JP2004502742A5 - - Google Patents
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- JP2004502742A5 JP2004502742A5 JP2002508475A JP2002508475A JP2004502742A5 JP 2004502742 A5 JP2004502742 A5 JP 2004502742A5 JP 2002508475 A JP2002508475 A JP 2002508475A JP 2002508475 A JP2002508475 A JP 2002508475A JP 2004502742 A5 JP2004502742 A5 JP 2004502742A5
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- 229940127089 cytotoxic agent Drugs 0.000 description 29
- 210000004027 cell Anatomy 0.000 description 21
- 239000012634 fragment Substances 0.000 description 16
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- 208000015914 Non-Hodgkin lymphomas Diseases 0.000 description 12
- 229960004397 cyclophosphamide Drugs 0.000 description 12
- 101150013553 CD40 gene Proteins 0.000 description 11
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Description
【特許請求の範囲】
【請求項1】 CD40陽性悪性疾患の治療用医薬組成物であって、有効成分として、CD40Lに結合してCD40/CD40L相互作用またはCD40シグナリングを阻害する抗CD40L抗体または抗体フラグメントを含有する医薬組成物。
【請求項2】 CD40陽性悪性疾患がB細胞リンパ腫またはB細胞白血病である請求項1に記載の医薬組成物。
【請求項3】 B細胞リンパ腫がホジキン病または非ホジキンリンパ腫である請求項2に記載の医薬組成物。
【請求項4】 非ホジキンリンパ腫が低度、中等度及び高度である請求項3に記載の医薬組成物。
【請求項5】 非ホジキンリンパ腫が、小リンパ球性、濾胞性及び小型縦隔細胞優位、濾胞性及び小型縦隔及び大細胞混合型、濾胞性及び大細胞優位、びまん性小縦隔細胞、びまん性小細胞及び大細胞混合型、びまん性大細胞型、大細胞免疫芽球性、リンパ芽球性、小型非縦隔バーキット及び非バーキット型、エイズ関連リンパ腫、血管免疫芽球性リンパ節症、マントル細胞リンパ腫、及び単球性B細胞リンパ腫からなるサブタイプグループから選択される請求項3に記載の医薬組成物。
【請求項6】 B細胞白血病が慢性B細胞白血病、B細胞系の急性リンパ芽球性白血病、またはB細胞系リンパ球性白血病である請求項2に記載の医薬組成物。
【請求項7】 抗CD40L抗体がIDEC−131,3E4,2H5,2H8,4D9−8,4D9−9,24−31,24−43,89−76、89−79またはこれらの抗体のいずれか一つのフラグメントである請求項1に記載の医薬組成物。
【請求項8】 抗体または抗体フラグメントがキメラ、二重特異性、ヒトまたはヒト化である請求項1に記載の医薬組成物。
【請求項9】 抗体フラグメントがFab,Fab’,scFvまたはF(ab’)2である請求項1に記載の医薬組成物。
【請求項10】 さらに第二の抗体またはそのフラグメント、一つまたはそれ以上の化学療法剤及び/または放射線療法を併用して同時にまたは連続して使用するための請求項1に記載の医薬組成物。
【請求項11】 放射線療法が外部放射線治療であるかまたは放射標識抗体である請求項10に記載の医薬組成物。
【請求項12】 放射標識抗体が放射標識IDEC−131、rituximab、B1、あるいは放射標識IDEC−131、rituximabまたはB1のフラグメントである請求項11に記載の医薬組成物。
