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What Strategies Will Yield Novel Treatments for Autoimmune Disease?

Authors
Shauna Farr-Jones, Ph.D.
Forrest J.H. Blocker, Ph.D.
Spectrum -- March 2008

  Introduction:

More than 80 autoimmune disorders have been identified, all involving aberrant immune responses to self-antigens. The emergence of biologic agents, such as the interferons and the TNF-alpha inhibitors, has greatly improved the treatment outlook for some of the more common autoimmune diseases. These agents have significant drawbacks, however, including side effects and high costs. Pharmaceutical companies large and small have already begun to focus their efforts on the molecular events that trigger autoimmunity, a discovery process that, it is hoped, will reveal new drug targets that suppress undesired autoimmune inflammatory responses in some of the most common diseases.

  Get the Answers You Need to Shape Your Strategy:

Understanding the etiology of the different autoimmune diseases will allow more successful diagnosis and treatment options. How will the identification of genetic markers help to create new diagnostic tools? Will these tools offer a greater chance for successful treatment, or even a cure?

Biologic agents have greatly improved the treatment of many autoimmune diseases, but these agents are expensive and carry the risk of significant side effects. What new methods are being studied as both treatments and curatives?

Earlier identification of autoimmune diseases could greatly improve the quality of life for patients. What’s in store for the future of autoimmune R&D? What companies already have trials under way?

  Scope:

Pathophysiology and etiology: autoimmune disease is caused by antibodies that attack normal tissue; the diseases can be organ-specific or systemic; most autoimmune diseases are caused by genetic and/or environmental factors.

Epidemiology: 2-8% of the U.S. population has some type of autoimmune disease, and the prevalence of these diseases is increasing.

Novel approaches to treatment: targeted biologics, new cell technologies, and novel treatment methods are the focus of current drug discovery programs.

Unmet need creates opportunity for new therapies: interferon-beta (for MS) and the TNF-alpha inhibitors offer significant benefit over more traditional corticosteroid and DMARD treatments.

Potential curative therapies on the horizon: cell therapies like stem cell replacement and tolerization vaccines represent potential for cures.

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