Tufts Center for the Study of Drug Development, Boston, MA, USA.
MAbs. 2010 Jan-Feb;2(1):84-100. doi: 10.4161/mabs.2.1.10677. Epub 2010 Jan 16.
Monoclonal antibodies (mAbs) are a burgeoning class of therapeutics, with more than 25 approved in countries worldwide. Novel molecules are entering clinical study at a rate of nearly 40 per year, and the commercial pipeline includes approximately 240 mAb therapeutics in clinical studies that have not yet progressed to regulatory approval or been approved. Of particular interest are the 26 mAbs that are currently at Phase 3, when safety and efficacy data critical to approval is established. Phase 3 study lengths are typically two to four years, so results for some studies might be announced in 2010, but data from others might not be presented until 2014. This overview of the 26 candidates provides a brief description of the background and the on-going Phase 3 studies of each mAb. Additional mAbs that have progressed to regulatory review or been approved may also be in Phase 3 studies, but these, as well as Fc fusion proteins, have been excluded. Due to the large body of primary literature about the 26 candidates, only selected references are given, with a focus on recent publications and articles that were relevant to Phase 3 studies. Current as of October 2009, the results presented here will serve as a baseline against which future progress can be measured.
单克隆抗体(mAbs)是一类新兴的治疗药物,在全球范围内已有超过 25 种获得批准。每年约有近 40 种新分子进入临床研究,商业流水线包括约 240 种处于临床研究阶段但尚未获得监管批准或尚未获得批准的 mAb 治疗药物。特别值得关注的是目前处于第 3 阶段的 26 种 mAbs,此时已建立了对批准至关重要的安全性和疗效数据。第 3 阶段研究的长度通常为 2 至 4 年,因此一些研究的结果可能会在 2010 年公布,但其他研究的数据可能要到 2014 年才会公布。本文对这 26 个候选药物进行了概述,简要介绍了每个 mAb 的背景和正在进行的第 3 阶段研究。可能还有其他已进入监管审查或已获得批准的 mAbs 也处于第 3 阶段研究中,但这些以及 Fc 融合蛋白已被排除在外。由于关于这 26 个候选药物的大量原始文献,本文仅给出了一些精选的参考文献,重点是最近与第 3 阶段研究相关的出版物和文章。截至 2009 年 10 月,这里介绍的结果将作为未来进展的基准。