Immunology at Biogen Idec

Total Page:16

File Type:pdf, Size:1020Kb

Load more

2007 Research & Development Day Boston, MA May 17, 2007 Fair Disclosure: Under “Reg FD,” the SEC has set out a series of regulations regarding selective disclosure of material non-public information. In an effort to comply with these regulations, we believe it is important to state at the outset that our presentation todaytoday will not address, nor will we answer any questions relating to, material non-public information. The information we plan to share with you today includes only information that is already in the public domain and/or information that is not material. Forward Looking Statements This presentation includes forward-looking statements about: – the size and growth of the markets for our products, – estimates of sales for our products, – our expected filings with regulatory agencies, – the anticipated development and timing of programs in our clinical pipeline,and – Potential new applications for currently marketed products. Forward-looking statements are subject to risks and uncertainties that could cause actual results to differ materially from those that we expect. Important factors that could cause our actual results to differ include our continued dependence on our two principal products, AVONEX and RITUXAN, the uncertainty of success in commercializing other products including the launch of TYSABRI, the occurrence of adverse safety events with our products, the failure to execute our growth strategy successfully or to compete effectively in our markets, our dependence on collaborations over which we may not always have full control, possible adverse impact of government regulation and changes in the availability of reimbursement for our products, problems with our manufacturing processes and our reliance on third parties, fluctuations in our operating results, our ability to protect our intellectual property rights and the cost of doing so, and the risks of doing business internationally. For a description of the risks and uncertainties that could cause our actual results to differ, please refer to the statements under “Risk Factors” in Item 1A in our Annual Report on Form 10-K and subsequent Quarterly Reports on Form 10-Q filed with the Securities and Exchange Commission. These forward-looking statements speak only as of the date of this presentation, and we do not undertake any obligation to publicly update any forward-looking statements, whether as a result of new information, future events, or otherwise. Page 2 May 17, 2007 2007 R&D Day Agenda Introduction Jim Mullen, CEO 8:30 – 8:35 R&D Overview Cecil Pickett, President R&D 8:35 – 8:45 Neurology Al Sandrock, SVP Neurology R&D 8:45 – 9:45 Break 9:45 – 10:00 Immunology Evan Beckman, SVP Immunology R&D 10:00 – 10:50 Hemophilia Alan Bitonti, SVP Syntonix 10:50 – 11:05 Oncology David Parkinson, SVP Oncology R&D 11:05 – 12:00 Wrap Up / Q&A Cecil Pickett, President R&D 12:00 – 12:15 Page 3 May 17, 2007 Jim Mullen CEO Introduction Pipeline Progression since the Merger Pipeline Transitions Research to Development 1st in Human Late Stage Development • Anti-TWEAK mAb • Anti-BR-3 mAb • Lumiliximab CLL • αvβ6 • BIIB14 • Galiximab NHL • BR-3 Fc • HSP90 inhib BIIB021 • BG-12 MS • Anti-BR-3 mAb • Hu anti-CD20 mAb • RITUXAN® Neurology • CD40L PEG-Fab • LTβR-Fc and Immunology • Anti-Cripto DM4 mAb • Anti TAG-72 mAb* • Anti-IGF-1R mAb • CBE-11* • HSP90 inhib 3647 • IFNβ GD* • Neublastin • FcG-FcE* Filings / Approvals • Approval of TYSABRI® for RRMS • Filing of TYSABRI in Crohn’s Disease • Approval of expanded RITUXAN oncology label • Approval of RITUXAN for RA in TNF-IR * Denotes a discontinued program Page 5 May 17, 2007 Leveraging our Existing Assets Oncology Neurology RITUXAN MS NHL Daclizumab MS Galiximab HSP90 Inhibitors MS NHL Solid Tumors BIIB14 Parkinson’s Lumiliximab BG-12 Parkinson’s CLL TYSABRI MS TYSABRI CDP323 Volociximab (M200) Oncology MS MS Solid Tumors BR3-Fc LTβR-Ig Aviptadil RA TYSABRI PAH RA Crohn’s rFactor IX & VIII FUMADERM® Hemophilia Adentri 2nd Generation Psoriasis Heart Failure anti-CD20 BG-12 Immunology Psoriasis RA New Specialty Markets Page 6 May 17, 2007 Select R&D Accomplishments since Merger Pipeline advancements • 2 product launches (TYSABRI in MS and RITUXAN in RA and expanded oncology label) • 4 programs into late stage development • 8 programs into first in human trials • 10 programs from research into development Corporate restructuring to enable external growth • 7 deals completed Hiring of key talent Creation of therapeutic areas to closely link discovery to development Page 7 May 17, 2007 Cecil Pickett, Ph.D. President, Research and Development Research and Development Overview Biogen Idec’s R&D Strengths • Strong R&D fundamentals – World class biotherapeutic discovery and development organization • Focused drug discovery efforts – Neurology – Immunology – Oncology • Strong link between discovery research, clinical development, and strategic business units • Proven track record of discovering and developing innovative molecules • Extensive biologic manufacturing