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Review of Pharmacology - 9E (2015)

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<strong>Review</strong> <strong>of</strong> <strong>Pharmacology</strong><br />

Contd...<br />

Ramucirumab VEGFR-2 Non-small cell Lung cancer and cancer <strong>of</strong><br />

gastroesophageal junction<br />

Ranibizumab VEGF Neovascular Macular degeneration, Macular edema<br />

following retinal vein occlusion<br />

Rituximab CD 20 B-cell NHL<br />

Rilonacept IL-1 CAPS<br />

Secukinumab IL-17a Plaque psoriasis<br />

Siltuximab IL-6 Castleman’s disease<br />

Tocilizumab IL-6R SLE, RA<br />

Trastuzumab her-2/neu Breast cancer, Stomach and gastro-esophageal<br />

junction carcinoma<br />

Ustekinumab IL-12, IL-23 Plaque psoriasis<br />

Vedolizumab α 4<br />

b 7<br />

Ulcerative colitis<br />

Crohn’s disease<br />

Nomenclature <strong>of</strong> Monoclonal Antibodies<br />

Immunomodulators<br />

Name <strong>of</strong> the monoclonal antibody can be devided into four parts.<br />

Prefix + Target subsystem + Origin subsystem + Suffix<br />

• Suffix for all monoclonal antibodies is mab<br />

• Depending on the source <strong>of</strong> origin, various names are given, e.g. u stands for human,<br />

xi for chimeric etc.<br />

• Target is identified by specific letters, e.g. vi for virus, ci for circulation .<br />

• Previously, target consisted <strong>of</strong> three letters (first consonant, second vowel and third consonant)<br />

but third consonant can be deleted for ease <strong>of</strong> pronounciation. In 2009, new and<br />

shorter target subsystems were introduced.<br />

• Prefix is different for each monoclonal antibody.<br />

Prefix Target Subsystem Source Subsystem Suffix<br />

Variable<br />

Old New Meaning Meaning<br />

vi (r) v (i) Viral u human<br />

ba (c) b (a) Bacterial 0 mouse<br />

li (m) l (i) lower immunity a rat<br />

fu (ng) f (u) fungal i primate mab<br />

ne (r) n (e) nervous system xi chimeric<br />

ki (n) k (i) Interleukin as target zuaxo humanizedrat mouse hybrid<br />

mu (l) - musculoskeletal xizu chimeric humanized hybrid<br />

o (s) s (o) Bone<br />

co (l)<br />

me (l)<br />

Colonic tumor<br />

Melanoma<br />

ma (r) - t(u) Mammary tumor<br />

go (t)<br />

go (v)<br />

pr (o)<br />

tu (m)<br />

Testicular tumor<br />

Ovarian tumor<br />

Prostate tumor<br />

Miscellaneous tumor<br />

676<br />

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