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Monoclonal antibodies
Lecture 9
7
Pharmacology
Professional
04/14/2013

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Cards

Term
What are the 3 types of mAbs?
Definition
- Chimeric/ximab
- Humanized/zumab
- Human/mumab
Term
What mAb drugs target CD20?
Definition
- Rituximab - IV
- Ofatumumab - IV
**CD20 on 90% of B-cell lymphomas -- apoptosis via ADCC/CDC
Term
What mAb drugs target CD52 or CD30?
Definition
- Alemtuzumab - CD52, an antigen on lymptocytes/lymphoma. IV, SEVERE myelosuppression
- Brenttuximab - internalization of CD30, microtubule disrupting MMAE. PN, infusion rxn
Term
What mAb drugs are anti-EGFR?
Definition
- Cetuximab - IV. Cardiopulmonary arrest
- Panitumumab - no ADCC, blocks EGF-R. IV - rash, diarrhea
Block the EGF-receptor, not blocking phosphorylation, apoptosis via ADCC
Term
What mAb drugs are anti-HER2?
Definition
- Trastuzumab - ADCC.
- Trastuzumab emtansine - + microtubule inhibitor. Cardio + PN
- Pertuzumab - inhibits dimerization, ADCC. Teratogen
**HER2 overexpression in 30% breast cancer - resistance to cytotoxic and anti-hormonal therapy
**All cardiotoxic
Term
What mAb drugs are anti-VEGF?
Definition
- Bevacizumab - HEMORRHAGE, poor wound healing
- Ziv-aflibercept - decoy for VEGF, not a true antibody. Hemorrhage + poor wound healing.
**Sequestration of VEGF - the growth factor. Does NOT affect receptor.
Term
What are common features of mAb?
Definition
- dose-dependent PK
- Infusion rxns
- IV dosing
**HER2 = cardiotoxicity
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