Dept. Dermatology CSK MSWiA, Warsaw, Poland.
Br J Clin Pharmacol. 2011 Feb;71(2):175-82. doi: 10.1111/j.1365-2125.2010.03767.x.
Systemic lupus erythematosus is a prototypic autoimmune disease characterized by abnormalities in the activity of B-cells and T-cells. A novel specific treatment for autoimmune diseases is B-cell depletion with monoclonal antibodies. Epratuzumab is a monoclonal antibody that targets CD22 antigen on B-cells. Initial phase II and two terminated early phase III studies suggest that treatment of systemic lupus erythematosus with this immunomodulatory agent is effective, well tolerated and significantly improves the patient's quality of life. In vitro studies and clinical trials with non-Hodgkin lymphoma patients indicate epratuzumab can potentially serve as a complementary drug in combination therapy with another inhibitor of B-cell activity, rituximab, which is a monoclonal anti-CD20 antibody.
系统性红斑狼疮是一种典型的自身免疫性疾病,其特征是 B 细胞和 T 细胞活性异常。B 细胞耗竭单克隆抗体是一种治疗自身免疫性疾病的新方法。依帕珠单抗是一种针对 B 细胞 CD22 抗原的单克隆抗体。初步的 II 期和两项提前终止的 III 期研究表明,用这种免疫调节剂治疗系统性红斑狼疮是有效且耐受性良好的,并且可以显著改善患者的生活质量。非霍奇金淋巴瘤患者的体外研究和临床试验表明,依帕珠单抗可能可作为与另一种 B 细胞活性抑制剂利妥昔单抗联合治疗的辅助药物,利妥昔单抗是一种抗 CD20 的单克隆抗体。