 'cocktail' of CL-2, PS-9 and PS-10 were used, the positive rates were 92.5% in colon cancer and 14% in normal subjects. In seven out of the sixty patients with colon cancer studied who were graded as Dukes A, the results were all positive. The results seem superior to the serologic detection and may provide a promising new approach in the early diagnosis of colon cancer. 展开更多
关键词 DETECTION OF CANCER-ASSOCIATED ANTIGEN IN FECES USING monoclonal antibodies IN THE DIAGNOSIS OF COLON CARCINOMA
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Tumoricidal activation of murine resident peritoneal macrophages on pancreatic carcinoma by interleukin-2 and monoclonal antibodies 被引量:1
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作者 Chen QK Yuan SZ +1 位作者 Zeng ZY Huang ZQ 《World Journal of Gastroenterology》 SCIE CAS CSCD 2000年第2期287-289,共3页
INTRODUCTIONMacrophages play an important role in tumor lysisand growth inhibition.They can be activated to atumoricidal state by a variety of agents such asIFNr,TNFα or IL2.The killing machanisms ofactivated macroph... INTRODUCTIONMacrophages play an important role in tumor lysisand growth inhibition.They can be activated to atumoricidal state by a variety of agents such asIFNr,TNFα or IL2.The killing machanisms ofactivated macrophages have been extensivelyinvestigated.Recently,it has been proved thatantibody dependent cellular cytotoxicity (ADCC) isone of the potent arms to lyse tumor cells 展开更多
关键词 pancreatic neoplasms/therapy antibody monoclonal/therapeutic use macrophages LYMPHOKINE cytotoxicity IMMUNOLOGIC INTERLEUKIN-2
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Monoclonal antibodies-a proven and rapidly expanding therapeutic modality for human diseases 被引量:15
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作者 Zhiqiang An 《Protein & Cell》 SCIE CSCD 2010年第4期319-330,共12页
The study of antibodies has been a focal point in modern biology and medicine since the early 1900s.However,progress in therapeutic antibody development was slow and intermittent until recently.The first antibody ther... The study of antibodies has been a focal point in modern biology and medicine since the early 1900s.However,progress in therapeutic antibody development was slow and intermittent until recently.The first antibody therapy,murine-derived murononab OKT3 for acute organ rejection,was approved by the US Food and Drug Administration(FDA)in 1986,more than a decade after César Milstein and Georges Köhler developed methods for