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  1. Article ; Online: Systemic exposure following intravitreal administration of therapeutic agents: an integrated pharmacokinetic approach. 1. THR-149.

    Vanhove, Marc / Noppen, Bernard / Wagner, Jean-Marc / Van Bergen, Tine / Barbeaux, Philippe / Stitt, Alan W

    Journal of pharmacokinetics and pharmacodynamics

    2021  Volume 48, Issue 6, Page(s) 825–836

    Abstract: Intravitreal (IVT) injection of pharmacological agents is an established and widely used procedure for the treatment of many posterior segment of the eye diseases. IVT injections permit drugs to reach high concentrations in the retina whilst limiting ... ...

    Abstract Intravitreal (IVT) injection of pharmacological agents is an established and widely used procedure for the treatment of many posterior segment of the eye diseases. IVT injections permit drugs to reach high concentrations in the retina whilst limiting systemic exposure. Beyond the risk of secondary complications such as intraocular infection, the potential of systemic adverse events cannot be neglected. Therefore, a detailed understanding of the rules governing systemic exposure following IVT drug administration remains a prerequisite for the evaluation and development of new pharmacological agents intended for eye delivery. We present here a novel mathematical model to describe and predict circulating drug levels following IVT in the rabbit eye, a species which is widely used for drug delivery, pharmacokinetic, and pharmacodynamic studies. The mathematical expression was derived from a pharmacokinetic model that assumes the existence of a compartment between the vitreous humor compartment itself and the systemic compartment. We show that the model accurately describes circulating levels of THR-149, a plasma kallikrein inhibitor in development for the treatment of diabetic macular edema. We hypothesize that the model based on the rabbit eye has broader relevance to the human eye and can be used to analyze systemic exposure of a variety of drugs delivered in the eye.
    MeSH term(s) Animals ; Diabetic Retinopathy/drug therapy ; Macular Edema/drug therapy ; Macular Edema/metabolism ; Pharmaceutical Preparations/metabolism ; Rabbits ; Retina/metabolism ; Vitreous Body/metabolism
    Chemical Substances Pharmaceutical Preparations
    Language English
    Publishing date 2021-07-23
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2041601-5
    ISSN 1573-8744 ; 1567-567X
    ISSN (online) 1573-8744
    ISSN 1567-567X
    DOI 10.1007/s10928-021-09773-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Assessment of Ocriplasmin Effects on the Vitreoretinal Compartment in Porcine and Human Model Systems.

    Jonckx, Bart / Porcu, Michael / Candi, Aurelie / Etienne, Isabelle / Barbeaux, Philippe / Feyen, Jean H M

    Journal of ophthalmology

    2017  Volume 2017, Page(s) 2060765

    Abstract: Ocriplasmin (Jetrea®) is a recombinant protease used to treat vitreomacular traction. To gain insight into vitreoretinal observations reported after ocriplasmin treatment, we have developed ... ...

    Abstract Ocriplasmin (Jetrea®) is a recombinant protease used to treat vitreomacular traction. To gain insight into vitreoretinal observations reported after ocriplasmin treatment, we have developed an
    Language English
    Publishing date 2017-10-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2546525-9
    ISSN 2090-0058 ; 2090-004X
    ISSN (online) 2090-0058
    ISSN 2090-004X
    DOI 10.1155/2017/2060765
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The potent small molecule integrin antagonist THR-687 is a promising next-generation therapy for retinal vascular disorders.

    Hu, Tjing-Tjing / Vanhove, Marc / Porcu, Michaël / Van Hove, Inge / Van Bergen, Tine / Jonckx, Bart / Barbeaux, Philippe / Vermassen, Elke / Feyen, Jean H M

    Experimental eye research

    2018  Volume 180, Page(s) 43–52

    Abstract: Integrins are associated with various eye diseases such as diabetic retinopathy (DR) and wet age-related macular degeneration (AMD) and implicated in main pathologic disease hallmarks like neovascularization, inflammation, fibrosis and vascular leakage. ... ...

