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Phase II trial of anticarcinoembryonic antigen pretargeted radioimmunotherapy in progressive metastatic medullary thyroid carcinoma: biomarker response and survival improvement.

Identifieur interne : 000B47 ( Main/Exploration ); précédent : 000B46; suivant : 000B48

Phase II trial of anticarcinoembryonic antigen pretargeted radioimmunotherapy in progressive metastatic medullary thyroid carcinoma: biomarker response and survival improvement.

Auteurs : RBID : pubmed:22743249

English descriptors

Abstract

The prognosis of medullary thyroid carcinoma (MTC) varies from long- to short-term survival based on such prognostic factors as serum calcitonin and carcinoembryonic antigen (CEA) doubling times (DTs). This prospective phase II multicenter trial evaluated the efficacy and safety of anti-CEA pretargeted radioimmunotherapy (pRAIT) in rapidly progressing metastatic MTC patients and also how serum biomarker DTs correlate with clinical outcome.

DOI: 10.2967/jnumed.111.101865
PubMed: 22743249

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


Le document en format XML

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<title xml:lang="en">Phase II trial of anticarcinoembryonic antigen pretargeted radioimmunotherapy in progressive metastatic medullary thyroid carcinoma: biomarker response and survival improvement.</title>
<author>
<name sortKey="Salaun, Pierre Yves" uniqKey="Salaun P">Pierre-Yves Salaun</name>
<affiliation wicri:level="1">
<nlm:affiliation>Nuclear Medicine Department, University Hospital and ICO Gauducheau Cancer Institute, IRCNA, Cancer Research Center, Université de Nantes, Inserm, UMR 892, Nantes, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Nuclear Medicine Department, University Hospital and ICO Gauducheau Cancer Institute, IRCNA, Cancer Research Center, Université de Nantes, Inserm, UMR 892, Nantes</wicri:regionArea>
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<region type="région">Pays de la Loire</region>
<settlement type="city">Nantes</settlement>
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<author>
<name sortKey="Campion, Loic" uniqKey="Campion L">Loïc Campion</name>
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<author>
<name sortKey="Bournaud, Claire" uniqKey="Bournaud C">Claire Bournaud</name>
</author>
<author>
<name sortKey="Faivre Chauvet, Alain" uniqKey="Faivre Chauvet A">Alain Faivre-Chauvet</name>
</author>
<author>
<name sortKey="Vuillez, Jean Philippe" uniqKey="Vuillez J">Jean-Philippe Vuillez</name>
</author>
<author>
<name sortKey="Taieb, David" uniqKey="Taieb D">David Taieb</name>
</author>
<author>
<name sortKey="Ansquer, Catherine" uniqKey="Ansquer C">Catherine Ansquer</name>
</author>
<author>
<name sortKey="Rousseau, Caroline" uniqKey="Rousseau C">Caroline Rousseau</name>
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<author>
<name sortKey="Borson Chazot, Francoise" uniqKey="Borson Chazot F">Françoise Borson-Chazot</name>
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<author>
<name sortKey="Bardet, Stephane" uniqKey="Bardet S">Stéphane Bardet</name>
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<author>
<name sortKey="Oudoux, Aurore" uniqKey="Oudoux A">Aurore Oudoux</name>
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<author>
<name sortKey="Cariou, Bertrand" uniqKey="Cariou B">Bertrand Cariou</name>
</author>
<author>
<name sortKey="Mirallie, Eric" uniqKey="Mirallie E">Eric Mirallié</name>
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<author>
<name sortKey="Chang, Chien Hsing" uniqKey="Chang C">Chien-Hsing Chang</name>
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<author>
<name sortKey="Sharkey, Robert M" uniqKey="Sharkey R">Robert M Sharkey</name>
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<author>
<name sortKey="Goldenberg, David M" uniqKey="Goldenberg D">David M Goldenberg</name>
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<author>
<name sortKey="Chatal, Jean Francois" uniqKey="Chatal J">Jean-François Chatal</name>
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<author>
<name sortKey="Barbet, Jacques" uniqKey="Barbet J">Jacques Barbet</name>
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<author>
<name sortKey="Kraeber Bodere, Francoise" uniqKey="Kraeber Bodere F">Françoise Kraeber-Bodéré</name>
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<term>Antibodies, Bispecific (adverse effects)</term>
<term>Antibodies, Bispecific (therapeutic use)</term>
<term>Antibodies, Monoclonal, Humanized (adverse effects)</term>
<term>Antibodies, Monoclonal, Humanized (therapeutic use)</term>
<term>Carcinoembryonic Antigen (immunology)</term>
<term>Disease Progression</term>
<term>Humans</term>
<term>Male</term>
<term>Mice</term>
<term>Middle Aged</term>
<term>Neoplasm Metastasis</term>
<term>Pentetic Acid (immunology)</term>
<term>Radioimmunotherapy (adverse effects)</term>
<term>Radioimmunotherapy (methods)</term>
<term>Survival Analysis</term>
<term>Thyroid Neoplasms (metabolism)</term>
<term>Thyroid Neoplasms (pathology)</term>
