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Biologic Therapies of Immunologic Diseases, An Issue of Immunology and Allergy Clinics of North America, E-Book

Biologic Therapies of Immunologic Diseases, An Issue of Immunology and Allergy Clinics of North America, E-Book

Bradley E. Chipps | Stephen P. Peters

(2017)

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Book Details

Abstract

This issue of Immunology and Allergy Clinics, guest edited by Drs. Bradley Chipps and Stephen Peters, is devoted to Biologic Therapies of Immunologic Diseases. Articles in this issue include: Immunologic Mechanisms and Potential Targets; Strategies for Immunologic Interventions; Patient Characteristics and Individualization of Therapy; Biologic Therapies for Autoimmune and Connective Tissue Diseases; Biologic Therapies for Skin Disease including Urticaria; Biologic Therapies for Asthma; Biologic Therapies for Rhinitis and Sinusitis; Biologic Therapies for Chronic Obstructive Pulmonary Disease; Biologic Therapies for Food Allergies and Eosinophilic Esophagitis; Future Prospects for Biologic Therapies of Immunologic Diseases; Pharmacoeconomics of Biologic Therapy; and Adverse Reaction to Biologic Therapy.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Contributors iii
CONSULTING EDITOR iii
EDITORS iii
AUTHORS iii
Contents vii
Erratum vii
Foreword: Biopharmaceuticals in Allergic Disease: Finding the Right Patients at the Right Timexv vii
Preface: Biologic Therapies of Immunologic Diseasesxvii vii
Inflammatory Disorders Associated with Allergy: Overview of Immunopathogenesis and Implications for Treatment233 vii
Biological Therapies of Immunologic Diseases: Strategies for Immunologic Interventions247 vii
Patient Characteristics and Individualization of Biologic Therapy261 vii
Biologic Therapies for Autoimmune and Connective Tissue Diseases283 viii
Immune Mechanisms and Novel Targets in Rheumatoid Arthritis301 viii
Biologic Therapy in the Treatment of Chronic Skin Disorders315 viii
Biologic and New Therapies in Asthma329 viii
Biologic Therapy in Chronic Obstructive Pulmonary Disease345 ix
Monoclonal Antibodies for the Treatment of Nasal Polyps357 ix
Biologic Therapies for Immunoglobulin E–mediated Food Allergy and Eosinophilic Esophagitis369 ix
Adverse Reactions to Biologic Therapy397 x
Pharmacoeconomics of Biologic Therapy413 x
Future Prospects of Biologic Therapies for Immunologic Diseases431 x
Erratum xiii
Biopharmaceuticals in Allergic Disease: Finding the Right Patients at the Right Time xv
Biologic Therapies of Immunologic Diseases xvii
Inflammatory Disorders Associated with Allergy 233
Key points 233
INTRODUCTION 233
ATOPIC DERMATITIS 234
Skin Barrier Function 234
Inflammation 235
Dendritic cells 235
T cells 235
Innate lymphoid cells 236
Regulatory T cells 236
Mast cells 236
Eosinophils 236
Potential Immunologic Treatments 236
CHRONIC RHINOSINUSITIS WITH NASAL POLYPOSIS 237
Mucociliary Clearance 237
Host Defense and Inflammation 238
Epithelium 238
Innate lymphoid cells 238
T cells and B cells 238
