Methods of treating FGFR3 related conditions
A technology for FGFR3 and diseases, applied in the field of treatment of FGFR3-related diseases, can solve problems such as detection and treatment difficulties
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Embodiment 1
[0398] Example 1-Scoring of FGFR3 expression by IHC
[0399] In urothelial carcinoma, neoplastic cells labeled with the FGFR-3 IHC assay were evaluated for percentage positive and DAB signal intensity. Immunohistochemical staining in urothelial carcinoma follows a membrane and / or cytoplasmic pattern. Regardless of subcellular location, the signal is classified as strong, medium, weak, or negative.
[0400] The strong signal intensity is golden to dark brown, often granular cytoplasm and / or membrane staining, and can be detected with 4x and 10x objective lenses. Moderate signal intensity manifests as light brown to brown cytoplasm and / or membrane staining, which can be detected with 10x and 20x objective lenses. The medium signal lacks the strong brown color seen in cells with strong staining intensity; the membrane is also thinner and the overall staining is less granular. The weak signal intensity manifests as light brown to gray cytoplasm and / or membrane staining, just beyond ...
Embodiment 2
[0423] Example 2-FGFR3IHC scoring in the urothelial cancer group
[0424] The Definiens software was used to evaluate the expression intensity of FGFR3IHC in a group of 150 urothelial carcinoma cases. The slides stained as described above were scanned using a Hamamatsu Nanozoomer digital slide scanner running Nanozoomer software, using a 20x objective lens and an 8-position camera. All slides only scan the area where specimen tissue exists. All images were analyzed using Definiens Developer (Munich, AG), using RGB (red, green and blue) spectrum. The image is down-sampled by 2%, and the tissue area is selected by excluding bright areas in the slide that correspond to the background. Within the tissue, the stained area is identified by searching for areas with normalized [red / blue] intensity values greater than 0.99. For each slide in the stained area, and for the unstained tissue area, calculate the average brightness (average of the red, green, and blue spectra). Definiens ...
Embodiment 3
[0426] Example 3-Treatment using FGFR3 antibody R3MAb and scoring of FGFR3 by IHC
[0427] FGFR3 (a receptor tyrosine kinase) is involved in the tumorigenesis of cancer. The anti-FGFR3 antibody R3Mab is a novel human monoclonal IgG1 antibody that inhibits FGFR3-mediated cell proliferation and exerts anti-tumor activity in a xenograft model of urothelial cell carcinoma (UCC). see Picture 10 Clone in 184.6.1’. Preclinical data also supports strategies to target FGFR3 in other solid tumors. This phase I dose expansion study evaluates the safety, pharmacokinetics (PK), and phase II recommended dose (RP2D) of the anti-FGFR3 antibody R3MAb.
[0428] Using the standard 3+3 design, treatment with intravenous anti-FGFR3 antibody R3MAb in 5 dose expansion groups (2-30 mg / kg in a 28-day cycle, and a loading dose on day 8 of cycle 1) Of patients with advanced solid malignancies. Cycle 1 contains a dose-limiting toxicity (DLT) assessment window. Allow the patient to expand the dose. Eval...
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