IMMUNOGENICITY AND SAFETY OF BIOTECHNOLOGICAL MEDICINES

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Abstract

The efficacy and safety of the use of biotechnological (biotherapeutic, genetic engineering) preparations are due to their targeted mechanism of action and low of toxicity, in contrast to traditional chemicals drugs. These features of biotherapeutic preparations also aff ect their safety profile. When treating with biotherapeutic preparations, the most major adverse reaction and the first developmental time is the so-called infusion reaction. The basis of the development of the reaction to the infusion of a biotherapeutic preparation may be one of the following reactions: cytokine release syndrome (CRS), type I hypersensitivity reaction (IgE-dependent allergic reaction) or IgG-mediated reaction. These reactions have a similar clinical picture, so it is difficult to clearly determine which mechanisms led to the development of the reaction to the infusion. The mechanisms of development of the reaction to the infusion are still poorly studied.

About the authors

A. A. Soldatov

Scientific Centre for Expert Evaluation of Medicinal Products

Author for correspondence.
Email: Patosold@mail.ru

DM, Chief Expert of Office of expertise allergens, cytokines and other immunomodulators of Center for examination and control of medical immunobiological preparations,

Moscow

Russian Federation

Zh. I. Avdeeva

Scientific Centre for Expert Evaluation of Medicinal Products

Email: fake@neicon.ru

DM, professor, Chief Expert of Office of expertise allergens, cytokines and other immunomodulators of Center for examination and control of medical immunobiological preparations,

Moscow

Russian Federation

V. P. Bondarev

Scientific Centre for Expert Evaluation of Medicinal Products

Email: fake@neicon.ru

DM, professor, Director of Centre of expertise of the medical immunobiological preparations quality,

Moscow

Russian Federation

V. A. Merkylov

Scientific Centre for Expert Evaluation of Medicinal Products

Email: fake@neicon.ru

DM, professor, Deputy Director General for the expertise of drugs of Center for examination and control of medical immunobiological preparations,

Moscow

Russian Federation

References

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  2. Chung C. H., Mirakhur B., Chan E., Le Q. T., Berlin J., Morse M., Murphy B. A., Satinover S. M., Hosen J., Mauro D., Slebos R. J., Zhou Q., Gold D., Hatley T, Hicklin D. J., Platts-Mills T. A. Cetuximab induced anaphylaxis and IgE specific for galactose-a-1,3-galactose. N Engl J Med. 2008; 358(11): 1109–17.
  3. Matucci A., Pratesi S., Petroni G., Nencini F., Virgili G., Milla M., Maggi E., Vultaggio A. Allergological in vitro and in vivo evaluation of patients with hypersensitivity reactions to infliximab. Clin Exp Allergy. 2013; 43(6): 659–64.
  4. Finkelman F. D. Anaphylaxis: lessons from mouse model. J Allergy Clin Immunol. 2007; 120(3): 506–15.

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Copyright (c) 2019 Soldatov A.A., Avdeeva Z.I., Bondarev V.P., Merkylov V.A.

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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