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Methods and Monitoring of Treatment with a DLL4 Antagonist

a technology of dll4 and anti-cancer, applied in the field of treating diseases with dll4 antagonists, can solve the problems of endothelial cell proliferation and the development of blood vessels, non-functional microvessels, and blood vessels lacking functional lumens, and achieve the effect of attenuating cardiovascular side effects and/or toxicity

Inactive Publication Date: 2014-08-14
ONCOMED PHARMA
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

For example, DLL4 blocking antibodies have been reported to result in endothelial cell proliferation and the development of blood vessels, however, these blood vessels lack a functional lumen.
Unlike therapeutic approaches that attempt to block the signaling of tumor angiogenic factors, blockade of DLL4 signaling by anti-human DLL4 antibodies can result in endothelial hypertrophy and the creation of non-functional microvessels.
Consequently, even in the presence of tumor angiogenic factors, blockade of DLL4 signaling, through administration of anti-human DLL4 antibodies, can result in dysangiogenesis which inhibits the ability of the tumor to induce the functional blood vessel formation needed to support growth of the tumor.
Chemotherapy is a well-established therapeutic approach for numerous cancers, but its efficacy can be limited by side effects and / or toxicity.
In recent studies it has been found that anti-DLL4 antibodies may have side effects and / or toxicity in some subjects.

Method used

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  • Methods and Monitoring of Treatment with a DLL4 Antagonist
  • Methods and Monitoring of Treatment with a DLL4 Antagonist
  • Methods and Monitoring of Treatment with a DLL4 Antagonist

Examples

Experimental program
Comparison scheme
Effect test

embodiment 1

[0178]A method of selecting a subject for treatment with a DLL4 antagonist, comprising:

[0179](a) obtaining a biological sample from the subject;

[0180](b) determining the level of a natriuretic peptide in the sample; and

[0181](c) selecting the subject for treatment with the DLL4 antagonist if the level of the natriuretic peptide is below a predetermined level.

embodiment 2

[0182]A method of identifying a subject as eligible for treatment with a DLL4 antagonist, comprising:

[0183](a) obtaining a biological sample from the subject;

[0184](b) determining the level of a natriuretic peptide in the sample; and

[0185](c) identifying the subject as eligible for treatment with the DLL4 antagonist if the level of the natriuretic peptide is below a predetermined level.

embodiment 3

[0186]A method of selecting a subject for treatment with a DLL4 antagonist, comprising:

[0187](a) determining the level of a natriuretic peptide in a sample from the subject; and

[0188](b) selecting the subject for treatment with the DLL4 antagonist if the level of the natriuretic peptide is below a predetermined level.

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Abstract

Methods for treating diseases such as cancer comprising administering a DLL4 antagonist, either alone or in combination with other anti-cancer agents, and monitoring for cardiovascular side effects and / or toxicity.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS[0001]This application claims priority benefit of U.S. Provisional Application No. 61 / 720,768, filed Oct. 31, 2012 which is hereby incorporated by reference herein in its entirety.FIELD OF INVENTION[0002]The present invention relates to the field of treating diseases with a DLL4 antagonist. More particularly, the invention provides methods for treating cancer comprising administering a DLL4 antagonist, either alone or in combination with other anti-cancer agents, and monitoring for cardiovascular side effects and / or toxicity.BACKGROUND OF THE INVENTION[0003]Cancer is one of the leading causes of death in the developed world, with over one million people diagnosed with cancer and 500,000 deaths per year in the United States alone. Overall it is estimated that more than 1 in 3 people will develop some form of cancer during their lifetime. There are more than 200 different types of cancer, four of which—breast, lung, colorectal, and prostate—accou...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): G01N33/574A61K39/395C07K16/30G01N33/74A61K31/4045
CPCG01N33/57488G01N33/74A61K39/39558C07K16/30A61K31/4045G01N33/6893G01N2333/58G01N2800/32G01N2800/52A61K31/282A61K31/706A61K31/403A61K31/519A61K31/7068A61K45/06A61K2039/505
Inventor BENNER, STEVEN EUGENESTAGG, ROBERT JOSEPHDUPONT, JAKOB
Owner ONCOMED PHARMA
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