【請求項13】 放射標識抗体が123I,125I,131I,111In,131In,32P,64Cu,67Cu,211At,177Lu,90Y,186Re,212Pb,212Bi,47Sc,105Rh,109Pd,153Sm,188Re,199Au,211At,及び213Biで放射標識されている請求項11に記載の医薬組成物。
【請求項14】 一つまたはそれ以上の化学療法剤がアルキル化剤、ビンカアルカロイド、プロカルバジン、メトトレキサートまたはプレドニゾンである請求項10に記載の医薬組成物。
【請求項15】 一つまたはそれ以上の化学療法剤がアルキル化剤、シクロホスファミド、クロランブシル、2−CDA、2’−デオキシコフォルマイシン、フルダラビン、シトシンアラビノシド、シスプラチン、エトポシドまたはイフォスファミドである請求項10に記載の医薬組成物。
【請求項16】 化学療法剤の併用が、MOPP,ABVD,ChlVPP,CABS,MOBB+ABVD,MOPP+ABV,BCVPP,VABCD,ABDIC,CBVD,PCVP,CEP,EVA,MOPLACE,MIME,MINE,CEM,MTX−CHOP,EVAPまたはEPOCHのいずれか一つまたはそれ以上である請求項10に記載の医薬組成物。
【請求項17】 化学療法剤の併用が、CVP,CHOP,C−MOPP,CAP−BOP,m−BACOD,ProMACE−MOPP,ProMACE−CytaBOM,MACOP−B,IMVP−16,MIME,DHAP,ESHAP,CEPP(B)またはCAMPのいずれか一つまたはそれ以上である請求項10に記載の医薬組成物。
【請求項18】 一つまたはそれ以上の化学療法剤が、アントラサイクリン、シクロホスファミド、L−アスパラギナーゼまたはプリン同族体である請求項10に記載の医薬組成物。
【請求項19】 一つまたはそれ以上の化学療法剤が、ビンクリスチン、プレドニゾン、アントラサイクリン及びシクロホスファミドまたはアスパラギナーゼ;ビンクリスチン、プレドニゾン、アントラサイクリン、シクロホスファミド及びアスパラギナーゼ;CHOP;CMP;CVP;COPまたはCAPである請求項10に記載の医薬組成物。
【請求項20】 第二の抗体が抗−CD20抗体である請求項10に記載の医薬組成物。
【請求項21】 抗−CD20抗体が、rituximab、B1あるいは、rituximabまたはB1のフラグメントである請求項20に記載の医薬組成物。
【請求項22】 CD40陽性悪性疾患の治療用医薬組成物であって、有効成分として、CD40−CD40L相互作用またはCD40シグナリングを阻害する抗−CD20抗体またはそのフラグメントと併用して、同時にあるいは連続して使用するための抗−CD40L抗体またはそのフラグメントを含有する医薬組成物。
【請求項23】 CD40陽性悪性疾患がB細胞リンパ腫またはB細胞白血病である請求項22に記載の医薬組成物。
【請求項24】 CD40陽性悪性疾患の治療用医薬組成物であって、有効成分として、(i)化学療法剤または化学療法剤の併用、(ii)放射線療法、(iii)抗−CD20抗体またはそのフラグメントおよび(iv)抗−CD40抗体またはそのフラグメントと併用して同時にまたは連続して使用するためのCD40L拮抗剤を含有する医薬組成物。
【請求項25】 放射線療法が外部放射線治療である請求項24に記載の医薬組成物。
【請求項26】 放射線療法が、123I,125I,131I,111In,131In,32P,64Cu,67Cu,211At,177Lu,90Y,186Re,212Pb,212Bi,47Sc,105Rh,109Pd,153Sm,188Re,199Au,211At,及び213Biで放射標識されている抗体である請求項24に記載の医薬組成物。
【請求項27】 CD40陽性悪性疾患がB細胞白血病またはB細胞リンパ腫である請求項24に記載の医薬組成物。
【請求項28】 B細胞リンパ腫がホジキン病または非ホジキンリンパ腫である請求項27に記載の医薬組成物。
【請求項29】 非ホジキンリンパ腫が低度、中等度または高度である請求項28に記載の医薬組成物。
