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Record W2096942508 · doi:10.1007/978-3-7643-8238-4_12

Perspectives in targeted therapy

2009· book-chapter· en· W2096942508 on OpenAlexaff
Edward Keystone

Bibliographic record

VenueBirkhäuser Basel eBooks · 2009
Typebook-chapter
Languageen
FieldMedicine
TopicRheumatoid Arthritis Research and Therapies
Canadian institutionsUniversity of Toronto
Fundersnot available
KeywordsMedicineRheumatoid arthritisTargeted therapyClinical trialAdverse effectDiseasePharmacodynamicsIntensive care medicineBioinformaticsImmunologyPharmacologyInternal medicineCancerPharmacokineticsBiology

Abstract

fetched live from OpenAlex

Targeted therapeutic agents have changed the landscape of therapy in rheumatoid arthritis (RA). They have also provided valuable insights into the utility of animal models for development of targeted therapies, clinical trial design, pharmacodynamics, immunobiology and key pathogenic elements of disease. Studies of chimeric anti-CD4 monoclonal antibodies in RA demonstrated the need for pre-clinical studies to more closely approximate the human therapeutic paradigm as well as the importance of synovium as an appropriate pharmacodynamic window to predict efficacy and adverse side effects of the agents. Targeted therapies have been instructive in discerning the importance of TNF, IL-1, IL-6, IL-15 and RANKL in the pathological process themselves, such as the uncoupling of inflammation and structural damage. Current trends in the use of targeted therapeutics include aggressive earlier use, combination with methotrexate, use in moderate rather than severe disease, tight control as well as induration and maintenance regimes. Despite therapeutic advances with target therapies a number of unmet needs exist, including a low remission rate, cost and inadequate access as well as the lack of biomarkers to predict response and safety concerns. Despite this, target therapies have revolutionized the treatment of RA. In addition to having a substantial effect on clinical outcomes, a number of valuable lessons have been learned.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Other · Consensus signal: Other
Teacher disagreement score0.942
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0020.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.034
GPT teacher head0.278
Teacher spread0.244 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designNot applicable
Domainnot available
GenreOther

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2009
Admission routes1
Has abstractyes

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