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54 protocols using mabthera

1

Rituximab Structural Analysis by NMR

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For rituximab, the buffer of 2 mL formulation solution of Mabthera (Mabthera, Roche; exp. year: 2013, 2 mL, 10 mg/mL) was exchanged to 0.25 M ammonium acetate buffer (pH 4) with Amicon Ultra-15 Centrifugal Filter Units (Cutoff: 30 kDa, Merck) and the sample was incubated for 138 h at 40 °C. Afterward, the buffer was changed to ddH2O overnight with a Spectra/Por dialysis membrane and lyophilized. For NMR measurements the sample was dissolved in 500 μL of a 7 M urea-d4 (98 atom%D, ARMAR Chemicals) solution in D2O (100 at.% D, ARMAR Chemicals) resulting in a concentration of 30 to 40 mg/mL mAb. Urea solutions were freshly prepared to minimize the formation of isocyanic acid which leads to carbamylation of lysine residues. For reducing the disulfide bonds, approx. 1–1.6 mg of tris(2-carboxyethyl)phosphine hydrochloride (TCEP) (Sigma-Aldrich) was added to the sample corresponding approximately to 11 mmol L−1 followed by incubation at 60 °C for 15 min. The pH was adjusted to 2.3 or 7.4 by adding DCl or NaOD (ARMAR Chemicals), respectively.
1 to 2 mg of each reference peptide (Table 2) was dissolved at the same conditions as full-length rituximab but without TCEP treatment. Afterward, the pH was adjusted to 2.3 or 7.4 by adding DCl or NaOD (ARMAR Chemicals), respectively.
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2

Rituximab Bioconjugation with TCO

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Rituximab was obtained in solution (Mabthera®, 10 mg/mL, Roche Pharma AG, Grenzach-Wyhlen, Germany) and a PD-10 (GE Healthcare, Vienna, Austria) size exclusion column was used for buffer exchange according to manufacturer’s protocol to give RTX in 0.1 M NaHCO3 solution (7 mg/mL). For the conjugation of trans-cyclooctene (TCO), 2 mL of the RTX solution were mixed with 20 molar equivalent of TCO-NHS ester dissolved in DMSO and the reaction was stirred for 30 min at ambient temperature followed by incubation overnight at 4 °C under light exclusion. Subsequently, the modified antibody (RTX-TCO) was purified using size exclusion chromatography (PD-10) to give 10 mg of RTX-TCO dissolved in PBS. The antibody was treated following the same procedure as described above without adding TCO-NHS ester, in order to obtain a non-modified RTX counterpart as negative control.
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3

Bioorthogonal Chemical Conjugation

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All chemicals and solvents were purchased as reagent grade from commercial sources unless otherwise stated. trans-Cyclooctene-NHS ester and tetrazine-PEG5-NHS ester were bought from Click Chemistry Tools (Scottsdale, AZ, USA). Rituximab (MabThera®, Roche Pharma AG, Grenzach-Wyhlen, Germany) was of pharmaceutical grade and was a kind gift from the University Hospital of Innsbruck.
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4

Establishment of Cancer Cell Lines

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The human HNSCC cell lines FaDu and UPCI:SCC-090, and the human epidermoid cancer cell line A431 were obtained from DSMZ (Braunschweig, Germany). The human HNSCC cell lines UM-SCC-17b and UD-SCC-2 were provided by Professor Thomas Hoffmann (University of Ulm, Ulm, Germany). The colorectal cancer cell line Difi was provided by Dr. Robert Coffey (Nashville, TN, USA). FaDu, A431 and Difi cells were cultured in DMEM medium supplemented with 10% fetal bovine serum (PAA, Coelbe, Germany), L-glutamine, penicillin and streptomycin (Invitrogen, Frankfurt, Germany). UPCI:SCC-090, UM-SCC-17b and UN-SCC-2 were cultured in DMEM medium supplemented with 15% fetal bovine serum (PAA), L-glutamine, penicillin and streptomycin and non-essential amino acids (Invitrogen). Complementary DNAs encoding HPV16 oncogenes E6 and E7 were cloned into the bicistronic retroviral vector pQCXIN (Clontech Laboratories, Mountain View, CA, USA). Cell lines were transduced to stably express HPV16-E6 and HPV16-E7 as described previously.34 (link)Clinical grade cetuximab (Erbitux, Merck Serono, Darmstadt, Germany), rituximab (Mabthera, Roche, Grenzach-Wyhlen, Germany), cisplatin and 5FU were purchased from the pharmacy of the University Hospital Essen.
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5

