==== Reference: Usmani SS, Bedi G, Samuel JS, Singh S, Kalra S, Kumar P, et al. (2017) THPdb: Database of FDA-approved peptide and protein therapeutics. PLoS ONE 12(7) e0181748.====

Detailed description page of THPdb

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Th1207 details
Primary information
ID1816
ThPP IDTh1207
Therapeutic Peptide/Protein NameNecitumumab
SequenceNA view full sequnce in fasta
Functional ClassificationIIIc
Molecular Weight144800
Chemical FormulaNA
Isoelectric PointNA
HydrophobicityNA
Melting Point (℃)NA
Half LifeApprox 14 days
DescriptionNecitumumab is an intravenously administered recombinant monoclonal IgG1 antibody used in the treatment of non-small cell lung cancer (NSCLC) as an EGFR antagonist. It functions by binding to epidermal growth factor receptor (EGFR) and prevents binding of its ligands, a process that is involved in cell proliferation, metastasis, angiogenesis, and malignant progression. Binding of necitumumab to EGFR induces receptor internalization and degradation, thereby preventing further activation of EGFR which is beneficial in NSCLC as many patients have increased protein expression of EGFR. Necitumumab is approved for use in combination with cisplatin and gemcitabine as a first-line treatment for metastatic squamous non-small cell lung cancer (NSCLC).
Indication/DiseaseNecitumumab is approved for use in combination with cisplatin and gemcitabine as a first-line treatment for metastatic squamous non-small cell lung cancer (NSCLC). It is not indicated for treatment of non-squamous NSCLC.
PharmacodynamicsIn animal models administration of necitumumab to implanted mice resulted in increased antitumor activity in combination with gemcitabine and cisplatin as compared to mice receiving gemcitabine and cisplatin alone.
Mechanism of ActionNecitumumab is a recombinant human lgG1 monoclonal antibody that binds to the human epidermal growth factor receptor (EGFR) and blocks the binding of EGFR to its ligands. Expression and activation of EGFR has been correlated with malignant progression, induction of angiogenesis, and inhibition of apoptosis. Binding of necitumumab induces EGFR internalization and degradation in vitro. In vitro, binding of necitumumab also led to antibody-dependent cellular cytotoxicity (ADCC) in EGFR-expressing cells.
Toxicity6 cycles showed the absence of disease progression or unacceptable toxicity.
MetabolismNA
AbsorptionNA
Volume of DistributionSteady state volume of distribution (Vss) is 7.0 L
ClearanceMean total systemic clearance (CLtot) at steady state is 14.1 mL/h
CategoriesNA
Patents NumberNA
Date of IssueNA
Date of ExpiryNA
Drug InteractionNA
TargetNA
Information of corresponding available drug in the market
Brand NamePortrazza
CompanyEli Lilly and Company
Brand DiscriptionNecitumumab is an anti-EGFR recombinant human monoclonal antibody of the IgG1 kappa isotype that specifically binds to the ligand binding site of the human EGFR.
Prescribed forPORTRAZZAâ„¢ is indicated, in combination with gemcitabine and cisplatin, for first-line treatment of patients with metastatic squamous non-small cell lung cancer.
Chemical NameNA
FormulationEach vial contains 800 mg PORTRAZZA in 50 mL (16 mg/mL)
Physcial AppearanceSterile, preservative free, clear to slightly opalescent and colorless to slightly yellow solution
Route of Administrationintravenous
Recommended DosageThe recommended dose of PORTRAZZA is 800 mg administered as an intravenous infusion over 60 minutes on Days 1 and 8 of each 3-week cycle prior to gemcitabine and cisplatin infusion. Continue PORTRAZZA until disease progression or unacceptable toxicity.
ContraindicationNA
Side EffectsCardiopulmonary Arrest; Hypomagnesemia; Venous and Arterial Thromboembolic Events; Dermatologic Toxicities; nfusion-Related Reactions; Non-Squamous NSCLC - Increased Toxicity and Increased Mortality .
Useful Linkhttp://www.rxlist.com/portrazza-drug/side-effects-interactions.htm
PubMed ID28293124, 28277882, 28111429, 27913776, 27912834, 27628194, 27575423, 27729681, 27696220
3-D StructureN.A.