DK2493503T3 - Doseringsplan for administrering af et cd19xcd3-bispecifikt antistof - Google Patents

Doseringsplan for administrering af et cd19xcd3-bispecifikt antistof Download PDF

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DK2493503T3
DK2493503T3 DK10771102.0T DK10771102T DK2493503T3 DK 2493503 T3 DK2493503 T3 DK 2493503T3 DK 10771102 T DK10771102 T DK 10771102T DK 2493503 T3 DK2493503 T3 DK 2493503T3
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dose
bispecific antibody
period
cd19xcd3 bispecific
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DK2493503T4 (da
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Dirk Nagorsen
Peter Kufer
Gerhard Zugmaier
Patrick Baeuerle
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Amgen Res Munich Gmbh
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Claims (21)

  1. DOSERINGSPLAN FOR ADMINISTRERING AF ET CD19XCD3-BISPECIFIKT ANTISTOF
    1. CD19xCD3-bispecifikt antistof til anvendelse i en fremgangsmåde til behandling af maligne CD19-positive lymfocytter hos en human patient, hvor patienten har et B:T-celleforhold på ca. 1:5 eller derunder, og hvor fremgangsmåden omfatter: (a) administrering af en først dosis af et CD19xCD3-bispecifikt antistof i et første tidsrum; og på hinanden følgende (b) administrering af en anden dosis af antistoffet i et andet tidsrum; hvor den anden dosis overstiger den første dosis.
  2. 2. CD19xCD3-bispecifikt antistof til anvendelse ifølge krav 1, hvor administrationsvejen i trin (a) og/eller administrationsvejen i trin (b) er intravenøs.
  3. 3. CD19xCD3-bispecifikt antistof til anvendelse ifølge et hvilket som helst af kravene 1 til 2, hvor det andet tidsrum overstiger det første tidsrum.
  4. 4. CD19xCD3-bispecifikt antistof til anvendelse ifølge et hvilket som helst af kravene 1 til 3, hvor det første tidsrum overstiger 3 dage, fortrinsvis det første tidsrum er mellem 3 dage og 10 dage, idet 7 dage foretrækkes.
  5. 5. CD19xCD3-bispecifikt antistof til anvendelse ifølge et hvilket som helst af kravene 1 til 4, hvor det andet tidsrum overstiger 18 dage, fortrinsvis det andet tidsrum er mellem 18 dage og 81 dage, idet 21 eller 49 dage foretrækkes.
  6. 6. CD19xCD3-bispecifikt antistof til anvendelse ifølge et hvilket som helst af kravene 1 til 5, hvor den første dosis er mellem 1 og 15 pg/m2/d, idet 5 eller 15 pg/m2/d foretrækkes.
  7. 7. CD19xCD3-bispecifikt antistof til anvendelse ifølge et hvilket som helst af kravene 1 til 6, hvor den anden dosis er mellem 15 og 60 pg/m /d, idet 60 pg/m2/d foretrækkes.
  8. 8. CD19xCD3-bispecifikt antistof til anvendelse ifølge et hvilket som helst af kravene 1 til 3, der yderligere omfatter administrering efter en første og anden dosis i et første og andet tidsrum af en tredje dosis af antistoffet i et tredje tidsrum.
  9. 9. CD19xCD3-bispecifikt antistof til anvendelse ifølge krav 8, hvor det tredje tidsrum overstiger det første og andet tidsrum, hvorved den anden dosis overstiger den første dosis.
  10. 10. CD19xCD3-bispecifikt antistof til anvendelse ifølge krav 8 eller 9, hvor det første tidsrum overstiger 3 dage, fortrinsvis det første tidsrum er mellem 3 dage og 10 dage, idet 7 dage foretrækkes.
  11. 11. CD19xCD3-bispecifikt antistof til anvendelse ifølge et hvilket som helst af kravene 8 til 10, hvor det andet tidsrum overstiger 3 dage, fortrinsvis det andet tidsrum er mellem 3 dage og 10 dage, idet 7 dage foretrækkes.
  12. 12. CD19xCD3-bispecifikt antistof til anvendelse ifølge et hvilket som helst af kravene 8 til 11, hvor det tredje tidsrum overstiger 8 dage, fortrinsvis det tredje tidsrum er mellem 8 dage og 78 dage, idet 14 eller 42 dage foretrækkes.
  13. 13. CD19xCD3-bispecifikt antistof til anvendelse ifølge et hvilket som helst af kravene 8 til 12, hvor det første tidsrum er mellem 3 dage og 10 dage, idet 7 dage foretrækkes, og det andet tidsrum er mellem 3 dage og 10 dage, idet 7 dage foretrækkes, og det tredje tidsrum er mellem 8 dage og 78 dage, idet 14 eller 42 dage foretrækkes.
  14. 14. CD19xCD3-bispecifikt antistof til anvendelse ifølge et hvilket som helst af kravene 8 til 13, hvor den tredje dosis overstiger den første og anden dosis.
  15. 15. CD19xCD3-bispecifikt antistof til anvendelse ifølge et hvilket som helst af kravene 8 til 14, hvor den første dosis er mellem 1 og 15 pg/m2/d, idet 5 pg/m2/d foretrækkes.
  16. 16. CD19xCD3-bispecifikt antistof til anvendelse ifølge et hvilket som helst af kravene 8 til 15, hvor den anden dosis er mellem 1 og 15 pg/m /d, idet 15 pg/m /d foretrækkes.
  17. 17. CD19xCD3-bispecifikt antistof til anvendelse ifølge et hvilket som helst af kravene 8 til 16, hvor den tredje dosis er mellem 15 og 60 pg/m /d, idet 60 pg/m2/d foretrækkes.
  18. 18. CD19xCD3-bispecifikt antistof til anvendelse ifølge et hvilket som helst af kravene 8 til 17, hvor administrations vej en for den tredje dosis er intravenøs.
  19. 19. CD 19xCD3-bispecifikt antistof til anvendelse ifølge et hvilket som helst af kravene 1 til 18, hvor antistoffet er et bispecifikt enkeltkædet antistof, og antistoffet fortrinsvis er MT 103.
  20. 20. CD19xCD3-bispecifikt antistof til anvendelse ifølge et hvilket som helst af kravene 1 til 19, hvor de maligne CD19-positive lymfocytter er lymfom- eller leukæmiceller, og lymfomet fortrinsvis er indolent eller aggressivt B-celle-non-Hodgkins lymfom (B-NHL), mantle-celle-lymfom (MCL) eller kronisk lymfatisk leukæmi (CLL), og leukæmien fortrinsvis er B-celle-akut lymfoblastær leukæmi (ALL).
  21. 21. CD19xCD3-bispecifikt antistof til anvendelse ifølge et hvilket som helst af kravene 1 til 20, hvor den humane patient, der har et B:T-celleforhold på ca. 1:5 eller derunder, identificeres ved: (a) bestemmelse af forholdet mellem B-celler og T-celler i en prøve fra patienten; og (b) identificering af patienten som en person med en forøget risiko for potentielle bivirkninger, når forholdet er ca. 1:5 eller derunder.
DK10771102.0T 2009-10-27 2010-10-27 Doseringsplan for administrering af et cd19xcd3-bispecifikt antistof DK2493503T4 (da)

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US25529009P 2009-10-27 2009-10-27
EP09174104 2009-10-27
PCT/EP2010/066207 WO2011051307A1 (en) 2009-10-27 2010-10-27 Dosage regimen for administering a cd19xcd3 bispecific antibody

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