antibody

抗体
  • 文章类型: Journal Article
    噬菌体文库现在是通过生物淘选过程从特定文库中的数十亿个展示的噬菌体中鉴定高亲和力抗体/肽的最突出的方法之一。由于其发现特异性结合靶标的潜在治疗候选物的能力,噬菌体展示在靶向治疗中获得了相当多的关注。使用这种方法,具有高亲和力和特异性的肽可以被鉴定用于潜在的治疗或诊断用途。此外,噬菌体文库可用于快速筛选和鉴定新型抗体以开发免疫治疗剂。美国食品和药物管理局(FDA)已经批准了几种噬菌体展示衍生的肽和抗体用于治疗不同的疾病。在当前的审查中,我们全面了解了噬菌体展示衍生肽和抗体在治疗包括癌症在内的不同疾病中的作用,传染病和神经系统疾病。我们还探索了噬菌体展示在靶向药物递送中的应用。基因治疗,和CAR-T细胞。
    Phage libraries are now amongst the most prominent approaches for the identification of high-affinity antibodies/peptides from billions of displayed phages in a specific library through the biopanning process. Due to its ability to discover potential therapeutic candidates that bind specifically to targets, phage display has gained considerable attention in targeted therapy. Using this approach, peptides with high-affinity and specificity can be identified for potential therapeutic or diagnostic use. Furthermore, phage libraries can be used to rapidly screen and identify novel antibodies to develop immunotherapeutics. The Food and Drug Administration (FDA) has approved several phage display-derived peptides and antibodies for the treatment of different diseases. In the current review, we provided a comprehensive insight into the role of phage display-derived peptides and antibodies in the treatment of different diseases including cancers, infectious diseases and neurological disorders. We also explored the applications of phage display in targeted drug delivery, gene therapy, and CAR T-cell.
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  • 文章类型: Journal Article
    具有抗严重急性呼吸道综合征冠状病毒2(SARS-CoV-2)活性的抗病毒药物在疾病管理中发挥了关键作用;然而,关于这些药物在治疗免疫功能低下患者的SARS-CoV-2感染中的疗效知之甚少,特别是在持续SARS-CoV-2阳性的管理中。这篇叙述性综述讨论了2019年持续冠状病毒病在免疫受损宿主中的管理,专注于抗病毒治疗。我们从描述各种方法的文献中确定了84例,包括长期抗病毒治疗(n=11),联合抗病毒药物(n=13),以及抗病毒和抗体治疗的混合治疗(n=60)。高比例患有潜在的血液系统恶性肿瘤(n=67,80%),并接受了抗CD20药物(n=51,60%)。成功报告70例(83%),根据治疗类型而有所不同。抗病毒药物的联合治疗可能是持续SARS-CoV-2阳性个体的有效方法。特别是那些纳入旨在增加中和抗体水平的治疗。任何新的方法采取这种困难的管理困境应该注意抗病毒耐药性的出现。
    Antiviral agents with activity against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) have played a critical role in disease management; however, little is known regarding the efficacy of these medications in the treatment of SARS-CoV-2 infection in immunocompromised patients, particularly in the management of persistent SARS-CoV-2 positivity. This narrative review discusses the management of persistent coronavirus disease 2019 in immunocompromised hosts, with a focus on antiviral therapies. We identified 84 cases from the literature describing a variety of approaches, including prolonged antiviral therapy (n = 11), combination antivirals (n = 13), and mixed therapy with antiviral and antibody treatments (n = 60). A high proportion had an underlying haematologic malignancy (n = 67, 80%), and were in receipt of anti-CD20 agents (n = 51, 60%). Success was reported in 70 cases (83%) which varied according to the therapy type. Combination therapies with antivirals may be an effective approach for individuals with persistent SARS-CoV-2 positivity, particularly those that incorporate treatments aimed at increasing neutralizing antibody levels. Any novel approaches taken to this difficult management dilemma should be mindful of the emergence of antiviral resistance.
