HRP20191013T1 - Protutijela na il-6 i njihova uporaba - Google Patents
Protutijela na il-6 i njihova uporaba Download PDFInfo
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- HRP20191013T1 HRP20191013T1 HRP20191013TT HRP20191013T HRP20191013T1 HR P20191013 T1 HRP20191013 T1 HR P20191013T1 HR P20191013T T HRP20191013T T HR P20191013TT HR P20191013 T HRP20191013 T HR P20191013T HR P20191013 T1 HRP20191013 T1 HR P20191013T1
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- Croatia
- Prior art keywords
- disease
- seq
- antibody
- amino acid
- acid sequence
- Prior art date
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- 102000004889 Interleukin-6 Human genes 0.000 claims 26
- 108090001005 Interleukin-6 Proteins 0.000 claims 26
- 206010028980 Neoplasm Diseases 0.000 claims 12
- 125000003275 alpha amino acid group Chemical group 0.000 claims 12
- 206010006895 Cachexia Diseases 0.000 claims 11
- 201000011510 cancer Diseases 0.000 claims 10
- 206010016256 fatigue Diseases 0.000 claims 10
- 102100037792 Interleukin-6 receptor subunit alpha Human genes 0.000 claims 9
- 108040006858 interleukin-6 receptor activity proteins Proteins 0.000 claims 9
- 229920001184 polypeptide Polymers 0.000 claims 9
- 102000004196 processed proteins & peptides Human genes 0.000 claims 9
- 108090000765 processed proteins & peptides Proteins 0.000 claims 9
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims 8
- 208000009329 Graft vs Host Disease Diseases 0.000 claims 7
- 210000004027 cell Anatomy 0.000 claims 7
- 201000010099 disease Diseases 0.000 claims 7
- 208000024908 graft versus host disease Diseases 0.000 claims 7
- 206010059176 Juvenile idiopathic arthritis Diseases 0.000 claims 6
- 201000002215 juvenile rheumatoid arthritis Diseases 0.000 claims 6
- 206010051379 Systemic Inflammatory Response Syndrome Diseases 0.000 claims 5
- 238000002512 chemotherapy Methods 0.000 claims 5
- 239000003814 drug Substances 0.000 claims 5
- 206010001052 Acute respiratory distress syndrome Diseases 0.000 claims 4
- 208000022559 Inflammatory bowel disease Diseases 0.000 claims 4
- 208000003456 Juvenile Arthritis Diseases 0.000 claims 4
- 208000013616 Respiratory Distress Syndrome Diseases 0.000 claims 4
- 201000003176 Severe Acute Respiratory Syndrome Diseases 0.000 claims 4
- 208000011341 adult acute respiratory distress syndrome Diseases 0.000 claims 4
- 201000000028 adult respiratory distress syndrome Diseases 0.000 claims 4
- 208000007502 anemia Diseases 0.000 claims 4
- 201000008482 osteoarthritis Diseases 0.000 claims 4
- 206010039073 rheumatoid arthritis Diseases 0.000 claims 4
- 230000009885 systemic effect Effects 0.000 claims 4
- 201000000596 systemic lupus erythematosus Diseases 0.000 claims 4
- 229940124597 therapeutic agent Drugs 0.000 claims 4
- 206010061218 Inflammation Diseases 0.000 claims 3
- 208000008589 Obesity Diseases 0.000 claims 3
- 238000001514 detection method Methods 0.000 claims 3
- 239000000032 diagnostic agent Substances 0.000 claims 3
- 229940039227 diagnostic agent Drugs 0.000 claims 3
- 208000027866 inflammatory disease Diseases 0.000 claims 3
- 230000004054 inflammatory process Effects 0.000 claims 3
- 238000000034 method Methods 0.000 claims 3
- 235000020824 obesity Nutrition 0.000 claims 3
- YBJHBAHKTGYVGT-ZKWXMUAHSA-N (+)-Biotin Chemical compound N1C(=O)N[C@@H]2[C@H](CCCCC(=O)O)SC[C@@H]21 YBJHBAHKTGYVGT-ZKWXMUAHSA-N 0.000 claims 2
- 206010000234 Abortion spontaneous Diseases 0.000 claims 2
- 206010048998 Acute phase reaction Diseases 0.000 claims 2
- 208000024827 Alzheimer disease Diseases 0.000 claims 2
- 208000030760 Anaemia of chronic disease Diseases 0.000 claims 2
- 206010002556 Ankylosing Spondylitis Diseases 0.000 claims 2
- 201000001320 Atherosclerosis Diseases 0.000 claims 2
- 208000023275 Autoimmune disease Diseases 0.000 claims 2
- 206010007556 Cardiac failure acute Diseases 0.000 claims 2
