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Antibody-based drug delivery systems for cancer therapy: Mechanisms, challenges, and prospects.

In recent years, antibody-based cancer therapy has emerged as one of the efficient therapeutic strategies, such as immune checkpoint inhibitors (ICIs), angiogenesis inhibitors, antibody-drug conjugates (ADCs), multi-specific antibodies, and chimeric antigen receptor T (CAR-T) cells, among others. To date, various drug delivery platforms have been developed to improve the bioavailability, delivery convenience, and reduced toxicity towards increased therapeutic efficacy of antibodies. Herein, we emphasize the clinical manifestations of various antibody-based tumor therapies, highlighting their m

Benefits of switching from intravenous to subcutaneous daratumumab: Perspectives from UK healthcare providers.

Daratumumab is a CD38-directed monoclonal antibody indicated to treat multiple myeloma (MM). Daratumumab was initially administered intravenously (IV), subsequently a subcutaneous (SC) formulation was developed to increase convenience of administration. The UK was an early adopter of SC daratumumab and, as such, this report provides consensus recommendations from a group of UK MM experts, with the aim of facilitating the transition from IV to SC daratumumab for other European healthcare providers. The switch from IV to SC daratumumab has been beneficial to patients and healthcare providers, as

Subcutaneous administration of isatuximab in patients with multiple myeloma by an on-body delivery system: results of a nurse survey.

IntroductionSubcutaneous (SC) administration of the anti-CD38 antibody isatuximab (Isa) by an on-body delivery system (OBDS), plus pomalidomide-dexamethasone, has demonstrated safety and efficacy comparable to intravenous (IV) administration, with no infusion reactions and excellent local tolerability in multiple myeloma (MM) patients. We report here results of a nurse survey designed to evaluate convenience of treatment with SC Isa, via OBDS, for healthcare providers and MM patients.MethodsA newly developed, expert-vetted questionnaire was used to survey nurses with experience in SC administr

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… Injection site reactions (grade 1; occurring in 1.7% of all OBDS administrations), consisted mostly of erythemas. The overall response rate was 66.7% in the IV cohort and 72.7% in the OBDS cohort ( 18 ). … The lack of infusion/injection reactions and limited low-grade injection site reactions observed in the OBDS cohort of the Phase 1b study (1.7% of all injections) further underscore the safety and tolerability of this treatment approach ( 18 ). …

Использование подкожного дородового ухода - окончательные результаты невмешательского, наблюдательного исследования (SISTER) в Германии и Австрии.

Натальизумаб является лекарственной терапией для пациентов с повторно излучающимся множественным склерозом (RRMS). Помимо его первоначальной формы внутривенного (IV) использования был утвержден подкожный (SC) маршрут управления (ROA) 2021. Впоследствии в Германии и Австрии было начато исследование с целью получения реальных данных об использовании, предпочтениях пациентов, безопасности и эффективности врачебной практики. ЦЕЛИ: Основная цель заключалась в том, чтобы сравнить предпочтения пациентов в пользу РВ и удовлетворенность с СО. IV Натенизумаб на базовом уровне и до 12 месяцев лечения. Вт

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… Analysis of injection site reactions among the SC-treated patients. Note. Original question (PPQ1, Question 3): Have you experienced reactions at the injection site? … Disease activity after start of study treatment was low in all 3 cohorts, injection-site reactions were transient and mostly mild or moderate, and the documented adverse event pattern was consistent with the known safety profiles of SC and IV natalizumab. …

Results of a Time and Motion Survey Regarding Subcutaneous versus Intravenous Administration of Daratumumab in Patients with Relapsed or Refractory Multiple Myeloma.

PurposeDaratumumab (DARA) is a humanized anti-CD38 monoclonal antibody and approved as monotherapy or in combination with standard of care regimens for the treatment of multiple myeloma (MM). DARA intravenous (IV) administration is time-consuming; availability of DARA subcutaneous (SC) is expected to reduce this burden. A time and motion survey was undertaken to elicit healthcare providers' (HCPs') understanding of the workflow and time estimates for administration of DARA IV and SC (beyond treatment time) in patients with relapsed/refractory MM.Patients and methodsThis web-based, prospective

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… site reactions (ISRs). 18 Based on these results, DARA SC was approved by the US Food and Drug Administration and the European Medicines Agency. 10 , 19 It is estimated that administration time for DARA SC during the first year of treatment will take <2 hours (115 minutes), assuming an SC injection … Abbreviations DARA, daratumumab; HCP, healthcare provider; HRQoL, health-related quality of life; ISR, injection site reaction; IRR, infusion-related reaction; IV, intravenous; MM, multiple myeloma; RRMM, relapsed/refractory MM; SC, subcutaneous; SOC, standard of care; T&M, time and motion. …

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Optimisation of anti-interleukin-6 therapy: Precision medicine through mathematical modelling.