【請求項30】 非ホジキンリンパ腫が、小リンパ球性、濾胞性及び小型縦隔細胞優位、濾胞性及び小型縦隔及び大細胞混合型、濾胞性及び大細胞優位、びまん性小縦隔細胞、びまん性小細胞及び大細胞混合型、びまん性大細胞型、大細胞免疫芽球性、リンパ芽球性、小型非縦隔バーキット及び非バーキット型、エイズ関連リンパ腫、血管免疫芽球性リンパ節症、マントル細胞リンパ腫、及び単球性B細胞リンパ腫からなるサブタイプグループから選択される請求項28に記載の医薬組成物。
【請求項31】 B細胞白血病が慢性B細胞白血病、B細胞系の急性リンパ芽球性白血病、またはB細胞系の慢性リンパ球性白血病である請求項27に記載の医薬組成物。
【請求項32】 CD40L拮抗剤が抗−CD40L抗体またはそのフラグメントである請求項24に記載の医薬組成物。
【請求項33】 抗−CD40L抗体がIDEC−131またはそのフラグメントである請求項32に記載の医薬組成物。
【請求項34】 抗−CD40L抗体フラグメントがFab,Fab’,scFvまたはF(ab’)2である請求項32に記載の医薬組成物。
【請求項35】 抗−CD20抗体がrituximabまたはそのフラグメントまたはB1またはそのフラグメントである請求項24に記載の医薬組成物。
【請求項36】 ホジキン病を治療するための化学療法剤または化学療法剤の併用が、アルキル化剤、ビンカアルカロイド、プロカルバジン、メトトレキサートまたはプレドニゾンのいずれか一つまたはそれ以上である請求項28に記載の医薬組成物。
【請求項37】 非ホジキンリンパ腫を治療するための化学療法剤または化学療法剤の併用が、アルキル化剤、シクロホスファミド、クロランブシル、2−CDA、2’−デオキシコフォルマイシン、フルダラビン、シトシンアラビノシド、シスプラチン、エトポシドまたはイフォスファミドのいずれか一つまたはそれ以上である請求項28に記載の医薬組成物。
【請求項38】 ホジキン病を治療するための化学療法剤または化学療法剤の併用が、MOPP,ABVD,ChlVPP,CABS,MOPP+ABVD,MOPP+ABV,BCVPP,VABCD,ABDIC,CBVD,PCVP,CEP,EVA,MOPLACE,MIME,MINE,CEM,MTX−CHOP,EVAPまたはEPOCHのいずれか一つまたはそれ以上である請求項28に記載の医薬組成物。
【請求項39】 非ホジキンリンパ腫を治療するための化学療法剤または化学療法剤の併用が、CVP,CHOP,C−MOPP,CAP−BOP,m−BACOD,ProMACE−MOPP,ProMACE−CytaBOM,MACOP−B,IMVP−16,MIME,DHAP,ESHAP,CEPP(B),またはCAMPのいずれか一つまたはそれ以上である請求項28に記載の医薬組成物。
【請求項40】 B細胞白血病を治療するための化学療法剤または化学療法剤の併用が、アントラサイクリン、シクロホスファミド、L−アスパラギナーゼ、プリン同族体のいずれか一つまたはそれ以上である請求項28に記載の医薬組成物。
【請求項41】 B細胞白血病を治療するための化学療法剤または化学療法剤の併用が、ビンクリスチン、プレドニゾン、アントラサイクリン及びシクロホスファミドまたはアスパラギナーゼ;ビンクリスチン、プレドニゾン、アントラサイクリン、シクロホスファミド及びアスパラギナーゼ;CHOP;CMP;CVP;COPまたはCAPのいずれか一つまたはそれ以上である請求項28に記載の医薬組成物。
【請求項42】 CD40陽性悪性疾患の治療用医薬組成物であって、有効成分として、
(ii)CD40L,CD19,CD22またはCD20に結合する放射標識抗体、(iii)B細胞欠損抗体またはそのフラグメント、または(iv)化学療法剤または混合化学療法剤のいずれか一つまたはそれ以上と併用して同時にまたは連続して使用するための(i)抗−CD40L抗体またはその抗体フラグメントを含有する医薬組成物。
【請求項43】 CD40陽性悪性疾患がB細胞リンパ腫またはB細胞白血病である請求項42に記載の医薬組成物。
【請求項44】 B細胞白血病がホジキン病または非ホジキンリンパ腫である請求項43に記載の医薬組成物。
【請求項45】 放射標識抗体が放射標識IDEC−131、RITUXANTM、またはB1である請求項42に記載の医薬組成物。
