4.2 Article

Anti-TNF-α biotherapies: perspectives for evidence-based personalized medicine

Journal

IMMUNOTHERAPY
Volume 4, Issue 11, Pages 1167-1179

Publisher

FUTURE MEDICINE LTD
DOI: 10.2217/IMT.12.114

Keywords

anti-TNF-alpha antibodies; immunogenicity; pharmacodynamics; pharmacokinetics; recombinant protein therapeutics; theranostics

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Funding

  1. Danish Biotechnology Programme

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This article discusses the rationale behind recommending immunopharmacological guidance of long-term therapies with genetically engineered anti-TNF-alpha immunoglobulin constructs. Arguments why therapeutic decision-making should not rely on clinical outcome alone are presented. Central to this is that the use of theranostics (i.e., monitoring circulating levels of functional anti-TNF-alpha drugs and antidrug antibodies) would markedly improve treatment because therapies can be tailored to individual patients and provide more effective and economical long-term therapies with minimal risk of side effects. Large-scale immunopharmacological knowledge of how patients 'handle' TNF-alpha biopharmaceuticals would also help industry develop more effective and safer TNF-alpha inhibitors.

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