Kevzara and prednisone effectivness

Posted by ronludington @ronludington, 5 days ago

I am very happy to be off the wonderful poison of prednisone. It certainly does it's job. I wish it caused no side effects and I would be on 20mg for life. The kevzara does seem to help, it's not 100 % , i still have good days where i ache maybe 10% but have others where i'm at a 30--40% achey neck and shoulders. (Which makes me miserable) So not a perfect drug for me, but I do believe it helps. I also believe it helps with my blood sugar, where prednisone was terrible for it. I had my a1c checked and they said 5.8, I was ecstatic, I havnt seen 5s in I don't even remember. (And since ending pred, i certainly have not been good about "no sweets" ) While on pred it was closer to 7. I do wish the kevzara would fix me at 100%, but I'm grateful for what it does do. Been on it a year now.

Interested in more discussions like this? Go to the Polymyalgia Rheumatica (PMR) Support Group.

Profile picture for stonewheel @stonewheel

@jeff97 thank you for sharing. So, the letters are a code, like a VIN# on a car, detailing various aspects of its manufacture? I suspected as much but didn’t know.

“mab” is monoclonal antibodies? Does that mean “single or individually cloned”?
I wonder. “Clone.” Is cloning now commonplace? Are biologics a result of cloning?

I had thought the “il” represented Interleukin (made sense to me) but sometimes letters other than i and l still mean Interleukin (IL) though.
For example:
Secukinumab (Cosentyx): Blocks IL-17A.
Ixekizumab (Taltz): Targets IL-17A.
Brodslumab (Siliq): Blocks the IL-17 receptor.
Bimekizumab (Bimzelx): Inhibits both IL-17A and IL-17F.

Your explaination of the “il”representing the target immunomodulators group explains it, and the IL is a subgroup target, with the number 6 or 17 being specific target in the subgroup of the group.

I’m trying to reverse engineer it in my brain.

I know that hamster ovaries cells are used as little factories to manufacture biologics. Humira (adalimumab) is an example.

I thought saralumab was too, but it may have been an assumption.

Continuing to think out loud, sar vs sars, I don’t think sar in sarilumab relates to severe acute respiratory syndrome. I’m thinking out loud again and maybe trying too hard. Maybe it is a scientists initials or lab name abbreviation.

Thanks again.

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@stonewheel I don't know anything about monoclonal antibodies, but just a quick look at Google indicates that a single cell is cloned from the original white blood cell (B cell) that produces the desired antibody. Then a cell line is created from the clone so that the antibodies can be produced in mass.

My post about the naming convention has a mistake. Instead of "il" to indicate an immune modulator, it should have been "li". The arbitrary prefixes were "toci" and "sari". I'm like you, I think sari is a random string of characters and not related to SARS2, but that's just a guess.

Google also says the "li" isn't used in the naming convention anymore, because it was too general. They replaced with it with three 3 character strings, depending on whether the drug stimulates or suppresses the immune system, or targets allergens.

The naming convention uses "ki" now as a target for all cytokines and cytokine receptors. That includes all of the interleukins. Several of your examples have the "ki" instead of li.

I wonder what tocilizumab and sarilumab would be named if they were created now. I think probably the "ki" instead of the immune modulator string.

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Profile picture for jeff97 @jeff97

@stonewheel I don't know anything about monoclonal antibodies, but just a quick look at Google indicates that a single cell is cloned from the original white blood cell (B cell) that produces the desired antibody. Then a cell line is created from the clone so that the antibodies can be produced in mass.

My post about the naming convention has a mistake. Instead of "il" to indicate an immune modulator, it should have been "li". The arbitrary prefixes were "toci" and "sari". I'm like you, I think sari is a random string of characters and not related to SARS2, but that's just a guess.

Google also says the "li" isn't used in the naming convention anymore, because it was too general. They replaced with it with three 3 character strings, depending on whether the drug stimulates or suppresses the immune system, or targets allergens.

The naming convention uses "ki" now as a target for all cytokines and cytokine receptors. That includes all of the interleukins. Several of your examples have the "ki" instead of li.

I wonder what tocilizumab and sarilumab would be named if they were created now. I think probably the "ki" instead of the immune modulator string.

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@jeff97 Thank you for helping me understand this. I see the “ki” change and it makes sense now.
We are in the future, so to speak, as we remember a time before cloning and now it is commonplace.

I appreciate you.

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