BackgroundDysregulated interleukin (IL)-6 production can be characterised by the levels present, the kinetics of its rise and its inappropriate location. Rapid, excessive IL-6 production can exacerbate tissue damage in vital organs. In this situation, therapy with an anti-IL-6 or anti-IL-6 receptor (IL-6R) monoclonal antibody, if inappropriately dosed, may be insufficient to fully block IL-6 signalling and normalise the immune response.MethodsWe analysed inhibition of C-reactive protein (CRP) - a biomarker for IL-6 activity - in patients with COVID-19 or idiopathic multicentric Castleman disea

фазы 2 Судебный процесс над Фрексалимабом, антагонистом CD40L, среди подростков и взрослых с недавним-оффсетным типом 1 Диабет (ФАБУЛИНУС): Обоснование и проект исследований.

Введение 1 диабет (T1D) — хроническое аутоиммунное заболевание, характеризующееся постепенным уничтожением инсулиновых β-клеток. Сохранение оставшихся β-клеток на момент диагностики может улучшить долгосрочные результаты. Frexalib — это гуманная моноклональная антитела, специально предназначенная для CD40L, которая проходит оценку на предмет лечения различных иммунизированных заболеваний. фазы 2 - испытание для оценки эффективности и безопасности фрексалимаб для сохранения поджелудочной функции β-клетки у подростков и молодых взрослых (12-35 с недавно поставленным диагнозом &quot; Этап &quot;

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… History of a systemic hypersensitivity reaction or significant allergies, other than localised injection site reaction, to any humanised mAb. …

COVID-19 vaccination in patients with multiple myeloma: a consensus of the European Myeloma Network.

Patients with multiple myeloma frequently present with substantial immune impairment and an increased risk for infections and infection-related mortality. The risk for infection with SARS-CoV-2 virus and resulting mortality is also increased, emphasising the importance of protecting patients by vaccination. Available data in patients with multiple myeloma suggest a suboptimal anti-SARS-CoV-2 immune response, meaning a proportion of patients are unprotected. Factors associated with poor response are uncontrolled disease, immunosuppression, concomitant therapy, more lines of therapy, and CD38 an

Эпигенетика и метаболическая метаболическая дисфункция при многоразовом склерозе: обзор подходов к травяным лекарствам и текущих клинических испытаний.

Множественный склероз (MS) — сложная аутоиммунная болезнь, характеризующаяся воспалением, обезвоживанием и нейродегенерацией в центральной нервной системе (КНС). Хотя точные причины остаются неясными, недавние исследования подчеркивают важную роль эпигенетических изменений и митохондриальной дисфункции в начале и развитии болезни. Эпигенетические изменения, такие, как метилация ДНК, модификация гистона и регулирование микроРНК, влияют на генное выражение, не изменяя последовательности ДНК, что приводит к иммунной дисрегуляции и воспалению. Аналогичным образом, митохондриальная дисфункция, отме

Advances and Prospects of Prolamine Corn Protein Zein as Promising Multifunctional Drug Delivery System for Cancer Treatment.

Zein is a type of prolamine protein that is derived from corn, and it has been recognized by the US FDA as one of the safest biological materials available. Zein possesses valuable characteristics that have made it a popular choice for the preparation of drug carriers, which can be administered through various routes to improve the therapeutic effect of antitumor drugs. Additionally, zein contains free hydroxyl and amino groups that offer numerous modification sites, enabling it to be hybridized with other materials to create functionalized drug delivery systems. However, despite its potential

Efficacy and safety profile of COVID-19 mRNA vaccine in patients with hematological malignancies: Systematic review and meta-analysis.

Patient populations, including those with hematological malignancies, have different responses to COVID-19 vaccines. This study aimed to quantitatively analyze the efficacy and safety of COVID-19 mRNA vaccines in patients with hematological malignancies. Studies reporting on the efficacy and safety of COVID-19 mRNA vaccines in cohorts with hematological malignancies compared to healthy controls were systematically searched in four databases. Meta-analysis and subgroup analyses were performed to generate quantitative synthesis. Fifteen studies with 2,055 cohorts with hematological malignancies

Adverse Events of Oncologic Immunotherapy and Their Management.

Over the past two decades, immunotherapy has emerged as a promising treatment option for patients with cancer. However, newer versions of immunotherapy, such as checkpoint inhibitors, may be associated with unusual adverse effects (AEs) that can range in severity from mild to life-threatening. Unlike common AEs of conventional chemotherapy, which have a predictable nadir or cyclic pattern after administration, AEs of these newer immunotherapies are variable, depending on the type of immunotherapy, route of administration, and mechanism of action. The onset and resolution of these AEs may be pr

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… . | Carcinoid tumors Melanoma Renal cell carcinoma Cutaneous T-cell lymphoma Hairy cell leukemia Follicular lymphoma Chronic myeloid leukemia | • Injection site reaction • Alopecia • Anorexia • Nausea/vomiting • Dry mouth • Increased liver enzymes • Arthralgia • Myalgia • Asthenia • Flu-like symptoms … Designed to mediate tumor regression via replication within and lysis of tumor cells | Advanced melanoma | • Fever and chills • Fatigue • Nausea • Flu-like symptoms • Injection site reaction (pain, erythema, swelling) | Assess for injection site reaction. …

DNA Damaging Drugs

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Current status of immunisation for herpes zoster.