Tissue remodeling 239
Potential Immunologic Treatments 239
ASTHMA 239
Inflammation 239
Epithelial cells 239
Th2 cells 239
Th17 cells 240
Th9 cells 241
Innate lymphoid cell 2 241
Eosinophils 241
Mast cells 242
Airway remodeling 242
Potential Immunologic Treatments 242
REFERENCES 243
Biological Therapies of Immunologic Diseases 247
Key points 247
INTRODUCTION 247
MONOCLONAL ANTIBODIES 247
CYTOKINES 251
FC FUSION PROTEINS 251
RNA 252
SMALL MOLECULE KINASE INHIBITORS 253
ANTICHEMOKINE SMALL MOLECULE INHIBITORS 254
SUMMARY AND FUTURE CONSIDERATIONS 255
REFERENCES 255
Patient Characteristics and Individualization of Biologic Therapy 261
Key points 261
INTRODUCTION 261
ASTHMA 262
ASTHMA PHENOTYPING 262
ASTHMA ENDOTYPES 263
THERAPEUTIC BIOLOGICS IN PATIENTS WITH ASTHMA 264
Anti–Immunoglobulin E 264
Anti–Interleukin-5 265
Anti–Interleukin-13 267
Anti-Interleukin-4 and Interleukin-13 268
Anti–Interleukin-17 269
Anti–Tumor Necrosis Factor 269
URTICARIA 270
THERAPEUTIC BIOLOGICS IN PATIENTS WITH CHRONIC SPONTANEOUS URTICARIA 271
Omalizumab 271
Intravenous Immunoglobulin 272
Rituximab 272
Tumor Necrosis Factor-Alpha 273
SUMMARY 273
REFERENCES 274
Biologic Therapies for Autoimmune and Connective Tissue Diseases 283
Key points 283
INTRODUCTION 283
RHEUMATOID ARTHRITIS 283
Anti–Tumor Necrosis Factor Alpha Therapy 284
Tocilizumab 284
Abatacept 285
Rituximab 285
Tofacitinib 286
SYSTEMIC LUPUS ERYTHEMATOSUS 286
Food and Drug Administration–approved Therapy 286
Belimumab 286
Non–Food and Drug Administration–approved Therapy 286
Rituximab 286
Abatacept 287
INFLAMMATORY MYOSITIS 287
Rituximab 287
Immune Mechanisms and Novel Targets in Rheumatoid Arthritis 301
Key points 301
INTRODUCTION 301
OVERVIEW OF PATHOGENESIS OF RHEUMATOID ARTHRITIS 302
ROLE OF CYTOKINES AND CURRENTLY AVAILABLE BIOLOGICS IN RHEUMATOID ARTHRITIS 304
T-Cell Cytokines 304
Macrophage and Fibroblast Cytokines 304
THE MATURESCENCE OF CONVENTIONAL BIOLOGICS AND THE ADVENT OF NOVEL BIOLOGIC APPROACHES 305
NOVEL FUTURE APPROACHES FOR RHEUMATOID ARTHRITIS 310
SUMMARY 311
REFERENCES 311
Biologic Therapy in the Treatment of Chronic Skin Disorders 315
Key points 315
INTRODUCTION 315
Chronic Urticaria 315
Omalizumab 316
Interleukin-1 inhibitors 317
Tumor necrosis factor-alpha inhibitors 319
Atopic Dermatitis 319
Omalizumab 320
Infliximab 320
Rituximab 321
Mepolizumab 321
Dupilumab 322
Psoriasis 322
Tumor necrosis factor-alpha inhibitors 323
Interleukin-12/interleukin-23 inhibitors 324
Interleukin-17 inhibitors 324
Emerging biologics 324
SUMMARY 325
REFERENCES 325
Biologic and New Therapies in Asthma 329
Key points 329
INTRODUCTION 329
PATHOPHYSIOLOGY 330
T2-Low Asthma or Non-T2 Asthma 330
T2-High Asthma 332
Current Biomarkers in T2-High Inflammation 333
SPECIFIC THERAPIES TARGETING T2-HIGH PATHWAYS 336
Targeting IgE 336
IL-5-based Therapy 337
Mepolizumab 337
Reslizumab 338
Benralizumab 338
IL-13-based Therapy 339
Prostaglandin Antagonists 340
SUMMARY 340
DISCLOSURE STATEMENT 340
REFERENCES 340
Biologic Therapy in Chronic Obstructive Pulmonary Disease 345
