IBs, MABs, and fancy things Flashcards

1
Q

Adalimumab: Target and disease

A

Anti-TNF

RA, Psoriatic, arthritis, Ank spond

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2
Q

Afatinib: Target and disease

A

EGFR inhibitor

NSCLC

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3
Q

Alemtuzumab: Target and disease

A

Anti-CD52
MS, CML, cutaneous T cell lymphoma, transplant induction

AE: CMV, Hypersensitivity, profound lymphopenia >12mo, Autoimmune diseases (ITP, thyroid)

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4
Q

Anakinra: Target and disease

A

IL1 blockade
Autoinflammatory blockade
Typically in still’s disease

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5
Q

Axitinib: Target and disease

A

VEGF mainly, PDGFRB, c-KIT

2nd line RCC

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6
Q

Basiliximab: Target and disease

A

Anti-IL2R – Anti-CD25

Renal transplant

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7
Q

Belatacept: Target and disease

A

CTLA4 fused with Fc, blocks T cell co-stimulation

Renal transplant

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8
Q

Belimumab: Target and disease

A

Anti-BLys/BAFF

SLE

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9
Q

Benralizumab: Target and disease

A

Anti-IL5 receptor alpha

Asthma

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10
Q

Bevacizumab: Target and disease

A

Anti-VEGF
Colorectal, ovarian, CNS, cancer, proliferative diabetic retinopathy (intravitreal inj)
AE: HTN, GN, poor wound healing, thrombosis, nasal septal perforation

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11
Q

Bezlotoxumab: Target and disease

A

Anti-C.Difficile toxin B

Preventing C. Diff recurrence

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12
Q

Blinatumomab: Target and disease

A

Bi-specific T-cell engaging antibody
Engages CD3 on T-cell to CD19 on B cell
ALL relapse

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13
Q

Bortezomib (Valcade): Target and disease

A

Inhibit NF-kappaB
Multiple myeloma
AE Neuropathy, thrombocytopaenia

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14
Q

Brentuximab: Target and disease

A

Anti-CD30

Hodgkin’s

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15
Q

Brodalumab: Target and disease

A

Anti-IL17R

Psoriasis

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16
Q

Canakinumab: Target and disease

A

Anti-IL1b

RA, Autoinflammatory disease, gout

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17
Q

Certolizumab: Target and disease

A

Anti-TNF
Crohn’s, RA, psoriatic, Ank spond, Crohn’s
Does not cross placenta

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18
Q

Cetuximab: Target and disease

A

EGFR inhibitor
Met CRC (KRAS wild type), head and neck SCC
AE: Acneiform rash, diarrhoea, ILD, conjuctivitis, electrolytes

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19
Q

Crizanlizumab: Target and disease

A

PSGL1

Sickle-cell crisis

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20
Q

Crizotinib: Target and disease

A

ALK and ROS-1
NSCLC
Poor cns penetrance
AE: visual phenomenon, bradycardia, hepatitis, pneumonitis, N+V+D

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21
Q

Dabrafenib: Target and disease

A

BRAF inhibitor

BRAF positive melanoma

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22
Q

Dasatinib: Target and disease

A

BCR-ABL
2nd line in CML
AE: PLT dysfunction, pleural effusion, prolonged QT, diabetes