the isolation of mouse monoclonal antibodies from hybridoma cells in 1975.As a result of the scientific,technological,and clinical breakthroughs in the 1980s and 1990s,the pace of therapeutic antibody discovery and development accelerated.Antibodies are becoming a major drug modality with more than two dozen therapeutic antibodies in the clinic and hundreds more in development.Despite the progress,need for improvement exists at every level.Antibody therapeutics provides fertile ground for protein scientists to fulfill the dream of personalized medicine through basic scientific discovery and technological innovation. 展开更多
关键词 monoclonal antibodies personalized medicine therapeutic antibodies
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Pharmacokinetics and toxicology of therapeutic proteins:Advances and challenges 被引量:3
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作者 Yulia Vugmeyster Frank-Peter Theil +1 位作者 Leslie A Khawli Michael W Leach 《World Journal of Biological Chemistry》 CAS 2012年第4期73-92,共20页
Significant progress has been made in understanding pharmacokinetics (PK),pharmacodynamics (PD),as well as toxicity profiles of therapeutic proteins in animals and humans,which have been in commercial development for ... Significant progress has been made in understanding pharmacokinetics (PK),pharmacodynamics (PD),as well as toxicity profiles of therapeutic proteins in animals and humans,which have been in commercial development for more than three decades.However,in the PK arena,many fundamental questions remain to be resolved.Investigative and bioanalytical tools need to be established to improve the translation of PK data from animals to humans,and from in vitro assays to in vivo readouts,which would ultimately lead to a higher success rate in drug development.In toxicology,it is known,in general,what studies are needed to safely develop therapeutic proteins,and what studies do not provide relevant information.One of the major complicating factors in nonclinical and clinical programs for therapeutic proteins is the impact of immunogenicity.In this review,we will highlight the emerging science and technology,as well as the challenges around the pharmacokinetic-and safety-related issues in drug development of mAbs and other therapeutic proteins. 展开更多
关键词 PHARMACOKINETICS TOXICOLOGY therapeutic proteins BIOtherapeuticS monoclonal antibodies
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ANTITUMOR EFFECTS OF MONOCLONAL ANTIBODY FAB’FRAGMENT—CONTAINING IMMUNOCONJUGATES 被引量:8
