Dosimetric evaluation and radioimmunotherapy of anti-tumour multivalent Fab́ fragments
1999

Evaluation of Anti-Tumor Antibodies for Cancer Treatment

publication Evidence: moderate

Author Information

Author(s): Casey J L, Pedley R B, King D J, Green A J, Yarranton G T, Begent R H J

Primary Institution: Cancer Research Campaign Targeting and Imaging Group, Department of Oncology, Royal Free and University College Medical School

Hypothesis

Can cross-linked divalent and trivalent versions of the anti-carcinoembryonic antigen monoclonal antibody A5B7 be more effective alternatives in radioimmunotherapy for colorectal carcinoma?

Conclusion

The study suggests that 131I-DFM may be the best combination of antibody and radionuclide for radioimmunotherapy, offering lower toxicity to normal tissues.

Supporting Evidence

  • Radiation doses were significantly higher in all tissues when antibodies were labelled with 90Y.
  • The cumulative dose of 90Y-TFM to the kidney was three times lower than the divalent forms.
  • TFM clears faster from the blood than IgG, producing higher tumour to blood ratios.
  • For a similar level of toxicity and half the administered activity, 90Y-IgG produced a greater therapeutic response.
  • Dosimetry analysis revealed that the tumour to normal tissue ratios were greater for all 131I-labelled antibodies.

Takeaway

Scientists tested different types of cancer-fighting antibodies to see which one works best with radiation treatment, and found that one specific combination is safer and more effective.

Methodology

The study involved comparative biodistribution studies using a human colorectal tumor mouse model to evaluate the effectiveness and safety of different antibody-radionuclide combinations.

Limitations

Further experiments at higher doses are required to determine the advantages of higher initial dose rates.

Digital Object Identifier (DOI)

10.1038/sj.bjc.6690795

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