HRP20201424T1 - Sredstva i postupci za predviđanje odgovora na liječenje pacijenta oboljelog od raka - Google Patents
Sredstva i postupci za predviđanje odgovora na liječenje pacijenta oboljelog od raka Download PDFInfo
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Claims (11)
1. Postupak za predviđanje reagira li pacijent obolio od raka sa solidnim tumorom na liječenje kemoterapijom koji sadrži korake:
• pružanje uzorka tumora koji je prethodno uzet od navedenog pacijenta, pri čemu je uzorak tumora odjeljak tumora i sadrži invazivnu marginu; i
• određivanje u odjeljku tumora broja CD3 pozitivnih stanica po kvadratnom milimetru i broja CD8 pozitivnih stanica po kvadratnom milimetru ili broja Granzim B-pozitivnog ili oboje, pri čemu se broj stanica određuje imunohistokemijom i / ili imunofluorescencijom uporabom tehnologije slajdova na cijelom presjeku tkiva; pri čemu mikroskopski digitalizirani dijapozitivi koji nastaju slikanjem cijelih dijapozitiva podliježu automatskoj obradi slike; pri čemu se biološki markeri procjenjuju automatski i; pri čemu se uzorak pacijenta klasificira algoritmima prema njihovom odgovoru na liječenje kemoterapijom pri čemu je broj CD3 pozitivnih stanica po mm2 i CD8- pozitivnih stanica / mm2 i / ili Granzim B- pozitivnih stanica / mm2 iznad praga unaprijed definiranog za svaki od CD3, CD8 i Granzim B koji ukazuje da navedeni pacijent reagira na spomenutu kemoterapiju.
2. Postupak u skladu sa zahtjevom 1, naznačen time što navedeni rak je metastazirajući rak.
3. Postupak u skladu sa zahtjevom 1 ili 2, naznačen time što navedeni rak je rak debelog crijeva.
4. Postupak u skladu s bilo kojim od zahtjeva 1 do 3, naznačen time što je navedeni uzorak tumora uzorak primarnog tumora ili metastaze.
5. Postupak u skladu sa zahtjevom 4, naznačen time što uzorak tumora je uzorak metastaze u jetri.
6. Postupak u skladu sa zahtjevom 5, naznačen time što navedeni uzorak tumora sadrži
(i) limfoidne otočiće u blizini tumora;
(ii) limfni čvorovi smješteni u blizini tumora; i / ili
(iii) susjedno normalno tkivo ili krv s periferije.
7. Postupak u skladu s patentnim zahtjevom 6, naznačen time što unaprijed definirani pragovi su 600 stanica / mm2 za CD3, 200 stanica / mm2 za CD8 i 30 stanica / mm2 za Granzim B.
8. Postupak u skladu s bilo kojim od zahtjeva 1 do 7, koji nadalje sadrži određivanje razine najmanje još jednog biološkog markera koji ukazuje na imunološki odgovor pacijenta na rak, pri čemu razina koja je iznad unaprijed određene razine ukazuje da taj pacijent reagira na kemoterapiju;
pri čemu je daljnji biološki marker razina interferonske game i razina interferonske game iznad 1000 ng / ml ukazuje je indikativna za odgovor na kemoterapiju; pri čemu daljnji biološki marker je omjer interferonske game i RANTES, i pri čemu omjer interferonske gama prema RANTES veći od 1 je indikativan za odgovor na kemoterapiju;
pri čemu je daljnji biološki marker VEGF i / ili IL-8 i pri čemu je koncentracija VEGF i / ili IL-8 u uzorku pacijenta koja je veća u odnosu na pacijenta koji ne boluje od raka indikativna za odgovor na kemoterapiju ; i / ili
pri čemu daljnji biološki marker interferonske game, MIG, IP-10 i / ili fraktalkin i pri čemu je koncentracija interferonske game, MIG, IP-10 i / ili fraktalkina u uzorku pacijenta niža u odnosu na pacijenta koji ne boluje od raka, ukazuje da je navedeni pacijent indikativan za odgovor na kemoterapiju.
9. Kemoterapijsko sredstvo odabrano od karboplatina, paklitaksela, soferaniba ili 5-FU za uporabu u liječenju pacijenta oboljelog od raka s solidnim tumorom, pri čemu uporaba sadrži
(a) pružanje uzorka tumora koji je prethodno uzet od navedenog pacijenta, pri čemu je uzorak tumora odjeljak tumora i sadrži invazivnu marginu;
(b) određivanje broja CD3-pozitivnih stanica po kvadratnom milimetru u odjeljku tumora i broja CD8-pozitivnih stanica po kvadratnom milimetru ili broja Granzim B-pozitivnih stanica po kvadratnom milimetru ili oboje,
pri čemu se broj stanica određuje imunohistokemijom i / ili imunofluorescencija uporabom tehnologije snimanja cijelih dijapozitiva;
pri čemu su mikroskopski digitalizirani dijapozitivi koji nastaju slikanjem cijelih dijapozitiva podložni automatskoj obradi slike; pri čemu se biološki markeri procjenjuju automatski i; pri čemu se uzorak pacijenta klasificira algoritmima prema njihovom odgovoru na liječenje kemoterapijom;
(c) odabir navedenog pacijenta oboljelog od raka ako je broj CD3 pozitivnih stanica / mm2 i broj CD8 pozitivnih stanica / mm2 ili broj Granzim B-pozitivnih stanica / mm2 je iznad praga unaprijed definiranog za svaki od CD3, CD8 i Granzima B; i
(d) davanje navedenom pacijentu terapeutski učinkovite količine kemoterapeutskog sredstva.