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作者 LiuXiaoyun ZhenYongsu 《Chinese Medical Sciences Journal》 CAS CSCD 2002年第1期1-6,共6页
Objective.Using monoclonal antibody (mAb) Fab′ fragment to develop mAb immunoconjugates for cancer. Methods.Fab′ fragment of mAb 3A5 was prepared by digestion of the antibody with pepsin and then reduced by dithioth... Objective.Using monoclonal antibody (mAb) Fab′ fragment to develop mAb immunoconjugates for cancer. Methods.Fab′ fragment of mAb 3A5 was prepared by digestion of the antibody with pepsin and then reduced by dithiothreitol (DTT),while Fab′ fragment of mAb 3D6 was obtained by digestion of the antibody with ficin and subsequently reduced by β mercaptoethanol.The conjugation between Fab′ fragment and pingyangmycin (PYM),an antitumor antibiotic,was mediated by dextran T 40.Immunoreactivity of Fab′ PYM conjugates with cancer cells was determined by ELISA,and the cytotoxicity of those conjugates to cancer cells was determined by clonogenic assay.Antitumor effects of the Fab′ PYM conjugates were evaluated by subcutaneously transplanted tumors in mice. Results.The molecular weight of Fab′ fragment was approximately 53 kD,while the average molecular weight of Fab′ PYM conjugate was 170 kD.The Fab′ PYM conjugates showed immunoreactivity with antigen relevant cancer cells and selective cytotoxicity against target cells.Administered intravenously,Fab′ PYM conjugates were more effective against the growth of tumors in mice than free PYM and PYM conjugated with intact mAb. Conclusion.Fab′ PYM conjugate may be capable of targeting cancer cells and effectively inhibiting tumor growth,suggesting its therapeutic potential in cancer treatment. 展开更多
关键词 monoclonal antibody therapeutics Fab′ fragment IMMUNOCONJUGATES antineopla stic agent
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鸭坦布苏病毒单克隆抗体的制备和治疗效果分析
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作者 王丹娜 乌兰 李三 《中国兽医杂志》 CAS 北大核心 2024年第2期27-31,共5页
为了制备、筛选和评价治疗鸭坦布苏病毒(DTMUV)感染的中和抗体,本试验克隆DTMUV E基因,连接至原核表达载体pET-30a(+),转化至大肠杆菌(E.coli)DH5α感受态,提取质粒,鉴定重组质粒pET30-E,转化E.coli BL21感受态,经异丙基-β-D-硫代半乳... 为了制备、筛选和评价治疗鸭坦布苏病毒(DTMUV)感染的中和抗体,本试验克隆DTMUV E基因,连接至原核表达载体pET-30a(+),转化至大肠杆菌(E.coli)DH5α感受态,提取质粒,鉴定重组质粒pET30-E,转化E.coli BL21感受态,经异丙基-β-D-硫代半乳糖苷(IPTG)诱导后,通过十二烷基硫酸钠聚丙烯酰胺凝胶电泳(SDS-PAGE)分析E蛋白表达,使用镍柱亲和层析纯化E蛋白,将E蛋白与弗氏佐剂混合、乳化,免疫6周龄雌性BALB/c小鼠3次后,取小鼠脾脏,分离脾细胞,在聚乙二醇(PEG)的作用下,将脾细胞与SP2/0细胞融合,采用酶联免疫吸附测定(ELISA)筛选分泌抗E蛋白抗体的杂交瘤细胞株,通过Western blot进行单克隆抗体鉴定,通过间接免疫荧光技术检测DTMUV,病毒中和试验评价单克隆抗体中和DTMUV感染的能力,并评价单克隆抗体治疗DTMUV感染小鼠的能力。结果显示,含质粒pET30-E的E.coli BL21经诱导后可在裂解的沉淀物中表达E蛋白;制备的E蛋白单克隆抗体4A1可以与E蛋白发生免疫反应,不与鸭A型肝炎病毒、呼肠孤病毒、新城疫病毒、细小病毒和H9亚型禽流感病毒发生交叉反应;4A1株杂交瘤细胞株分泌的抗体对DTMUV具有中和活性,且能够很好地识别DTMUV并与之发生中和反应,可完全清除感染小鼠血液中的DTMUV。结果表明,本试验制备的单克隆抗体4A1在应对DTMUV感染方面具有潜在治疗价值。 展开更多