【請求項46】 放射標識抗体が123I,125I,131I,111In,131In,32P,64Cu,67Cu,211At,177Lu,90Y,186Re,212Pb,212Bi,47Sc,105Rh,109Pd,153Sm,188Re,199Au,211At,及び213Biで放射標識されている請求項45に記載の医薬組成物。
【請求項47】 非ホジキンリンパ腫が低度、中等度または高度である請求項44に記載の医薬組成物。
【請求項48】 非ホジキンリンパ腫が、小リンパ球性、濾胞性及び小型縦隔細胞優位、濾胞性及び小型縦隔及び大細胞混合型、濾胞性及び大細胞優位、びまん性小縦隔細胞、びまん性小細胞及び大細胞混合型、びまん性大細胞型、大細胞免疫芽球性、リンパ芽球性、小型非縦隔バーキット及び非バーキット型、エイズ関連リンパ腫、血管免疫芽球性リンパ節症、マントル細胞リンパ腫、及び単球性B細胞リンパ腫からなるNHLサブタイプグループから選択される請求項44に記載の医薬組成物。
【請求項49】 抗−CD40L抗体がIDEC−131またはそのフラグメントである請求項42に記載の医薬組成物。
【請求項50】 B細胞欠損抗体が、抗−CD20抗体またはそのフラグメントまたはB1またはそのフラグメントである請求項42に記載の医薬組成物。
【請求項51】 化学療法剤が、アルキル化剤、ビンカアルカロイド、プロカルバジン、メトトレキサートまたはプレドニゾンのいずれか一つまたはそれ以上である請求項42に記載の医薬組成物。
【請求項52】 化学療法剤が、アルキル化剤、シクロホスファミド、クロランブシル、2−CDA、2’−デオキシコフォルマイシン、フルダラビン、シトシンアラビノシド、シスプラチン、エトポシドまたはイフォスファミドのいずれか一つまたはそれ以上である請求項42に記載の医薬組成物。
【請求項53】 化学療法剤の併用が、MOPP,ABVD,ChlVPP,CABS,MOPP+ABVD,MOPP+ABV,BCVPP,VABCD,ABDIC,CBVD,PCVP,CEP,EVA,MOPLACE,MIME,MINE,CEM,MTX−CHOP,EVAPまたはEPOCHである請求項42に記載の医薬組成物。
【請求項54】 化学療法剤の併用が、CVP,CHOP,C−MOPP,CAP−BOP,m−BACOD,ProMACE−MOPP,ProMACE−CytaBOM,MACOP−B,IMVP−16,MIME,DHAP,ESHAP,CEPP(B),またはCAMPである請求項42に記載の医薬組成物。
【請求項55】 化学療法剤が、アントラサイクリン、シクロホスファミド、L−アスパラギナーゼ、プリン同族体である請求項42に記載の医薬組成物。
【請求項56】 化学療法剤の併用が、ビンクリスチン、プレドニゾン、アントラサイクリン及びシクロホスファミドまたはアスパラギナーゼ;ビンクリスチン、プレドニゾン、アントラサイクリン、シクロホスファミド及びアスパラギナーゼ;CHOP;CMP;CVP;COPまたはCAP、である請求項42に記載の医薬組成物。
[Claims]
1. A pharmaceutical composition for treating a CD40-positive malignant disease, which comprises, as an active ingredient, an anti-CD40L antibody or an antibody fragment that binds to CD40L and inhibits CD40 / CD40L interaction or CD40 signaling. object.
2. The pharmaceutical composition according to claim 1, wherein the CD40-positive malignant disease is B-cell lymphoma or B-cell leukemia.
3. The pharmaceutical composition according to claim 2, wherein the B cell lymphoma is Hodgkin's disease or non-Hodgkin's lymphoma.
