30 Years of Biotherapeutics Development-What Have We Learned?

被引:16
作者
Ghilardi, Nico [1 ]
Pappu, Rajita [1 ]
Arron, Joseph R. [1 ]
Chan, Andrew C. [2 ]
机构
[1] Genentech Inc, Dept Immunol, San Francisco, CA 94080 USA
[2] Genentech Inc, Res Biol, San Francisco, CA 94080 USA
来源
ANNUAL REVIEW OF IMMUNOLOGY, VOL 38 | 2020年 / 38卷
关键词
biotherapeutics; autoimmunity; inflammation; clinical trial; TUMOR-NECROSIS-FACTOR; PLACEBO-CONTROLLED TRIAL; B-CELL DEPLETION; INTERLEUKIN-12/23; MONOCLONAL-ANTIBODY; SYSTEMIC-LUPUS-ERYTHEMATOSUS; DOUBLE-BLIND; RHEUMATOID-ARTHRITIS; SEVERE ASTHMA; PHASE-III; FACTOR-ALPHA;
D O I
10.1146/annurev-immunol-101619-031510
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Since the birth of biotechnology, hundreds of biotherapeutics have been developed and approved by the US Food and Drug Administration (FDA) for human use. These novel medicines not only bring significant benefit to patients but also represent precision tools to interrogate human disease biology. Accordingly, much has been learned from the successes and failures of hundreds of high-quality clinical trials. In this review, we discuss general and broadly applicable themes that have emerged from this collective experience. We base our discussion on insights gained from exploring some of the most important target classes, including interleukin-1 (IL-1), tumor necrosis factor alpha (TNF-alpha), IL-6, IL-12/23, IL-17, IL-4/13, IL-5, immunoglobulin E (IgE), integrins and B cells. We also describe current challenges and speculate about how emerging technological capabilities may enable the discovery and development of the next generation of biotherapeutics.
引用
收藏
页码:249 / 287
页数:39
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