Siltuximab

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Siltuximab ?
Monoclonal antibody
Type Whole antibody
Source Chimeric (mouse/human)
Target IL-6
Clinical data
Legal status Investigational
Identifiers
CAS number 541502-14-1 N
ATC code None
UNII T4H8FMA7IM YesY
Synonyms CNTO 328
Chemical data
Formula C6450H9932N1688O2016S50 
Mol. mass 145.0 kDa
 N (what is this?)  (verify)

Siltuximab (INN) (also known as CNTO 328, Anti-IL-6 chimeric monoclonal antibody or cCLB8) is a chimeric (made from human and mouse proteins) monoclonal antibody. It binds to interleukin-6.[1] Siltuximab has been investigated for the treatment of metastatic renal cell cancer,[2] prostate cancer,[3] and Castleman's disease,[4][5] among other types of cancer.[6]

It has undergone a phase I clinical trial in Patients With B-Cell Non-Hodgkin's Lymphoma, Multiple Myeloma, or Castleman's Disease.[7]

It gave encouraging results in a small trial for advanced ovarian cancer.[8]

Encouraging results have been reported from a phase II trial for relapsed or refractory multiple myeloma.[9]

References

  1. International Nonproprietary Names for Pharmaceutical Substances (INN, prepublication copy), World Health Organization.
  2. Rossi, J. -F.; Négrier, S.; James, N. D.; Kocak, I.; Hawkins, R.; Davis, H.; Prabhakar, U.; Qin, X.; Mulders, P.; Berns, B. (2010). "A phase I/II study of siltuximab (CNTO 328), an anti-interleukin-6 monoclonal antibody, in metastatic renal cell cancer". British Journal of Cancer 103 (8): 1154–1162. doi:10.1038/sj.bjc.6605872. PMC 2967052. PMID 20808314. 
  3. Karkera, J.; Steiner, H.; Li, W.; Skradski, V.; Moser, P. L.; Riethdorf, S.; Reddy, M.; Puchalski, T.; Safer, K.; Prabhakar, U.; Pantel, K.; Qi, M.; Culig, Z. (2011). "The anti-interleukin-6 antibody siltuximab down-regulates genes implicated in tumorigenesis in prostate cancer patients from a phase I study". The Prostate 71 (13): 1455–1465. doi:10.1002/pros.21362. PMID 21321981. 
  4. Van Rhee, F.; Fayad, L.; Voorhees, P.; Furman, R.; Lonial, S.; Borghaei, H.; Sokol, L.; Crawford, J.; Cornfeld, M.; Qi, M.; Qin, X.; Herring, J.; Casper, C.; Kurzrock, R. (2010). "Siltuximab, a Novel Anti-Interleukin-6 Monoclonal Antibody, for Castleman's Disease". Journal of Clinical Oncology 28 (23): 3701–3708. doi:10.1200/JCO.2009.27.2377. PMID 20625121. 
  5. First IL-6–blocking drug nears approval for rare blood disorder Nature Medicine, October 7, 2013
  6. ClinicalTrials.gov: Siltuximab
  7. "A Safety and Efficacy Study of CNTO 328 in Patients With B-Cell Non-Hodgkin's Lymphoma, Multiple Myeloma, or Castleman's Disease". 
  8. "CNTO 328 Shows Promise For Ovarian Cancer In Small Clinical Trial, Say U.K. Scientists.". 2009. 
  9. "A phase II multicenter study of CNTO 328, an anti-IL-6 monoclonal antibody, in patients (pts) with relapsed or refractory multiple myeloma (MM)". 2009. 


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