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A humanized anti-IL-6 antibody (ALD518) in non-small cell lung cancer.

机译:非小细胞肺癌中的人源化抗IL-6抗体(ALD518)。

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INTRODUCTION: Inflammatory pathways may be an important contributor to morbidity and mortality associated with lung cancer. The oncogene-associated inflammatory microenvironment leads to production of inflammatory cytokines such as IL-6. IL-6 is associated with poor prognosis and correlates with debilitating lung-cancer-related symptoms such as fatigue, thromboembolism, cachexia and anemia. IL-6 has been implicated in resistance of lung cancer to EGF inhibitors. A mAb therapy targeting IL-6 may be an effective treatment for the inflammatory microenvironment in lung cancer. AREAS COVERED: An understanding of the inflammatory pathways involved in lung cancer, including the central role of IL-6, and how inflammation affects the course and treatment of lung cancer. The mAb ALD518, which targets IL-6, and its investigational development and use in advanced NSCLC. Preclinical and Phase I and II studies of ALD518 with a focus on NSCLC. How ALD518 could be used in NSCLC in the future. EXPERT OPINION: IL-6-mediated inflammation may contribute to NSCLC-related morbidity and mortality. In preclinical and Phase I and II trials ALD518 targeting IL-6 appears well tolerated and ameliorates NSCLC-related anemia and cachexia. Other clinical outcomes need further study, and may include effects on overall survival, hypercoagulability associated with lung cancer and decreased resistance to EGF-pathway inhibitors.
机译:引言:炎性途径可能是与肺癌相关的发病率和死亡率的重要因素。与癌基因相关的炎性微环境导致产生炎性细胞因子,例如IL-6。 IL-6与不良预后有关,并与使人衰弱的肺癌相关症状如疲劳,血栓栓塞,恶病质和贫血有关。 IL-6与肺癌对EGF抑制剂的耐药性有关。靶向IL-6的mAb疗法可能是治疗肺癌炎症微环境的有效方法。覆盖的领域:了解与肺癌有关的炎症途径,包括IL-6的核心作用,以及炎症如何影响肺癌的病程和治疗。针对IL-6的mAb ALD518及其在晚期NSCLC中的研究开发和使用。 ALD518的临床前,I和II期研究,重点是NSCLC。将来如何将ALD518用于NSCLC。专家意见:IL-6介导的炎症可能导致NSCLC相关的发病率和死亡率。在临床前,I和II期试验中,靶向IL-6的ALD518耐受性良好,并能缓解NSCLC相关的贫血和恶病质。其他临床结果需要进一步研究,其中可能包括对总体生存,与肺癌相关的高凝性和对EGF途径抑制剂抵抗力下降的影响。

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