Antibodies in development for the treatment of SLE targeting T-cell surface antigens: comparison and analysis
Antibody . | Ruplizumab . | Toralizumab . | Dapirolizumab pegol . | AMG 557 . |
---|---|---|---|---|
Target | CD40L | ICOS | ||
Efficiency | Reduction of the SLEDAI and improvement of clinical indicators of SLE. | Did not meet the study’s primary endpoints. | Improved clinical indicators of SLE but did not meet the primary endpoint of BICLA. | Improvement of BILAG and SLEDAI indices. Withdrawal of immunosuppressants and reduction of corticosteroids. |
Safety | There is a high probability of developing thromboembolism as a result of aggregation of these antibodies with autoantibodies through the Fc gamma receptor. | Mild to moderate AEs, there were no cases of thromboembolism due to Fc site replacement with PEG. | Mild to moderate AEs. | |
Future prospects | Significant modification of the Fc receptor is required to prevent the risk of thromboembolism. | Low effectiveness and the risk of developing severe AEs do not motivate further research. | It is possible to modify the study design and evaluate effectiveness based on other indices. | High potential for conducting phase II and III clinical trials. |
Antibody . | Ruplizumab . | Toralizumab . | Dapirolizumab pegol . | AMG 557 . |
---|---|---|---|---|
Target | CD40L | ICOS | ||
Efficiency | Reduction of the SLEDAI and improvement of clinical indicators of SLE. | Did not meet the study’s primary endpoints. | Improved clinical indicators of SLE but did not meet the primary endpoint of BICLA. | Improvement of BILAG and SLEDAI indices. Withdrawal of immunosuppressants and reduction of corticosteroids. |
Safety | There is a high probability of developing thromboembolism as a result of aggregation of these antibodies with autoantibodies through the Fc gamma receptor. | Mild to moderate AEs, there were no cases of thromboembolism due to Fc site replacement with PEG. | Mild to moderate AEs. | |
Future prospects | Significant modification of the Fc receptor is required to prevent the risk of thromboembolism. | Low effectiveness and the risk of developing severe AEs do not motivate further research. | It is possible to modify the study design and evaluate effectiveness based on other indices. | High potential for conducting phase II and III clinical trials. |
Antibodies in development for the treatment of SLE targeting T-cell surface antigens: comparison and analysis
Antibody . | Ruplizumab . | Toralizumab . | Dapirolizumab pegol . | AMG 557 . |
---|---|---|---|---|
Target | CD40L | ICOS | ||
Efficiency | Reduction of the SLEDAI and improvement of clinical indicators of SLE. | Did not meet the study’s primary endpoints. | Improved clinical indicators of SLE but did not meet the primary endpoint of BICLA. | Improvement of BILAG and SLEDAI indices. Withdrawal of immunosuppressants and reduction of corticosteroids. |
Safety | There is a high probability of developing thromboembolism as a result of aggregation of these antibodies with autoantibodies through the Fc gamma receptor. | Mild to moderate AEs, there were no cases of thromboembolism due to Fc site replacement with PEG. | Mild to moderate AEs. | |
Future prospects | Significant modification of the Fc receptor is required to prevent the risk of thromboembolism. | Low effectiveness and the risk of developing severe AEs do not motivate further research. | It is possible to modify the study design and evaluate effectiveness based on other indices. | High potential for conducting phase II and III clinical trials. |
Antibody . | Ruplizumab . | Toralizumab . | Dapirolizumab pegol . | AMG 557 . |
---|---|---|---|---|
Target | CD40L | ICOS | ||
Efficiency | Reduction of the SLEDAI and improvement of clinical indicators of SLE. | Did not meet the study’s primary endpoints. | Improved clinical indicators of SLE but did not meet the primary endpoint of BICLA. | Improvement of BILAG and SLEDAI indices. Withdrawal of immunosuppressants and reduction of corticosteroids. |
Safety | There is a high probability of developing thromboembolism as a result of aggregation of these antibodies with autoantibodies through the Fc gamma receptor. | Mild to moderate AEs, there were no cases of thromboembolism due to Fc site replacement with PEG. | Mild to moderate AEs. | |
Future prospects | Significant modification of the Fc receptor is required to prevent the risk of thromboembolism. | Low effectiveness and the risk of developing severe AEs do not motivate further research. | It is possible to modify the study design and evaluate effectiveness based on other indices. | High potential for conducting phase II and III clinical trials. |
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