Unbound MEDLINE

Anti-adhesion molecules: is gut specificity the key for a good safety profile?

Abstract

Inflammatory bowel diseases (IBD) are chronic relapsing and remitting disorders that have varying degrees of severity. However multiple studies have confirmed that a large proportion of patients on maintenance treatment lose response to anti-TNF therapy. This has led to increasing interest in the concept of 'switching therapy out-of-class' i.e. a nonanti- TNF antibody when patients either fail to respond (primary non-response, develop secondary non-response) or do not tolerate anti-TNF therapies. The most widely known and studied alternative class of antibodies therapies at present are the selective adhesion molecule inhibitors. Several antibodies exist which constitute selection adhesion molecule inhibitors, including Natalizumab, MLN-0002 (Vedolizumab) and ISIS 2302 (Alicaforsen) will be discussed in this review.

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  • Publisher Full Text
  • Authors

    Allen PB

    Institution

    Causeway Hospital, Northern Trust, NI, UK. patrick.allen@northerntrust.hscni.net

    Source

    Current drug delivery 9:4 2012 Jul pg 333-7

    MeSH

    Antibodies
    Antibodies, Monoclonal, Humanized
    Cell Adhesion Molecules
    Gastrointestinal Agents
    Humans
    Immunotherapy
    Inflammatory Bowel Diseases
    Phosphorothioate Oligonucleotides

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    22762276