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<term>Treatment Outcome</term>
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<term>Young Adult</term>
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<term>Carcinoembryonic Antigen</term>
<term>Pentetic Acid</term>
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<keywords scheme="MESH" type="chemical" qualifier="metabolism" xml:lang="en">
<term>Tumor Markers, Biological</term>
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<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Antibodies, Bispecific</term>
<term>Antibodies, Monoclonal, Humanized</term>
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<term>Radioimmunotherapy</term>
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<keywords scheme="MESH" qualifier="metabolism" xml:lang="en">
<term>Thyroid Neoplasms</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Radioimmunotherapy</term>
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<term>Thyroid Neoplasms</term>
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<term>Thyroid Neoplasms</term>
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<term>Adult</term>
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<term>Disease Progression</term>
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<term>Male</term>
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<front>
<div type="abstract" xml:lang="en">The prognosis of medullary thyroid carcinoma (MTC) varies from long- to short-term survival based on such prognostic factors as serum calcitonin and carcinoembryonic antigen (CEA) doubling times (DTs). This prospective phase II multicenter trial evaluated the efficacy and safety of anti-CEA pretargeted radioimmunotherapy (pRAIT) in rapidly progressing metastatic MTC patients and also how serum biomarker DTs correlate with clinical outcome.</div>
</front>
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<DateCreated>
<Year>2012</Year>
<Month>08</Month>
<Day>02</Day>
</DateCreated>
<DateCompleted>
<Year>2012</Year>
<Month>10</Month>
<Day>16</Day>
</DateCompleted>
<DateRevised>
<Year>2013</Year>
<Month>11</Month>
<Day>21</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1535-5667</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>53</Volume>
<Issue>8</Issue>
<PubDate>
<Year>2012</Year>
<Month>Aug</Month>
</PubDate>
</JournalIssue>
<Title>Journal of nuclear medicine : official publication, Society of Nuclear Medicine</Title>
<ISOAbbreviation>J. Nucl. Med.</ISOAbbreviation>
</Journal>
<ArticleTitle>Phase II trial of anticarcinoembryonic antigen pretargeted radioimmunotherapy in progressive metastatic medullary thyroid carcinoma: biomarker response and survival improvement.</ArticleTitle>
<Pagination>
<MedlinePgn>1185-92</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.2967/jnumed.111.101865</ELocationID>
<Abstract>
<AbstractText Label="UNLABELLED">The prognosis of medullary thyroid carcinoma (MTC) varies from long- to short-term survival based on such prognostic factors as serum calcitonin and carcinoembryonic antigen (CEA) doubling times (DTs). This prospective phase II multicenter trial evaluated the efficacy and safety of anti-CEA pretargeted radioimmunotherapy (pRAIT) in rapidly progressing metastatic MTC patients and also how serum biomarker DTs correlate with clinical outcome.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">From June 2004 to January 2008, 42 patients were treated with anti-CEA × anti-diethylenetriaminepentaacetic acid (DTPA) bispecific antibody (hMN-14 × m734) (40 mg/m(2)), followed by (131)I-di-DTPA-indium bivalent hapten (1.8 GBq/m(2)) 4-6 d later.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The disease control rate (durable stabilization plus objective response) was 76.2%. Grade 3-4 hematologic toxicity was observed in 54.7% of patients and myelodysplastic syndrome in 2, including 1 heavily treated previously. After pRAIT, 21 of 37 assessed patients (56.7%) showed a significant impact on DT (≥100% increase of pre-pRAIT calcitonin or CEA DT or prolonged decrease of the biomarker concentration after pRAIT). Pre-pRAIT DT and post-pRAIT DT were significant independent predictors for overall survival (OS) from pRAIT (pre-pRAIT: hazard ratio [HR], 0.46; 95% confidence interval [CI], 0.24-0.86; P = 0.016; and post-pRAIT: HR, 5.32; 95% CI, 1.63-17.36; P = 0.006) and OS from diagnosis (pre-pRAIT: HR, 0.21; 95% CI, 0.08-0.51; P = 0.001; and post-pRAIT: HR, 6.16; 95% CI, 1.81-20.98; P = 0.004).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">pRAIT showed antitumor activity, with manageable hematologic toxicity in progressive MTC. Increased biomarker DT after treatment correlated with increased OS.</AbstractText>
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<LastName>Salaun</LastName>
<ForeName>Pierre-Yves</ForeName>
<Initials>PY</Initials>
<Affiliation>Nuclear Medicine Department, University Hospital and ICO Gauducheau Cancer Institute, IRCNA, Cancer Research Center, Université de Nantes, Inserm, UMR 892, Nantes, France.</Affiliation>
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