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  • 文章类型: Journal Article
    与针对髓鞘少突胶质细胞糖蛋白(MOG)的抗体相关的临床综合征现在被认为是一种独特的神经系统疾病实体。并获得越来越多的关注。MOG抗体疾病(MOGAD)的致病机制仍未完全了解。案例系列,在登记处的协助下,在过去的几年中,观察性研究越来越多地揭示了MOGAD的临床方面和治疗方法。MOGAD可能表现为多种临床综合征,包括急性播散性脑脊髓炎(ADEM),自身免疫性脑炎,视神经炎(ON)和横贯性脊髓炎(TM)。MOGAD可以是单相的或复发性的。这篇综述旨在提供临床频谱的全面更新描述,临床旁特征,和MOG抗体疾病的预后,以及总结其治疗注意事项。随机临床试验,标准化诊断标准和治疗指南是向前迈出的一步.
    Clinical syndromes associated with antibodies against myelin oligodendrocyte glycoprotein (MOG) are now recognized as a distinct neurological disease entity, and are gaining increasing attention. The pathogenic mechanisms underlying MOG-antibody disease (MOGAD) remain incompletely understood. Case series, facilitated by registries, and observational studies over the past few years have shed increasing light on the clinical aspects and therapeutic approaches of MOGAD. MOGAD may manifest with a variety of clinical syndromes, including acute disseminated encephalomyelitis (ADEM), autoimmune encephalitis, optic neuritis (ON) and transverse myelitis (TM). MOGAD can be either monophasic or relapsing. This review aims to provide a comprehensive updated description of the clinical spectrum, paraclinical features, and prognosis of MOG-antibody disease, as well as summarize its therapeutic considerations. Randomized clinical trials, standardized diagnostic criteria and treatment guidelines are the steps forward.
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  • 文章类型: Journal Article
    SARS-CoV-2特异性抗体存在于疫苗接种后由哺乳期父母表达的人乳中。在现有的研究中,疫苗类型对母乳的影响是不一致的。
    本研究旨在对现有的观察性研究进行系统评价和荟萃分析,根据mRNA和基于腺载体的疫苗接种,比较人乳中SARS-CoV-2特异性抗体的阳性率。
    PubMed,WebofScience,系统搜索了ElsevierScienceDirect和CochraneLibrary数据库,查找2019年12月30日至2023年2月15日发表的相关文章。观察性研究被认为是合格的,前提是他们报告了人乳中SARS-CoV-2特异性抗体的数据。非随机干预研究(ROBINS-I)工具中的偏倚风险,纽卡斯尔-渥太华量表(NOS),以及医疗保健研究与质量局(AHRQ)用于评估偏倚风险.七项研究,包括511名哺乳期参与者,纳入本综述和荟萃分析。
    mRNA疫苗组的SARS-CoV-2IgA阳性率高于基于腺载体的疫苗组(OR=4.80,95%CI[3.04,7.58],p<0.001)。mRNA疫苗中SARS-CoV-2IgG的阳性率高于基于腺载体的疫苗。
    与基于腺载体的疫苗相比,接种后,mRNA疫苗在人乳中的IgA和IgG阳性率更高。换句话说,mRNA疫苗接种可以为母乳喂养的儿童提供比基于腺载体的疫苗接种更高水平的保护。仍然需要进一步的高质量数据来证实这些发现。
    UNASSIGNED: SARS-CoV-2 specific antibodies exist in human milk expressed by lactating parents after vaccination. In the existing research, the effects of vaccine types on human milk are inconsistent.
    UNASSIGNED: This study aims to perform a systematic review and meta-analysis of the existing observational studies to compare the positive rates of SARS-CoV-2 specific antibodies in human milk according to mRNA and adenovector-based vaccination.
    UNASSIGNED: PubMed, Web of Science, Elsevier Science Direct and Cochrane Library databases were systematically searched for relevant articles published from December 30, 2019 to February 15, 2023. Observational studies were considered eligible provided they reported data on SARS-CoV-2 specific antibodies in human milk. The risk of bias in non-randomized studies of interventions (ROBINS-I) tool, the Newcastle-Ottawa Scale (NOS), and the Agency for Healthcare Research and Quality (AHRQ) were used to assess risk of bias. Seven studies, including 511 lactating participants, were included in this review and meta-analysis.
    UNASSIGNED: The positive rate of SARS-CoV-2 IgA is higher in mRNA vaccine groups than in adenovector-based vaccine groups (OR = 4.80, 95% CI [3.04, 7.58], p < 0.001). The positive rate of SARS-CoV-2 IgG was higher in mRNA vaccines than in adenovector-based vaccines.
