Publications by authors named "Dan Sikkema"

Article Synopsis
  • Biopharmaceutical products, often used to treat autoimmune diseases, face challenges with immunogenicity and the development of antidrug antibodies (ADAs), impacting treatment efficacy for many patients.
  • A study by the European consortium ABIRISK analyzed 560 patients with multiple sclerosis, rheumatoid arthritis, and inflammatory bowel diseases over a year to explore patient-related factors that influence ADA development.
  • The findings revealed that immunosuppressants and antibiotics negatively correlated with ADA development time, while infections and tobacco smoking positively correlated with an increased risk of developing ADAs.
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Antibodies against biopharmaceuticals (anti-drug antibodies, ADA) have been a well-integrated part of the clinical care of multiple sclerosis (MS) in several European countries. ADA data generated in Europe during the more than 10 years of ADA monitoring in MS patients treated with interferon beta (IFNβ) and natalizumab have been pooled and characterized through collaboration within a European consortium. The aim of this study was to report on the clinical practice of ADA testing in Europe, considering the number of ADA tests performed and type of ADA assays used, and to determine the frequency of ADA testing against the different drug preparations in different countries.

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Article Synopsis
  • The study investigates the occurrence of anti-drug antibodies (ADA) in patients with multiple sclerosis treated with biopharmaceuticals, revealing that several demographic and clinical factors influence ADA development.
  • Data was collected from multiple cohorts in Sweden, Denmark, Austria, and Germany, focusing on patients treated with interferon-beta (IFNβ) and natalizumab, allowing for a thorough analysis of factors affecting ADA risk.
  • Results indicated that older age, male sex, and specific types of IFNβ therapy increase the risk of ADA, with notable seasonal trends in Sweden and Germany warranting further research to understand the underlying causes.
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Neutralizing anti-drug antibodies (NAbs) against therapeutic interferon beta (IFNβ) in people with multiple sclerosis (MS) are measured with cell-based bioassays. The aim of this study was to redevelop and validate two luciferase reporter-gene bioassays, LUC and iLite, using a cut-point approach to identify NAb positive samples. Such an approach is favored by the pharmaceutical industry and governmental regulatory agencies as it has a clear statistical basis and overcomes the limitations of the current assays based on the Kawade principle.

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Objective: Interleukin-13 (IL-13) has been difficult to quantify within human serum due to low abundance. Available assays have not been sensitive enough to detect IL-13 at the femtogram level. Thus, there are inconsistencies within the published literature as to IL-13 concentrations in normal or disease populations.

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A cell-based bioassay capable of detecting neutralizing antibodies (NAb) specific to a therapeutic anti-IL-13 monoclonal antibody was developed, validated and used to analyze normal human and asthma serum samples. At the time of this study, a neutralizing assay was unavailable for anti-IL-13 antibody therapeutics with sufficient rigor for validation. Thus, we describe here a method and considerations for validation.

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