关键词 鸭坦布苏病毒 单克隆抗体 中和活性 治疗效果
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Off-label use of targeted therapies in oncology
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作者 Dominique Levêque 《World Journal of Clinical Oncology》 2016年第2期253-257,共5页
Off-label use is defined by the prescription of a marketed drug outside the conditions described in the summary of product characteristics.In oncology,off-label prescribing of targeted therapies may occur in patients ... Off-label use is defined by the prescription of a marketed drug outside the conditions described in the summary of product characteristics.In oncology,off-label prescribing of targeted therapies may occur in patients with other tumor types expressing the same target.Agents associated to phenotypic approaches such as therapies against the tumoral vasculature(anti-angiogenic drugs) and new immunotherapies(checkpoint inhibitors) also carry the potential of alternative indications or combinations.Off-label use of targeted therapies is little documented and appears to be in the same range than that regarding older drugs with wide variations among agents.When compared with older agents,off-label use of targeted therapies is probably more rational through tumoral genotyping but is faced with a limited clinical support,reimbursement challenges related to the very high pricing and the cost of genotyping or molecular profiling,when applicable. 展开更多
关键词 Targeted therapy monoclonal antibody Off-label anticancer drug use REIMBURSEMENT Enzyme inhibitor
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康柏西普与曲安奈德玻璃体腔注射治疗视网膜中央静脉阻塞继发黄斑水肿临床疗效的比较 被引量:49
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作者 马锋伟 杜翠云 +1 位作者 程美红 马玉胜 《中华实验眼科杂志》 CAS CSCD 北大核心 2016年第9期837-841,共5页
背景黄斑水肿是视网膜中央静脉阻塞(CRVO)常见的并发症之一,目前的治疗方法是激光疗法和抗新生血管药物的玻璃体腔注射。康柏西普是人源化血管内皮生长因子(VEGF)受体抗体,临床上常用于眼底新生血管性疾病的治疗,其在治疗CRVO继... 背景黄斑水肿是视网膜中央静脉阻塞(CRVO)常见的并发症之一,目前的治疗方法是激光疗法和抗新生血管药物的玻璃体腔注射。康柏西普是人源化血管内皮生长因子(VEGF)受体抗体,临床上常用于眼底新生血管性疾病的治疗,其在治疗CRVO继发性黄斑水肿方面疗效的研究较少。目的比较康柏西普和曲安奈德(TA)玻璃体腔注射对CRVO继发黄斑水肿的疗效及安全性。方法采用非随机对照临床研究方法,纳入2012年3月至2013年8月在潍坊市益都中心医院诊断为CRVO继发黄斑水肿者60例60眼,按照就诊日期分为康柏西普组和TA组,每组30例30眼,2个组患者人口基线特征接近。2个组患眼分别行0.05ml康柏西普或0.05ml(0.05mg)TA玻璃体腔注射,分别于注射前和注射后1周、1个月、3个月、6个月进行复查。