Radioimmunotherapy and colorectal cancer

Background: Despite the success of radioimmunotherapy (RIT) using radiolabelled monoclonal antibodies (Mabs) directed against tumour‐associated antigens in the treatment of non‐Hodgkin's lymphoma, therapeutic success in solid tumours has been modest. In the past decade, a dozen Mabs have been i...

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Veröffentlicht in:British journal of surgery 2005-03, Vol.92 (3), p.264-276
Hauptverfasser: Koppe, M. J., Bleichrodt, R. P., Oyen, W. J. G., Boerman, O. C.
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container_end_page 276
container_issue 3
container_start_page 264
container_title British journal of surgery
container_volume 92
creator Koppe, M. J.
Bleichrodt, R. P.
Oyen, W. J. G.
Boerman, O. C.
description Background: Despite the success of radioimmunotherapy (RIT) using radiolabelled monoclonal antibodies (Mabs) directed against tumour‐associated antigens in the treatment of non‐Hodgkin's lymphoma, therapeutic success in solid tumours has been modest. In the past decade, a dozen Mabs have been investigated clinically for their potential usefulness in RIT of colorectal cancer. Methods: The application of radiolabelled Mabs for the treatment of solid cancers is discussed, and clinical trials investigating RIT for colorectal cancer listed in the Medline and Embase databases are reviewed. Results: Uptake of radiolabelled Mabs in tumour and, consequently, the therapeutic efficacy of RIT is inversely correlated with tumour size. The bone marrow is the most important dose‐limiting organ. Twenty‐three phase I/II studies were found that investigated the feasibility and efficacy of RIT using five radionuclides and 15 Mabs against carcinoembryonic antigen, tumour‐associated glycoprotein 72, epithelial cellular adhesion molecule, A33 or colon‐specific antigen p, mainly in patients with advanced colorectal cancer. A few responses were recorded but no particular antibody construct seemed superior. Conclusion: RIT might be an effective adjuvant treatment modality in colorectal cancer. Future studies should focus on its application in patients with small‐volume or minimal residual disease. Copyright © 2005 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. May be worthwhile for small‐volume disease
doi_str_mv 10.1002/bjs.4936
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Twenty‐three phase I/II studies were found that investigated the feasibility and efficacy of RIT using five radionuclides and 15 Mabs against carcinoembryonic antigen, tumour‐associated glycoprotein 72, epithelial cellular adhesion molecule, A33 or colon‐specific antigen p, mainly in patients with advanced colorectal cancer. A few responses were recorded but no particular antibody construct seemed superior. Conclusion: RIT might be an effective adjuvant treatment modality in colorectal cancer. Future studies should focus on its application in patients with small‐volume or minimal residual disease. Copyright © 2005 British Journal of Surgery Society Ltd. Published by John Wiley &amp; Sons, Ltd. 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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Antibodies, Monoclonal - therapeutic use
Antigens, Neoplasm - metabolism
Biological and medical sciences
Carcinoembryonic Antigen - metabolism
Cell Adhesion Molecules - metabolism
Clinical Trials, Phase I as Topic
Clinical Trials, Phase II as Topic
Colorectal Neoplasms - metabolism
Colorectal Neoplasms - radiotherapy
Dose-Response Relationship, Radiation
Gastroenterology. Liver. Pancreas. Abdomen
General aspects
Glycoproteins - metabolism
Humans
Medical sciences
Membrane Glycoproteins - metabolism
Radioimmunotherapy - methods
Radioisotopes - adverse effects
Radioisotopes - therapeutic use
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Tumors
title Radioimmunotherapy and colorectal cancer
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