expertise Page 9 May 17, 2007 R&D Strategy and Execution • Focus on the discovery and development of novel therapeutics to address areas of high unmet medical needs – Internal discovery and external business development – Innovative first-in-class molecules as well as best-in-class molecules • Conduct scientifically rigorous clinical proof of concept experiments to make quick go/no decisions • Execute pivotal registration programs with a global clinical operations organization Page 10 May 17, 2007 Opportunities to Improve R&D Expanding our Capabilities Improving Productivity • Broaden our core discovery and • Increase the number of development development capabilities candidate recommendations • Biologics and small molecules • Expand our small molecule capabilities • Internal discoveries and external • Focus on structure-based drug opportunities design • Enhance drug metabolism and • Improve the development process via formulation support for small a high through-put development molecules initiative • Accelerate first in human studies • Accelerate initiation of pivotal clinical studies • Reduce time between phase transitions • Develop a R&D sourcing strategy Page 11 May 17, 2007 2007 R&D Day Agenda Neurology Al Sandrock, M.D., Ph.D. 8:45 – 9:35 Q&A 9:35 – 9:45 Break 9:45 – 10:00 Immunology Evan Beckman, M.D. 10:00 – 10:40 Q&A 10:40 – 10:50 Hemophilia Alan Bitonti, Ph.D. 10:50 – 11:00 Q&A 11:00 – 11:05 Oncology David Parkinson, M.D. 11:05 – 11:50 Q&A 11:50 – 12:00 Wrap Up and Q&A Cecil Pickett, Ph.D. 12:00 – 12:15 Page 12 May 17, 2007 Al Sandrock, M.D., Ph.D. SVP, Neurology R&D Neurology Pipeline Neurology R&D Pipeline Multiple Sclerosis –BG-12 for MS –RITUXAN for MS –Daclizumab for MS –CDP323 (Oral VLA-4) for MS –LINGO for MS –PML Risk Mitigation Other Neurologic Diseases –BIIB14 for Parkinson’s Disease –Neublastin for Neuropathic pain Page 14 May 17, 2007 Stages of MS MS Lesion Types Time since disease onset Inflammation (interferon-sensitive) conduction block, demyelination, “bystander” axonal injury Degeneration (interferon-resistant) loss of neurons/axons Relapsing- Secondary Remitting Progressive Lesion 1. T cells + macrophages Types 2. Type 1 + Ab and complement 3. Distal oligodendrogliopathy 4. Oligodendrocyte apoptosis Page 15 May 17, 2007 Pathophysiology of MS Page 16 May 17, 2007 Neurology Strategy Overview Continue to develop therapeutics to maintains Biogen Idec’s leadership position in the MS market – While MS market is large and competitive, significant unmet patient need still exists – Several mechanisms of action have a part to play in the pathology of MS thus creating the opportunity to develop multiple therapies – Biogen Idec goal is to leverage its significant expertise and KOL network to discover and develop multiple MS therapies Expand beyond MS into other global specialty markets in neurology with significant unmet medical need Page 17 May 17, 2007 BG-12 for Multiple Sclerosis Page 18 May 17, 2007 BG-12 Activates the Nrf2 Pathway Protecting Cells Against Damage Caused by Oxidative Stress Keap1 Nrf2 - Detox Enzymes - Antioxidant Enzymes Nrf2 - NADPH Generating Enzymes Maf - GSH Biosynthesis Enzymes X Jun - Chaperones ATF4 - Ubiquitination/Proteasome Nrf2 ARE - Detoxification Nucleus - Normalization of energy metabolism - Repair/degradation of damaged proteins Page 19 May 17, 2007 BG-12 Activates the Nrf2 Pathway Protecting Cells Against Damage Caused by Oxidative Stress O O O O BG-12 - Detox Enzymes - Antioxidant Enzymes Keap1 Nrf2 - NADPH Generating Enzymes Maf - GSH Biosynthesis Enzymes Jun - Chaperones ATF4 - Ubiquitination/Proteasome Nrf2 ARE Keap1 - Detoxification Nucleus - Normalization of energy metabolism - Repair/degradation of damaged proteins Page 20 May 17, 2007 BG-12 in RRMS Phase 2b Study Design Blinded Placebo-Controlled Blinded Safety-Extension Treatment Phase Phase Screening Placebo BG-12 240 mg tid (720 mg/day) BG-12 120 mg qd (120 mg/day) Randomization BG-12 120 mg tid (360 mg/day) n=256 BG-12 240 mg tid (720 mg/day)* 4 8 12 16 20 24 24 weeks 24 weeks *Patients 120 mg tid during the first week to determine tolerability Page 21 May 17, 2007 BG-12 in RRMS Phase 2b Trial Results New Gd+ Lesions (Weeks 12 to 24) 6 Pre-Specified Primary End Point 5 4 3 69% P<0.001 2 1 n=54 n=59 n=56 n=54 Mean Number of New Gd+ Lesions 0 Placebo 120 mg qd 120 mg tid 240 mg tid Treatment Group Page 22 May 17, 2007 BG-12 in RRMS Phase 2b Trial Results Relapse Efficacy Treatment Group Placebo 120 mg qd 120 mg tid 240 mg tid n=65 n=64 n=64 n=63 Annualized relapse rate 0.66 0.42 0.78 0.44 (95% CI)* (0.43, 1.01) (0.24, 0.71) (0.52, 1.16) (0.26, 0.76)† % relapse-free patients 69 78 64 71 CI=confidence interval; qd=once daily; tid=three times daily *ITT population, rate adjusted for number of relapses in 12 months prior to study †32% reduction vs placebo Page 23 May 17, 2007 Safety Conclusions • B-12 was generally safe and well tolerated.
Recommended publications
  • Fig. L COMPOSITIONS and METHODS to INHIBIT STEM CELL and PROGENITOR CELL BINDING to LYMPHOID TISSUE and for REGENERATING GERMINAL CENTERS in LYMPHATIC TISSUES

