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Biopharmaceuticals like
monoclonal antibodies are widely used in clinical medicine for various
therapies eg, cancer, inflammatory and auto-immune diseases. Immunogenicity is
one of the issues for safety. Such undesired immunogenicity can also limit the
use of biopharmaceuticals, particularly for the treatment of chronic diseases
that necessitate repeated treatments over long periods. Assessment of
immunogenicity is an important component of drug safety evaluation, which is
presently performed by estimating risk factors. Risk-based approach considers
both probability of induction of immune response and expected clinical
consequences. A combination of the two may result in high, medium or low risk
levels and will depend on the product, patient and treatment related
characteristics. Well-engineered cells, well-designed formulations coupled with
good manufacturing scheme may sometimes reduce some of the extrinsic and
intrinsic factors.
Biopharmaceuticals, protein therapeutics, immunogenicity, glycosylation