    Abstract Integrins are associated with various eye diseases such as diabetic retinopathy (DR) and wet age-related macular degeneration (AMD) and implicated in main pathologic disease hallmarks like neovascularization, inflammation, fibrosis and vascular leakage. Targeting integrins has the potential to attenuate these vision-threatening processes, independent of anti-vascular endothelial growth factor (VEGF) responsiveness. The current investigation characterized THR-687 as a novel pan RGD (arginylglycylaspartic acid) integrin receptor antagonist able to compete for binding with the natural ligand with nanomolar potency (e.g. α
    MeSH term(s) Animals ; Capillary Permeability/drug effects ; Cell Movement/drug effects ; Choroidal Neovascularization/drug therapy ; Diabetic Retinopathy/drug therapy ; Disease Models, Animal ; Enzyme-Linked Immunosorbent Assay ; Fluorescein Angiography ; Human Umbilical Vein Endothelial Cells ; Humans ; Injections, Intraperitoneal ; Intravitreal Injections ; Macaca fascicularis ; Male ; Mice ; Mice, Inbred C57BL ; Organic Chemicals/pharmacology ; Organic Chemicals/therapeutic use ; Rabbits ; Receptors, Immunologic/antagonists & inhibitors ; Receptors, Peptide/antagonists & inhibitors ; Retinal Vessels/drug effects ; Tomography, Optical Coherence ; Vascular Endothelial Growth Factor A/pharmacology ; Wet Macular Degeneration/drug therapy
    Chemical Substances Organic Chemicals ; Receptors, Immunologic ; Receptors, Peptide ; Vascular Endothelial Growth Factor A ; arginyl-glycyl-aspartic acid directed cell adhesion receptor ; integrin receptor antagonist THR-687
    Language English
    Publishing date 2018-11-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 80122-7
    ISSN 1096-0007 ; 0014-4835
    ISSN (online) 1096-0007
    ISSN 0014-4835
    DOI 10.1016/j.exer.2018.11.022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Stable and Long-Lasting, Novel Bicyclic Peptide Plasma Kallikrein Inhibitors for the Treatment of Diabetic Macular Edema.

    Teufel, Daniel P / Bennett, Gavin / Harrison, Helen / van Rietschoten, Katerine / Pavan, Silvia / Stace, Catherine / Le Floch, François / Van Bergen, Tine / Vermassen, Elke / Barbeaux, Philippe / Hu, Tjing-Tjing / Feyen, Jean H M / Vanhove, Marc

    Journal of medicinal chemistry

    2018  Volume 61, Issue 7, Page(s) 2823–2836

    Abstract: Plasma kallikrein, a member of the kallikrein-kinin system, catalyzes the release of the bioactive peptide bradykinin, which induces inflammation, vasodilation, vessel permeability, and pain. Preclinical evidence implicates the activity of plasma ... ...

    Abstract Plasma kallikrein, a member of the kallikrein-kinin system, catalyzes the release of the bioactive peptide bradykinin, which induces inflammation, vasodilation, vessel permeability, and pain. Preclinical evidence implicates the activity of plasma kallikrein in diabetic retinopathy, which is a leading cause of visual loss in patients suffering from diabetes mellitus. Employing a technology based on phage-display combined with chemical cyclization, we have identified highly selective bicyclic peptide inhibitors with nano- and picomolar potencies toward plasma kallikrein. Stability in biological matrices was either intrinsic to the peptide or engineered via the introduction of non-natural amino acids and nonpeptidic bonds. The peptides prevented bradykinin release in vitro, and in vivo efficacy was demonstrated in both a rat paw edema model and in rodent models of diabetes-induced retinal permeability. With a highly extended half-life of ∼40 h in rabbit eyes following intravitreal administration, the bicyclic peptides are promising novel agents for the treatment of diabetic retinopathy and diabetic macular edema.
    MeSH term(s) Animals ; Bradykinin/metabolism ; Bridged Bicyclo Compounds/chemical synthesis ; Bridged Bicyclo Compounds/pharmacology ; Diabetes Complications/drug therapy ; Diabetic Retinopathy/drug therapy ; Edema/drug therapy ; Eye/metabolism ; Foot/pathology ; Half-Life ; Intravitreal Injections ; Macular Edema/drug therapy ; Macular Edema/etiology ; Male ; Mice ; Mice, Inbred C57BL ; Permeability ; Plasma Kallikrein/antagonists & inhibitors ; Protease Inhibitors/administration & dosage ; Protease Inhibitors/chemical synthesis ; Protease Inhibitors/pharmacology ; Rabbits ; Rats ; Rats, Sprague-Dawley ; Structure-Activity Relationship ; Substrate Specificity ; Vitreous Body/chemistry ; Vitreous Body/metabolism
    Chemical Substances Bridged Bicyclo Compounds ; Protease Inhibitors ; Plasma Kallikrein (EC 3.4.21.34) ; Bradykinin (S8TIM42R2W)
    Language English
    Publishing date 2018-03-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 218133-2
    ISSN 1520-4804 ; 0022-2623
    ISSN (online) 1520-4804
    ISSN 0022-2623
    DOI 10.1021/acs.jmedchem.7b01625
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: The humanized anti-glycoprotein Ib monoclonal antibody h6B4-Fab is a potent and safe antithrombotic in a high shear arterial thrombosis model in baboons.