    Fig. L COMPOSITIONS and METHODS to INHIBIT STEM CELL and PROGENITOR CELL BINDING to LYMPHOID TISSUE and for REGENERATING GERMINAL CENTERS in LYMPHATIC TISSUES

    (12) INTERNATIONAL APPLICATION PUBLISHED UNDER THE PATENT COOPERATION TREATY (PCT) (19) World Intellectual Property Organization International Bureau (10) International Publication Number (43) International Publication Date Χ 23 February 2012 (23.02.2012) WO 2U12/U24519ft ft A2 (51) International Patent Classification: AO, AT, AU, AZ, BA, BB, BG, BH, BR, BW, BY, BZ, A61K 31/00 (2006.01) CA, CH, CL, CN, CO, CR, CU, CZ, DE, DK, DM, DO, DZ, EC, EE, EG, ES, FI, GB, GD, GE, GH, GM, GT, (21) International Application Number: HN, HR, HU, ID, IL, IN, IS, JP, KE, KG, KM, KN, KP, PCT/US201 1/048297 KR, KZ, LA, LC, LK, LR, LS, LT, LU, LY, MA, MD, (22) International Filing Date: ME, MG, MK, MN, MW, MX, MY, MZ, NA, NG, NI, 18 August 201 1 (18.08.201 1) NO, NZ, OM, PE, PG, PH, PL, PT, QA, RO, RS, RU, SC, SD, SE, SG, SK, SL, SM, ST, SV, SY, TH, TJ, TM, (25) Filing Language: English TN, TR, TT, TZ, UA, UG, US, UZ, VC, VN, ZA, ZM, (26) Publication Language: English ZW. (30) Priority Data: (84) Designated States (unless otherwise indicated, for every 61/374,943 18 August 2010 (18.08.2010) US kind of regional protection available): ARIPO (BW, GH, 61/441,485 10 February 201 1 (10.02.201 1) US GM, KE, LR, LS, MW, MZ, NA, SD, SL, SZ, TZ, UG, 61/449,372 4 March 201 1 (04.03.201 1) US ZM, ZW), Eurasian (AM, AZ, BY, KG, KZ, MD, RU, TJ, TM), European (AL, AT, BE, BG, CH, CY, CZ, DE, DK, (72) Inventor; and EE, ES, FI, FR, GB, GR, HR, HU, IE, IS, ΓΓ, LT, LU, (71) Applicant : DEISHER, Theresa [US/US]; 1420 Fifth LV, MC, MK, MT, NL, NO, PL, PT, RO, RS, SE, SI, SK, Avenue, Seattle, WA 98101 (US).
  • B-Cell Targets to Treat Antibody-Mediated Rejection In