主要评价指标包括注射眼最佳矫正视力(BCVA)和OCT检查的黄斑中心凹厚度(CMT),次要指标包括注射前后眼压变化和眼部并发症。结果康柏西普组和TA组患眼玻璃体腔注射后1周、1个月、3个月和6个月BCVA均明显优于注射前,差异均有统计学意义(均P〈0.01);注射后1个月TA组注射眼平均BCVA优于康柏西普组,差异有统计学意义(P〈0.05)。康柏西普组患眼注射前及注射后1周、1个月、3个月和6个月CMT值分别为(572.00±100.01)、(325.12±91.55)、(280.00±92.37)、(258.65±88.65)、(300.00±87.64)μm,TA组分别为(570.00±102.21)、(345.12±89.31)、(290.00±80.27)、(309.65±84.13)和(303.00±90.59)μm,2个组患眼注射后CMT值较注射前均明显降低,差异均有统计学意义(P〈0.05),注射后3个月康柏西普组患眼CMT值下降更明显,与TA组比较差异有统计学意义(P〈0.05)。TA组患眼注射前及注射后1周、1个月、3个月和6个月眼压值分别为(15.20±3.52)、(21.20±3.80)、(26.40±4.00)、(23.60±3.73)和(21.50±3.27)mmHg(1mmHg=0.133kPa),注射后各时间点眼压值均明显高于注射前,且TA组注射后各时间点患眼眼压均明显高于康柏西普组,差异均有统计学意义(均P〈0.05),而康柏西普组注射前后患眼眼压变化差异无统计学意义(P〉0.05)。结论玻璃体腔注射TA及康柏西普治疗CRVO所致黄斑水肿有效,可减轻视网膜水肿并改善视力。与TA相比,玻璃体腔注射康柏西普无眼压升高的风险,更加安全可靠。 展开更多
关键词 人源化单克隆抗体/治疗用途 视网膜静脉阻塞/并发症 黄斑水肿/药物疗法 康柏西普/治疗用法 曲安奈德/治疗用法 玻璃体腔注射 疗效 比较研究
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贝伐单抗联合小梁切除术或睫状体光凝术治疗晚期新生血管性青光眼疗效比较 被引量:44
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作者 黄萍 王雯倩 +2 位作者 石砚 刘恩泽 张纯 《中华实验眼科杂志》 CAS CSCD 北大核心 2015年第4期362-366,共5页
背景 新生血管性青光眼(NVG)是眼部缺血性病变的继发性改变,属于难治性青光眼.抗血管内皮生长因子(VEGF)药物在眼部的应用为NVG的治疗提供了新的手段,但应用方法和治疗效果仍在进一步研究.目的 观察和比较抗VEGF药物贝伐单抗球内注... 背景 新生血管性青光眼(NVG)是眼部缺血性病变的继发性改变,属于难治性青光眼.抗血管内皮生长因子(VEGF)药物在眼部的应用为NVG的治疗提供了新的手段,但应用方法和治疗效果仍在进一步研究.目的 观察和比较抗VEGF药物贝伐单抗球内注射后联合小梁切除术或睫状体光凝术治疗NVG的疗效和安全性,探讨NVG的治疗策略.方法 采用非随机分组病例对照研究方法,连续收集2012年1月至2013年3月于北京大学第三医院确诊的NVG患者23例23眼,根据采用手术方案的不同将患者分为小梁切除术组9例9眼和睫状体光凝组14例14眼.所有患者确诊后先行贝伐单抗眼内注射,用胰岛素注射针头在角膜缘后4 mm处垂直眼球中心刺入眼内,前房穿刺放液50 μl后注射贝伐单抗50 μl(1.25 mg),然后各组患者分别接受相应的手术.分别于术后1周和3个月进行视力、眼压和治疗相关指标的检测,并观察各组术眼的并发症情况,对2个组的治疗结果进行比较,建立NVG的治疗流程.结果 2个组患眼的基线特征比较差异均无统计学意义(均P>0.05).小梁切除术组术前及术后1周、3个月的眼压分别为(43.4±6.2)、(15.6±3.0)和(19.7±3.2) mmHg(1 mmHg=0.133 kPa),睫状体光凝组为(42.8±4.9)、(25.4±7.5)和(23.3±6.6) mmHg,2个组注射药物前与抗青光眼术后不同时间点眼压的比较,差异均有统计学意义(F分组=28.817,P<0.001;F时间=158.418,P<0.001;F交互作用=7.260,P=0.002).各组内术后1周和3个月的眼压值均低于术前,差异均有统计学意义(均P<0.01);术后1周,睫状体光凝组术眼的眼压明显高于小梁切除术组,差异有统计学意义(P<0.01);而术后3个月,2个组间眼压的差异无统计学意义(P=0.095).术后3个月,小梁切除术组视力下降者3眼,睫状体光凝组视力下降者9眼,差异有统计学意义(P=0.042).睫状体光凝组患者贝伐单抗注射后与抗青光眼手术的间隔时间以及抗青光眼手术后与进一步眼底病治疗的间隔时间均明显长于小梁切除术组,差异均有统计学意义(P=O.002、0.003).2个组患者均未发生术中及术后并发症.结论 晚期NVG患者接受贝伐单抗注射后不能降低眼压,但可减少抗青光眼手术并发症的发生.贝伐单抗联合小梁切除术较贝伐单抗联合睫状体光凝术眼压降低更快,抗青光眼术前先进行贝伐单抗眼内注射可降低手术出血的风险. 展开更多
关键词 血管生成抑制剂/治疗用途 人源化单克隆抗体/治疗用途 联合疗法 新生血管性青光眼/治疗 眼压 玻璃体腔注射 小梁切除术 睫状体光凝术 血管内皮生长因子/拮抗剂&抑制剂
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抗肿瘤单克隆抗体药物的研究进展 被引量:3
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作者 刘文明 童德文 +2 位作者 李立 邢明辉 赵俊 《西北农林科技大学学报(自然科学版)》 CSCD 北大核心 2006年第8期44-48,共5页
