Repeated antitumour antibody therapy in man with suppression of the host response by Cyclosporin A
1988

Using Cyclosporin A to Improve Cancer Antibody Therapy

Sample size: 6 publication Evidence: low

Author Information

Author(s): J.A. Ledermann, R.H.J. Begent, K.D. Bagshawe, S.J. Riggs, F. Searle, M.G. Glaser, A.J. Green, R.G. Dale

Primary Institution: Cancer Research Campaign Laboratories, Department of Medical Oncology, Charing Cross Hospital

Hypothesis

Can Cyclosporin A suppress the formation of human antimouse antibodies (HAMA) in patients receiving repeated doses of antitumour antibodies?

Conclusion

Cyclosporin A allows for more effective repeated therapy with antitumour antibodies by reducing HAMA levels.

Supporting Evidence

  • Patients receiving Cyclosporin A had significantly lower HAMA levels compared to those who did not.
  • Up to four times as many doses of antitumour antibody could be given with Cyclosporin A.
  • Patients with lower HAMA levels showed better accumulation of the antibody in tumors.

Takeaway

This study found that giving a medicine called Cyclosporin A helps cancer patients receive more treatments with special antibodies without their bodies fighting them off.

Methodology

Six patients with CEA-producing tumors received repeated doses of a radiolabelled antibody and Cyclosporin A over several weeks, with HAMA levels measured before and after treatment.

Limitations

The study involved a small number of patients and was preliminary in nature.

Participant Demographics

Patients had locally recurrent or metastatic CEA-producing tumors and had previously failed conventional therapy.

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