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Tocilizumab

Abstract

In January 2009, tocilizumab (RoActemra; Chugai/Roche), a humanized monoclonal antibody that binds to the interleukin-6 receptor, was granted marketing authorization by the European Commission for the treatment of moderate to severe rheumatoid arthritis.

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References

  1. Smolen, J. S. et al. New therapies for the treatment of rheumatoid arthritis. Lancet 370, 1861–1874 (2007).

    Article  CAS  Google Scholar 

  2. Nishimoto, N. & Kishimoto, T. Interleukin 6: from bench to bedside. Nature Clin. Pract. Rheumatol. 2, 619–626 (2006).

    Article  CAS  Google Scholar 

  3. Sack, U. et al. Interleukin-6 in synovial fluid is closely associated with chronic synovitis in rheumatoid arthritis. Rheumatol. Int. 13, 45–51 (1993).

    Article  CAS  Google Scholar 

  4. Madhok, R. et al. Serum interleukin 6 levels in rheumatoid arthritis: correlations with clinical and laboratory indices of disease activity. Ann. Rheum. Dis. 52, 232–234 (1993).

    Article  CAS  Google Scholar 

  5. Alonzi, T. et al. Interleukin 6 is required for the development of collagen-induced arthritis. J. Exp. Med. 187, 461–468 (1998).

    Article  CAS  Google Scholar 

  6. Takagi N. et al. Blockage of interleukin-6 receptor ameliorates joint disease in murine collagen-induced arthritis. Arthritis Rheum. 41, 2117–2121 (1998).

    Article  CAS  Google Scholar 

  7. Sato, K. et al. Reshaping a human antibody to inhibit the interleukin-6-dependent tumor cell growth. Cancer Res. 53, 851–856 (1993).

    CAS  PubMed  Google Scholar 

  8. European Medicines Agency (EMEA). European Public Assessment Report – RoActemra. EMEA website [online] (2008).

  9. Jones, G. et al. Tocilizumab monotherapy is superior to methotrexate monotherapy in reducing disease activity in patients with rheumatoid arthritis: the AMBITION study. Ann. Rheum. Dis. 67 (Suppl. II), 89 (2008).

    Google Scholar 

  10. Kremer, J. M. et al. Tocilizumab inhibits structural joint damage in rheumatoid arthritis patients with an inadequate response to methotrexate: The LITHE Study. Arthritis Rheum. 58, 4031 (2008).

    Google Scholar 

  11. Smolen, J. S. et al. Effect of interleukin-6 receptor inhibition with tocilizumab in patients with rheumatoid arthritis (OPTION study): a double-blind, placebo-controlled, randomised trial. Lancet 371, 987–997 (2008).

    Article  CAS  Google Scholar 

  12. Genovese, M. C. et al. Interleukin-6 receptor inhibition with tocilizumab reduces disease activity in rheumatoid arthritis with inadequate response to disease-modifying antirheumatic drugs: the tocilizumab in combination with traditional disease-modifying antirheumatic drug therapy study. Arthritis Rheum. 58, 2968–2980 (2008).

    Article  CAS  Google Scholar 

  13. Emery, P. et al. IL-6 receptor inhibition with tocilizumab improves treatment outcomes in patients with rheumatoid arthritis refractory to anti-tumour necrosis factor biologicals: results from a 24-week multicentre randomised placebo-controlled trial. Ann. Rheum. Dis. 67, 1516–1523 (2008).

    Article  CAS  Google Scholar 

  14. Mierau, M. et al. Assessing remission in clinical practice. Rheumatology 46, 975–979 (2007).

    Article  CAS  Google Scholar 

  15. Smolen, J. S. et al. Radiographic changes in rheumatoid arthritis patients attaining different disease activity states with methotrexate monotherapy and infliximab plus methotrexate: the impacts of remission and TNF-blockade. Ann. Rheum. Dis. 7 Jul 2008 (doi: 10.1136/ard.2008.090019).

    Article  Google Scholar 

  16. IMS MIDAS (2009).

  17. Therapeutic categories outlook: arthritis & inflammation (Cowen and Company, 2008).

Download references

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Competing interests

J.S. has received honoraria and grant support from Roche, Centocor/Schering-Plough, Abbott, Amgen, Wyeth, Bristol-Myers Squibb and UCB.

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Scheinecker, C., Smolen, J., Yasothan, U. et al. Tocilizumab. Nat Rev Drug Discov 8, 273–274 (2009). https://doi.org/10.1038/nrd2863

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