    Fontayne, Alexandre / Meiring, Muriel / Lamprecht, Seb / Roodt, Jan / Demarsin, Eddy / Barbeaux, Philippe / Deckmyn, Hans

    Thrombosis and haemostasis

    2008  Volume 100, Issue 4, Page(s) 670–677

    Abstract: The Fab-fragment of 6B4, a murine monoclonal antibody targeting the human platelet glycoprotein (GP) Ibalpha and blocking the binding of von Willebrand factor (VWF), is a powerful antithrombotic. In baboons, this was without side effects such as bleeding ...

    Abstract The Fab-fragment of 6B4, a murine monoclonal antibody targeting the human platelet glycoprotein (GP) Ibalpha and blocking the binding of von Willebrand factor (VWF), is a powerful antithrombotic. In baboons, this was without side effects such as bleeding or thrombocytopenia. Recently, we developed a fully recombinant and humanized version of 6B4-Fab-fragment, h6B4-Fab, which maintains its inhibitory capacities in vitro and ex vivo after injection in baboons. We here investigated the antithrombotic properties, the effect on bleeding time and blood loss and initial pharmacokinetics of h6B4-Fab in baboons. The antithrombotic effect of h6B4-Fab on acute platelet-mediated thrombosis was studied in baboons where thrombus formation is induced at an injured and stenosed site of the femoral artery, allowing for cyclic flow reductions (CFRs) which are measured on an extracorporeal femoral arteriovenous shunt. Injection of 0.5 mg/kg h6B4-Fab significantly reduced the CFRs by 80%, whereas two extra injections, resulting in cumulative doses of 1.5 and 2.5 mg/kg, completely inhibited the CFRs. Platelet receptor occupancy, plasma concentrations and effects ex vivo were consistent with what was previously observed. Finally, minimal effects on bleeding time and blood loss, no spontaneous bleeding and no thrombocytopenia were observed. We therefore conclude that h6B4-Fab maintains the antithrombotic capacities of the murine 6B4-Fab, without causing side effects and therefore can be used for further development.
    MeSH term(s) Acute Disease ; Animals ; Anti-Bacterial Agents/pharmacology ; Bleeding Time ; Blood Platelets/immunology ; Constriction, Pathologic ; Disease Models, Animal ; Femoral Artery/injuries ; Femoral Artery/pathology ; Hemorrhage/chemically induced ; Hemorrhage/immunology ; Humans ; Immunoglobulin Fab Fragments/adverse effects ; Immunoglobulin Fab Fragments/immunology ; Mice ; Papio ; Platelet Adhesiveness/drug effects ; Platelet Adhesiveness/immunology ; Platelet Count ; Platelet Glycoprotein GPIb-IX Complex/adverse effects ; Platelet Glycoprotein GPIb-IX Complex/immunology ; Regional Blood Flow ; Ristocetin/pharmacology ; Stress, Mechanical ; Thrombocytopenia/chemically induced ; Thrombocytopenia/immunology ; Thrombosis/drug therapy ; Thrombosis/immunology ; Thrombosis/physiopathology
    Chemical Substances Anti-Bacterial Agents ; Immunoglobulin Fab Fragments ; Platelet Glycoprotein GPIb-IX Complex ; Ristocetin (1404-55-3)
    Language English
    Publishing date 2008-10
    Publishing country Germany
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 518294-3
    ISSN 0340-6245
    ISSN 0340-6245
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: The humanized anti-glycoprotein Ib monoclonal antibody h6B4-Fab is a potent and safe antithrombotic in a high shear arterial thrombosis model in baboons

    Fontayne, Alexandre / Meiring, Muriel / Lamprecht, Seb / Roodt, Jan / Demarsin, Eddy / Barbeaux, Philippe / Deckmyn, Hans

    Thrombosis and Haemostasis

    2008  Volume 99, Issue 04, Page(s) 670–677

    Abstract: The Fab-fragment of 6B4, a murine monoclonal antibody targeting the human platelet glycoprotein (GP) Ibα and blocking the binding of von Willebrand factor (VWF), is a powerful antithrombotic. In baboons, this was without side effects such as bleeding or ... ...