Key points 345
INTRODUCTION 345
NEUTROPHILIC INFLAMMATION AND POTENTIAL TARGETS FOR THERAPY 347
Tumor Necrosis Factor Alpha 347
Interleukin-1β 348
Interleukin-8/CXCR2 349
ADDITIONAL POTENTIAL TARGETS 349
EOSINOPHILIC CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND POTENTIAL TARGETS FOR THERAPY 350
Interleukin-5 351
Interleukin-4/Interleukin-13 351
SUMMARY 352
REFERENCES 352
Monoclonal Antibodies for the Treatment of Nasal Polyps 357
Key points 357
INTRODUCTION 357
PATHOPHYSIOLOGY 358
IMMUNOGLOBULIN E TARGETED THERAPIES 360
Omalizumab 360
INTERLEUKIN 5 TARGETED THERAPY 361
Mepolizumab 361
Reslizumab 362
Benralizumab 362
THE INTERLEUKIN 4 AND INTERLEUKIN 13 PATHWAY 362
AMG 282 363
SIALIC ACID IMMUNOGLOBULIN-LIKE LECTINS 363
DISCUSSION 363
SUMMARY 364
REFERENCES 364
Biologic Therapies for Immunoglobulin E–mediated Food Allergy and Eosinophilic Esophagitis 369
Key points 369
INTRODUCTION 369
IMMUNOGLOBULIN E–MEDIATED FOOD ALLERGY 370
Anti–Immunoglobulin E for Immunoglobulin E–Mediated Food Allergy 370
Omalizumab 370
Talizumab 370
Clinical Trials in Food Allergy 376
Anti–immunoglobulin E as stand-alone therapy to decrease food allergy symptoms 376
Leung and colleagues, 2003 376
Rafi and colleagues, 2010 376
Sampson and colleagues, 2011 376
Savage and colleagues, 2012 376
Anti–immunoglobulin E as an adjunctive therapy for oral immunotherapy 376
Nadeau and colleagues, 2011 377
Bedoret and colleagues, 2012 377
Schneider and colleagues, 2013 377
Wood and colleagues, 2016 377
Martorell-Calatayud et al, 2016 378
Summary 378
EOSINOPHILIC ESOPHAGITIS 378
Anti–Interleukin-5 378
Clinical trials in adult eosinophilic esophagitis 386
Stein and colleagues, 2006 386
Stein and colleagues, 2008 386
Straumann and colleagues, 2010 386
Clinical trials in pediatric eosinophilic esophagitis 387
Assa’ad et al, 2011 387
Spergel and colleagues, 2012 387
Summary 387
Anti–Interleukin-13 388
Clinical trial 388
Rothenberg and colleagues, 2015 388
Summary 388
Anti–Immunoglobulin E 388
Clinical trials 389
Foroughi and colleagues, 2007 389
Clayton and colleagues, 2014 389
Loizou and colleagues, 2015 389
Summary 389
Prostaglandin D2 Receptor Antagonists 389
Clinical trial 389
Straumann and colleagues, 2013 389
Summary 390
Potential Biologic Therapies for Eosinophilic Esophagitis 390
Interleukin-4 receptor antagonists (interleukin-4/interleukin-13 blockade) 390
Anti–thymic stromal lymphopoietin 390
Anti–interleukin-9 391
SUMMARY 391
REFERENCES 391
Adverse Reactions to Biologic Therapy 397
Key points 397
INTRODUCTION 397
TYPES OF BIOLOGIC AGENTS 397
DIFFERENCES BETWEEN DRUGS AND BIOLOGIC AGENTS 398
PROPOSED CLASSIFICATION OF ADVERSE REACTIONS TO BIOLOGIC AGENTS 399
Type α: Overstimulation 399
Type β: Hypersensitivity 400
γ: Cytokine or Immune Imbalance 401
δ: Cross-Reactivity 401
ε: Nonimmunologic Side Effects 401
MANAGEMENT 401
A REVIEW OF ADVERSE REACTIONS TO SPECIFIC AGENTS 402
Biologics for Asthma 402
Omalizumab 402
Mepolizumab 404
Reslizumab 404
Benralizumab 404
Other Biologics Notable for Specific Adverse Drug Reactions 404
