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Last Updated: April 25, 2024

Claims for Patent: 7,943,310


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Summary for Patent: 7,943,310
Title:Methods for assessing response to therapy in subjects having ulcerative colitis
Abstract: A method for prognostic or diagnostic assessment of a gastrointestinal-related disorder, such as ulcerative colitis, in a subject correlates the presence, absence, and/or magnitude of a gene in a sample with a reference standard to determine the presence and/or severity of the disorder, and/or the response to treatment for the disorder. The method enables identification of the effectiveness of candidate therapies.
Inventor(s): Li; Xilin (Wallingford, PA), Song; Xiao-yu (Bridgewater, NJ)
Assignee: Centocor Ortho Biotech Inc. (Horsham, PA)
Application Number:11/847,812
Patent Claims:1. A method for determining the likelihood that a human subject with ulcerative colitis will respond to an anti-TNF.alpha. therapy, comprising: a) preparing a sample of mRNA from a specimen obtained from a colon biopsy of a human subject with ulcerative colitis treated with the anti-TNF.alpha. therapy; b) contacting the sample with a panel of nucleic acid probes that hybridize to the nucleic acid sequences of SEQ ID NOS: 8, 9, 28, 37, and 66; c) hybridizing the sample with the panel of nucleic probes to detect levels of the mRNAs in the sample encoded by the nucleic acid sequences of SEQ ID NOS: 8, 9, 28, 37, and 66; d) comparing the levels of the mRNAs in the sample encoded by the nucleic acid sequences of SEQ ID NOS: 8, 9, 28, 37, and 66 against a reference standard of mRNAs encoded by nucleic acid sequences of SEQ ID NOS: 8, 9, 28, 37, and 66; and e) determining the likelihood that the human subject will respond to the anti-TNF.alpha. therapy based on the comparison in step d).

2. The method of claim 1, wherein the anti-TNF.alpha. therapy is an anti-TNF.alpha. antibody.

3. The method of claim 2, wherein the anti-TNF.alpha. antibody is infliximab.

4. The method of claim 1, wherein the determining step comprises performing a statistical comparison of the levels of the mRNAs in the sample from the subject to a reference standard to determine the likelihood that the subject will respond to the anti-TNF.alpha. therapy.

5. The method of claim 1, wherein the levels of the mRNAs in the sample are determined using RT-PCR.

6. The method of claim 1, wherein the specimen is obtained from the subject about 8 weeks after commencement of treatment with the anti-TNF.alpha. therapy.

7. The method of claim 6, wherein the anti-TNF.alpha. therapy is infliximab.

8. The method of claim 1, wherein the specimen is obtained from the subject about 30 weeks after commencement of treatment with the anti-TNF.alpha. therapy.

9. The method of claim 8, wherein the anti-TNF.alpha. therapy is infliximab.

10. The method of claim 1, wherein the determining step further comprises determining the likelihood that the subject will respond to the anti-TNF.alpha. therapy if there is about a two fold change in the levels of mRNAs in the sample encoded by the nucleic acid sequences of SEQ ID NOS: 8, 9, 28, 37, and 66 as compared to the reference standard of mRNAs encoded by the nucleic acid sequences of SEQ ID NO: 8, 9, 28, 37 and 66.

11. The method of claim 1, further comprising the step of continuing treatment with the anti-TNF.alpha. therapy if the subject is determined likely to respond to the therapy.

12. The method of claim 1, further comprising the step of discontinuing treatment with the anti-TNF.alpha. therapy if the subject is determined not likely to respond to the therapy.

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