Serum markers predicting clinical response to...

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G01N 33/48 (2006.01) C12Q 1/42 (2006.01) C40B 30/00 (2006.01) G01N 33/543 (2006.01) G01N 35/00 (2006.01)

Patent

CA 2750155

The invention provides tools for management of patients diagnosed with ankylosing spondylitis and prior to the initiation of therapy with an anti-TNFalpha agent. The tools are specific markers and algorithms of predicting response to therapy based on standard clinical primary and secondary endpoints using serum marker concentrations. In one embodiment the baseline level of leptin or osteocalcin is used to predict the response at Week 14 after the intiation of therapy. In another embodiment, the change in a serum protein biomarker after 4 weeks of therapy is used such as complement component 3.

La présente invention concerne des outils de gestion de patients chez qui on a diagnostiqué une spondylarthrite ankylosante, avant le début d'une thérapie par un agent anti-TNFalpha. Les outils sont des marqueurs spécifiques et des algorithmes de prédiction de la réponse à une thérapie en fonction de points terminaux cliniques primaires et secondaires standard, en utilisant les concentrations en marqueurs sériques. Dans l'un des modes d'application, le niveau de base de la leptine ou de l'ostéocalcine sert à prédire la réponse à la Semaine 14 après le début de la thérapie. Dans un autre mode d'application, la modification d'un biomarqueur de protéine sérique après 4 semaines de thérapie est employée, par exemple le composant 3 du complément.

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