即monoclonal antibody單株抗體~mab/mAb/moAb。主條目:biological preparation生物製劑
國家衛生研究院電子報第 630 期 抗體藥物與癌症治療Antibody drug and cancer treatment
分兩種[]
unconjugated monoclonal antibody:腫瘤特異性抗體(tumor-specific antibody)[]
- 針對特定標靶的未接合型單株抗體,最初的targeted therapy MoAb屬此類。
- Alemtuzumab, (target: CD52, biomarker: ,treat)
- Ofatumumab, (target: CD20, biomarker: ,treat)
- Bevacizumab, (target: VEGF, biomarker: ,treat)
- Cetuximab, (target: EGFR, biomarker: ,treat)
- Rituximab, (target: EGFR, biomarker: ,treat)
- Trastuzumab, (target: HER2, biomarker: ,treat)
單株抗體偶聯物(Antibody conjugates)[]
抗體藥物複合體/單株抗體藥品偶聯物(Antibody-drug conjugates):由抗體導向的化學療法藥品 單株抗體結合毒殺藥物(antibody-drug conjugates, ADCs)[]
- 單株抗體上接上藥品成為標靶藥品
- Gemtuzumab ozogamicin-Calicheamicin conjugate, (target: CD33, biomarker: ,treat)
放射免疫治療(radioimmunotherapy)=單株抗體放射性同位素偶聯物(antibody-radionuclide conjugates, ARCs)[]
- 單株抗體上接上放射性同位素成為標靶藥品
- Ibritumomab-tiuxetan 90γ(β-emitting isotope) conjugate, (target: CD20, biomarker: ,treat)
- Tositumomab-I131(γ和β-emitting isotope) conjugate, (target: CD20, biomarker: ,treat)
MoA[]
增強防禦因子(increase immunity)[]
阻斷癌細胞關起免疫系統(block cancer cell to close immune system)[]
- PD-1 I:a targeted therapy, a molecular immunotherapy. Ex. Nivolumab, Pembrolizumab (target: PD-1, biomarker: ,treat)
- CTLA-4 I: Ipilimumab(target: CTLA-4, biomarker: ,treat)
刺激免疫系統對癌細胞的辨認(stimulate immune system to recognize cancer cell)[]
- 雙特異性抗體(bispecific antibodies):a targeted therapy, a molecular immunotherapy. Ex. Blinatumomab (target: CD3(cancer cell) 和CD19為雙特異性抗體, biomarker: ,treat)
使T細胞能辨認癌細胞(let T-cell can recognize cancer cell)[]
- 嵌合抗原受體重組T細胞(chimeric antigen receptor T-cell, CAR T cells):a cellular immunotherapy (2017年細胞免疫治療 (Chimeric Antigen Receptor T-cell immune therapy,CAR-T)進度)
降低攻擊因子(suppress tumor growth)[]
- unconjugated monoclonal antibody:腫瘤特異性抗體(tumor-specific antibody)
- 針對特定標靶的未接合型單株抗體,最初的targeted therapy MoAb屬此類。和癌細胞上的抗原結合後引起抗體依賴型的細胞毒殺作用(antibody-dependent cellular cytotoxicity, ADCC)或補體依賴型的細胞毒殺作用(complement-mediated cytotoxicity, CMC)。
- 單株抗體偶聯物(Antibody conjugates)
- 抗體藥物複合體/單株抗體藥品偶聯物/單株抗體結合毒殺藥物(antibody-drug conjugates, ADCs)
- 單株抗體上接上藥品成為標靶藥品 :由抗體導向的化學療法藥品(Ab-chemotherapeutic conjugate):Antibody-drug conjugates抗體藥物複合體(摘自:15 年最值得期待的十項醫療創新應用作者 連 以婷 | 發布日期 2014 年 11 月 02 日 | 分類 精選 , 醫療科技) Ex. Brentuximab vedotin(target: [[]], biomarker: ,treat)、Trastuzumab emtansine
- see DEPT
- 放射免疫治療(radioimmunotherapy)之單株抗體放射性同位素偶聯物(antibody-radionuclide conjugates, ARCs)
- 單株抗體上接上放射性同位素成為標靶藥品. Ex. 131I-Tositumomab、90Y-Ibritumomab tiuxetan
- 抗體藥物複合體/單株抗體藥品偶聯物/單株抗體結合毒殺藥物(antibody-drug conjugates, ADCs)
抑制癌細胞轉移(metastasis inhibitor癌症轉移抑制劑 )[]
Angiogenesis inhibitor血管新生抑制劑anti-angiogenesis:targeted therapy