    UNASSIGNED: Compared to adenovector-based vaccines, mRNA vaccines present a higher positivity rate of IgA and IgG in human milk after vaccination. In other words, mRNA vaccinations may offer breastfed children a higher level of protection than adenovector-based vaccinations. Further high-quality data is still required to substantiate these findings.
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  • 文章类型: Journal Article
    单克隆抗体生物制剂显著改变了生物制药行业的治疗前景,部分是由于发现技术的利用,如杂交瘤方法和噬菌体展示。虽然这些成熟的平台已经简化了迄今为止的开发过程,它们依赖细胞转化进行抗体鉴定面临着与文库多样化和宿主细胞生理学限制相关的限制。核糖体展示等无细胞系统提供了一种互补的方法,使抗体选择在一个完全在体外设置,同时利用富集的细胞分子机制。这篇综述旨在概述核糖体展示方法的基本原理及其推进抗体发现和开发的潜力。
    Monoclonal antibody biologics have significantly transformed the therapeutic landscape within the biopharmaceutical industry, partly due to the utilisation of discovery technologies such as the hybridoma method and phage display. While these established platforms have streamlined the development process to date, their reliance on cell transformation for antibody identification faces limitations related to library diversification and the constraints of host cell physiology. Cell-free systems like ribosome display offer a complementary approach, enabling antibody selection in a completely in vitro setting while harnessing enriched cellular molecular machinery. This review aims to provide an overview of the fundamental principles underlying the ribosome display method and its potential for advancing antibody discovery and development.
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  • 文章类型: Journal Article
    风疹和麻疹是两种高度传染性的病毒性儿童疾病。然而,这两种微生物在怀孕期间很可能会产生残酷的影响,这使它们成为一个主要的公共卫生问题。本研究旨在调查伊朗西南部15-25岁女性风疹和麻疹的血清阳性率。
    这项描述性研究是在Jahrom进行的,2012年,伊朗西部南部。收集来自我们研究地点主要实验室的15-25岁女性个体的血清样本,并通过商业ELISA试剂盒评估抗风疹和麻疹IgG抗体。
    在179名参与者中,关于抗风疹抗体,171(95.0%)为阳性,3(1.7%)为阴性,6人(3.3%)为临界。关于抗麻疹抗体,166名(92.2%)受试者呈阳性,1(5.6%)为阴性,13人(17.2%)为临界。通过假设临界情况为正值,最终发现,98.3%和99.4%的参与者对风疹和麻疹免疫,分别。麻疹和风疹免疫与年龄或使用免疫抑制剂药物之间没有统计学上的显着关联。
    疫苗计划的实施已在居民中获得了显着的免疫水平,尤其是育龄妇女,她们在群体免疫中起着更重要的作用。因此,维持国家对风疹和麻疹的免疫筛查需要考虑到维持目前令人满意的免疫水平。
    UNASSIGNED: Rubella and measles are two highly contagious viral childhood diseases. However, the high possibility of brutal effects of both microorganisms during pregnancy has kept them emerging as a major public health issue. The current study aimed to investigate the seroprevalence of rubella and measles among 15-25-year-old females in southwest Iran.
    UNASSIGNED: This descriptive study was performed in Jahrom, southern west Iran during 2012. Serum samples from female individuals with an age of 15-25 years visiting main laboratories in our study location were collected and evaluated by a commercial ELISA kit for anti-rubella and measles IgG antibodies.
    UNASSIGNED: Among the 179 participants, regarding anti-rubella antibodies, 171 (95.0%) were positive, 3 (1.7%) were negative, and 6 (3.3%) were borderline. Regarding anti-measles antibodies, 166 (92.2%) of the subjects were positive, 1 (5.6%) was negative, and 13 (17.2%) were borderline. By assuming a positive value for the borderline cases, the ultimate findings demonstrated that 98.3% and 99.4% of the participants were immune against rubella and measles, respectively. There was no statistically significant association between measles and rubella immunity with age or the use of immunosuppressor medication.
    UNASSIGNED: Implementation of vaccine program has obtained significant immunity level in inhabitants, particularly women of childbearing age who play a more important role in herd immunity. Therefore, maintaining the national immune screening against rubella and measles is needed to take into consideration to maintain the current satisfactory level of immunization.
