Adalimumab immunogenicity
Common Questions and Answers about Adalimumab immunogenicity
humira
Hi everyone,
Thanks for the help.
I am receiving rabies post exposure vaccination for an incident that took place outside of the US. Concurrently I was prescribed Zoloft by another physician.
I have read that the vaccine should not be used with immunosuppressive drugs as it may result in a poor antibody response.
, today announced the initiation of a Phase 1a clinical trial to investigate the safety and immunogenicity of GI-13020 in healthy volunteers. The GI-13020 Tarmogen�, which GlobeImmune is developing in collaboration with Gilead Sciences, Inc., consists of whole, heat-killed, recombinant S. cerevisiae yeast genetically modified to express hepatitis B (HBV) antigens. This study is being conducted under an Investigational New Drug application (IND) that was filed with the U.S.
As there was no improvement. Doctor adviced to have Exemptia (Adalimumab) injection. 4 injections (40mg 8ml) was given. Next day he was having stomach pain, tight and rigid stomach, and fast breathing. He was immediately admitted in the nearby hospital and doctor found he was suffering from megacolon (toxic colon). After taking x-ray and CT scan, it was found that there was perforation in his stomach.
Yesterday my rheumatologist has finally decided to give me something other than anti-inflammatories and anti-depressants for my list of symptoms which he has decided are due to either Ankylosing Spondylitis, Psoriatic Arthritis (Palindromic Rheumatism was mentioned too) or possibly all of the above, with a side order of Fibromyalgia. Just wondering if anyone here has taken Humira (Adalimumab) as I've read about it and am freaking out a bit!
Yes, Humira will indirectly help in controlling diarrhea and digestion. Let me explain this. Humira or adalimumab is a biological response modifier and tumor necrosis factor (TNF) blocker. Thus, in Crohn’s it will modify your body’s response to disease (bloating, tenderness, diarrhea, indigestion etc). This is because any immune mediated disease like Crohn’s produces excess of an inflammatory protein called TNF-alpha, which causes cellular damage along with pain and inflammation.
As most of us know Humira (adalimumab) reduces the effects of a substance in the body that can cause inflammation.
Common Humira side effects may include: headache; nausea;
cold symptoms such as stuffy nose, sinus pain, sneezing, sore throat;
rash; or redness, bruising, ITCHING, or swelling where the injection was given.
So what you are experiencing is not unusual - however I think you should give your MD a call as Sherry also suggested. He/she needs to know about your reaction.
While it is antihistaminics, topical and oral steroids for eczema and antifungal for fungal infection, the treatment of psoriasis that have been approved by FDA are adalimumab and Xtrac Velocity excimer laser system. Apart from that, topical medications like emollients, creams containing coal tar, dithranol, corticosteroids, fluocinonide, vitamin D3 analogues and retinoids have been routinely used.
So before using any treatment it is advisable to consult a dermatologist.
I hope it helps.
Taper off the steroids to low potency ones after consulting your dermatologist. The drugs that have been approved by FDA are adalimumab and Xtrac Velocity excimer laser system. Apart from that, topical medications like emollients, creams containing coal tar, dithranol (anthralin), corticosteroids like desoximetasone (Topicort), fluocinonide, vitamin D3 analogues (for example, calcipotriol), and retinoids have been routinely used. Phototherapy containing UV A has also been employed.
TITLE: Safety, Tolerability and Immunogenicity of GS-4774, an HBV-specific Therapeutic Vaccine, in Healthy Volunteers
AUTHORS (FIRST NAME, LAST NAME): Anuj Gaggar1, Claire Coeshott2, Mani Subramanian1, John G. McHutchison1, David Apelian2
Institutional Author(s):
INSTITUTIONS (ALL): 1. Gilead Sciences, Foster City CA, CA, United States.