    B-Cell Targets to Treat Antibody-Mediated Rejection In

    Muro et al. Int J Transplant Res Med 2016, 2:023 Volume 2 | Issue 2 International Journal of Transplantation Research and Medicine Commentary: Open Access B-Cell Targets to Treat Antibody-Mediated Rejection in Transplantation Manuel Muro1*, Santiago Llorente2, Jose A Galian1, Francisco Boix1, Jorge Eguia1, Gema Gonzalez-Martinez1, Maria R Moya-Quiles1 and Alfredo Minguela1 1Immunology Service, University Clinic Hospital Virgen de la Arrixaca, Spain 2Nephrology Service, University Clinic Hospital Virgen de la Arrixaca, Spain *Corresponding author: Manuel Muro, PhD, Immunology Service, University Clinic Hospital “Virgen de la Arrixaca”, Biomedical Research Institute of Murcia (IMIB), Murcia, Spain, Tel: 34-968-369599, E-mail: [email protected] Antibody-mediated rejection (AMR) in allograft transplantation APRIL (a proliferation-inducing ligand). These co-activation signals can be defined with a rapid increase in the levels of specific are required for B-cell differentiation into plasma cell and enhancing serological parameters after organ transplantation, presence of donor their posterior survival and are a key determinant of whether specific antibodies (DSAs) against human leukocyte antigen (HLA) developing B-cells will survive or die during the establishment molecules, blood group (ABO) antigens and/or endothelial cell of immuno-tolerance [5,6]. Important used agents commercially antigens (e.g. MICA, ECA, Vimentin, or ETAR) and also particular available are Tocilizumab (anti-IL6R) and Belimumab (BAFF). histological parameters [1,2]. If the AMR persists or progresses, the The receptors of BAFF and APRIL could also be important as treatment to eliminate the humoral component of acute rejection eventual targets, for example BAFF-R, TACI (transmembrane include three sequential steps: (a) steroid pulses, antibody removal activator and calcium modulator and cyclophyllin ligand interactor) (plasma exchange or immuno-adsorption) and high doses of and BCMA (B-cell maturation antigen).
  • Looking for Therapeutic Antibodies in Next Generation Sequencing Repositories

    Looking for Therapeutic Antibodies in Next Generation Sequencing Repositories

    bioRxiv preprint doi: https://doi.org/10.1101/572958; this version posted March 10, 2019. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under aCC-BY 4.0 International license. Title: Looking for Therapeutic Antibodies in Next Generation Sequencing Repositories. Authors: Konrad Krawczyk1*, Matthew Raybould2, Aleksandr Kovaltsuk2, Charlotte M. Deane2 1 NaturalAntibody, Hamburg, Germany 2 Oxford University Department of Statistics, Oxford, UK *Correspondence to [email protected] Abstract: Recently it has become possible to query the great diversity of natural antibody repertoires using Next Generation Sequencing (NGS). These methods are capable of producing millions of sequences in a single experiment. Here we compare Clinical Stage Therapeutic antibodies to the ~1b sequences from 60 independent sequencing studies in the Observed Antibody Space Database. Of the 242 post Phase I antibodies, we find 16 with sequence identity matches of 95% or better for both heavy and light chains. There are also 54 perfect matches to therapeutic CDR-H3 regions in the NGS outputs, suggesting a nontrivial amount of convergence between naturally observed sequences and those developed artificially. This has potential implications for both the discovery of antibody therapeutics and the legal protection of commercial antibodies. Introduction Antibodies are proteins in jawed vertebrates that recognize noxious molecules (antigens) for elimination. An organism expresses millions of diverse antibodies to increase the chances that some of them will be able to bind the foreign antigen, initiating the adaptive immune response.
  • Modifications to the Harmonized Tariff Schedule of the United States To