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  • 文章类型: Meta-Analysis
    背景:Dabrafenib和trametinib代表正在研究的靶向治疗方案,用于治疗具有BRAFV600突变的神经胶质瘤。我们系统回顾了文献并进行了荟萃分析,以评估这些药物的有效性和安全性。
    方法:PubMed,Embase,和Scopus从开始至2023年9月进行了研究,以检查dabrafenib和/或曲美替尼治疗胶质瘤的研究。结果包括应答率(ORR,CR,PR),进展率(PD),6个月和12个月的PFS,不良事件,和剂量修改。采用随机效应模型进行Meta分析。
    结果:9项研究符合纳入标准。荟萃分析表明,低级别胶质瘤(LGG)的总缓解率(ORR)为50%(95%置信区间(CI):35-65%),高级别胶质瘤(HGG)的总缓解率为40%(95%CI:29-51%)。两种神经胶质瘤等级的合并ORR为45%(95%CI:36-54%)。HGG的完全缓解率为13%(95%CI:05-27%),LGG和HGG的完全缓解率为5%(95%CI:1-10%)。LGG的6个月无进展生存率(PFS)达到87%,HGG为67%,合并的6个月PFS为78%(95%CI:58-98%),12个月下降至67%和44%,分别,合并12个月PFS为56%(95%CI:34-79%)。1-4级不良事件发生在100%的LGG和63%的HGG患者中。
    结论:Dabrafenib和trametinib在神经胶质瘤中具有良好的抗肿瘤疗效,尤其是低度肿瘤,在许多患者中实现持久的疾病稳定。然而,毒性显著限制耐受性。其他研究应进一步检查疗效并完善神经胶质瘤亚型的安全给药方案。
    BACKGROUND: Dabrafenib and trametinib represent targeted therapy options under investigation for treatment of gliomas harboring BRAF V600 mutations. We systematically reviewed the literature and conducted meta-analyses to assess the efficacy and safety of these agents.
    METHODS: PubMed, Embase, and Scopus were searched from inception to September 2023 for studies examining dabrafenib and/or trametinib for gliomas. Outcomes included response rates (ORR, CR, PR), progression rates (PD), 6- and 12-month PFS, adverse events, and dosing modifications. Meta-analyses were conducted using random effect models.
    RESULTS: Nine studies met the inclusion criteria. Meta-analysis demonstrated overall response rates (ORR) of 50% (95% confidence interval (CI): 35-65%) for low-grade gliomas (LGG) and 40% (95% CI: 29-51%) for high-grade gliomas (HGG). Pooled ORR was 45% (95% CI: 36-54%) for both glioma grades. The complete response rate was 13% (95% CI: 05-27%) for HGG and 5% (95% CI: 1-10%) for both LGG and HGG. Six-month progression-free survival (PFS) rates reached 87% in LGG and 67% in HGG and a pooled 6-month PFS 78% (95% CI: 58-98%), declining at 12 months to 67% and 44%, respectively, with a pooled 12-month PFS 56% (95% CI: 34-79%). Grade 1-4 adverse events occurred in 100% of LGG and 63% of HGG patients.
    CONCLUSIONS: Dabrafenib and trametinib demonstrate promising anti-tumor efficacy in gliomas, particularly low-grade tumors, achieving durable disease stabilization in many patients. However, toxicity significantly limited tolerability. Additional research should further examine efficacy and refine safe administration protocols across glioma subtypes.
