Upregulation of Toll-like receptor 2 (TLR2) plays a critical role in inflammation associated with ischemia/reperfusion-induced tissue damage. OPN-305 is the first humanized IgG4 monoclonal antibody against TLR2 in development and is intended for the prevention of reperfusion injury following renal transplantation and other indications. A phase I, single-center, prospective randomized, double-blind, placebo-controlled study was performed to evaluate single ascending doses of OPN-305 in 41 healthy male subjects (age range: 19-58 years) randomized to OPN-305 or placebo across six cohorts. OPN-305 was well tolerated across all doses, with no elevations in endogenous cytokines. A dose-proportional increase in maximum serum concentration (Cmax) was observed, with area under the curve increasing in a greater-than-dose-proportional manner with increasing elimination half-life. OPN-305 produced full TLR2 receptor blockade on CD14(+)CD45(+) cells (monocytes), from 14 (0.5 mg/kg) to >90 (10 mg/kg) days, with a linear effect on the duration of inhibition of interleukin-6 release after TLR2 stimulation.

译文

Toll样受体2 (TLR2) 的上调在与缺血/再灌注诱导的组织损伤相关的炎症中起关键作用。OPN-305是开发中的第一个抗TLR2的人源化IgG4单克隆抗体,旨在预防肾移植和其他适应症后的再灌注损伤。进行了I期,单中心,前瞻性随机,双盲,安慰剂对照研究,以评估41名健康男性受试者 (年龄范围: 19-58岁) 的单次递增剂量的OPN-305随机分为OPN-305或安慰剂六个队列。OPN-305在所有剂量下耐受性良好,内源性细胞因子无升高。观察到最大血清浓度 (Cmax) 的剂量成比例增加,随着消除半衰期的增加,曲线下的面积以大于剂量成比例的方式增加。OPN-305在CD14(+)CD45(+) 细胞 (单核细胞) 上产生完全的TLR2受体阻断,从14天 (0.5 mg/kg) 到> 90天 (10 mg/kg),对TLR2刺激后interleukin-6释放的抑制持续时间有线性影响。

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