Tufts University School of Medicine, Boston, MA, USA.
MAbs. 2010 Jan-Feb;2(1):3-13. doi: 10.4161/mabs.2.1.10328. Epub 2010 Jan 15.
Canakinumab (ACZ885, Ilaris) is a human anti-IL-1beta monoclonal antibody developed by Novartis. Its mode of action is based on the neutralization of IL-1beta signaling, resulting in suppression of inflammation in patients with disorders of autoimmune origin. In June 2009 the drug was approved by the US Food and Drug Administration for the treatment of familial cold auto-inflammatory syndrome and Muckle-Wells syndrome, which are inflammatory diseases related to cryopyrin-associated periodic syndromes. The drug is currently being evaluated for its potential in the treatment of rheumatoid arthritis, systemic-onset juvenile idiopathic arthritis, chronic obstructive pulmonary disease, type 1 and 2 diabetes and ocular diseases. Reports from clinical trials suggest that canakinumab is well-tolerated in most patients, and no serious adverse effects have been reported. The drug provides significant advantages over existing competitive therapies, including bimonthly administration and approved use in children.
卡那单抗(ACZ885,依拉利司)是由诺华公司开发的一种人源抗白细胞介素-1β单克隆抗体。其作用机制基于中和白细胞介素-1β信号,从而抑制自身免疫源性疾病患者的炎症。2009 年 6 月,该药物获得美国食品和药物管理局批准,用于治疗家族性冷自身炎症综合征和 Muckle-Wells 综合征,这两种疾病均与 Cryopyrin 相关周期性综合征有关。该药物目前正在评估其在治疗类风湿关节炎、全身型幼年特发性关节炎、慢性阻塞性肺疾病、1 型和 2 型糖尿病以及眼部疾病方面的潜力。临床试验报告表明,卡那单抗在大多数患者中耐受性良好,且未报告严重不良反应。与现有的竞争性治疗方法相比,该药物具有显著优势,包括每两个月给药一次以及在儿童中获批使用。