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Monoclonal antibody (Mab)

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  • Chapter 04: Clinical Immunology Monoclonal antibody (Mab)
  • Monoclonal antibody (Mab)

Monoclonal antibody (Mab)

Monoclonal antibody (Mab)

on 16 Jan, 2025
  • Date16 Jan, 2025

Monoclonal antibody (Mab)

 

Name of the biologic  Role in medical practice 
Anti-TNF 

  • Infliximab, adalimumab, golimumab, certolizumab, etanercept
  • Refractory RA, PsA, AxSpA, JIA 
  • Refractory Crohn’s disease/Crohn’s fistula
  • UC not responding to optimal medical therapy (except etanercept)
  • Sarcoidosis
  • Psoriasis
Anti-CD20

  • Rituximab, Obinutuzumab
  • Ocrelizumab
  • CD 20 (+) ve lymphoma/CLL/WMG
  • Refractory RA/ITP/HUS/TTP 
  • GPA, MPA, Takayasu’s arteritis
  • Pemphigus vulgaris
  • Multiple sclerosis
GP 2b/3a inhibitor 

  • Abciximab
  • High risk coronary artery intervention (PCI)
CD25 inhibitor on T-cell

  • Belatacept
  • Immunosuppression in organ transplantation
IL-6 inhibitor 

  • Tocilizumab
  • Sarilumab
  • Severe COVID-19
  • Refractory RA
  • GCA, JIA, SSC-ILD
  • RA
IgE Inhibitor

  • Omalizumab
  • Add on therapy in severe allergic asthma uncontrolled on high dose ICS-LABA/ABPA
  • Nasal polyps 
  • Chronic idiopathic urticaria/HES
IL-5 inhibitor

  • Mepolizumab

IL-5R inhibitor

  • Benralizumab
  • Add on therapy in severe eosinophilic asthma uncontrolled on high dose ICS-LABA
Anti-C5

  • Eculizumab
  • PNH/HUS
B-lys inhibitor 

  • Belimumab
  • Mild to moderate SLE non-responding/inadequately responding to standard therapy
IL-12/23 inhibitor

  • Ustekinumab
  • PSA
  • Psoriasis
  • Moderate to severe CD & UC
  • Maintaining remission in anti-TNF failure UC
RANK-L inhibitor

  • Denosumab SC

Sclerostin (anti-anabolic effects on bone formation)

  • Romosozumab ***
  • Osteoporosis
Ab to FGF-23 

  • Burosumab SC ***
X-linked hypophosphatemic rickets
Multi-kinase inhibitors

  1. Sorafenib
  1. Lenvatinib ***
  1. Regorafenib***  (SLR)
  1. Sunitinib, Pazopanib
  1. Primary HCC, AML with FLT3-ITD gene mutation
  2. Primary HCC (alternative to sorafenib)
  1. Primary HCC (second line therapy)
  1. RCC
Anti-CD38

  • Daratumab
  • MM
IL-1a  Inhibitors 

  1. Canakinumab
  1. Anakinra
  1. CAPS (cryopyrin-associated periodic syndromes), sJIA, AOSD, gout
  1. RA, CAPS, AOSD, gout
IL-17 A inhibitor

  1. Secukinumab, Ixekizumab
  1. Broadalumab
  1. PsA, axSpA, psoriasis 
  1. Psoriasis
IL-23 inhibitor 

  • Guselkumab
  • PSA, psoriasis
Inhibitor of T-cell activation 

  • Abatacept
  • RA, PsA, JIA
PDE-4 inhibitors

  1. Apremilast
  1. Crisaborole **
  1. Psoriasis & PSA 
  1. Psoriasis
EGFR inhibitor

  1. Gefitinib, Erlotinib, Osimertinib
  1. Cetuximab Panitumumab
  1. Lung ca
  1. Colorectal ca (metastatic)
HER-2 receptor inhibitor 

  • Transtuzumab, Pertuzumab
  • HER-2 (+)ve breast ca/gastric ca

 