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  • 文章类型: Journal Article
    牛副流感-3病毒(BPI3V)是牛的重要呼吸道病原,导致牛呼吸道疾病综合征(BRDC)。尽管意义重大,对其普遍性的理解仍然支离破碎,特别是在BRDC的更大框架内。本系统综述和荟萃分析旨在使用各种检测方法确定牛体内BPI3V的全球患病率,并强调相关的危险因素。在最初检索的2187篇文章中,选择71人进行分析,覆盖32个国家。根据所采用的检测方法,荟萃分析显示BPI3V患病率存在显著差异.在一般牛群中,使用抗体检测方法观察到的患病率最高,比例为0.64。相比之下,在有BRDC的牛身上,观察到的患病率为0.75.对于抗原检测方法,观察到的患病率为0.15,仅限于有BRDC的牛。在核酸检测中,在普通和BRDC牛群中观察到0.05或0.10的患病率,分别。在病毒分离方法中,在普通和BRDC牛群中观察到0.05或0.04的患病率,分别。这些发现突出了不同方法在鉴定BPI3V方面的检测能力的差异。其他因素,如国家,学习年,合并感染,农场大小,呼吸体征的存在,性别,和体重,也可能影响患病率。大多数研究都是基于更广泛的BRDC调查或旨在检测其他疾病,表明重点BPI3V研究的潜在代表性不足。BPI3V在BRDC中起着重要作用,根据检测方法,其患病率差异很大。为了进一步了解其在BRDC中的独特作用,并为有针对性的干预措施铺平道路,显然需要独立,专门研究BPI3V。
    Bovine parainfluenza-3 virus (BPI3V) is an important respiratory pathogen in cattle, contributing to syndromes in the bovine respiratory disease complex (BRDC). Despite its significance, the understanding of its prevalence remains fragmented, especially within the larger framework of BRDC. This systematic review and meta-analysis aimed to determine the global prevalence of BPI3V in cattle using varied detection methods and to highlight associated risk factors. Of 2187 initially retrieved articles, 71 were selected for analysis, covering 32 countries. Depending on the detection method employed, the meta-analysis revealed significant variations in BPI3V prevalence. In the general cattle population, the highest prevalence was observed using the antibody detection method, with a proportion of 0.64. In contrast, in cattle with BRDC, a prevalence of 0.75 was observed. For the antigen detection method, a prevalence of 0.15 was observed, exclusively in cattle with BRDC. In nucleic acid detection, a prevalence of 0.05 or 0.10 was observed in the general and BRDC cattle populations, respectively. In virus isolation methods, a prevalence of 0.05 or 0.04 was observed in the general and BRDC cattle populations, respectively. These findings highlight the differences in the detection ability of different methods in identifying BPI3V. Other factors, such as country, study year, coinfections, farm size, the presence of respiratory signs, sex, and body weight, may also affect the prevalence. Most studies were anchored within broader BRDC investigations or aimed at detecting other diseases, indicating a potential under-representation of focused BPI3V research. BPI3V plays an important role in BRDC, with its prevalence varying significantly based on the detection methodology. To further understand its unique role within BRDC and pave the way for targeted interventions, there is an evident need for independent, dedicated research on BPI3V.
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  • 文章类型: Journal Article
    喹喔啉是一类具有抗菌和促进生长功能的兽药。它们通常广泛用于治疗和预防动物疾病,并非法用作动物生长促进剂以增加经济效益。喹喔啉可以很容易地在动物中代谢为各种残留标记物,并保留在动物源性食品中,这将对人类健康构成严重威胁。因此,有必要检测喹喔啉及其代谢物的残留。本文综述并评价了动物源性食品中喹喔啉及其代谢产物的免疫测定,主要包括酶联免疫吸附试验,荧光免疫吸附测定,免疫层析,和表面等离子体共振生物传感器。此外,我们深入探索了喹喔啉及其代谢产物的半抗原设计,并分析了半抗原对抗体性能的影响。本文旨在为其准确、灵敏的检测提供指导和参考,从而确保食品安全和人类公共卫生。
    Quinoxalines are a class of veterinary drugs with antibacterial and growth-promoting functions. They are often widely used to treat and prevent animal diseases and are illegally used as animal growth promoters to increase economic benefits. Quinoxalines could be easily metabolized in animals to various residue markers and remain in animal-derived foods, which would pose a serious threat to human health. Consequently, it is necessary to detect the residues of quinoxalines and their metabolites. This article reviewed and evaluated immunoassays for quinoxalines and their metabolites in animal-derived foods, mainly including enzyme-linked immunosorbent assays, fluorescence immunosorbent assays, immunochromatography, and surface plasmon resonance biosensors. In addition, we deeply explored the design of haptens for quinoxalines and their metabolites and analyzed the effect of haptens on antibody performance. This paper aims to provide guidance and references for their accurate and sensitive detection, thereby ensuring food safety and human public health.