    Modifications to the Harmonized Tariff Schedule of the United States To

    U.S. International Trade Commission COMMISSIONERS Shara L. Aranoff, Chairman Daniel R. Pearson, Vice Chairman Deanna Tanner Okun Charlotte R. Lane Irving A. Williamson Dean A. Pinkert Address all communications to Secretary to the Commission United States International Trade Commission Washington, DC 20436 U.S. International Trade Commission Washington, DC 20436 www.usitc.gov Modifications to the Harmonized Tariff Schedule of the United States to Implement the Dominican Republic- Central America-United States Free Trade Agreement With Respect to Costa Rica Publication 4038 December 2008 (This page is intentionally blank) Pursuant to the letter of request from the United States Trade Representative of December 18, 2008, set forth in the Appendix hereto, and pursuant to section 1207(a) of the Omnibus Trade and Competitiveness Act, the Commission is publishing the following modifications to the Harmonized Tariff Schedule of the United States (HTS) to implement the Dominican Republic- Central America-United States Free Trade Agreement, as approved in the Dominican Republic-Central America- United States Free Trade Agreement Implementation Act, with respect to Costa Rica. (This page is intentionally blank) Annex I Effective with respect to goods that are entered, or withdrawn from warehouse for consumption, on or after January 1, 2009, the Harmonized Tariff Schedule of the United States (HTS) is modified as provided herein, with bracketed matter included to assist in the understanding of proclaimed modifications. The following supersedes matter now in the HTS. (1). General note 4 is modified as follows: (a). by deleting from subdivision (a) the following country from the enumeration of independent beneficiary developing countries: Costa Rica (b).
  • The Two Tontti Tudiul Lui Hi Ha Unit

    The Two Tontti Tudiul Lui Hi Ha Unit

    THETWO TONTTI USTUDIUL 20170267753A1 LUI HI HA UNIT ( 19) United States (12 ) Patent Application Publication (10 ) Pub. No. : US 2017 /0267753 A1 Ehrenpreis (43 ) Pub . Date : Sep . 21 , 2017 ( 54 ) COMBINATION THERAPY FOR (52 ) U .S . CI. CO - ADMINISTRATION OF MONOCLONAL CPC .. .. CO7K 16 / 241 ( 2013 .01 ) ; A61K 39 / 3955 ANTIBODIES ( 2013 .01 ) ; A61K 31 /4706 ( 2013 .01 ) ; A61K 31 / 165 ( 2013 .01 ) ; CO7K 2317 /21 (2013 . 01 ) ; (71 ) Applicant: Eli D Ehrenpreis , Skokie , IL (US ) CO7K 2317/ 24 ( 2013. 01 ) ; A61K 2039/ 505 ( 2013 .01 ) (72 ) Inventor : Eli D Ehrenpreis, Skokie , IL (US ) (57 ) ABSTRACT Disclosed are methods for enhancing the efficacy of mono (21 ) Appl. No. : 15 /605 ,212 clonal antibody therapy , which entails co - administering a therapeutic monoclonal antibody , or a functional fragment (22 ) Filed : May 25 , 2017 thereof, and an effective amount of colchicine or hydroxy chloroquine , or a combination thereof, to a patient in need Related U . S . Application Data thereof . Also disclosed are methods of prolonging or increasing the time a monoclonal antibody remains in the (63 ) Continuation - in - part of application No . 14 / 947 , 193 , circulation of a patient, which entails co - administering a filed on Nov. 20 , 2015 . therapeutic monoclonal antibody , or a functional fragment ( 60 ) Provisional application No . 62/ 082, 682 , filed on Nov . of the monoclonal antibody , and an effective amount of 21 , 2014 . colchicine or hydroxychloroquine , or a combination thereof, to a patient in need thereof, wherein the time themonoclonal antibody remains in the circulation ( e . g . , blood serum ) of the Publication Classification patient is increased relative to the same regimen of admin (51 ) Int .
  • (12) Patent Application Publication (10) Pub. No.: US 2017/0172932 A1 Peyman (43) Pub

    (12) Patent Application Publication (10) Pub. No.: US 2017/0172932 A1 Peyman (43) Pub