4. The pharmaceutical composition according to claim 3, wherein the non-Hodgkin's lymphoma is low, moderate and advanced.
5. The non-Hodgkin's lymphoma is small lymphocytic, follicular and small mediastinal cell dominant, follicular and small mediastinal and large cell mixed type, follicular and large cell dominant, diffuse small mediastinal cell, Diffuse mixed small and large cells, diffuse large cell, large cell immunoblastic, lymphoblastic, small non-mediastinum Burkitt and non-burkitt, AIDS-related lymphoma, vascular immunoblastic lymphoid 4. The pharmaceutical composition according to claim 3, wherein the pharmaceutical composition is selected from the subtype group consisting of nodal disease, mantle cell lymphoma, and monocytic B cell lymphoma.
6. The pharmaceutical composition according to claim 2, wherein the B-cell leukemia is chronic B-cell leukemia, B-cell acute lymphoblastic leukemia, or B-cell lymphocytic leukemia.
7. The anti-CD40L antibody is IDEC-131, 3E4, 2H5, 2H8, 4D9-8, 4D9-9, 24-31, 24-43, 89-76, 89-79, or any one of these antibodies. 2. The pharmaceutical composition according to claim 1, which is one fragment.
8. The pharmaceutical composition according to claim 1, wherein the antibody or antibody fragment is chimeric, bispecific, human or humanized.
9. The pharmaceutical composition according to claim 1, wherein the antibody fragment is Fab, Fab ', scFv or F (ab') 2 .
10. The pharmaceutical composition according to claim 1, further for simultaneous or sequential use of a second antibody or fragment thereof, one or more chemotherapeutic agents and / or radiation therapy. .
11. The pharmaceutical composition according to claim 10, wherein the radiation therapy is external radiation therapy or a radiolabeled antibody.
12. The pharmaceutical composition according to claim 11, wherein the radiolabeled antibody is radiolabeled IDEC-131, rituximab, B1, or a fragment of radiolabeled IDEC-131, rituximab or B1.
13. The radiolabeled antibody is 123 I, 125 I, 131 I, 111 In, 131 In, 32 P, 64 Cu, 67 Cu, 211 At, 177 Lu, 90 Y, 186 Re, 212 Pb, 212 Bi. The pharmaceutical composition according to claim 11, which is radiolabeled with, 47 Sc, 105 Rh, 109 Pd, 153 Sm, 188 Re, 199 Au, 211 At, and 213 Bi.
14. The pharmaceutical composition according to claim 10, wherein the one or more chemotherapeutic agents is an alkylating agent, vinca alkaloid, procarbazine, methotrexate or prednisone.
15. The method of claim 15, wherein the one or more chemotherapeutic agents is an alkylating agent, cyclophosphamide, chlorambucil, 2-CDA, 2'-deoxycoformycin, fludarabine, cytosine arabinoside, cisplatin, etoposide or ifosfamide. The pharmaceutical composition according to claim 10, which is
16. The combination use of a chemotherapeutic agent includes MOPP, ABVD, ChlVPP, CABS, MOBB + ABVD, MOPP + ABV, BCVPP, VABCD, ABDIC, CBVD, PCVP, CEP, EVA, MOPLACE, MINE, MINE, CEM, MTX-CHOP. 11. The pharmaceutical composition according to claim 10, which is one or more of EVAP or EPOCH.
17. The combination use of a chemotherapeutic agent is CVP, CHOP, C-MOPP, CAP-BOP, m-BACODE, ProMACE-MOPP, ProMACE-CytaBOM, MACOP-B, IMVP-16, MIME, DHAP, ESHAP, The pharmaceutical composition according to claim 10, which is one or more of CEPP (B) and CAMP.
18. The pharmaceutical composition according to claim 10, wherein the one or more chemotherapeutic agents is an anthracycline, cyclophosphamide, L-asparaginase or a purine homolog.
19. The one or more chemotherapeutic agents are vincristine, prednisone, anthracycline and cyclophosphamide or asparaginase; vincristine, prednisone, anthracycline, cyclophosphamide and asparaginase; CHOP; CMP; CVP; The pharmaceutical composition according to claim 10, which is COP or CAP.