通过淋巴细胞杂交瘤技术或基因工程技术制备单克隆抗体药物,已经成为生物制药领域的一个重要方面,特别是对抗肿瘤单克隆抗体药物的研究已获得了重要进展。多年来,许多研究证实了抗肿瘤单克隆抗体药物的作用,为其应用于肿瘤治疗提供了重... 通过淋巴细胞杂交瘤技术或基因工程技术制备单克隆抗体药物,已经成为生物制药领域的一个重要方面,特别是对抗肿瘤单克隆抗体药物的研究已获得了重要进展。多年来,许多研究证实了抗肿瘤单克隆抗体药物的作用,为其应用于肿瘤治疗提供了重要依据。文章就抗肿瘤单克隆抗体药物的种类、制备、应用及存在问题进行了综述,并对其应用前景进行了展望。 展开更多
关键词 单克隆抗体 单克隆抗体药物 肿瘤
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贝伐珠单抗联合以5-FU为基础的双药化疗用于结直肠癌仅肝转移患者新辅助治疗:一项多中心单臂研究 被引量:24
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作者 万德森 张苏展 +4 位作者 陈玉泽 许剑民 陶凯雄 王贵玉 郝纯毅 《实用肿瘤杂志》 CAS 2018年第1期41-46,共6页
目的通过开放标签的多中心探索性研究评估贝伐珠单抗联合氟尿嘧啶(5-FU)作为新辅助化疗方案对仅肝转移、转移灶初始不可切除且未经治疗的结直肠癌(colorectal cancer,CRC)患者R0切除率的影响。方法在全国7家中心招募既往未经治疗(原发... 目的通过开放标签的多中心探索性研究评估贝伐珠单抗联合氟尿嘧啶(5-FU)作为新辅助化疗方案对仅肝转移、转移灶初始不可切除且未经治疗的结直肠癌(colorectal cancer,CRC)患者R0切除率的影响。方法在全国7家中心招募既往未经治疗(原发灶已切除)、只存在肝转移灶且不可切除的中国转移性结直肠癌(metastatic colorectal cancer,m CRC)患者。入组患者均接受贝伐珠单抗(静脉注射,5 mg/kg,每2周1次,d1)联合以氟尿嘧啶(5-FU)为基础的双药化疗方案进行新辅助治疗。患者术前和术后共接受≤12个周期的治疗,术前最后1个周期的化疗(无贝伐珠单抗)不计入12个周期内。主要终点为R0切除率,次要终点为R1切除率、客观缓解率(objective response rate,ORR)、无进展生存(progression free survival,PFS)、无瘤生存率(disease free survival,DFS)和安全性。结果本研究共纳入50例患者,其中男性39例,女性11例;患者中位年龄57岁(范围37~73岁),R0切除率为30.0%,R1切除率为0.0%。50例患者的ORR为15.0%,中位PFS为12.06个月(95%CI:6.70~13.31),接受R0切除的15例患者中位DFS为8.57个月(95%CI:1.84~17.74)。总体安全性良好,32例患者(64.0%)共发生159次不良事件(adverse events,AE),其中24次为3级AE,无≥4级AE。最常见的与贝伐珠单抗相关的≥3级AE为高血压(8.0%)。手术安全人群(n=17)中,5例(29.4%)发生手术相关并发症,但均为肝脏局部并发症,仅1例发生肺部感染。结论对于肝脏为唯一转移灶且初始不可切除的CRC患者,使用贝伐珠单抗联合以5-FU为基础的双药化疗进行新辅助治疗可提高R0切除率,且耐受性良好。 展开更多
关键词 结直肠肿瘤/药物疗法 结直肠肿瘤/外科学 肝肿瘤/继发性 肝肿瘤/药物疗法 化学疗法 辅助 抗体 单克隆/治疗应用 氟尿嘧啶/治疗应用 抗肿瘤联合化疗方案/治疗应用 肝切除术 前瞻性研究
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玻璃体腔内注射Bevacizumab治疗年龄相关性黄斑变性 被引量:7
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作者 刘文杰 高磊 +3 位作者 东长霞 于华军 姜凯 林旭明 《国际眼科杂志》 CAS 2010年第3期540-543,共4页
目的:评估抗血管内皮生长因子单克隆抗体bevacizumab(Avastin)玻璃体腔注射治疗湿性年龄相关性黄斑变性(age-related macular degeneration,AMD)的疗效和安全性。方法:对30例接受玻璃体腔注射bevacizumab(2.5mg)治疗的AMD患者进行回顾分... 目的:评估抗血管内皮生长因子单克隆抗体bevacizumab(Avastin)玻璃体腔注射治疗湿性年龄相关性黄斑变性(age-related macular degeneration,AMD)的疗效和安全性。方法:对30例接受玻璃体腔注射bevacizumab(2.5mg)治疗的AMD患者进行回顾分析,主要评价指标包括最佳矫正视力(best-corrected visual acuity,BCVA)、黄斑中心凹厚度(central foveal thickness,CFT)和黄斑容积(total macularvolume,TMV),对注射后渗漏无明显改善或病情反复者进行眼内重复注射。所有病例都完成至少6mo的观察随访。结果:患者30例30眼中男21例,女9例,平均年龄72岁。治疗前患者的基线平均对数BCVA为1.03±0.55,CFT为364.97±151.83μm,TMV为8.36±1.84mm3,注药后1wk虽然平均CFT和TMV没有显著改善,但BCVA有显著提高(logMAR,0.79±0.33;P=0.002),经平均9.7mo的随访,BCVA(logMAR,0.70±0.40;P=0.004),CFT(272.93±81.06;P=0.005)和TMV(7.20±0.98;P=0.004)3项指标均较基线有显著改善,终末随访时BCVA提高至少两行者为18眼(60%),稳定者为8眼(27%)。本组患者共接受了58次玻璃体腔内注射,平均注射次数为1.93次/眼,有50%再注射能在术后1wk使视力提高两行或两行以上。结论:玻璃体腔注射bevacizumab能够安全有效地改善或稳定多数湿性AMD的病情,但术后定期随访以及根据病情变化进行再次注射是必要的。 展开更多
