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Protein Aggregation and Immunogenicity

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<strong>Protein</strong> immunogenicity – our current knowledge<br />

• Practically all rh therapeutic proteins <strong>and</strong> antibodies are<br />

immunogenic<br />

• We do not exactly know why<br />

• Besides patient- <strong>and</strong> treatment-related factors,<br />

formulation <strong>and</strong> product quality are important<br />

• Aggregates are suspicious as risk factors<br />

• We do not know which aggregates<br />

• We do not know the critical aggregate dose

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