20. The pharmaceutical composition according to claim 10, wherein the second antibody is an anti-CD20 antibody.
21. The pharmaceutical composition according to claim 20, wherein the anti-CD20 antibody is rituximab, B1, or a fragment of rituximab or B1.
22. A pharmaceutical composition for treating a CD40-positive malignant disease, which is used in combination with an anti-CD20 antibody or a fragment thereof that inhibits CD40-CD40L interaction or CD40 signaling, as an active ingredient, simultaneously or sequentially. A pharmaceutical composition comprising an anti-CD40L antibody or a fragment thereof for use in a pharmaceutical composition.
23. The pharmaceutical composition according to claim 22, wherein the CD40-positive malignant disease is B-cell lymphoma or B-cell leukemia.
24. A pharmaceutical composition for treating a CD40-positive malignant disease, wherein the active ingredient is (i) a chemotherapeutic agent or a combination of chemotherapeutic agents, (ii) radiation therapy, (iii) an anti-CD20 antibody or A pharmaceutical composition comprising a fragment thereof and (iv) a CD40L antagonist for simultaneous or sequential use in combination with an anti-CD40 antibody or fragment thereof.
25. The pharmaceutical composition according to claim 24, wherein the radiation therapy is external radiation therapy.
26. Radiotherapy is performed using 123 I, 125 I, 131 I, 111 In, 131 In, 32 P, 64 Cu, 67 Cu, 211 At, 177 Lu, 90 Y, 186 Re, 212 Pb, 212 Bi. 25. The pharmaceutical composition according to claim 24, which is an antibody radiolabeled with, 47 Sc, 105 Rh, 109 Pd, 153 Sm, 188 Re, 199 Au, 211 At, and 213 Bi.
27. The pharmaceutical composition according to claim 24, wherein the CD40-positive malignant disease is B-cell leukemia or B-cell lymphoma.
28. The pharmaceutical composition according to claim 27, wherein the B cell lymphoma is Hodgkin's disease or non-Hodgkin's lymphoma.
29. The pharmaceutical composition according to claim 28, wherein the non-Hodgkin's lymphoma is low, moderate or advanced.
30. The non-Hodgkin's lymphoma is small lymphocytic, follicular and small mediastinal cell dominant, mixed follicular and small mediastinal and large cell type, follicular and large cell dominant, diffuse small mediastinal cell, Diffuse mixed small and large cells, diffuse large cell, large cell immunoblastic, lymphoblastic, small non-mediastinum Burkitt and non-burkitt, AIDS-related lymphoma, vascular immunoblastic lymphoid 29. The pharmaceutical composition according to claim 28, wherein the pharmaceutical composition is selected from the subtype group consisting of nodal disease, mantle cell lymphoma, and monocytic B cell lymphoma.
31. The pharmaceutical composition according to claim 27, wherein the B-cell leukemia is chronic B-cell leukemia, B-cell acute lymphoblastic leukemia, or B-cell chronic lymphocytic leukemia.
32. The pharmaceutical composition according to claim 24, wherein the CD40L antagonist is an anti-CD40L antibody or a fragment thereof.
33. The pharmaceutical composition according to claim 32, wherein the anti-CD40L antibody is IDEC-131 or a fragment thereof.
34. The pharmaceutical composition according to claim 32, wherein the anti-CD40L antibody fragment is Fab, Fab ', scFv or F (ab') 2 .
35. The pharmaceutical composition according to claim 24, wherein the anti-CD20 antibody is rituximab or a fragment thereof or B1 or a fragment thereof.
36. The chemotherapeutic agent or combination of chemotherapeutic agents for treating Hodgkin's disease is any one or more of an alkylating agent, vinca alkaloid, procarbazine, methotrexate or prednisone. Pharmaceutical composition.