10. Kemoterapeutsko sredstvo za uporabu u liječenju iz zahtjeva 9, naznačeno time što navedeni rak je rak debelog crijeva i što uzorci tumora unaprijed definiranih pragova su 600 stanica / mm2 za CD3, 200 stanica / mm2 za CD8 i 30 stanica / mm2 za Granzim B.
11. Postupak probira terapeutski učinkovitog kemoterapijskog sredstva za pacijenta oboljelog od raka koji sadrži slijedeće korake:
(a) pružanje tumorskih stanica iz uzorka tumora koji je prethodno uzet od navedenog pacijenta, pri čemu je navedeni uzorak tumora naznačen infiltracijom određenog broja stanica po kvadratnom milimetru pozitivno za CD3 i CD8 ili kod Granzima B iznad pragova unaprijed definiranih za svaki površinski marker stanice kako je određeno imunohistokemijom i / ili imunofluorescencijom uporabom tehnologije snimanja cijelih dijapozitiva u dijelu uzorka tumora koji sadrži invazivnu marginu; pri čemu su mikroskopski digitalizirani dijapozitivi koji nastaju slikanjem cijelih dijapozitiva podložni automatskoj obradi slike; pri čemu se biološki markeri procjenjuju automatski i; pri čemu se uzorak pacijenta klasificira algoritmima prema njihovom odgovoru na liječenje kemoterapijom;
(b) kontaktiranje tumorskih stanica s jednim ili više kemoterapeutskih sredstava; i
(c) procjena da li navedeno jedno ili više kemoterapeutskih sredstava utječu na stanice tumora, pri čemu navedeni rak je rak debelog crijeva, unaprijed definirani pragovi su 600 stanica / mm2 za CD3, 200 stanica / mm2 za CD8 i 30 stanica / mm2 za Granzim B.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| EP10010537 | 2010-09-24 | ||
| EP11773381.6A EP2619576B1 (en) | 2010-09-24 | 2011-09-20 | Means and methods for the prediction of treatment response of a cancer patient |
| PCT/EP2011/004710 WO2012038068A2 (en) | 2010-09-24 | 2011-09-20 | Means and methods for the prediction of treatment response of a cancer patient |
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| HRP20201424T1 true HRP20201424T1 (hr) | 2021-02-19 |
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| HRP20201424TT HRP20201424T1 (hr) | 2010-09-24 | 2011-09-20 | Sredstva i postupci za predviđanje odgovora na liječenje pacijenta oboljelog od raka |
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| US (1) | US9726676B2 (hr) |
| EP (1) | EP2619576B1 (hr) |
| DK (1) | DK2619576T3 (hr) |
| ES (1) | ES2816625T3 (hr) |
| HR (1) | HRP20201424T1 (hr) |
| HU (1) | HUE051674T2 (hr) |
| PL (1) | PL2619576T3 (hr) |
| PT (1) | PT2619576T (hr) |
| SI (1) | SI2619576T1 (hr) |
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| US20210277345A1 (en) * | 2020-03-06 | 2021-09-09 | Tomoyuki Aratani | Cell-containing container, method for evaluating test substance, and method for manufacturing cell-containing container |
| US12270048B2 (en) | 2020-03-23 | 2025-04-08 | Ricoh Company, Ltd. | Manufacturing method for substrate on which nerve cells are arranged |
| US20250271430A1 (en) * | 2021-04-06 | 2025-08-28 | Industry Foundation Of Chonnam National University | Method for predicting prognosis and responsiveness to anticancer therapy of cancer patients |
| KR102865613B1 (ko) | 2021-04-06 | 2025-09-30 | 전남대학교산학협력단 | 암환자의 예후 및 항암 치료에 대한 반응성 예측 방법 |
| CN113358872B (zh) * | 2021-06-03 | 2022-10-21 | 中山大学肿瘤防治中心(中山大学附属肿瘤医院、中山大学肿瘤研究所) | 用于评估肿瘤免疫治疗疗效的标志物组及系统 |
| CN114622023A (zh) * | 2021-09-09 | 2022-06-14 | 四川省肿瘤医院 | 一种预测肿瘤化疗联合免疫治疗疗效的标志物及其应用 |
| CN114019163B (zh) * | 2021-11-02 | 2024-07-23 | 复旦大学附属中山医院 | 基于活化b细胞表达的结肠癌预后诊断用标记物及其用途 |
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| WO2024215562A1 (en) * | 2023-04-13 | 2024-10-17 | Board Of Regents, The University Of Texas System | Pre-treatment prediction of the response of cancer to neoadjuvant therapy |
| WO2025034967A1 (en) * | 2023-08-10 | 2025-02-13 | Scipher Medicine Corporation | A network-based framework to discover treatment-response-predicting biomarkers for complex diseases |
| WO2025038289A1 (en) * | 2023-08-17 | 2025-02-20 | H. Lee Moffitt Cancer Center And Research Institute Inc. | Using 12 chemokine signature to select sting agonist and til treatments for solid tumors |
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| US6711283B1 (en) * | 2000-05-03 | 2004-03-23 | Aperio Technologies, Inc. | Fully automatic rapid microscope slide scanner |
| US7596249B2 (en) * | 2002-02-22 | 2009-09-29 | Olympus America Inc. | Focusable virtual microscopy apparatus and method |
| EP2947160B1 (en) | 2004-04-09 | 2017-07-12 | Genomic Health, Inc. | Gene expression markers for predicting response to chemotherapy |
| EP1777523A1 (en) * | 2005-10-19 | 2007-04-25 | INSERM (Institut National de la Santé et de la Recherche Médicale) | An in vitro method for the prognosis of progression of a cancer and of the outcome in a patient and means for performing said method |
| GB0601509D0 (en) * | 2006-01-26 | 2006-03-08 | Maddison John | Method And Apparatus For Aligning Microscope Images |
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