- 201000006082 Chickenpox Diseases 0.000 claims 2
- 208000017667 Chronic Disease Diseases 0.000 claims 2
- 206010008874 Chronic Fatigue Syndrome Diseases 0.000 claims 2
- 206010059866 Drug resistance Diseases 0.000 claims 2
- 206010018364 Glomerulonephritis Diseases 0.000 claims 2
- 208000017604 Hodgkin disease Diseases 0.000 claims 2
- 208000021519 Hodgkin lymphoma Diseases 0.000 claims 2
- 208000010747 Hodgkins lymphoma Diseases 0.000 claims 2
- 206010020751 Hypersensitivity Diseases 0.000 claims 2
- 206010020772 Hypertension Diseases 0.000 claims 2
- 208000002979 Influenza in Birds Diseases 0.000 claims 2
- 208000001145 Metabolic Syndrome Diseases 0.000 claims 2
- 206010027476 Metastases Diseases 0.000 claims 2
- 208000034578 Multiple myelomas Diseases 0.000 claims 2
- 208000015914 Non-Hodgkin lymphomas Diseases 0.000 claims 2
- 108091028043 Nucleic acid sequence Proteins 0.000 claims 2
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- 208000029082 Pelvic Inflammatory Disease Diseases 0.000 claims 2
- 206010035226 Plasma cell myeloma Diseases 0.000 claims 2
- 208000007048 Polymyalgia Rheumatica Diseases 0.000 claims 2
- 206010060862 Prostate cancer Diseases 0.000 claims 2
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- 201000004681 Psoriasis Diseases 0.000 claims 2
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- 208000006265 Renal cell carcinoma Diseases 0.000 claims 2
- 206010063837 Reperfusion injury Diseases 0.000 claims 2
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- 208000005485 Thrombocytosis Diseases 0.000 claims 2
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- 206010052779 Transplant rejections Diseases 0.000 claims 2
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- 201000000690 abdominal obesity-metabolic syndrome Diseases 0.000 claims 2
- 230000004658 acute-phase response Effects 0.000 claims 2
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- 208000022400 anemia due to chronic disease Diseases 0.000 claims 2
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- 201000004988 autoimmune vasculitis Diseases 0.000 claims 2
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- 208000016738 bone Paget disease Diseases 0.000 claims 2
- 230000000747 cardiac effect Effects 0.000 claims 2
- 208000026106 cerebrovascular disease Diseases 0.000 claims 2
- 208000013507 chronic prostatitis Diseases 0.000 claims 2
- 231100000599 cytotoxic agent Toxicity 0.000 claims 2
- 206010012601 diabetes mellitus Diseases 0.000 claims 2
- 230000000694 effects Effects 0.000 claims 2
- 210000005260 human cell Anatomy 0.000 claims 2
- 238000011503 in vivo imaging Methods 0.000 claims 2
- 206010022000 influenza Diseases 0.000 claims 2
- 208000032839 leukemia Diseases 0.000 claims 2
- 238000004519 manufacturing process Methods 0.000 claims 2
- 239000000463 material Substances 0.000 claims 2
- 208000015994 miscarriage Diseases 0.000 claims 2
- 201000006417 multiple sclerosis Diseases 0.000 claims 2
- 208000029766 myalgic encephalomeyelitis/chronic fatigue syndrome Diseases 0.000 claims 2
- 208000031225 myocardial ischemia Diseases 0.000 claims 2
- 150000007523 nucleic acids Chemical group 0.000 claims 2
- 201000007094 prostatitis Diseases 0.000 claims 2
- 239000012857 radioactive material Substances 0.000 claims 2
- 210000002345 respiratory system Anatomy 0.000 claims 2
- 208000000995 spontaneous abortion Diseases 0.000 claims 2
- 230000001988 toxicity Effects 0.000 claims 2
- 231100000419 toxicity Toxicity 0.000 claims 2
- 238000011282 treatment Methods 0.000 claims 2
- 108090001008 Avidin Proteins 0.000 claims 1
- 102000004127 Cytokines Human genes 0.000 claims 1
- 108090000695 Cytokines Proteins 0.000 claims 1
- 101710112752 Cytotoxin Proteins 0.000 claims 1
- 108090000790 Enzymes Proteins 0.000 claims 1
- 102000004190 Enzymes Human genes 0.000 claims 1
