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Antibody guided irradiation of brain glioma by arterial infusion of radioactive monoclonal antibody against epidermal growth factor receptor and blood group A antigen.

Identifieur interne : 003543 ( Main/Exploration ); précédent : 003542; suivant : 003544

Antibody guided irradiation of brain glioma by arterial infusion of radioactive monoclonal antibody against epidermal growth factor receptor and blood group A antigen.

Auteurs : A A Epenetos ; N. Courtenay-Luck ; D. Pickering ; G. Hooker ; H. Durbin ; J P Lavender ; C G Mckenzie

Source :

RBID : ISTEX:C70084AFF814C5EDB4CD4C8DF05ECB60F8876708

English descriptors

Abstract

In a patient with recurrent grade IV glioma of the brain resistant to conventional treatment an antibody guided isotopic scan showed uptake by the tumour of a monoclonal antibody (9A) that was developed against epidermal growth factor receptor but cross reacted with blood group A antigen. As a therapeutic attempt antibody labelled with 1665 MBq (45.0 mCi) iodine-131 was delivered to the tumour area by infusion into the internal carotid artery. Computed tomography showed regression of the tumour after treatment, and an appreciable and sustained clinical improvement was noted without any toxicity. Delivery of irradiation guided by monoclonal antibody delivered by arterial infusion of the tumour area may be of clinical value in the treatment of brain gliomas resistant to conventional forms of treatment.

Url:
DOI: 10.1136/bmj.290.6480.1463


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<term>Chloroquine</term>
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<term>Nuclear medicine</term>
<term>Postoperative radiotherapy</term>
<term>Probe counter</term>
<term>Radiolabelled antibody</term>
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<term>Recurrent grade</term>
<term>Smoker</term>
<term>States department</term>
<term>Tomography</term>
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<div type="abstract" xml:lang="en">In a patient with recurrent grade IV glioma of the brain resistant to conventional treatment an antibody guided isotopic scan showed uptake by the tumour of a monoclonal antibody (9A) that was developed against epidermal growth factor receptor but cross reacted with blood group A antigen. As a therapeutic attempt antibody labelled with 1665 MBq (45.0 mCi) iodine-131 was delivered to the tumour area by infusion into the internal carotid artery. Computed tomography showed regression of the tumour after treatment, and an appreciable and sustained clinical improvement was noted without any toxicity. Delivery of irradiation guided by monoclonal antibody delivered by arterial infusion of the tumour area may be of clinical value in the treatment of brain gliomas resistant to conventional forms of treatment.</div>
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