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23
Q

Denosumab: Target and disease

A

RANK-L inhibitor
Osteoporosis
Prevents osteoclast maturation

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24
Q

Eculizumab: Target and disease

A

Anti-C5
PNH, aHUS
AE; Meningitis

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25
Eltrombopag: Target and disease
TPO receptor agonist | ITP
26
Erlotinib: Target and disease
EGFR inhibitor NSCLC AE: acne, diarrhea, pneumonitis, hepatitis
27
Evolocumab: Target and disease
PCSK9 inhibitor Increases hepatic cholesterol uptake Hypercholesterolaemia
28
Etanercept: Target and disease
TNF blockade | RA, Psoriatic, ank spond
29
Gefitinib: Target and disease
EGFR inhibitor | NSCLC
30
Golimumab: Target and disease
Anti-TNF | RA, psoriatic, ank spond, UC
31
Ibritumomab: Target and disease
Anti-CD20 bound to radioisotope | Non-hodgkin's
32
Ocrelizumab: Target and disease
Anti-CD20 | MS
33
Ibrutinib: Target and disease
``` BTK inhibitor (B-cell) CLL, Waldenstrom's, mantle cell, marginal zone, Chronic GVHD AE: AF, diarrhoea, platelet dysfunction, fluid retention ```
34
Idelalisib: Target and disease
P13K inhibitor 2nd line CLL Non hodgkins lymphoma
35
Idarucizumab: Target and disease
Dabigatran reversal
36
Imatinib: Target and disease
BCR-ABL and cKIT mutations CML, GIST, ALL Hypereosinophilia with FGFR1/PDGFR alpha mutation AE: muscle cramps, maculopapular rash, fatigue, pleural effusions/oedema
37
Infliximab: Target and disease
Anti-TNF Crohn's, other stuff AE: Serious infection, TB activation, increased risk of skin caner, demyelinating disease flare
38
Ipilimumab: Target and disease
Anti-CTLA4 Metastatic melanoma Auto-immune AE, more than PD1
39
Ixekizumab: Target and disease
Anti-IL17a | Psoriasis, spondyloarthropathies
40
Lapatinib: Target and disease
HER2 Her2+ breast Ca AE; Hand foot syndrome
41
Mepolizumab: Target and disease
Anti-IL5 | Eosinophilic asthma
42
Natalizumab: Target and disease
Anti-a4 integrin MS AE; PML Brain homing T cells express alpha 4 beta 1
43
Nilotinib: Target and disease
BCR-ABL inhibitor 2nd line CML off-label GIST AE: long QT, pancreatitis long term cardiovascular, PAH, inhibition of platelet function
44
Nintedanib: Target and disease
VEGFR, FGFR IPF AE; Diarrhoea, deranged LFT
45
Nivolumab: Target and disease
Anti-PD1 Melanoma, NSCLC Pneumonitis/thyroiditis more than CTLA4
46
Obinutuzumab: Target and disease
Anti-CD20 CLL Follicular lymphoma
47
Ofatumumab: Target and disease
Anti-CD20 | Refractory CLL
48
Omalizumab: Target and disease
Anti-IgE | Asthma
49
Olaparib: Target and disease
PARP inhibitor BRCA mutant high grade serous ovarian, fallopian tube, primary peritoneal, breast cancer SE: myelosuppression, nausea, fatigue
50
Osimertinib: Target and disease
EGFR inhibitor - T790M | 2nd line NSCLC if T790M +ve
51
Palbociclib: Target and disease
CDK4/6 inhibitor Metastatic ER+ breast cancer AE: neutropaenia
52
Panitumumab: Target and disease
Anti-EGFR | CRC
53
Pazopanib: Target and disease
VEGF, PDGFR, KIT RCC Sarcoma
54
Pembrolizumab: Target and disease
Anti-PD1 | Melanoma, NSCLC (PDL1>50%)
55
Durvalumab: Target and disease
Anti-PDL1 | stage III NSCLC
56
Pertuzumab: Target and disease
Anti-HER2/HER3 Metastatic HER2+ breast cancer Minimal benefit in adjuvant
57
Ponatinib: Target and disease
BCR-ABL 3rd line CML - targets t315i mutation AE: rash, pancreatitis, vascular events
58
Ramucirumab: Target and disease
Anti-VEGF | Gastric cancer
59
Reslizumab: Target and disease
Anti-IL5 | Asthma
60
Rituximab: Target and disease
Anti-CD20 | Non-hodgkin's, many others
61
Romosozumab: Target and disease
Sclerostin inhibitor | Osteoporosis
62
Ruxolitinib: Target and disease
Jak1/2 inhibitor | Myelofibrosis, PRV (resistant to hydroxyurea)
63
Secukinumab: Target and disease
Anti-IL17 | Psoriasis
64
Siltuximab: Target and disease
Anti-IL6 | Castleman disease
65
Sorafenib: Target and disease
VEGFR2/3, PDGFR, C-raf>B-raf, KIT | RCC, HCC, Thyroid cancer
66
Sunitinib: Target and disease
FGF, PDGFR, RET< FLT3, VEGFR1/2, c-KIT GIST, RCC, Pancreatic NET AE: MAHA/HUS/TTP, myelosuppression, GI toxicity, hand/foot syndrome, hepatotoxicity, pancreatitis, cardiotoxicity
67
Tocilizumab: Target and disease
Anti-IL6 RA, GCA AE: Bowel perforation
68
Tofacitinib: Target and disease
JAK3 RA, UC AE: Shingles
69
Trametinib: Target and disease
MEK1/2 | Melanoma (BRAF positive
70
Trastuzumab: Target and disease
HER2 | HER2+ breast Ca
71
TDM-1: Target and disease
Also known as Trastuzumab/emtansine HER2 mab with chemo 2nd line HER2+ breast Ca
72
Ustekinumab: Target and disease
Anti IL12/23 (p40 subunit) Crohn's, psoriasis Spondyloarthropathies (not for axial disease)
73
Vedolizumab: Target and disease
Anti-a4b7 integrin UC, Crohn's (better in UC) Gut homing T cells express a4b7
74
Vemurafenib: Target and disease
BRAF inhibitor BRAF pos melanoma AE: Photosensitivity, arthralgia
75
Andaxanet alfa: Target and disease
Reversal of apixaban, rivaroxaban
76
Ceritinib: Target and disease
2nd line ALK inhibitor | Nsclc
77
Alectinib: Target and disease
2nd line ALK inhibitor | Nsclc
78
Romiplostim: Target and disease
TPO receptor antagonist | ITP not suitable for splenectomy or post splenectomy
79
Emicizumab: Target and indication
Mimics factor VIII (Biallelic antibody to factor IX and X) | Severe Haemophilia A
80
Venetoclax: Target and disease
BCL2 | CLL, MPN1 positive AML
81
Regorafenib: Target and disease
VEGF, KIT, TIE2, PDGFR | CRC (2nd/3rd line), GIST (2nd line)
82
Ribociclib: Target and disease
CDK4/6 inhibitor Metastatic ER+ breast cancer AE: neutropaenia
83
Fingolimod: Target and disease
Downregulates sphingosine-1-phosphate receptors, Decreases ability of lymphocytes to enter CNS AE: bradycardia/heart block, macular oedema
84
Erenumab: Target and disease
Recombinant human monoclonal antibody that inhibits calcitonin gene-related peptide (CGRP) vasodilation by blocking CGRP receptors Migraine Prophylaxis
85
Icatibant: Target and indication
Bradykinin receptor antagonist | Hereditary angioedema treatment of attacks
86
Rilonacept: Target and indication
IL-1 Trap Dimeric fusion protein incorporating components of IL-1R Severe RA Autoinflammatory diseases
87
Abatacept: Target and indication
CTLA-4 bound to Fc end of Ig=B7 blocker Prevents T cell activation RA
88
Dupilumab: Target and indication
Anti IL-4 receptor alpha Atopic dermatitis
89
Daratumumab: Target and indication
Anti-CD38 Myeloma Interference with indirect anti globulin tests. Need to send extended red blood cell phenotype and RBC antibody screen before 1st dose