Design of PEGylated soluble tumor necrosis factor receptor type I (PEG sTNF-RI) for chronic inflammatory diseases

Adv Drug Deliv Rev. 2003 Sep 26;55(10):1315-36. doi: 10.1016/s0169-409x(03)00112-1.

Abstract

A recombinant C-terminal truncated form of the human soluble tumor necrosis factor receptor type I (sTNF-RI) was produced in E. coli. This soluble receptor contains the first 2.6 of the 4 domains of the intact sTNF-RI molecule. A monoPEGylated form of this molecule was produced using a 30 kD methoxyPEG aldehyde with approximately 85% selectivity for the N-terminal amino group. This molecule was shown to be less immunogenic in primates than the full length (4.0 domain) molecule or other versions of sTNF-RI which were either PEGylated at different sites or with different molecular weight PEGs. The 30 kD PEG also has a longer serum half-life to the molecule than lower molecular weight PEGs. This molecule markedly blunts the inflammatory response in a number of rheumatoid arthritis animal models. In addition, phase I/II and early phase II data in humans indicate that PEG sTNF-RI is non-immunogenic and that weekly dosing with this drug can reduce the number of tender and swollen joints in rheumatoid arthritis patients. PEG sTNF-RI has comparable American College of Rheumatology (ACR) efficacy scores as other anti-TNF molecules currently used to treat rheumatoid arthritic patients.

Publication types

  • Review

MeSH terms

  • Animals
  • Antigens, CD* / chemistry
  • Antigens, CD* / genetics
  • Antigens, CD* / metabolism
  • Antigens, CD* / therapeutic use
  • Area Under Curve
  • Arthritis, Rheumatoid / drug therapy*
  • Biological Availability
  • Disease Models, Animal
  • Female
  • Half-Life
  • Humans
  • Inflammation / drug therapy
  • Male
  • Metabolic Clearance Rate
  • Receptors, Tumor Necrosis Factor* / chemistry
  • Receptors, Tumor Necrosis Factor* / genetics
  • Receptors, Tumor Necrosis Factor* / metabolism
  • Receptors, Tumor Necrosis Factor* / therapeutic use
  • Receptors, Tumor Necrosis Factor, Type I
  • Species Specificity
  • Structure-Activity Relationship

Substances

  • Antigens, CD
  • Receptors, Tumor Necrosis Factor
  • Receptors, Tumor Necrosis Factor, Type I