- 206010040047 Sepsis Diseases 0.000 claims 1
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- 108010090804 Streptavidin Proteins 0.000 claims 1
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- 210000003719 b-lymphocyte Anatomy 0.000 claims 1
- 230000004071 biological effect Effects 0.000 claims 1
- 230000015572 biosynthetic process Effects 0.000 claims 1
- 239000011616 biotin Substances 0.000 claims 1
- 229960002685 biotin Drugs 0.000 claims 1
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- 239000003795 chemical substances by application Substances 0.000 claims 1
- 230000009918 complex formation Effects 0.000 claims 1
- 229940127089 cytotoxic agent Drugs 0.000 claims 1
- 239000002254 cytotoxic agent Substances 0.000 claims 1
- 239000002619 cytotoxin Substances 0.000 claims 1
- 208000035475 disorder Diseases 0.000 claims 1
- 238000010494 dissociation reaction Methods 0.000 claims 1
- 230000005593 dissociations Effects 0.000 claims 1
- 229940079593 drug Drugs 0.000 claims 1
- 239000003937 drug carrier Substances 0.000 claims 1
- 239000012636 effector Substances 0.000 claims 1
- 239000007850 fluorescent dye Substances 0.000 claims 1
- 238000001415 gene therapy Methods 0.000 claims 1
- 238000001727 in vivo Methods 0.000 claims 1
- 230000004968 inflammatory condition Effects 0.000 claims 1
- 230000002757 inflammatory effect Effects 0.000 claims 1
- 210000003734 kidney Anatomy 0.000 claims 1
- 239000000700 radioactive tracer Substances 0.000 claims 1
- 238000001959 radiotherapy Methods 0.000 claims 1
- 239000003381 stabilizer Substances 0.000 claims 1
- 239000000758 substrate Substances 0.000 claims 1
- 208000011580 syndromic disease Diseases 0.000 claims 1
- 230000001225 therapeutic effect Effects 0.000 claims 1
- 238000011285 therapeutic regimen Methods 0.000 claims 1
- 230000009385 viral infection Effects 0.000 claims 1
- 230000003612 virological effect Effects 0.000 claims 1
- 208000016261 weight loss Diseases 0.000 claims 1
- 230000004580 weight loss Effects 0.000 claims 1
Classifications
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- A61K39/395—Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum
- A61K39/39533—Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum against materials from animals
- A61K39/3955—Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum against materials from animals against proteinaceous materials, e.g. enzymes, hormones, lymphokines
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
- C07K16/18—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
- C07K16/24—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against cytokines, lymphokines or interferons
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- C07K16/24—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against cytokines, lymphokines or interferons
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Claims (13)
1. Anti-IL6 protutijelo obuhvaća:
(a) laki lanac koji obuhvaća (i) varijabilnu laku (VL) domenu koji ima CDR1 polipeptid koji se sastoji od aminokiselinskog slijeda SEQ ID NO:4, CDR2 polipeptida koji se sastoji od aminokiselinskog slijeda SEQ ID NO:5, i CDR3 polipeptida koji se sastoji od aminokiselinskog slijeda SEQ ID NO:6, i (ii) konstantnu laku (CL) domenu koja ima polipeptid koji se sastoji od aminokiselinskog slijeda SEQ ID NO:586; i
(b) teški lanac koji se sastoji od (i) varijabilne teške (VH) domene koja ima CDR1 polipeptid koji se sastoji od aminokiselinskog slijeda SEQ ID NO:7, CDR2 polipeptid koji se sastoji od aminokiselinskog slijeda SEQ ID NO:8 ili SEQ ID NO:120 i CDR3 polipeptid koji se sastoji od aminokiselinskog slijeda SEQ ID NO:9, i (ii) konstantna teška (CH) domena koja sadržava polipeptid koji se sastoji od aminokiselinskog slijeda SEQ ID NO:588,
pri čemu protutijelo ima konstantu disocijacije (KD) manju od 50 pikomola određenu Biacoreom.