    US 20170172932A1 (19) United States (12) Patent Application Publication (10) Pub. No.: US 2017/0172932 A1 Peyman (43) Pub. Date: Jun. 22, 2017 (54) EARLY CANCER DETECTION AND A 6LX 39/395 (2006.01) ENHANCED IMMUNOTHERAPY A61R 4I/00 (2006.01) (52) U.S. Cl. (71) Applicant: Gholam A. Peyman, Sun City, AZ CPC .......... A61K 9/50 (2013.01); A61K 39/39558 (US) (2013.01); A61K 4I/0052 (2013.01); A61 K 48/00 (2013.01); A61K 35/17 (2013.01); A61 K (72) Inventor: sham A. Peyman, Sun City, AZ 35/15 (2013.01); A61K 2035/124 (2013.01) (21) Appl. No.: 15/143,981 (57) ABSTRACT (22) Filed: May 2, 2016 A method of therapy for a tumor or other pathology by administering a combination of thermotherapy and immu Related U.S. Application Data notherapy optionally combined with gene delivery. The combination therapy beneficially treats the tumor and pre (63) Continuation-in-part of application No. 14/976,321, vents tumor recurrence, either locally or at a different site, by filed on Dec. 21, 2015. boosting the patient’s immune response both at the time or original therapy and/or for later therapy. With respect to Publication Classification gene delivery, the inventive method may be used in cancer (51) Int. Cl. therapy, but is not limited to such use; it will be appreciated A 6LX 9/50 (2006.01) that the inventive method may be used for gene delivery in A6 IK 35/5 (2006.01) general. The controlled and precise application of thermal A6 IK 4.8/00 (2006.01) energy enhances gene transfer to any cell, whether the cell A 6LX 35/7 (2006.01) is a neoplastic cell, a pre-neoplastic cell, or a normal cell.
  • (12) United States Patent (10) Patent No.: US 8,883,146 B2 Fraunhofer Et Al

    (12) United States Patent (10) Patent No.: US 8,883,146 B2 Fraunhofer Et Al

    USOO8883146 B2 (12) United States Patent (10) Patent No.: US 8,883,146 B2 Fraunhofer et al. (45) Date of Patent: *Nov. 11, 2014 (54) PROTEINFORMULATIONS AND METHODS (56) References Cited OF MAKING SAME U.S. PATENT DOCUMENTS (71) Applicant: AbbVie Inc., North Chicago, IL (US) 4,597,966 A 7/1986 Zolton et al. 4,877,608 A 10, 1989 Lee et al. (72) Inventors: Wolfgang Fraunhofer, Gurnee, IL (US); 5,237,054 A 8, 1993 Brinks et al. Annika Bartl, Ludwigshafen (DE); 5,608,038 A 3, 1997 Eiblet al. Hans-Juergen Krause, Biblis (DE); 5,702,699 A 12/1997 Hanish et al. Markus Tschoepe, Hessheim (DE); 6,090,382 A T/2000 Salfeld et al. Katharina Kaleta, Ludwigshafen (DE) 6,165.467 A 12/2000 Hagiwara et al. 6,171,586 B1 1/2001 Lam et al. 6,252,055 B1 6/2001 Relton (73) Assignee: AbbVie Inc., North Chicago, IL (US) 6,258,562 B1 7/2001 Salfeld et al. 6,281,336 B1 8/2001 Laursen et al. (*) Notice: Subject to any disclaimer, the term of this 6,436,397 B1 8/2002 Baker et al. patent is extended or adjusted under 35 6,485,932 B1 1 1/2002 McIntosh et al. U.S.C. 154(b) by 0 days. 6,509,015 B1 1/2003 Salfeld et al. 6,693,173 B2 2/2004 Mamidi et al. This patent is Subject to a terminal dis- 7,070,775 B2 7/2006 Le et al. claimer. 7,223,394 B2 5/2007 Salfeld et al.
  • Monoclonal Antibody Therapy for Classical Hodgkin Lymphoma