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Topics

  • Chapter 04: Clinical Immunology (4)
    • Cryoglobulin (1)
    • Hereditary angioedema (1)
    • Monoclonal antibody (Mab) (1)
    • Primary Immune Deficiency (1)
  • Chapter 05: Population health & Epidemiology (2)
    • Case control Vs Cohort study (1)
    • Screening tools / test (1)
  • Chapter 06: Principles of Infectious Diseases (1)
    • Antimicrobial stewardship (AMS) (1)
  • Chapter 07: Oncology (9)
    • A. Breaking Bad News (1)
    • B. Investigation in cancer patient (1)
    • C. CUP / MUO (1)
    • D. Neutropenic fever (1)
    • E. Hypercalcemia in malignancy (1)
    • F. Immune-related adverse events (IRAE) (1)
    • G. Tumor lysis syndrome (1)
    • H. Malignant pleural effusion (1)
    • I. Systemic anti-cancer therapy (SACT) (1)
  • Chapter 08: Palliative - ethical issue (4)
    • Informed written consent (1)
    • Non medical issue (1)
    • Pain management (1)
    • Palliative care (1)
  • Chapter 09: Acute Medicine (8)
    • ARDS (1)
    • Coma (1)
    • How to write an ICU discharge summary (1)
    • ICU-acquired weakness (1)
    • OSPE/IOE (1)
    • Rhabdomyolysis (1)
    • Sepsis (1)
    • Ventilator-induced lung injury (VILI) (1)
  • Chapter 10: Poisoning (6)
    • A. Poisoning by pharmaceutical agent (0)
    • B. drugs of misuse. (0)
    • C. Poisoning by chemical and pesticides (6)
      • 1. Carbon monoxide (CO) poisoning (1)
      • 2. OPC Poisoning (1)
      • 3. Paraquat Poisoning (1)
      • 4. Ethanol intoxication (acute alcohol consumption) (1)
      • 5. Chronic Lead poisoning (1)
      • 6. Gas tablet poisoning (1)
    • D. Environmental poisoning (0)
    • E. Food related poisoning (0)
  • Chapter 11: Envenomation (0)
  • Chapter 12: Environmental Medicine (6)
    • Drowning (1)
    • Frostbite (1)
    • Heat stroke (1)
    • High Altitude illness (1)
    • Hypothermia (1)
    • Immersion (1)
  • Chapter 18: Nephrology (6)
    • 01. Investigation (1)
    • 02. Clinical Presentation (3)
      • (A). Polyuria (1)
      • (B). Haematuria (1)
      • (C). Proteinuria (1)
    • 03. Glomerular Disease (2)
      • IgA Nephropathy (1)
      • RPGN (1)
    • 10. Infection of Urinary Tract (0)
    • 4. Tubulo-interstitial Diseases (0)
    • 5. Genetic Renal Diseases (0)
    • 6. Renovascular Diseases (0)
    • 7. Acute Kidney Injury (AKI) (0)
    • 8. Chronic Kidney Disease (CKD) (0)
    • 9. Renal Replacement Therapy (RRT) (0)
  • Chapter 19: Clinical Biochemistry and Metabolic medicine (1)
    • Potassium Homeostasis (1)
      • Hyperkalaemia (0)
      • Hypokalaemia (1)
  • Chapter 20: Endocrinology (19)
    • Adrenal Gland Diseases (6)
      • Adrenal insufficiency (1)
      • Congenital Adrenal Hyperplasia (CAH) (1)
      • Cushing Syndrome (1)
      • Pheochromocytoma (1)
      • Primary hyperaldosteronism (1)
      • Steroid withdrawal or tapering (1)
    • Autoimmune Polyendocrine Syndrome(APS) (0)
    • Endocrine Pancreas (0)
    • Hypothalamo-pituitary Disease (0)
    • Multiple Endocrine Neoplasia (MEN) (0)
    • Others (0)
    • Parathyroid Disorder (2)
      • Hyperparathyroidism (1)
      • Pseudohypoparathyroidism (1)
    • Reproductive Endocrinology (6)
      • Delayed puberty / Hypogonadism (1)
      • Hirsutism (1)
      • Hyperprolactinemia (1)
      • Klinefelter syndrome (1)
      • PCOS (1)
      • Turner’s syndrome (1)
    • Thyroid Disorder (5)
      • Graves' Disease (1)
      • Hypothyroidism (0)
      • Subclinical Hypothyroidism (1)
      • Subclinical Thyrotoxicosis (1)
      • Thyroid Lump or Swelling (1)
      • Thyrotoxicosis (1)
  • Chapter 22: Nutritional factors in disease (4)
    • Intestinal Failure (1)
    • Refeeding Syndrome (1)
    • Vitamin deficiency or excess (2)
      • Scurvy (1)
      • Vit B3 (Niacin) deficiency: Plegra (1)
  • Chapter 23: Gastroenterology (15)
    • Colon and Rectum (0)
    • Esophagus (3)
      • Achalasia of the esophagus (1)
      • Dysphagia (1)
      • GERD (1)
    • Pancreas (0)
    • Small Gut (9)
      • A. Coeliac disease (1)
      • B. Small intestinal bacterial overgrowth (SIBO) (1)
      • C. Whipple disease (1)
      • D. Bile acid diarrhea (1)
      • E. Radiation enteropathy (1)
      • F. Protein-losing enteropathy (1)
      • G. Eosinophilic gastroenteritis (1)
      • H. Lactose intolerance (0)
      • I. IPSID (1)
      • J. IBS (1)
    • Stomch (3)
      • Gastric carcinoma (1)
      • Peptic ulcer disease - PUD (1)
      • Zollinger Ellison syndrome (ZES) (1)
  • Chapter 24: Hepatology (2)
    • Inherited Liver Disease (2)
      • Hemochromatosis (1)
      • Wilson disease (1)
  • Chapter 25: Hematology (1)
    • Anemia (1)
      • Microcytic Hypochromic Anemia (MHA) (1)
        • Iron Deficiency Anemia (IDA) (1)
  • Chapter 26: Rheumatology (3)
    • Autoimmune connective tissue disease (0)
      • Polymyositis & Dermatomyositis (0)
    • Disease of Bone (2)
      • Hypertropic Osteoarthropathy (1)
      • Osteonecrosis/ Avascular necrosis (AVN) (1)
    • Vasculitis (1)
      • Small vessel vasulitis (1)
  • Chapter 27: Dermatology (1)
    • Skin disease in general medicine (1)
      • Reactive disorder (1)
        • Erythema nodosum (1)
  • Chapter 32: Maternal Medicine (8)
    • CVST in Pregnancy (1)
    • Diabetes in pregnancy (1)
    • Epilepsy in Pregnancy (1)
    • Hypertension in pregnancy (1)
    • Liver disease in pregnancy (1)
    • Psychiatric Illness in Pregnancy (1)
    • Thromboembolism (1)
    • Thyroid Disease in Pregnancy (1)
      • Hyperthyroidism in Pregnancy (1)
      • Hypothyroidism in Pregnancy (0)
  • Chapter 34: Ageing (7)
    • Delirium (1)
    • Fall (1)
    • Frailty (1)
    • Geriatric giants (1)
    • MDT (1)
    • Prescribing & deprescribing (1)
    • Urinary Incontinence (1)
  • My AMC Part 1 Notes (0)
    • Obstetrics (0)
      • CTG (0)

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