Immuneotherapy Flashcards

1
Q

first immunotherapy drug

A

Coley’s Toxin

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2
Q

what would happen if we used a mouse antibody in human

A

body will clear it via the immune system

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3
Q

what do B cells produce

A

antibodies

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4
Q

-omab

A

mouse antibody

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5
Q

-iximab

A

chimeric antibody

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6
Q

-zumab

A

humanized

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7
Q

-umab

A

fully human

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8
Q

explain the two tiered effect of antibodies

A

binding of antibodies to receptor on surface of cancer cells can lead to CDC or ADCC complement or antibody dependent cytotoxicity
inhibit receptor and kill cell

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9
Q

what is trastuzumab class

A

humanized mab

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10
Q

trastuzumab target

A

HER2

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11
Q

trastuzumab increased risk of cardiomyopathy with what drug

A

adriamycin

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12
Q

how does trastuzumab work?

A

antibody dependent cytotoxicity

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13
Q

pertuzumab used in combo with what

A

trastuzumab

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14
Q

pertuzumab does what

A

binds HER2 receptor and prevents dimerization

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15
Q

what drugs were in CLEOPATRA trial?

A

trastuzumab
pertuzumab

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16
Q

cetuximab binds what

A

EGFR extracellular domain

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17
Q

what does cetuximab do (3)

A

blocks phosphorylation of kinases
inhibits cell growth and induces apoptosis
comp inhibits binding of EGF

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18
Q

cetuximab indications

A

colorectal cancer
head / neck cancer

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19
Q

cetuximab side effects

A

rash

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20
Q

EGFR inhibitors have what side effect?

A

rash, means better prognosis

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21
Q

what is panitumumab

A

like cetuximab but without the infusion toxicity

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22
Q

bevacizumab target

A

VEGF

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23
Q

bevacizumab does what

A

binds VEGF ligand and blocks int with endothelial receptors
blocks endothelial cell prolif and new blood vessel form
inhibits solid tumor growth

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24
Q

bevacizumab used with what

A

5-FU

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25
what binds VEGF ligand
bevicizumab
26
what binds VEGF receptor
ramucirumab
27
what works with B cells receptor to drive proliferation of B cells
CD20
28
what is CD20 expressed by?
normal B lymphocytes immature pre-B cells
29
what disease state is CD20 expressed on B cells
non-Hodgkins lymphoma
30
what is rituximab target
CD20
31
what is rituximab for
B cell lymphoma (non-Hodgkins lymphoma)
32
what does daratumumab target
CD38
33
what does daratumumab treat
multiple myeloma
34
CD38 expressed on what cells
plasma cells (multiple myeloma)
35
what drugs are in T-DM1
emtansine and trastuzumab
36
what is emtansine
cytotoxic microtubule assembly inhibitor
37
T-DM1use
HER2 + breast cancer, second line
38
how is the purpose of using T-DM1 combo
reduced toxicity side effects
39
CD3 is on what type of cells
T cells
40
side effect from immunotherapies
cytokine storm, massive infection
41
blinatumomab targets and treats what
CD3 t cell CD19 B cell ALL
42
mosunetuzumab target and treats what
CD3 T cell CD20 B cell non hodgkin lymphoma
43
teclistamab target and treats
CD3 BCMA multiple myeloma
44
taquetamab target and treats
CD3 GPRC5D multiple myeloma
45
Bite drugs
blinatumomab mosunetuzumab teclistamab taquetamab
46
ALL antigen
CD19
47
MM antigens
BCMA CD38 GPRC5D
48
non hodgkin lymphoma antigens
CD20
49
ipilmumab target
CTLA-4 receptor
50
ipilumumab treats what
metastatic melanoma
51
ipilumab side effectg
sever immune response
52
what drug targets CTLA-4
ipilumumab
53
what drug targets PD-1
pembrolizumab (Keytruda)
54
what does pembrolizumab target
PD-1
55
PD-1 is where
T cells
56
PDL-1 is where
macrophages and tumor cells
57
pembrolizumab indications
advanced metastatic melanoma following ipilumab and a BRAF inhibitor NSCLC if PDL-1 positive
58
pembrolizumab can be used in NSCLC if what
PD-L1 positive
59
pembrolizumab can be used in metastatic melanoma if what
tried treatment with Ipilmumab and if BRAFV600 mutation a BRAF inhibitor
60
which drug targets PD-L1
atezolizumab
61
what does atelizumab target
PD-L1
62
what is cell therapy
take antigen presenting cells out of pt activate with drug ex vivo put back in pt want to stimulate pts own immune system to attack the cancer
63
what is the cell therapy drug
sipulcel T
64
what is sipulcel-T indicated for
minimally symptomatic metastatic hormome refractory prostate cancer
65
what is the common target of CART therapy
CD19