    Monoclonal Antibody Therapy for Classical Hodgkin Lymphoma

    Review: Clinical Trial Outcomes Monoclonal antibody therapy for classical Hodgkin lymphoma Clin. Invest. (2013) 3(9), 899–910 Major advances in the treatment of B-cell lymphoma resulting from the Ewa Paszkiewicz-Kozik & introduction of a monoclonal antibody to the CD20 antigen 15 years Jan Walewski* ago have left Hodgkin lymphoma (HL) aside. This has changed with the Department of Lymphoid Malignancies, The success of the anti-CD30 antibody conjugated with an antitubulin agent, Maria Sklodowska–Curie Memorial Institute & Oncology Centre, 5 Roentgen Street, 02–781 brentuximab vedotin, recently approved for the treatment of adult Warsaw, Poland + patients with relapsed or refractory CD30 HL following autologous stem *Author for correspondence: cell transplantation (ASCT) or following at least two prior therapies when Tel.: +48 22 546 3248 ASCT or for which multi-agent chemotherapy is not a treatment option. Fax: +48 22 546 3250 The magnitude of clinical activity of the new antibody has also prompted E-mail: [email protected] research on biologic functions of the CD30 molecule, as well as exploring other potential targets present on multinucleated Reed–Sternberg cells and the surrounding inflammatory area for a range of antibodies. This article will review the accumulating clinical data on the use of monoclonal antibodies in the treatment of classical HL with focus on CD20 and CD30 targets. We describe possible mechanisms of action, efficacy and toxicity related to administration of rituximab, brentuximab vedotin, daclizumab and other antibodies investigated in Phase I and II trials for classical HL. Keywords: brentuximab vedotin • CD20 • CD25 • CD30 • daclizumab • Hodgkin lymphoma • monoclonal antibodies • rituximab The treatment of B-cell lymphoid malignancies was revolutionized 15 years ago by the advent of the monoclonal antibody to the CD20 antigen.
  • Newer Monoclonal Antibodies for Hematological Malignancies

    Newer Monoclonal Antibodies for Hematological Malignancies

    Experimental Hematology 2008;36:755–768 Newer monoclonal antibodies for hematological malignancies Jorge Castillo, Eric Winer, and Peter Quesenberry Division of Hematology and Oncology, Rhode Island Hospital, Brown University Warren Alpert Medical School, Providence, RI, USA (Received 28 March 2008; revised 28 April 2008; accepted 28 April 2008) Since the approval of rituximab in 1997, monoclonal antibodies have come to play an impor- tant role in the therapy of hematological malignancies. Rituximab, gemtuzumab ozogamicin, and alemtuzumab are US Food and Drug Administration–approved for treatment of B-cell lymphomas, acute myeloid leukemia, and chronic lymphocytic leukemia, respectively. Multi- ple monoclonal antibodies directed against new and not-so-new cellular antigens are undergo- ing development and investigation all over the world. Most of these new compounds have undergone primatization or humanization, improving their specificity and decreasing their antigenicity when compared to earlier murine or chimeric products. This review will focus on three major aspects of monoclonal antibody therapy: 1) new therapeutic approaches with currently approved agents; 2) preclinical and clinical experience accumulated on new agents in the last few years; discussion will include available phase I, II, and III data on ofa- tumumab, epratuzumab, CMC-544, HeFi-1, SGN-30, MDX-060, HuM195 (lintuzumab), galix- imab, lumiliximab, zanolimumab, and apolizumab; and 3) the role of naked and radiolabeled monoclonal antibodies in the hematopoietic stem cell transplantation setting. Ó 2008 ISEH - Society for Hematology and Stem Cells. Published by Elsevier Inc. Since the discovery of hybridoma technology in 1975 [1], or chemotherapy (Table 2). Different strategies of action the production and variety of monoclonal antibodies have have been developed using monoclonal antibodies; these been exponentially increasing.
  • I Regulations

    I Regulations

    23.2.2007 EN Official Journal of the European Union L 56/1 I (Acts adopted under the EC Treaty/Euratom Treaty whose publication is obligatory) REGULATIONS COUNCIL REGULATION (EC) No 129/2007 of 12 February 2007 providing for duty-free treatment for specified pharmaceutical active ingredients bearing an ‘international non-proprietary name’ (INN) from the World Health Organisation and specified products used for the manufacture of finished pharmaceuticals and amending Annex I to Regulation (EEC) No 2658/87 THE COUNCIL OF THE EUROPEAN UNION, (4) In the course of three such reviews it was concluded that a certain number of additional INNs and intermediates used for production and manufacture of finished pharmaceu- ticals should be granted duty-free treatment, that certain of Having regard to the Treaty establishing the European Commu- these intermediates should be transferred to the list of INNs, nity, and in particular Article 133 thereof, and that the list of specified prefixes and suffixes for salts, esters or hydrates of INNs should be expanded. Having regard to the proposal from the Commission, (5) Council Regulation (EEC) No 2658/87 of 23 July 1987 on the tariff and statistical nomenclature and on the Common Customs Tariff (1) established the Combined Nomenclature Whereas: (CN) and set out the conventional duty rates of the Common Customs Tariff. (1) In the course of the Uruguay Round negotiations, the Community and a number of countries agreed that duty- (6) Regulation (EEC) No 2658/87 should therefore be amended free treatment should be granted to pharmaceutical accordingly, products falling within the Harmonised System (HS) Chapter 30 and HS headings 2936, 2937, 2939 and 2941 as well as to designated pharmaceutical active HAS ADOPTED THIS REGULATION: ingredients bearing an ‘international non-proprietary name’ (INN) from the World Health Organisation, specified salts, esters or hydrates of such INNs, and designated inter- Article 1 mediates used for the production and manufacture of finished products.
  • Molecular Targeted Therapies for Indolent Lymphomas: Where Are