Rituximab and Radiation Therapy for Lymphoma

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Treatment consisted of 4 once per week administrations of Rituximab (MabThera, Roche Pharma, 375 mg/m2). In week 7, patients received a restaging and radiation planning CT of the involved region. Four further weekly administrations of Rituximab were given in weeks 9 to 12. Radiation treatment of the involved lymph node regions (adapted from Yahalom and Mauch34 (link)) was initiated in week 9 and applied in 2 Gy fractions (5 times/wk) up to a total dose of 30 Gy. In case of remaining lymphoma after initial Rituximab therapy in week 7, the residual region was boosted with 5 × 2 Gy in week 12.
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6

Assessing RTX Effects on PAN-Induced Podocyte Defects

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To examine the non-immunological effects of RTX on PAN induced cytoskeletal defects, podocytes were grown under growth restrictive conditions for 12 days and subsequently incubated with media containing 10% FBS in the presence of 30 µg/ml PAN (Sigma, Munich, Germany), 100 µg/ml MabThera (Roche, Basel, Switzerland) or the combination of both for 48 h. All experiments were performed at least three times starting on growth-restricted days 12–14 (methodology previously described in13 (link)).
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7

Characterization of Rituximab Biosimilar

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MabThera® (rituximab reference product) was from F. Hoffmann‐La Roche AG (Basel, Switzerland) and provided as a 10.0 mg/mL aqueous solution containing sodium citrate dihydrate, sodium chloride, and polysorbate 80, at pH 6.5. RedituxTM (10.0 mg/mL; copy product) was from Dr. Reddy´s Laboratories Ltd. (Hyderabad, India) and provided in the same formulation buffer as MabThera®. Humira® (adalimumab) drug product (48.5 mg/mL, pH 5.2) was from AbbVie Inc. (Lake Bluff, Il, USA), containing mannitol, citric acid monohydrate, sodium citrate, sodium dihydrogen phosphate dihydrate, disodium phosphate dihydrate, sodium chloride, polysorbate 80, and sodium hydroxide. All antibodies were stored below −60°C.
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8

Evaluating CHOP and R-CHOP Cytotoxicity

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The components of CHOP, cyclophosphamide, doxorubicin, vincristine and prednisolone were purchased from Sigma. Rituximab (MabThera) and GA101 were obtained from Roche. The stock solutions for CHOP were prepared individually and then mixed together according to the ratios of the in vivo treatment [6 (link)], as listed in Supplemental Table 2. Cells were treated with CHOP, or R-CHOP (CHOP plus 10 μg/ml of rituximab) for 24 or 48 hours to induce cell death.
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9

Rituximab in Renal Transplant Recipients

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For this study, patients were recruited from the RTX in Renal Transplantation trial (ClinicalTrials.gov, NCT00565331), which evaluated the efficacy and safety of RTX (MabThera, Hoffmann-La Roche, Basel, Switzerland) when added to standard immunosuppression in renal transplant recipients. At the start of transplant surgery, patients received 1000 mg acetaminophen, 100 mg prednisolone and 2 mg clemastin intravenously next to the standard treatment with 2000 mg ceftriaxone as antibiotic prophylaxis. After 30 minutes, RTX (375 mg/m 2 ) or placebo was administered at an increasing infusion rate. The total infusion time was approximately 4 hours.
For logistic reasons, only recipients of a living donor kidney were selected for this study. Peripheral blood samples were collected from 20 patients (10 RTX-treated, 10 placebo-treated), a few hours before the transplantation (baseline), at 2 and 4 hours after starting the RTX infusion (t = 2 hours and t = 4 hours), and the next morning (t = 24 hours). Sera were stored at -80 °C until analysis. Table 1 summarizes the patient characteristics.
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10

Whole Blood Culture Cytokine Analysis

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Whole blood culture was used to determine the cytokine production in vitro. Therefore, whole blood was diluted 1:5 with culture medium in 24-well plates (Greiner Bio-One, Frickenhausen, Germany). To study the cytokine production by different lymphocyte subsets, 2 × 10 5 PBMCs, B cells, NK cells, and/or monocytes were cultured in RPMI-1640 medium supplemented with pyruvate (0.02 mM), glutamax (2 mM), penicillin (100 U/mL), streptomycin (100 μg/mL) (all from Gibco, Paisley, United Kingdom), and 10% fetal bovine serum in 96-well round bottom plates (Greiner Bio-One) in a 37 °C, 95% humidity, 5% CO 2 incubator. In selected conditions, 250 μg/mL RTX (MabThera, Hoffmann-La Roche) or 250 μg/mL RTX-F(ab′) 2 (provided by Genmab, Utrecht, The Netherlands) was added to the culture medium. Supernatant was collected after 14 hours and/or 24 hours and stored at -20 °C until analysis.
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