37. A chemotherapeutic agent or combination of chemotherapeutic agents for treating non-Hodgkin's lymphoma, wherein the agent is an alkylating agent, cyclophosphamide, chlorambucil, 2-CDA, 2'-deoxycoformycin, fludarabine, cytosine. 29. The pharmaceutical composition according to claim 28, which is one or more of arabinoside, cisplatin, etoposide, and ifosfamide.
38. A chemotherapeutic agent or combination of chemotherapeutic agents for treating Hodgkin's disease comprises MOPP, ABVD, ChlVPP, CABS, MOPP + ABVD, MOPP + ABV, BCVPP, VABCD, ABDIC, CBVD, PCVP, CEP, EVA, MOPLACE. 29. The pharmaceutical composition according to claim 28, wherein the composition is any one or more of, MIM, MINE, CEM, MTX-CHOP, EVAP, and EPOCH.
39. A chemotherapeutic agent or combination of chemotherapeutic agents for treating non-Hodgkin's lymphoma, wherein CVP, CHOP, C-MOPP, CAP-BOP, m-BACODE, ProMACE-MOPP, ProMACE-CytaBOM, MACOP- 29. The pharmaceutical composition according to claim 28, which is any one or more of B, IMVP-16, MIME, DHAP, ESHAP, CEPP (B), or CAMP.
40. The chemotherapeutic agent or combination of chemotherapeutic agents for treating B-cell leukemia is any one or more of anthracycline, cyclophosphamide, L-asparaginase, and a purine homolog. Item 29. The pharmaceutical composition according to Item 28.
41. A chemotherapeutic agent or combination of chemotherapeutic agents for treating B-cell leukemia, comprising: vincristine, prednisone, anthracycline and cyclophosphamide or asparaginase; vincristine, prednisone, anthracycline, cyclophosphamide and 29. The pharmaceutical composition according to claim 28, which is one or more of asparaginase; CHOP; CMP; CVP; COP or CAP.
42. A pharmaceutical composition for treating a CD40-positive malignant disease, which comprises as an active ingredient:
(Ii) a radiolabeled antibody that binds to CD40L, CD19, CD22 or CD20, (iii) a B-cell deficient antibody or a fragment thereof, or (iv) a chemotherapeutic agent or a combination chemotherapeutic agent. A pharmaceutical composition comprising (i) an anti-CD40L antibody or an antibody fragment thereof for simultaneous or sequential use.
43. The pharmaceutical composition according to claim 42, wherein the CD40-positive malignant disease is B-cell lymphoma or B-cell leukemia.
44. The pharmaceutical composition according to claim 43, wherein the B cell leukemia is Hodgkin's disease or non-Hodgkin's lymphoma.
45. The pharmaceutical composition according to claim 42, wherein the radiolabeled antibody is radiolabeled IDEC-131, RITUXAN ™ , or B1.
46. The radiolabeled antibody is 123 I, 125 I, 131 I, 111 In, 131 In, 32 P, 64 Cu, 67 Cu, 211 At, 177 Lu, 90 Y, 186 Re, 212 Pb, 212 Bi. 46. The pharmaceutical composition of claim 45, which is radiolabeled with, 47 Sc, 105 Rh, 109 Pd, 153 Sm, 188 Re, 199 Au, 211 At, and 213 Bi.
47. The pharmaceutical composition according to claim 44, wherein the non-Hodgkin's lymphoma is low, moderate or advanced.
48. The non-Hodgkin's lymphoma is small lymphocytic, follicular and small mediastinal cell dominant, follicular and small mediastinal and large cell mixed type, follicular and large cell dominant, diffuse small mediastinal cell, Diffuse mixed small and large cells, diffuse large cell, large cell immunoblastic, lymphoblastic, small non-mediastinum Burkitt and non-burkitt, AIDS-related lymphoma, vascular immunoblastic lymphoid 45. The pharmaceutical composition according to claim 44, wherein the composition is selected from the NHL subtype group consisting of nodal disease, mantle cell lymphoma, and monocytic B cell lymphoma.
49. The pharmaceutical composition according to claim 42, wherein the anti-CD40L antibody is IDEC-131 or a fragment thereof.
