The Impact of Therapeutic Antibodies on the Management of Digestive Diseases: History, Current Practice, and Future Directions

被引:8
作者
Sofia, M. Anthony [1 ]
Rubin, David T. [1 ]
机构
[1] Univ Chicago Med, Ctr Inflammatory Bowel Dis, 5841 South Maryland Ave,MC 4076, Chicago, IL 60637 USA
关键词
Therapeutic antibodies; Tumor necrosis factor alpha; Infliximab; Inflammatory bowel disease; Therapeutic drug monitoring; Adalimumab; ANTITUMOR NECROSIS FACTOR; INFLAMMATORY-BOWEL-DISEASE; LIVER-TRANSPLANT RECIPIENTS; CERTOLIZUMAB PEGOL CDP870; PLACEBO-CONTROLLED TRIAL; ANTI-TNF-ALPHA; CROHNS-DISEASE; MONOCLONAL-ANTIBODY; MAINTENANCE THERAPY; ULCERATIVE-COLITIS;
D O I
10.1007/s10620-017-4479-0
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The development of therapeutic antibodies represents a revolutionary change in medical therapy for digestive diseases. Beginning with the initial studies that confirmed the pathogenicity of cytokines in inflammatory bowel disease, the development and application of therapeutic antibodies brought challenges and insights into their potential and optimal use. Infliximab was the first biological drug approved for use in Crohn's disease and ulcerative colitis. The lessons learned from infliximab include the importance of immunogenicity and the influence of pharmacokinetics on disease response and outcomes. Building on this foundation, other therapeutic antibodies achieved approval for inflammatory bowel disease and many more are in development for several digestive diseases. In this review, we reflect on the history of therapeutic antibodies and discuss current practice and future directions for the field.
引用
收藏
页码:833 / 842
页数:10
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