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Etanercept - genetically engineered compound for back pain - falls short: study

Despite the great promise that injecting a new type of anti-inflammatory pain medicine into the spine could relieve the severe leg and lower back pain of sciatica, a Johns Hopkins-led study has found that the current standard ...

Medical research created Apr 16, 2012 | popularity 4.5 / 5 (2) | comments 0 | with audio podcast

Rheumatism drug also effective at half dose

The treatment of moderately active rheumatoid arthritis with the tumour necrosis factor inhibitor Etanercept achieves excellent success in more than 80 per cent of patients. With this method, the success ...

Arthritis & Rheumatism created Jan 18, 2013 | popularity not rated yet | comments 0

Etanercept seems beneficial in partial spinal cord injury

(HealthDay)—Treatment of rabbits with a partial spinal cord injury (SCI) with the intramuscularly-administered tumor necrosis factor-α (TNF-α) inhibitor etanercept is associated with improved clinical ...

Diseases, Conditions, Syndromes created Jan 11, 2013 | popularity 1 / 5 (1) | comments 0

Florida doctor gives stroke survivors new shot at mobility, independence

A single injection, then a five-minute wait. That's all it took for hundreds of stroke and traumatic brain injury patients from South Florida and nationwide to reverse years of debilitation. Now they're walking more steadily, ...

Neuroscience created Dec 21, 2012 | popularity 5 / 5 (2) | comments 0

Immunogenicity strongly impacts response to adalimumab in RA

(HealthDay)—For patients with rheumatoid arthritis (RA), long-term clinical outcomes are good with etanercept and adalimumab; but for adalimumab, treatment response is strongly dependent on the presence ...

Arthritis & Rheumatism created Dec 13, 2012 | popularity not rated yet | comments 0

New hope for survivors of stroke and traumatic brain injury

A new ground-breaking study about to be published in the Adis journal CNS Drugs provides clinical evidence that, for the first time, chronic neurological dysfunction from stroke or traumatic brain injury can rapidly improv ...

Medical research created Oct 31, 2012 | popularity not rated yet | comments 0

No difference in death rates among patients exposed to common rheumatoid arthritis drugs

New research confirms no significant difference in the rates of death among patients with rheumatoid arthritis (RA) who were exposed to one of several TNF inhibitors used to treat RA, adalimumab (Humira), etanercept (Enbrel), ...

Arthritis & Rheumatism created Aug 08, 2012 | popularity not rated yet | comments 0

Study compares effectiveness of psoriasis treatments

(HealthDay) -- The effectiveness of therapies for psoriasis is variable, and may be lower in real-world settings than in trial settings, according to a study published in the April issue of the Archives of ...

Diseases, Conditions, Syndromes created Apr 20, 2012 | popularity 5 / 5 (1) | comments 0

UVB preferred for treatment of moderate to severe psoriasis

(HealthDay) -- Ultraviolet B (UVB) is preferred by dermatologists for first-line treatment of moderate to severe psoriasis in both healthy male and female patients, according to a study published in the March ...

Diseases, Conditions, Syndromes created Feb 24, 2012 | popularity not rated yet | comments 0

Study shows benefits, limits of therapy for rare inflammatory syndrome

(Medical Xpress) -- A study shows that the medication etanercept reduces the frequency and severity of symptoms of TNF receptor-associated periodic syndrome (TRAPS), a rare inherited condition characterized by recurrent fevers, ...

Inflammatory disorders created Oct 26, 2011 | popularity not rated yet | comments 0

Etanercept shows promise for treating dermatomyositis

A multicenter pilot study of etanercept for treatment of dermatomyositis found no major safety concerns and many patients treated with the drug were successfully weaned from steroid therapy. These results are encouraging, ...

Neuroscience created Jun 17, 2011 | popularity not rated yet | comments 0

Frequently used biologic agents might cause acute liver injury

A commonly used class of biologic response modifying drugs can cause acute liver injury with elevated liver enzymes, according to a new study in Clinical Gastroenterology and Hepatology, the official clinical practice journa ...

Diseases, Conditions, Syndromes created Apr 29, 2013 | popularity not rated yet | comments 0

Wide disparities in access to latest rheumatoid arthritis drugs across Europe

The cost of one year's treatment of rheumatoid arthritis with new generation drugs is more than the per capita gross domestic product of 26 European countries, reveals research published online in the Annals of the Rheumatic Di ...

Arthritis & Rheumatism created Mar 06, 2013 | popularity not rated yet | comments 0

Treatment with anti-TNFs can increase the risk of shingles by up to 75 percent

Patients with inflammatory rheumatic diseases (IRD) treated with anti-tumour necrosis factor medications (anti-TNFs) have a 75% greater risk of developing herpes zoster, or shingles, than patients treated with traditional ...

Arthritis & Rheumatism created Jun 07, 2012 | popularity 5 / 5 (1) | comments 0

Etanercept

Etanercept (trade name Enbrel) is a drug that treats autoimmune diseases by interfering with the tumor necrosis factor (TNF, a part of the immune system) by acting as a TNF inhibitor. Pfizer describes in a SEC filing that the drug is used to treat rheumatoid, juvenile rheumatoid and psoriatic arthritis, plaque psoriasis and ankylosing spondylitis. Sales reached record $3.3 billion in 2010.

Etanercept is a fusion protein produced through expression of recombinant DNA. That is, it is a product of a DNA "construct" engineered to link the human gene for soluble TNF receptor 2 to the gene for the Fc component of human immunoglobulin G1 (IgG1). Expression of the construct produces a continuous protein "fusing" TNF receptor 2 to IgG1. Production of Etanercept is accomplished by the large-scale culturing of cells that have been "cloned" to express this recombinant DNA construct.

The prototypic fusion protein was first synthesized and shown to be highly active and unusually stable as a modality for blockade of TNF in vivo in the early 1990s by Bruce A. Beutler, an academic researcher then at the University of Texas Southwestern Medical Center at Dallas, and his colleagues. These investigators also patented the protein, selling all rights to its use to Immunex, a biotechnology company that was acquired by Amgen in 2002.

It is a large molecule, with a molecular weight of 150 kDa., that binds to TNFα and decreases its role in disorders involving excess inflammation in humans and other animals, including autoimmune diseases such as ankylosing spondylitis, juvenile rheumatoid arthritis, psoriasis, psoriatic arthritis, rheumatoid arthritis, and, potentially, in a variety of other disorders mediated by excess TNFα.

This therapeutic potential is based on the fact that TNF-alpha is the "master regulator" of the inflammatory response in many organ systems.

In North America, etanercept is co-marketed by Amgen and Pfizer under the trade name Enbrel in two separate formulations, one in powder form, the other as a pre-mixed liquid. Wyeth is the sole marketer of Enbrel outside of North America excluding Japan where Takeda Pharmaceuticals markets the drug.

Etanercept is an example of a protein-based drug created using the tools of biotechnology and conceived through an understanding afforded by modern cell biology.

For more information about Etanercept, read the full article at Wikipedia.
This text uses material from Wikipedia and is available under the GNU Free Documentation License.

Related topics: rheumatoid arthritis