关键词 黄斑变性/药物疗法 脉络膜新生血管化/药物疗法 抗体 单克隆/治疗应用 BEVACIZUMAB
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曲妥珠单抗联合紫杉醇脂质体和卡培他滨治疗HER-2阳性复发转移性乳腺癌 被引量:13
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作者 黄香 吴昊 +1 位作者 李薇 殷咏梅 《实用肿瘤杂志》 CAS 2016年第6期550-554,共5页
目的评估曲妥珠单抗(trastuzumab,H)与紫杉醇脂质体(paclitaxel liposome,P)、卡培他滨(capecitabine,X)的联合方案HPX方案治疗人表皮生长因子受体-2(human epidermal growth factor receptor-2,HER-2)阳性复发转移性乳腺癌的... 目的评估曲妥珠单抗(trastuzumab,H)与紫杉醇脂质体(paclitaxel liposome,P)、卡培他滨(capecitabine,X)的联合方案HPX方案治疗人表皮生长因子受体-2(human epidermal growth factor receptor-2,HER-2)阳性复发转移性乳腺癌的疗效与安全性。方法筛选HER-2阳性复发转移性乳腺癌患者32例,给予HPX方案治疗:曲妥珠单抗首次8 mg/kg,后6 mg/kg维持,d1;紫杉醇脂质体175 mg/m2,d1;卡培他滨825 mg/m2,2次/d,d1-14,21天为1周期。结果 32例患者中位无进展生存时间(progression-free survival,PFS)为12.7月(95%CI:5.7-19.7月),客观缓解率(objective response rate,ORR)为53.2%,临床获益率(clinical benefit rate,CBR)为84.5%。一线治疗患者的PFS达15.3月(95%CI:2.5-28.1月),ORR达68.4%,CBR达84.2%。Ⅲ~Ⅳ级不良反应主要为血液学毒性,包括中性粒细胞减少(46.9%)、白细胞减少(37.5%)、血小板减少(6.3%),Ⅲ~Ⅳ级非血液学不良反应主要为手足综合征(9.4%)和腹泻(3.1%)。结论曲妥珠单抗联合紫杉醇脂质体和卡培他滨是治疗HER-2阳性复发转移性乳腺癌的有效治疗方案,且安全性良好。 展开更多
关键词 乳腺肿瘤/药物疗法 乳腺肿瘤/继发性 受体 表皮生长因子 抗体 单克隆 脱氧胞苷/类似物和衍生物 脱氧胞苷/治疗应用 紫杉酚/治疗应用 脂质体/治疗应用 药物疗法 联合 治疗结果
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应用英夫利西单抗治疗炎症性肠病的效果观察及护理 被引量:8
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作者 王晓伟 金鹏 李世荣 《护士进修杂志》 北大核心 2011年第14期1292-1293,共2页
炎症性肠病是一种病因尚不十分清楚的慢性非特异性肠道炎症性疾病,包括溃疡性结肠炎和克罗恩病。传统治疗方式局限于5-氨基水杨酸制剂(简称5-ASA)、糖皮质激素等药物,但易复发,严重影响患者的生活质量。注射用英夫利西单抗(Inflixi m... 炎症性肠病是一种病因尚不十分清楚的慢性非特异性肠道炎症性疾病,包括溃疡性结肠炎和克罗恩病。传统治疗方式局限于5-氨基水杨酸制剂(简称5-ASA)、糖皮质激素等药物,但易复发,严重影响患者的生活质量。注射用英夫利西单抗(Inflixi mab,商品名为类克), 展开更多
关键词 炎症性肠病 英夫利西单抗 效果观察 护理
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1例同时性肝转移结肠癌患者的MDT诊治报道 被引量:6
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作者 李军 王六红 +7 位作者 王建伟 谭伊诺 唐喆 许晶虹 沈俐 袁瑛 丁克峰 张苏展 《实用肿瘤杂志》 CAS 2016年第1期24-29,共6页
本文介绍1例同时性肝转移结肠癌病例的多学科诊治过程。该病例初诊时肝脏多发转移无法切除,经过多学科讨论后患者接受化疗联合靶向药物治疗,意外实现肝脏转移灶和结肠原发灶的切除。术后9月,患者肝脏转移癌复发,经过多学科讨论治疗后再... 本文介绍1例同时性肝转移结肠癌病例的多学科诊治过程。该病例初诊时肝脏多发转移无法切除,经过多学科讨论后患者接受化疗联合靶向药物治疗,意外实现肝脏转移灶和结肠原发灶的切除。术后9月,患者肝脏转移癌复发,经过多学科讨论治疗后再次获得缓解。该病例的诊治过程说明,多学科诊治对于改善结直肠癌肝转移患者的生存至关重要;初始不可切除的肝转移患者应根据其耐受性和治疗的反应情况动态调整治疗目标。多学科诊治团队需常态化和专业化以实现患者的最大获益。 展开更多
关键词 肝肿瘤/继发性 肝肿瘤/外科学 结肠肿瘤/外科学 诊断 药物治疗 抗体 单克隆/治疗应用
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