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Ofatumumab Overview

Introduction of Ofatumumab

Ofatumumab, also known as HuMax-CD20, is an IgG1ĸ type fully human monoclonal antibody directed against CD20 antigen that expressed on normal B lymphocytes (pre-B- to mature B-lymphocyte) and on B-cell CLL. The molecular weight of ofatumumab is approximately 149 kDa. This drug was developed by Novartis Pharma AG and was designed for the treatment of chronic lymphocytic leukemia (CLL). In 2009, ofatumumab was approved by the U.S. Food and Drug Administration (FDA) for the treatment of chronic lymphocytic leukemia that is refractory to fludarabine and Arzerra. Ofatumumab was also conditional approved by Health Canada on August 2012, and by European Medicines Agency on April 19, 2010 for the treatment of chronic lymphocytic leukemia. In addition, this drug also received Therapeutic Goods Administration (TGA) approval and Japan Medical Devices Evaluation Center approval in 2013. In addition to CLL, ofatumumab also has also shown potential in treating follicular lymphoma, diffuse large B cell lymphoma, rheumatoid arthritis and relapsing remitting multiple sclerosis.

Mechanism of Action Ofatumumab

Ofatumumab is the active substance of Arzerra and has been designed to attach to a protein called CD20. Ofatumumab was found to inhibit the early-stage B lymphocyte activation. Thus, Ofatumumab became the first marketing application for an antibody produced by Genmab, as well as the first human monoclonal antibody which targets the CD20 molecule that will be available for patients with refractory CLL. Ofatumumab was designed to bind specifically to both the small and large extracellular loops of the CD20 molecule. Upon administration, the Fab domain of ofatumumab binds to the CD20 molecule and the Fc domain mediates immune effector functions. Binding of ofatumumab to CD20 stimulates the body’s immune system to attack the cancerous B-cells, helping to control the disease. In addition, by attaching to CD20, ofatumumab also could induce recruitment and activation of the complement pathway at the cell surface, leading to complement-dependent cytotoxicity and resultant lysis of tumour cells, and induce cell death through antibody-dependent cell-mediated cytotoxicity.