2. Globeimmune, Louisville, CO, United States.
Though non steroidal anti-inflammatory agents (NSAID) and steroids are the gold standard of treatment, more emphasis should be laid on physical and occupational therapy, rest, heat pads and use of assistive devices for walking. Biological response modifiers like etanercept, leflunomide (used less often), adalimumab, or infliximab can be added in consultation with doctor.
Medicines prescribed for Crohn’s include fibre supplements, Aminosalicylates (medicines that help control mild to moderate symptoms), corticosteroids, medicines such as azathioprine or 6-mercaptopurine and biologic therapy like Infliximab and adalimumab in severe cases.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor.
The drugs that have been approved by FDA are adalimumab and Xtrac Velocity excimer laser system. Apart from that, topical medications like emollients, creams containing coal tar, dithranol (anthralin), corticosteroids like desoximetasone (Topicort), fluocinonide, vitamin D3 analogues (for example, calcipotriol), and retinoids have been routinely used. Phototherapy containing UV A has also been employed. But it is usually seen that psoriasis can become resistant to a specific therapy.
A Phase 1b double-blinded, placebo controlled, dose-escalating, multi-center trial evaluating the safety, immunogenicity, and efficacy of GI-5005 found that 11% of patients receiving GI-5005 had viral load reductions from -0.75 to 1.4 log 10 and dose response for ALT normalization reaching 50% in the group receiving the highest dose (40 YU). GI-5005 was well tolerated with no dose limiting toxicities.
The drugs that have been approved by FDA are adalimumab and Xtrac Velocity excimer laser system. Apart from that, topical medications like emollients, creams containing coal tar, dithranol (anthralin), corticosteroids like desoximetasone (Topicort), fluocinonide, vitamin D3 analogues (for example, calcipotriol), and retinoids have been routinely used. Phototherapy containing UV A has also been employed. But it is usually seen that psoriasis can become resistant to a specific therapy.
Drugs called TNF-inhibitors (etanercept, adalimumab, infliximab), which block an inflammatory protein, have been shown to improve the symptoms of ankylosing spondylitis.
I'm going to refer your post to the Hysterectomy Forum, there is a wonderful CL there who will be able to tell you if there is something related to that surgery that could be causing these issues. (This forum is related to pelvic organ prolapse.)
Good luck, I hope you find some relief soon.
Secondary endpoints include immunogenicity and antiviral factors. HepTcell will be tested as an add-on treatment to the patient's standard of care. Current therapy standards include treatment with antiviral drugs which act to control virus replication but are unable to eliminate the virus and therefore require long-term treatment.
s relative success might be explained by the core particles extreme immunogenicity, it also triggers a strong th1 helper response, a critical element in antiviral immunity.
This yeast fusion protein was obviously designed to contain all the tcell epitopes of surface, core and x protein, but I have doubts that it is a match to the superantigen features of true hbv core particles, that BTW also impart it's stimulatory features to the other antigen in the vaccine mix, the hbsag.
The clinical candidate has demonstrated potent immunogenicity in pre-clinical mouse models as well as genetic stability. Immunogenic properties include induction of potent, multi-specific, functional and cross-reactive T cell responses, including both cytokines production (IFNγ/TNFα) and in vivo cytolysis; all important characteristics that have been associated with viral clearance during natural infection.
Which is why so many of the biologic drugs used for those conditions, such as adalimumab (Humira), etanercept (Enbrel), and infliximab (Remicade) show promise for HS sufferers."
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Excerpts from "Putting Hidradenitis Suppurativa Into Remission"....
"I decided to ask Loren Cordain about HS when I interviewed him at the AHS last summer. He mentioned that he thought HS might have an autoimmune component but other than that, he didn’t have any information.
I might even go so far as to say that this face mask is more guaranteed to protect me against Covid than when I take a Covid vaccine, because the immunogenicity may be 70%. And if I don't get an immune response, the vaccine is not going to protect me. This face mask will," Redfield told lawmakers during public testimony, adding that the American public has not yet embraced the use of masks to a level that could effectively control the outbreak.
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