2. Anti-IL6 protutijelo sukladno zahtjevu 1,
(a) koje je glikozilirano,
(b) koje je humanizirano protutijelo ili kimerno protutijelo,
(c) koje je humanizirano protutijelo izvedeno iz zečjeg antihumanog IL-6 protutijela,
(d) koje se specifično veže za IL-6 izražen na ljudskim stanicama i/ili za cirkulirajuće topljive molekule IL-6 in vivo,
(e) koje se specifično veže za IL-6 izražen na ili od ljudskih stanica kod pacijenta s bolešću kod koje su razine IL-6 povišene,
pri čemu je bolest odabrana između astme, općeg umora, umora induciranog tjelovježbom, umora povezanog s karcinomom, umora povezanog s upalnom bolesti, sindroma kroničnog umora, kaheksije povezane s karcinomom, kaheksije povezane sa srcem, kaheksije povezane s respiratornim traktom, kaheksije povezane s bubrezima, kaheksije povezane sa starošću, reumatoidnog artritisa, sustavnog eritematoznog lupusa (SLE), sustavnog juvenilnog idiopatskog artritisa, psorijaze, psorijatične artropatije, ankilozantnog spondilitisa, upalne bolesti crijeva (IBD), reumatske polimijalgije, arteritisa velikih stanica, autoimunog vaskulitisa, bolesti presatka protiv primatelja (GVHD), Sjogrenovog sindroma, pojavnosti Stillove bolesti kod odraslih, reumatoidnog artritisa, sustavnog juvenilnog idiopatskog artritisa, osteoartritisa, osteoporoze, Pagetove bolesti kostiju, osteoartritisa, multiplog mijeloma, Hodgkinovog limfoma, non-Hodgkinovog limfoma, karcinoma prostate, leukemije, karcinoma bubrežnih stanica, multicentrične Castelmanove bolesti, karcinoma jajnika, rezistencije na lijekove pri kemoterapiji karcinoma, toksičnosti kemoterapije karcinoma, ishemijske bolesti srca, ateroskleroze, pretilosti, dijabetesa, multiple skleroze, Alzheimerove bolesti, cerebrovaskularne bolesti, vrućice, odgovora akutne faze, alergija, anemije, anemije koja prati upalu (anemije kronične bolesti), hipertenzije, depresije, depresije povezane s kroničnom bolešću, tromboze, trombocitoze, akutnog zatajenja srca, metaboličkog sindroma, pobačaja, pretilosti, kroničnog prostatitisa, glomerulonefritisa, upalne bolesti u zdjelici, reperfuzijske ozljede, odbacivanja transplantata, bolesti presatka protiv primatelja (GVHD), ptičje gripe, vodenih kozica, pandemijske gripe, respiratornog distres sindroma kod odraslih (ARDS), ozbiljnog akutnog respiratornog sindroma (SARS), sepse, sindroma sustavnog upalnog odgovora (SIRS), karcinomakarcinoma, upalnog poremećaja, virusnog poremećaja, ili autoimunog poremećaja, artritisa, kaheksije, i sindroma umora,
(f) koje je izravno ili neizravno povezano s odvojivim obilježivačem ili terapijskim agensom,
(g) koje se veže za najmanje jedan topljivi IL-6, na staničnoj površini izraženi IL-6, IL-6/IL-6R, IL-6/IL-6R/gp130 komplekse i/ili multimere IL-6/IL-6R/gp130 kompleksa,
(h) koje antagonizira biološke učinke jednog ili više od topljivog IL-6, na površini stanice izraženog IL-6, IL-6/IL-6R, IL-6/IL-6R/gp130 kompleksa i/ili multimera IL-6/IL-6R/gp130 kompleksa,
(i) pri čemu VH ili VL polipeptidi sadržani u navedenom protutijelu potječu iz jedne ili više populacija zečjih B stanica,
(j) koje nema specifičnost vezanja za topljivi IL-6R (sIL-6R) ili gp130,
(k) koje inhibira povezivanje IL-6 s IL-6R i/ili stvaranje IL-6/IL-6R/gp130 kompleksa i/ili stvaranje IL-6/IL-6R/gp130 multimera, ili
(l) koje nadalje nadalje obuhvaća efektorski dio odabran između:
(i) odvojivog dijela odabranog između fluorescentne boje, enzima, supstrata, bioluminescentnog materijala, radioaktivnog materijala, i kemiluminescentnog materijala, i
(ii) funkcijskog dijela odabranog između streptavidina, avidina, biotina, citotoksina, citotoksičnog agensa, radioaktivnog materijala.
