Targeted radioimmunotherapy for leptomeningeal cancer using (131)I-3F8.

K Kramer, N K Cheung, J L Humm, E Dantis, R Finn, S J Yeh, N L Antunes, I J Dunkel, M Souwedaine, S M Larson
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引用次数: 37

Abstract

Background: Intrathecal antibody-based targeted therapies may have clinical potential for patients with leptomeningeal (LM) cancer.

Procedure: Five patients with GD2-positive LM tumors were injected with 1-2 mCi intra-Ommaya (131)I-3F8, a murine IgG3 antibody specific for GD2. Serial cerebrospinal fluid (CSF) and serum samples and SPECT imagings (4, 24, and 48 hr) were performed to predict radiation doses to the tumor and normal brain and blood prior to the administration of larger therapeutic doses.

Results: Side effects included self-limited fever, headache, and vomiting. Focal (131)I-3F8 uptake consistent with tumors was seen along the craniospinal axis in four patients. Calculated radiation dose to the CSF was 14.9-56 cGy/mCi and to blood and other organs outside the CNS less than 2 cGy/mCi.

Conclusions: Intraventricular (131)I-3F8 successfully detected LM disease and resulted in a large favorable CSF/blood ratio. Intraventricular (131)I-3F8 may have clinical utility in the diagnosis and radioimmunotherapy of GD2-positive LM cancers. Med. Pediatr. Oncol. 35:716-718. 2000.

使用(131)I-3F8靶向放射免疫治疗轻脑膜癌。
背景:鞘内抗体为基础的靶向治疗可能具有治疗轻脑膜癌(LM)患者的临床潜力。5例GD2阳性LM肿瘤患者注射1-2 mCi intra-Ommaya (131)I-3F8,这是一种针对GD2的小鼠IgG3抗体。在给予更大的治疗剂量之前,进行连续的脑脊液(CSF)和血清样本以及SPECT成像(4,24和48小时)来预测肿瘤和正常大脑和血液的辐射剂量。结果:副作用包括自限性发热、头痛、呕吐。在4例患者中,沿颅脊髓轴可见与肿瘤一致的局灶性(131)I-3F8摄取。计算的脑脊液辐射剂量为14.9-56 cGy/mCi,对血液和中枢神经系统外其他器官的辐射剂量小于2 cGy/mCi。结论:脑室(131)I-3F8成功检测出LM疾病,并产生了较大的有利的CSF/blood ratio。脑室I-3F8可能在gd2阳性LM癌症的诊断和放射免疫治疗中具有临床应用价值。地中海,Pediatr。肿瘤防治杂志。35:716 - 718。2000.
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