    Molecular Targeted Therapies for Indolent Lymphomas: Where Are

    Hematology Meeting Reports 2009;3(3):4–9 SESSION I G. Saglio Molecular targeted therapies for indolent G. Parvis M. Bosa lymphomas: where are we? Department of Clinical and Biological Sciences, University of Turin, Regione Gonzole, Orbassano, TO, Italy During the last decade the analysis11 suggested that mainte- development of new drugs for the nance therapy with rituximab, treatment of hematologic malig- either as four weekly infusions nancies has become really prom- every 6 months or as a single infu- ising. This innovative drug devel- sion every 2-3 months, should be opment is based on the translation added to standard therapy for into biochemical pharmacology patients with relapsed or refracto- of specific alterations of biologi- ry follicular lymphoma after suc- cal functions affecting tumour cessful induction therapy, to cells1. One of the most important improve progression-free and examples is imatinib: it showed overall survival. In contrast, pre- that it was possible to nullify the viously untreated patients seem pathognomic genetic lesion of not to acquire the same benefit chronic myelogenous leukemia from the maintenance treatment (CML). Drugs targeting unique (i.e. it prolongs the time to pro- disease-specific pathways have gression but does not prolong sur- also found potential applicability vival).12-13 in treating malignancies such as The data recently showed at CD20-positive non-Hodgkin’s 2008 ASH Meeting, coming from lymphoma (rituximab), follicular the clinical phase III studies lymphoma (Bcl-2-targeted named CLL8 and REACH, defi- agents2-6) and other B-cell neo- nitely support the employment of plasms (splenic tyrosine kinase rituximab in addition to chemo- [Syk] inhibitors;7-9 IkB kinase therapy (the standard regimen inhibitors10).
  • Update on Galiximab: Anti-CD80 Monoclonal Antibody

    Update on Galiximab: Anti-CD80 Monoclonal Antibody

    Hematology Meeting Reports 2008;2(5):72-73 SESSION V M.S. Czuczman Update on galiximab: Roswell Park anti-CD80 monoclonal antibody Cancer Institute, Buffalo, NY, USA CD80 (B7.1) is a membrane- an excellent safety profile (i.e. bound co-stimulatory molecule similar to placebo). A phase I/II known for its role in regulating T- dose-escalation, single-agent, cell activity. Several studies sug- multiple dose study by Czuczman gest that it is also involved in the et al.3 demonstrated that 4 weekly regulation of normal and malig- infusions of galiximab were: well nant B-cells. CD80 is transiently tolerated and had modest anti- expressed on the surface of acti- tumor activity in relapsed/refrac- vated B-cells, antigen-presenting tory FL. A phase I/II study of gal- cells, and T-cells, but is constitu- iximab in combination with ritux- tively expressed on a variety of imab in relapsed/refractory FL by NHL’s (e.g. follicular lymphoma Leonard et al.4 has also been pub- (FL), Hodgkin’s lymphoma, etc.). lished. In this study, the overall Galiximab is a chimeric (“prima- response rate (ORR) at a galix- tized” = human IgG1 constant imab dose of 500 mg/m2 was 66% regions plus primate variable :19% CR, 14% CRu, and 33% regions) anti-CD80 monoclonal PR. Median PFS was 12.1 antibody (mAb) with low months. There appeared to be a immunogenicity. Cross-linking trend for patients in lower FLIPI CD80 with anti-CD80 on lym- risk groups and rituximab-naïve phoma cells in vitro has been patients to have better clinical shown to induce antibody- outcome as measured by ORR dependent cellular cytotoxicity and PFS.