3. Anti-IL-6 protutijelo sukladno patentnom zahtjevu 1, sadrži VL lanac i VH lanac, redom, koji obuhvaćaju aminokiselinske sljedove SEQ ID NO:2 i SEQ ID NO:3; SEQ ID NO:2 i SEQ ID NO:18; SEQ ID NO:2 i SEQ ID NO:19; SEQ ID NO:20 i SEQ ID NO:3; SEQ ID NO:20 i SEQ ID NO:18; ili SEQ ID NO:20 i SEQ ID NO:19, ili protutijelo sadrži VL lanac i VH lanac, redom, koji ima aminokiselinske sljedove koji k tome imaju najmanje 90% ili više homologije.
4. Slijed nukleinskih kiselina koji kodira anti-IL-6 protutijelo sukladno bilo kojem od patentnih zahtjeva 1-3.
5. Vektor koji sadrži slijed nukleinske kiseline sukladno patentnom zahtjevu 4.
6. Rekombinantna stanica koja izražava anti-IL-6 protutijelo sukladno bilo kojem od patentnih zahtjeva 1-3.
7. Farmaceutski ili dijagnostički sastav koji sadrži najmanje jedno anti-IL-6 protutijelo sukladno bilo kojem od patentnih zahtjeva 1-3 i farmaceutski prihvatljivi nosač.
8. Farmaceutski ili dijagnostički sastav iz patentnog zahtjeva 7,
a) koji nadalje sadrži najmanje jedan stabilizator,
b) koji je liofiliziran, ili
c) koji sadrži jedno ili više anti-IL-6 protutijela koja sadrže (a) VH lanac koji ima aminokiselinski slijed SEQ ID NO:3, 18 ili 19; i (b) VL lanac koji ima aminokiselinski slijed SEQ ID NO:2 ili 20.
9. Anti-IL-6 protutijelo sukladno bilo kojem od patentnih zahtjeva 1-3 za uporabu kao terapijski ili dijagnostički agens.
10. Uporaba anti-IL-6 protutijela sukladno bilo kojem od patentnih zahtjeva 1-3 u proizvodnji lijeka ili u proizvodnji agensa za uporabu u metodi liječenja.