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  • 文章类型: Systematic Review
    背景:对免疫系统如何调节肿瘤生长的了解增加了免疫治疗剂在治疗各种癌症中的应用。这种疗法的影响,包括程序性细胞死亡蛋白1(PD-1)/程序性死亡配体1(PD-L1)和细胞毒性T淋巴细胞相关蛋白4(CTLA-4)抑制剂,关于抗药物抗体(ADAs)的产生及其对结果的影响,知之甚少。这项研究旨在评估与PD-1,PD-L1和CTLA-4抑制剂在癌症治疗中相关的ADA发生率的临床试验证据,并评估治疗之间的相关性。ADA发病率,和治疗结果。
    方法:Embase®,Medline®,和EBM评论于2022年2月15日通过OVID®平台进行了搜索。会议记录,临床试验登记处,还搜索了全球监管和报销机构网站。符合条件的出版物包括接受PD-1,PD-L1或CTLA-4癌症治疗的患者的临床试验,报告结果包括ADAs的发生率或患病率以及免疫原性对治疗安全性和有效性的影响。还搜索了合格出版物的参考清单。根据系统审查和荟萃分析的首选报告项目进行审查和报告,并使用适当的JoannaBriggs研究所关键评估工具进行证据质量评估。
    结果:在筛选了4160条记录和审查了97篇完整出版物之后,共纳入了68项试验的34篇出版物报告.在ClinicalTrials.gov上又确定了41项相关临床试验,在包装说明书的搜索中又确定了32项。总的来说,包括141项相关试验,涵盖15种不同的检查点抑制剂和16种不同的肿瘤类型。在包括的试验中,阿替珠单抗与ADAs的发病率最高(639例患者中为29.6%),其次是nivolumab(2,085例患者中的11.2%).与单一疗法相比,联合检查点抑制剂治疗似乎增加了ADAs的发生率。只有17个试验报告了ADAs对治疗结果的影响,但ADAs对治疗效果的影响结果参差不齐,安全,和药代动力学。
    结论:用于治疗癌症的检查点抑制剂具有免疫原性,治疗中出现的ADAs的发生率在不同的治疗方法之间有所不同。目前尚不清楚ADAs对治疗结果有什么影响。
    Increased understanding of how the immune system regulates tumor growth has innovated the use of immunotherapeutics to treat various cancers. The impact of such therapies, including programmed cell death protein 1 (PD-1)/programmed death-ligand 1 (PD-L1) and cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) inhibitors, on the production of antidrug antibodies (ADAs) and their impact on outcomes, is poorly understood. This study aims to evaluate the clinical trial evidence on ADA incidence associated with PD-1, PD-L1, and CTLA-4 inhibitors in the treatment of cancer and to assess associations between treatment administered, ADA incidence, and treatment outcomes.
    Embase®, Medline®, and EBM Reviews were searched via the OVID® platform on February 15, 2022. Conference proceedings, clinical trial registries, and global regulatory and reimbursement body websites were also searched. Eligible publications included clinical trials enrolling patients receiving cancer treatment with either PD-1, PD-L1, or CTLA-4 reporting outcomes including incidence or prevalence of ADAs and the impact of immunogenicity on treatment safety and efficacy. Reference lists of eligible publications were also searched. The review was conducted and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and evidence quality assessment was conducted using the appropriate Joanna Briggs Institute Critical Appraisal tool.
    After screening 4160 records and reviewing 97 full publications, a total of 34 publications reporting on 68 trials were included. A further 41 relevant clinical trials were identified on ClinicalTrials.gov and a further 32 from searches of packaging inserts. In total, 141 relevant trials covering 15 different checkpoint inhibitors and 16 different tumor types were included. Across the included trials, atezolizumab was associated with the highest incidence of ADAs (29.6% of 639 patients), followed by nivolumab (11.2% of 2,085 patients). Combination checkpoint inhibitor treatment appeared to increase the rate of ADAs versus monotherapy. Only 17 trials reported on the impact of ADAs on treatment outcomes with mixed results for the impact of ADAs on treatment efficacy, safety, and pharmacokinetics.
    Checkpoint inhibitors for the treatment of cancer are immunogenic, with the incidence of treatment-emergent ADAs varying between individual therapies. It remains unclear what impact ADAs have on treatment outcomes.
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