Rituximab 404
Etanercept/adalimumab injection site reactions 405
DIAGNOSTIC EVALUATION OF BIOLOGICAL HYPERSENSITIVITY REACTIONS, GENERAL PRINCIPLES 406
RAPID DRUG DESENSITIZATIONS TO BIOLOGICAL AGENTS 407
SUMMARY 410
REFERENCES 410
Pharmacoeconomics of Biologic Therapy 413
Key points 413
INTRODUCTION 413
Why Should Caregivers, Insurance Companies, Payers, and Society Be Concerned About the Pharmacoeconomics of Immune Diseases? 415
ASTHMA 415
WHEN IS BIOLOGIC THERAPY COST-EFFECTIVE? 417
HOW AND WHAT VARIABLES SHOULD WE MEASURE? 418
THE ADOPTION OF BIOLOGICS 418
What Are the Real-World Practical Applications of Pharmacoeconomics of Biologics to Shared Decision Making? 419
Will Establishing General Disease Phenotype Influence the Pharmacoeconomic Choice of a Biologic? 419
What Does a Decision Maker (eg, Patient, Physician, Health Maintenance Organization Pharmacy and Therapeutics Committee, Go ... 420
Which of the Potential Biologic Agents Will Be the Most Pharmacoecomonically Realistic and Valuable Choice? In Asthma? What ... 420
What About Gains in Quality-Adjusted Life-Years with the Use of Biologics? 421
If Biologics Are Used for Asthma, What Is Their Duration of Benefit? 423
What Is the Cost Benefit of Biologics Compared with Pharmacotherapy in Asthma Treatment? 423
EMBRACING QUALITY HEALTH CARE IN THE UNITED STATES 425
So What Can Insurance Companies, Society, and Caregivers Do to Move the Study of Pharmacoeconomics of Biologics in the Righ ... 425
POTENTIAL PROBLEMS INTERPRETING PHARMACOECONOMIC DATA 425
SUMMARY 426
REFERENCES 427
Future Prospects of Biologic Therapies for Immunologic Diseases 431
Key points 431
INTRODUCTION 431
THERAPIES TARGETING CYTOKINES OR CYTOKINE RECEPTORS 432
Tocilizumab: Anti-Interleukin-6 Receptor Antibody 432
Allergic asthma 432
Atopic dermatitis 434
STAT3 gain-of-function mutations 434
Ustekinumab: Anti-Interleukin-12/23 p40 Antibody 435
Asthma 435
Atopic dermatitis 435
Inflammatory gastrointestinal disorders 435
GSK1070806: Anti-Interleukin-18 Antibody/Tadekinig Alfa: Recombinant Interleukin-18 Binding Protein 436
Cryopyrin-associated periodic syndromes 436
Hemophagocytic lymphohistiocytosis 436
NI-0501: Anti-Interferon γ Antibody 437
Hemophagocytic lymphohistiocytosis 437
Adalimumab/Certolizumab/Golimumab/Infliximab: Anti-Tumor Necrosis Factor-α Antibody 437
Asthma 437
THERAPIES TARGETING CELLULAR ACTIVATION OR FUNCTION 437
Abatacept and Belatacept: CTLA-4-hIgG1-Fc Fusion Proteins 438
Allergen-specific immunotherapy adjuvant 438
Immunodeficiencies with autoimmune features 439
Rituximab: Anti-CD20 Antibody 439
Atopic dermatitis 439
Anticytokine autoantibody syndromes 439
Aldesleukin: Recombinant Interleukin-2 Protein 440
Immunodeficiencies with autoimmune features 440
THERAPIES TARGETING IMMUNOGLOBULIN E 440
Quilizumab: Anti-CemX Antibody/Omalizumab: Anti-Immunoglobulin E Antibody 441
Allergic bronchopulmonary aspergillosis 441
Churg-Strauss syndrome 441
Chronic rhinosinusitis with nasal polyps 442
Mastocytosis 442
SUMMARY 443
REFERENCES 443