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Anti-pad2 antibody for treating and evaluating rheumatoid arthritis

Inactive Publication Date: 2018-10-04
THE JOHN HOPKINS UNIV SCHOOL OF MEDICINE
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

The patent text describes a new test for identifying a specific type of antibody in patients with rheumatoid arthritis (RA). These antibodies can damage the body's own proteins and are associated with a more severe form of RA that leads to joint damage and lung disease. The test can be used to better understand the mechanisms of RA and to develop new treatments for the disease.

Problems solved by technology

There is marked heterogeneity in the clinical presentation, disease course, involvement of extra-articular organs, and response to therapy observed among individuals with RA, but the mechanisms driving this diversity are poorly understood.
Although ACPA-positive patients tend to have more severe disease on average than ACPA-negative individuals, the clinical heterogeneity in this group precludes the use of ACPAs alone as reliable prognostic biomarkers.

Method used

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  • Anti-pad2 antibody for treating and evaluating rheumatoid arthritis
  • Anti-pad2 antibody for treating and evaluating rheumatoid arthritis
  • Anti-pad2 antibody for treating and evaluating rheumatoid arthritis

Examples

Experimental program
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example

[0070]Autoantibodies to Peptidylarginine Deiminase 2 are Associated with Less Severe Disease in Rheumatoid Arthritis

[0071]In this study, we found that anti-PAD2 antibodies are present in a subset of patients with RA who lack the traditional risk factors associated with severe disease, such as ACPAs and SE. Instead, they have a unique set of demographic and clinical characteristics including less progressive articular damage and lower risk of ILD. These findings have important implications in the ability to identify clinically informative patient subgroups to aid in disease prognosis and selection of appropriate therapeutic agents.

Methods

[0072]Human Subjects

[0073]Convenience sera from 37 healthy controls and 42 patients with RA from the Johns Hopkins Arthritis Center were used as a discovery sample for anti-PAD2 antibodies. Sera from 184 RA patients from the Evaluation of Subclinical Cardiovascular Disease and Predictors of Events in Rheumatoid Arthritis (ESCAPE RA) cohort were then ...

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Abstract

A method for obtaining a prognosis for a subject having rheumatoid arthritis by measuring the levels of anti-PAD2 antibodies is described. Methods of using anti-PAD2 antibodies to treat rheumatoid arthritis are also described.

Description

CONTINUING APPLICATION DATA[0001]This application claims the benefit of U.S. Provisional Application Ser. No. 62 / 481,158, filed Apr. 4, 2017, the disclosure of which is incorporated by reference herein.GOVERNMENT FUNDING[0002]This invention was made with government support under grant number NIH NIAMS AR050026-10 awarded by the National Institutes of Health. The government has certain rights in this invention.BACKGROUND[0003]Rheumatoid arthritis (RA) is a systemic autoimmune disease characterized by immune-mediated damage of synovial joints that affects approximately 1% of the population. There is marked heterogeneity in the clinical presentation, disease course, involvement of extra-articular organs, and response to therapy observed among individuals with RA, but the mechanisms driving this diversity are poorly understood. Anti-citrullinated protein antibodies (ACPAs), detected by the anti-cyclic citrullinated peptide (CCP) assay, are hallmark serologic features of patients with RA...

Claims

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Application Information

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IPC IPC(8): A61K39/395A61P29/00A61P37/06A61P19/02G01N33/564A61K39/00
CPCA61K39/0008A61P19/02A61P29/00A61P37/06A61K39/39533G01N33/564G01N2800/52C07K16/40C12Y305/03015G01N2800/50G01N2800/7095C07K2317/24G01N2333/978G01N2800/24C07K2317/76
Inventor DARRAH, ERIKA L.ANDRADE, FELIPE
Owner THE JOHN HOPKINS UNIV SCHOOL OF MEDICINE
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