Herpes zoster (HZ) is increasingly common in the aging and is experienced by approximately one in three people in their lifetime. It is also relatively common in immune-compromised people. Acute HZ causes severe pain, reduced quality of life and severe complications, including prolonged pain, or postherpetic neuralgia (PHN), and ocular zoster, which may rarely progress to blindness. In severely immune-compromised people disseminated zoster may affect the brain and liver. A second-generation vaccine, the Recombinant Zoster Vaccine, consisting of recombinant viral glycoprotein E and the Adjuvant

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… Injection site reactions were much more frequent in RZV than placebo recipients in the first seven days after RZV administration (82% vs 12%). 28 Pain was the most common local reaction (79% of RZV recipients). …

Combinational Antitumor Strategies Based on the Active Ingredients of Toad Skin and Toad Venom.

A multidrug combination strategy is an important mean to improve the treatment of cancer and is the mainstream scheme of clinical cancer treatment. The active ingredients of traditional Chinese medicine, represented by toad skin and toad venom, have the advantages of high efficiency, low toxicity, wide action and multiple targets and have become ideal targets in combined treatment strategies for tumors in recent years. Toad skin and toad venom are traditional Chinese animal medicines derived from Bufo bufo gargarizans Cantor or Bufo melanostictus Schneider that have shown excellent therapeutic

Выбрать первоначальную терапию MS; факторы личного характера, болезни и лекарственные средства.

Инициирование болезни, изменяющей терапию у пациента с недавно поставленным диагнозом повторного склероза, в настоящее время предоставляет наилучшую возможность повлиять на их последующий курс лечения. В этой статье рассматриваются личные факторы, характеристики представления заболеваний и данные о текущих заболеваниях, изменяющих терапию, с точки зрения выбора первоначального лечения в этой среде. Хотя показатели для прогнозирования на индивидуальном уровне остаются ненадежными, особенно для тех, кто имеет мягкие представления, имеющиеся в настоящее время данные об относительной эффективности

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… IFNB agents require injection administration and may cause mild or more serious injection site reactions. Initiation of treatment is usually accompanied by transient flu-like symptoms of myalgias, arthralgias, low grade fevers and fatigue. … Commonly reported side effects include injection site reactions and sporadic transient post injection reactions with symptoms of dyspnea, heat, tachycardia, chest discomfort and/or flushing, which are self-limited [ 72 ]. …

Poly(ethylene glycol)-Prodrug Conjugates: Concept, Design, and Applications.

Poly(ethylene glycol) (PEG) is the most widely used polymer in delivering anticancer drugs clinically. PEGylation (i.e., the covalent attachment of PEG) of peptides proteins, drugs, and bioactives is known to enhance the aqueous solubility of hydrophobic drugs, prolong circulation time, minimize nonspecific uptake, and achieve specific tumor targetability through the enhanced permeability and retention effect. Numerous PEG-based therapeutics have been developed, and several have received market approval. A vast amount of clinical experience has been gained which has helped to design PEG prodru

Anti-PEG Antibodies and Their Biological Impact on PEGylated Drugs: Challenges and Strategies for Optimization.

Polyethylene glycol (PEG) has been widely utilized in optimizing therapeutics due to its excellent biocompatibility and chemical stability. However, multiple dosing of PEGylated drugs may result in toxicity due to PEG accumulation in tissues, leading to the formation of anti-PEG antibodies (APAs), which can accelerate drug clearance, reduce efficacy, and alongside enhanced side effects, such as allergic reactions. Notably, pre-existing APAs have also been detected in individuals with no prior exposure to PEGylated drugs, raising additional clinical concerns. This review summarizes the mechanis

Эпинефрин как терапевтический агент по гиперферритинемии в диабете и гипертенции.

ПЕРВЫЙ РАЗДЕЛ НЕИЗБИРАТЕЛЬНОГО БЕДСТВИЯ, ИСПОЛЬЗУЕМОГО 21st Пандемия века. Тип 2 диабет (T2DM) является результатом повышенного сопротивления инсулину (IR) или относительного дефицита инсулина. IR препятствует удалению глюкозы, что приводит к компенсационному гиперинсулимическому состоянию. Увеличение запасов железа, нашедшее отражение в высокой сыворотке феррита (SF), было связано с разработкой T2DM и оказывает воздействие на глюкозу гомеостаз, ослабляя реакцию тканей на инсулин. Железная перегрузка (IO) широко распространена в основной гипертонии (HTN). Первый клинический эффект эпинефрина н