    Abstract The Fab-fragment of 6B4, a murine monoclonal antibody targeting the human platelet glycoprotein (GP) Ibα and blocking the binding of von Willebrand factor (VWF), is a powerful antithrombotic. In baboons, this was without side effects such as bleeding or thrombocytopenia. Recently, we developed a fully recombinant and humanized version of 6B4-Fab-fragment, h6B4-Fab, which maintains its inhibitory capacities in vitro and ex vivo after injection in baboons. We here investigated the antithrombotic properties, the effect on bleeding time and blood loss and initial pharmacokinetics of h6B4-Fab in baboons. The antithrombotic effect of h6B4-Fab on acute platelet-mediated thrombosis was studied in baboons where thrombus formation is induced at an injured and stenosed site of the femoral artery, allowing for cyclic flow reductions (CFRs) which are measured on an extracorporeal femoral arteriovenous shunt. Injection of 0.5 mg/kg h6B4-Fab significantly reduced the CFRs by 80%, whereas two extra injections, resulting in cumulative doses of 1.5 and 2.5 mg/kg, completely inhibited the CFRs. Platelet receptor occupancy, plasma concentrations and effects ex vivo were consistent with what was previously observed. Finally, minimal effects on bleeding time and blood loss, no spontaneous bleeding and no thrombocytopenia were observed. We therefore conclude that h6B4-Fab maintains the antithrombotic capacities of the murine 6B4-Fab, without causing side effects and therefore can be used for further development.
    Keywords Antithrombotic ; glycoprotein Ib ; humanized antibody ; platelet adhesion ; thrombosis
    Language English
    Publishing date 2008-01-01
    Publisher Schattauer GmbH
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 518294-3
    ISSN 2567-689X ; 0340-6245
    ISSN (online) 2567-689X
    ISSN 0340-6245
    DOI 10.1160/TH08-02-0073
    Database Thieme publisher's database

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  7. Article: Humanization by variable domain resurfacing and grafting on a human IgG4, using a new approach for determination of non-human like surface accessible framework residues based on homology modelling of variable domains.

    Staelens, Stephanie / Desmet, Johan / Ngo, Thu Hoa / Vauterin, Stephan / Pareyn, Inge / Barbeaux, Philippe / Van Rompaey, Isabel / Stassen, Jean-Marie / Deckmyn, Hans / Vanhoorelbeke, Karen

    Molecular immunology

    2006  Volume 43, Issue 8, Page(s) 1243–1257

    Abstract: Many antithrombotic agents have only a small therapeutic window, frequently leading to bleeding problems. However, interfering with platelet adhesion through the collagen-VWF-GPIbalpha axis is expected to cause less bleeding problems. Our group developed ...

    Abstract Many antithrombotic agents have only a small therapeutic window, frequently leading to bleeding problems. However, interfering with platelet adhesion through the collagen-VWF-GPIbalpha axis is expected to cause less bleeding problems. Our group developed a monoclonal antibody, 82D6A3, directed against the von Willebrand factor (VWF) A3-domain, which inhibits the VWF-interaction to fibrillar collagen. 82D6A3 has antithrombotic effects in vivo without bleeding time prolongation. To further investigate the promising features of 82D6A3, we have humanized it by variable domain resurfacing and grafting on the constant regions of a human IgG4. First, the sequence of the variable domains was determined and the murine scFv was constructed. The expressed scFv had a comparable activity as the IgG of 82D6A3, and its DNA was thus used in subsequent humanization procedures. For this, a new approach was introduced to identify non-human like framework surface residues, since the general distribution of accessible residues described for human and murine heavy and light chain variable domains showed several discrepancies with the homology modelled Fv of 82D6A3. Identification of non-human like framework residues and evaluation of their surface accessibility within the context of the homology modelled Fv of 82D6A3, revealed 10 residues that need to be humanized without influencing the conformation of the CDR loops. Indeed, the humanized scFv of 82D6A3, obtained by mutating all 10 residues to their human counterpart, was still binding with high affinity to VWF and retained the inhibitory properties of the murine scFv. Next, in order to increase its half life and to decrease its immunogenicity, the humanized variable domains were grafted on the constant regions of a human IgG4, resulting in h82D6A3 with an in vitro activity comparable to that of the murine IgG.
    MeSH term(s) Amino Acid Sequence ; Animals ; Antibodies, Monoclonal/chemistry ; Antibodies, Monoclonal/genetics ; Antibodies, Monoclonal/metabolism ; Base Sequence ; Binding Sites, Antibody ; CHO Cells ; Collagen/metabolism ; Cricetinae ; Cricetulus ; Humans ; Immunoglobulin G/chemistry ; Immunoglobulin G/genetics ; Immunoglobulin G/metabolism ; Immunoglobulin Variable Region/chemistry ; Immunoglobulin Variable Region/genetics ; Immunoglobulin Variable Region/metabolism ; Mice ; Models, Molecular ; Molecular Sequence Data ; Protein Binding ; Protein Structure, Tertiary ; Recombinant Fusion Proteins/chemistry ; Recombinant Fusion Proteins/metabolism ; Sequence Homology, Amino Acid ; von Willebrand Factor/metabolism
    Chemical Substances Antibodies, Monoclonal ; Immunoglobulin G ; Immunoglobulin Variable Region ; Recombinant Fusion Proteins ; von Willebrand Factor ; Collagen (9007-34-5)
    Language English
    Publishing date 2006-03
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 424427-8
    ISSN 1872-9142 ; 0161-5890
    ISSN (online) 1872-9142
    ISSN 0161-5890
    DOI 10.1016/j.molimm.2005.07.018
    Database MEDical Literature Analysis and Retrieval System OnLINE

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