11. Anti-IL-6 protutijelo za uporabu kao terapijski agens sukladno patentnom zahtjevu9 ili sukladno patentnom zahtjevu 10:
a) pri čemu je bolest odabrana između astme, općeg umora, umora induciranog tjelovježbom, umora uslijed karcinoma, umora povezanog s upalnom bolesti, sindroma kroničnog umora, kaheksije povezane s karcinomom, kaheksije povezane sa srcem, kaheksije respiratornog trakta, kaheksije povezane s bubrezima, kaheksije povezane sa starošću, reumatoidnog artritisa, sustavnog eritematoznog lupusa (SLE), sustavnog juvenilnog idiopatskog artritisa, psorijaze, psorijatične artropatije, ankilozantnog spondilitisa, upalne bolesti crijeva (IBD), reumatske polimijalgije, arteritisa velikih stanica, autoimunog vaskulitisa, bolesti presatka protiv primatelja (GVHD), Sjogrenovog sindroma, pojavnosti Stillove bolesti kod odraslih, reumatoidnog artritisa, sustavnog juvenilnog idiopatskog artritisa, osteoartritisa, osteoporoze, Pagetove bolesti kostiju, osteoartritisa, multiplog mijeloma, Hodgkinovog limfoma, non-Hodgkinovog limfoma, karcinoma prostate, leukemije, karcinoma bubrežnih stanica, multicentrične Castelmanove bolesti, karcinoma jajnika, rezistencije na lijekove pri kemoterapiji karcinoma, toksičnosti kemoterapije karcinoma, ishemijske bolesti srca, ateroskleroze, pretilosti, dijabetesa, multiple skleroze, Alzheimerove bolesti, cerebrovaskularne bolesti, vrućice, odgovora akutne faze, alergija, anemije, anemije koja prati upalu (anemije kronične bolesti), hipertenzije, depresije, depresije povezane s kroničnom bolešću, tromboze, trombocitoze, akutnog zatajenja srca, metaboličkog sindroma, pobačaja, kroničnog prostatitisa, glomerulonefritisa, upalne bolesti u zdjelici, reperfuzijske ozljede, odbacivanja transplantata, bolesti presatka protiv primatelja (GVHD), ptičje gripe, vodenih kozica, pandemijske gripe, respiratornog distres sindroma kod odraslih (ARDS), ozbiljnog akutnog respiratornog sindroma (SARS), sepse, i sindroma sustavnog upalnog odgovora (SIRS), artritisa, karcinoma, autoimune bolesti, ili upalnog stanja,
b) pri čemu liječenje nadalje uključuje davanje drugog terapijskog agensa ili režima odabranog između kemoterapije, radioterapije, davanja citokina, ili genske terapije, ili
c) koje se koristi za liječenje nuspojava karcinoma ili virusne infekcije, preferabilno kod koje je nuspojava umor ili gubitak tjelesne mase.
12. Anti-IL-6 protutijelo za uporabu kao dijagnostički agens sukladno patentnom zahtjevu 9, pri čemu je uporaba za dijagnostičke in vivo slikovne tehnike
a) pri čemu navedena uporaba koja otkriva prisutnost stanica koje eksprimiraju IL-6 obuhvaća davanje dijagnostički učinkovite količine najmanje jednog anti-humanog IL-6 protutijela sukladno patentnom zahtjevu 1,
b) pri čemu navedena primjena nadalje uključuje davanje radionuklida ili fluorofora koji pospješuje detekciju protutijela na IL-6 ekspresijskim mjestima bolesti,
c) koje se koristi za prepoznavanje tumora ili metastaza koji eksprimiraju IL-6,
d) koje se koristi za prepoznavanje mjesta upale povezanih sa stanicama koje izražavaju IL-6, ili
e) pri čemu se rezultati koriste za poboljšanje dizajna odgovarajućeg terapijskog režima.
13. Anti-IL-6 protutijelo za uporabu kao dijagnostički agens sukladno patentnom zahtjevu 9, pri čemu je uporaba za dijagnostičke in vivo slikovne tehnike
a) za detekciju ili prikazivanje tumora ili metastaza koji izražavaju IL-6, ili
b) za detekciju ili prikazivanje upalnih mjesta koja izražavaju IL-6.
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RU2450830C2 (ru) | 2005-10-21 | 2012-05-20 | Чугаи Сейяку Кабусики Кайся | Средства для лечения кардиопатии |
JP5754875B2 (ja) | 2006-04-07 | 2015-07-29 | 国立大学法人大阪大学 | 筋再生促進剤 |
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EP2959917A3 (en) | 2007-10-19 | 2016-02-24 | The Regents of The University of California | Compositions and methods for ameliorating cns inflammation, psychosis, delirium, ptsd or ptss |
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WO2009148148A1 (ja) | 2008-06-05 | 2009-12-10 | 国立がんセンター総長が代表する日本国 | 神経浸潤抑制剤 |
US8188235B2 (en) * | 2008-06-18 | 2012-05-29 | Pfizer Inc. | Antibodies to IL-6 and their uses |
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US8337847B2 (en) | 2008-11-25 | 2012-12-25 | Alderbio Holdings Llc | Methods of treating anemia using anti-IL-6 antibodies |
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