50. The pharmaceutical composition according to claim 42, wherein the B cell deficient antibody is an anti-CD20 antibody or a fragment thereof or B1 or a fragment thereof.
51. The pharmaceutical composition according to claim 42, wherein the chemotherapeutic agent is any one or more of an alkylating agent, vinca alkaloid, procarbazine, methotrexate and prednisone.
52. The chemotherapeutic agent is any one of an alkylating agent, cyclophosphamide, chlorambucil, 2-CDA, 2′-deoxycoformycin, fludarabine, cytosine arabinoside, cisplatin, etoposide, or ifosfamide. 43. The pharmaceutical composition according to claim 42, which is or more.
53. A combination of a chemotherapeutic agent comprising MOPP, ABVD, ChlVPP, CABS, MOPP + ABVD, MOPP + ABV, BCVPP, VABCD, ABDIC, CBVD, PCVP, CEP, EVA, MOPLACE, MIME, MINE, CEM, MTX-CHOP. 43. The pharmaceutical composition according to claim 42, which is EVAP or EPOCH.
54. The combination of a chemotherapeutic agent, wherein CVP, CHOP, C-MOPP, CAP-BOP, m-BACODE, ProMACE-MOPP, ProMACE-CytaBOM, MACOP-B, IMVP-16, MIME, DHAP, ESHAP, 43. The pharmaceutical composition according to claim 42, which is CEPP (B) or CAMP.
55. The pharmaceutical composition according to claim 42, wherein the chemotherapeutic agent is an anthracycline, cyclophosphamide, L-asparaginase, a purine homolog.
56. A combination of a chemotherapeutic agent comprising vincristine, prednisone, anthracycline and cyclophosphamide or asparaginase; vincristine, prednisone, anthracycline, cyclophosphamide and asparaginase; CHOP; CMP; CVP; COP or CAP; 43. The pharmaceutical composition according to claim 42, wherein
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PCT/US2001/015677 WO2002004021A1 (en) | 2000-07-12 | 2001-05-16 | Treatment of b cell malignancies using combination of b cell depleting antibody and immune modulating antibody related applications |
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DK0669836T3 (en) * | 1992-11-13 | 1996-10-14 | Idec Pharma Corp | Therapeutic use of chimeric and radiolabeled antibodies and human B lymphocyte restricted differentiation antigen for the treatment of B cell lymphoma |
US5595721A (en) * | 1993-09-16 | 1997-01-21 | Coulter Pharmaceutical, Inc. | Radioimmunotherapy of lymphoma using anti-CD20 |
US6001358A (en) * | 1995-11-07 | 1999-12-14 | Idec Pharmaceuticals Corporation | Humanized antibodies to human gp39, compositions containing thereof |
-
2001
- 2001-05-16 SG SG200500152-4A patent/SG136804A1/en unknown
- 2001-05-16 CA CA002415100A patent/CA2415100A1/en not_active Abandoned
- 2001-05-16 EP EP01939050A patent/EP1305045A1/en not_active Withdrawn
- 2001-05-16 KR KR1020087009742A patent/KR20080039547A/en not_active Application Discontinuation
- 2001-05-16 MX MXPA03000306A patent/MXPA03000306A/en not_active Application Discontinuation
- 2001-05-16 WO PCT/US2001/015677 patent/WO2002004021A1/en active IP Right Grant
- 2001-05-16 KR KR10-2003-7000429A patent/KR20030031957A/en not_active Application Discontinuation
- 2001-05-16 IL IL15376401A patent/IL153764A0/en unknown
- 2001-05-16 AU AU2001264612A patent/AU2001264612C1/en not_active Ceased
- 2001-05-16 AU AU6461201A patent/AU6461201A/en active Pending
- 2001-05-16 CN CN01814063A patent/CN1446104A/en active Pending
- 2001-05-16 JP JP2002508475A patent/JP2004502742A/en not_active Abandoned
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2003
- 2003-01-10 NO NO20030128A patent/NO20030128L/en not_active Application Discontinuation
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