Combination therapy for treatment of autoimmune diseases using B cell depleting/immunoregulatory anti-body combination
A technology for autoimmune diseases and immune regulation, which is applied in the field of combination therapy using B cell depletion/immunomodulatory antibody combinations to treat autoimmune diseases, and can solve the problems of not disclosing the combined use of CD40L antibodies and unreported uses
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Embodiment 1
[0194] Patients with a clinical diagnosis of rheumatoid arthritis (RA) were initially treated with the rituximab (RITUXAN(R)) antibody. This patient may or may not also have B cell depleting antibodies, ie malignancy. In addition, the patient is optionally further treated with any one or more of the agents used to treat RA, such as salicylates; non-steroidal anti-inflammatory drugs such as indomethacin, phenylbutazone, phenyl Acetic acid derivatives (such as ibuprofen and fenoprofen), naphthylacetic acids (naproxen), pyrrolidinic acids (tometin), indoleacetic acids (sulindac), halogenated anthranilic acids (formazan chlorfenamic acid sodium), piroxicam, zomeac, and diflunisal; antimalarials such as chloroquine; gold salts; penicillamine; or immunosuppressants such as methotrexate or corticosteroids at doses of Known dose or reduced dose. However it is preferred to treat the patient with RITUXAN(R) only.
[0195] Administer RITUXAN® intravenously (IV) to RA patients accordin...
Embodiment 2
[0204] Patients diagnosed with autoimmune hemolytic anemia (AIHA) such as cryoglobulinemia or Coombs test positive anemia are treated with RITUXAN(R) antibody. AIHA is an acquired hemolytic anemia caused by autoantibodies that react with the patient's red blood cells. The patient being treated may optionally also have a B-cell malignancy. The patient is first treated with a composition containing a humanized anti-human CD40L antibody at a dose of 500 mg / m 2 IV, this dose is given twice a week for 4 weeks.
[0205] Thereafter administer RITUXAN® intravenously (IV) to the patient according to any of the following dosing regimens:
[0206] (A) 50mg / m 2 IV Day 1
[0207] 150mg / m 2 IV Days 8, 15 and 22
[0208] (B) 150mg / m 2 IV Day 1
[0209] 375mg / m 2 IV Days 8, 15 and 22
[0210] (C)375mg / m 2 IV Days 1, 8, 15 and 22
[0211] Other adjuvant therapies (eg, glucocorticoids, prednisone, azathioprine, cyclophosphamide, vinca-laden platelets, or danazol) can be combin...
Embodiment 3
[0215] Adult immune thrombocytopenic purpura (ITP) is a relatively rare hematologic disorder that constitutes the most common immune-mediated cytopenia. The disease is typically characterized by severe thrombocytopenia, possibly with acute bleeding, with normal or increased megakaryocytes in the bone marrow. Most ITP patients have IgG antibodies directed against target antigens on the outer surface of the platelet membrane, leading to platelet sequestration in the spleen and accelerated platelet destruction by the reticuloendothelial system (Bussell, J.B. Hematol. Oncol. Clin. North Am. (4): 179( 1990)). Various therapeutic interventions have been shown to be effective in the treatment of ITP. Steroids are generally considered first-line therapy, after which intravenous immune globulin (IVIG), splenectomy, or other medical therapy including vincristine or immunosuppressive / cytotoxic agents can be considered in most patients. Up to 80% of patients with ITP initially respond t...
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