了解新生物疗法开发中的临床前和临床免疫性风险
Zuben E Sauna1, Vibha Jawa2, Sathy Balu-Iyer3
1Hemostasis Branch, Division of Plasma Protein Therapeutics, Center for Biologics Evaluation and Research, Food and Drug Administration, Silver Spring, MD, United States.
Frontiers in immunology
|May 30, 2023
概括
免疫性是生物治疗的一个关键挑战,影响药物开发和患者的益处. 本专题回顾了蛋白质疗法,基因疗法和细胞疗法的非临床风险和缓解策略.
科学领域:
- 生物制药的发展.
- 免疫学 免疫学 免疫学
- 药物安全 药物安全
背景情况:
- 免疫性对生物疗法构成重大挑战,包括蛋白质,抗体,基因疗法和CAR T细胞.
- 尽管存在潜在的局限性,生物治疗药物在严重疾病中经常获得批准,这是由于有利的益处风险评估.
- 在过去的药物开发中,由于免疫性问题,生物治疗药物已被停止使用.
研究的目的:
- 批判性地评估关于生物治疗免疫性非临床风险的当前知识和新发现.
- 探索测试和评估免疫原性方法的进展.
- 确定研究缺口和缓解策略,用于新兴疗法,如细胞和基因疗法.
主要方法:
- 对生物治疗免疫性积累的知识和新发现的审查.
- 利用已知和先进的测定方法进行生物样本分析.
- 针对免疫原性评估的途径特定分析的应用.
主要成果:
- 特别号提供了对各种生物治疗药物的免疫性风险的全面概述.
- 研究使用传统和尖端的方法来评估免疫性.
- 新兴的细胞和基因疗法带来了独特的免疫性挑战,需要进一步研究.
结论:
- 了解和减轻免疫性对于生物治疗药物的成功开发和广泛传播至关重要.
- 需要继续研究以解决免疫性风险,特别是针对新型治疗方式.
- 制定有效的缓解策略将提高生物治疗药物的益处风险概况.
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