Mechanism of action of Ofatumumab

Fig.1 Mechanism of action of Ofatumumab

Table 1. Clinical Projects of Ofatumumab *

NCT ID Status Condition Lead Sponsor Update Time
NCT03249714 Recruiting Relapsing Multiple Sclerosis Novartis Pharmaceuticals August 14, 2018
NCT03650114 Not yet recruiting Relapsing Multiple Sclerosis Novartis Pharmaceuticals August 28, 2018
NCT01680965 Active, not recruiting Chronic Graft Versus Host Disease H. Lee Moffitt Cancer Center and Research Institute November 6, 2018
NCT01613300 Active, not recruiting B-Cell Lymphomas Grupo Español de Linfomas y Transplante Autólogo de Médula Ósea November 19, 2018
NCT02388048 Recruiting Leukemia, Lymphoblastic, Chronic Gruppo Italiano Malattie EMatologiche dell'Adulto August 1, 2018
NCT02394106 Recruiting Nephrotic Syndrome Istituto Giannina Gaslini May 4, 2017
NCT01258933 Active, not recruiting Leukemia;Lymphoma M.D. Anderson Cancer Center September 14, 2018
NCT01243190 Active, not recruiting Chronic Lymphocytic Leukemia M.D. Anderson Cancer Center September 25, 2018
NCT01437709 Active, not recruiting Mantle Cell Lymphoma Memorial Sloan Kettering Cancer Center October 2, 2018
NCT01444716 Active, not recruiting Chronic Lymphocytic Leukemia M.D. Anderson Cancer Center September 17, 2018
NCT02710643 Active, not recruiting Follicular Lymphoma, Grade 1;Follicular Lymphoma, Grade 2;Follicular Lymphoma Grade 3A; Fondazione Italiana Linfomi ONLUS November 21, 2018
NCT02394119 Recruiting Nephrotic Syndrome Istituto Giannina Gaslini May 4, 2017
NCT02049515 Enrolling by invitation Chronic Lymphocytic Leukemia; Small Lymphocytic Lymphoma Verastem, Inc. October 16, 2018
NCT02792218 Active, not recruiting Relapsing Multiple Sclerosis Novartis Pharmaceuticals October 4, 2018
NCT02792231 Recruiting Relapsing Multiple Scelrosis Novartis Pharmaceuticals September 11, 2018
NCT01077518 Active, not recruiting Lymphoma, Follicular Novartis Pharmaceuticals October 4, 2018
NCT02614508 Active, not recruiting Recurrent Chronic Lymphocytic Leukemia; Recurrent Small Lymphocytic Lymphoma; Refractory Chronic Lymphocytic Leukemia; Refractory Small Lymphocytic Lymphoma; Emory University October 15, 2018
NCT03280160 Recruiting Chronic Lymphocytic Leukemia PETHEMA Foundation September 13, 2017
NCT02004522 Active, not recruiting Chronic Lymphocytic Leukemia; Small Lymphocytic Lymphoma Verastem, Inc. August 1, 2018
NCT01458366 Active, not recruiting Non-Hodgkin's Lymphoma Sidney Kimmel Cancer Center at Thomas Jefferson University June 6, 2018
NCT01578707 Active, not recruiting Relapsed or Refractory Chronic Lymphocytic Leukemia; Small Lymphocytic Lymphoma Pharmacyclics LLC. May 25, 2018
NCT01716208 Active, not recruiting Chronic Lymphocytic Leukemia University of California, Davis June 27, 2018
NCT02689141 Active, not recruiting Chronic Lymphocytic Leukemia German CLL Study Group June 25, 2018
NCT01190449 Active, not recruiting Lymphoma Alliance for Clinical Trials in Oncology July 25, 2018
NCT01496976 Active, not recruiting Chronic Lymphocytic Leukemia; Small Lymphocytic Lymphoma H. Lee Moffitt Cancer Center and Research Institute November 6, 2018
NCT01060384 Active, not recruiting Non-Hodgkin's Lymphoma University of Nebraska August 8, 2018
NCT01497496 Active, not recruiting Chronic Lymphocytic Leukemia; Small Lymphocytic Lymphoma H. Lee Moffitt Cancer Center and Research Institute October 3, 2018
NCT01329900 Active, not recruiting Lymphoma M.D. Anderson Cancer Center November 6, 2018
NCT01363128 Active, not recruiting Leukemia M.D. Anderson Cancer Center November 26, 2018
NCT01361711 Active, not recruiting Stage I Chronic Lymphocytic Leukemia; Stage II Chronic Lymphocytic Leukemia; Stage III Chronic Lymphocytic Leukemia; Stage IV Chronic Lymphocytic Leukemia; Northwestern University February 16, 2018
NCT02199184 Recruiting Leukemia M.D. Anderson Cancer Center December 2, 2017
NCT03560739 Recruiting Multiple Sclerosis Novartis Pharmaceuticals November 29, 2018
NCT01465334 Active, not recruiting CLL;SLL Dana-Farber Cancer Institute June 29, 2018
NCT01762202 Active, not recruiting B-cell Lymphoid Leukemia; Young Patients Gruppo Italiano Malattie EMatologiche dell'Adulto October 15, 2018
NCT01527149 Active, not recruiting Stage I Mantle Cell Lymphoma; Stage II Contiguous Mantle Cell Lymphoma Stage II Non-Contiguous Mantle Cell Lymphoma Stage III Mantle Cell Lymphoma; Stage IV Mantle Cell Lymphoma; Roswell Park Cancer Institute January 29, 2018
NCT01145209 Active, not recruiting Small Lymphocytic Lymphoma; CLL (Chronic Lymphocytic Leukemia) National Heart, Lung, and Blood Institute (NHLBI) August 17, 2018
NCT01555541 Recruiting Diffuse Large Cell Lymphoma Relapsed/Refractory C. Babis Andreadis June 9, 2017
NCT02877303 Recruiting Leukemia; Acute Lymphoblastic Leukemia M.D. Anderson Cancer Center November 6, 2018
NCT03488225 Recruiting Acute Lymphocytic Leukemia M.D. Anderson Cancer Center November 22, 2018
NCT03136146 Recruiting Hematopoietic/Lymphoid Cancer; Acute Lymphoblastic Leukemia; Lymphoblastic Lymphoma; Burkitt Leukemia/Lymphoma; M.D. Anderson Cancer Center September 5, 2018
NCT02361346 Recruiting Non-Hodgkin's B-cell Lymphoma; Leukemia, Lymphocytic, Chronic, B-CellSmall Lymphocytic Leukemia; Molecular Templates, Inc. November 5, 2018

Table 2. Approved Drugs of Ofatumumab**

INN (trade name) Therapeutic area Dose Strength Route Company Marketing start Market
Arzerra Chronic lymphocytic leukemia Injection 100mg /5ml Intravenous Infusion Glaxo Grp Ltd October 26, 2009 Ofatumumab Overview
Arzerra Chronic lymphocytic leukaemia Concentrate for solution 20 mg / ml Intravenous infusion Novartis Europharm Ltd April 19, 2010 Ofatumumab Overview
Arzerra Recurrent or refractory CD20 positive chronic lymphocytic leukemia Concentrate for solution 50ml/vial Intravenous infusion Novartis Pharma Co., Ltd. 25th March,  2013 Ofatumumab Overview
Arzerra Chronic lymphocytic leukaemia Solution 100 mg / 5 ml Intravenous infusion Novartis Pharmaceuticals Canada Inc August 13, 2012 Ofatumumab Overview
Arzerra Chronic lymphocytic leukaemia Solution 1000 mg / 50 ml Intravenous infusion Novartis Pharmaceuticals Canada Inc August 13, 2012 Ofatumumab Overview
Arzerra Chronic lymphocytic leukaemia Injection 20 mg/mL Intravenous infusion Novartis Pharmaceuticals Australia Pty Ltd February 11, 2013 Ofatumumab Overview

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Therapeutic Antibody
Ofatumumab
We provide high-quality Ofatumumab for use in WB, FC, IP, ELISA, Neut, FuncS, IF and most other immunological methods. For lab research use only, not for diagnostic, therapeutic or any in vivo human use.

Reference
* The table was excerpted from the following website
https://clinicaltrials.gov/ct2/results?term=Ofatumumab

** Information presented in the table were collected from the following website:
https://search.tga.gov.au/s/search.html?collection=tga-websites-web&query=Ofatumumab
https://www.ema.europa.eu/en/medicines/human/EPAR/arzerra


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