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Pharmacokinetics and dosimetry studies for optimization of anti-carcinoembryonic antigen x anti-hapten bispecific antibody-mediated pretargeting of Iodine-131-labeled hapten in a phase I radioimmunotherapy trial.

Identifieur interne : 003244 ( Main/Exploration ); précédent : 003243; suivant : 003245

Pharmacokinetics and dosimetry studies for optimization of anti-carcinoembryonic antigen x anti-hapten bispecific antibody-mediated pretargeting of Iodine-131-labeled hapten in a phase I radioimmunotherapy trial.

Auteurs : RBID : pubmed:14506196

English descriptors

Abstract

Pharmacokinetics and dosimetry of hMN-14 x m734 bispecific monoclonal antibody (BsMAb) and (131)I-labeled di-diethylenetriaminepentaacetic acid-indium ((131)I-hapten) were studied to optimize pretargeted radioimmunotherapy.

PubMed: 14506196

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Le document en format XML

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<title xml:lang="en">Pharmacokinetics and dosimetry studies for optimization of anti-carcinoembryonic antigen x anti-hapten bispecific antibody-mediated pretargeting of Iodine-131-labeled hapten in a phase I radioimmunotherapy trial.</title>
<author>
<name sortKey="Kraeber Bodere, Francoise" uniqKey="Kraeber Bodere F">Françoise Kraeber-Bodéré</name>
<affiliation wicri:level="3">
<nlm:affiliation>Nuclear Medicine Department, René Gauducheau Cancer Center, 44805 Saint Herblain, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Nuclear Medicine Department, René Gauducheau Cancer Center, 44805 Saint Herblain</wicri:regionArea>
<placeName>
<region type="region" nuts="2">Pays de la Loire</region>
<settlement type="city">Saint Herblain</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Faivre Chauvet, Alain" uniqKey="Faivre Chauvet A">Alain Faivre-Chauvet</name>
</author>
<author>
<name sortKey="Ferrer, Ludovic" uniqKey="Ferrer L">Ludovic Ferrer</name>
</author>
<author>
<name sortKey="Vuillez, Jean Philippe" uniqKey="Vuillez J">Jean-Philippe Vuillez</name>
</author>
<author>
<name sortKey="Brard, Pierre Yves" uniqKey="Brard P">Pierre-Yves Brard</name>
</author>
<author>
<name sortKey="Rousseau, Caroline" uniqKey="Rousseau C">Caroline Rousseau</name>
</author>
<author>
<name sortKey="Resche, Isabelle" uniqKey="Resche I">Isabelle Resche</name>
</author>
<author>
<name sortKey="Devillers, Anne" uniqKey="Devillers A">Anne Devillers</name>
</author>
<author>
<name sortKey="Laffont, Sophie" uniqKey="Laffont S">Sophie Laffont</name>
</author>
<author>
<name sortKey="Bardies, Manuel" uniqKey="Bardies M">Manuel Bardiès</name>
</author>
<author>
<name sortKey="Chang, Ken" uniqKey="Chang K">Ken Chang</name>
</author>
<author>
<name sortKey="Sharkey, Robert M" uniqKey="Sharkey R">Robert M Sharkey</name>
</author>
<author>
<name sortKey="Goldenberg, David M" uniqKey="Goldenberg D">David M Goldenberg</name>
</author>
<author>
<name sortKey="Chatal, Jean Francois" uniqKey="Chatal J">Jean-François Chatal</name>
</author>
<author>
<name sortKey="Barbet, Jacques" uniqKey="Barbet J">Jacques Barbet</name>
</author>
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<date when="2003">2003</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Antibodies, Bispecific (chemistry)</term>
<term>Antibodies, Bispecific (pharmacokinetics)</term>
<term>Bone Marrow (pathology)</term>
<term>Carcinoembryonic Antigen (chemistry)</term>
<term>Female</term>
<term>Haptens (chemistry)</term>
<term>Humans</term>
<term>Iodine Radioisotopes (therapeutic use)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neoplasm Metastasis</term>
<term>Neoplasms (therapy)</term>
<term>Quality Control</term>
<term>Radioimmunotherapy (methods)</term>
<term>Radiometry</term>
<term>Time Factors</term>
<term>Tissue Distribution</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="chemistry" xml:lang="en">
<term>Antibodies, Bispecific</term>
<term>Carcinoembryonic Antigen</term>
<term>Haptens</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="pharmacokinetics" xml:lang="en">
<term>Antibodies, Bispecific</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Radioimmunotherapy</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Bone Marrow</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Iodine Radioisotopes</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Neoplasms</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neoplasm Metastasis</term>
<term>Quality Control</term>
<term>Radiometry</term>
<term>Time Factors</term>
<term>Tissue Distribution</term>
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<front>
<div type="abstract" xml:lang="en">Pharmacokinetics and dosimetry of hMN-14 x m734 bispecific monoclonal antibody (BsMAb) and (131)I-labeled di-diethylenetriaminepentaacetic acid-indium ((131)I-hapten) were studied to optimize pretargeted radioimmunotherapy.</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Owner="NLM" Status="MEDLINE">
<PMID Version="1">14506196</PMID>
<DateCreated>
<Year>2003</Year>
<Month>09</Month>
<Day>24</Day>
</DateCreated>
<DateCompleted>
<Year>2004</Year>
<Month>06</Month>
<Day>01</Day>
</DateCompleted>
<DateRevised>
<Year>2004</Year>
<Month>11</Month>
<Day>17</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">1078-0432</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>9</Volume>
<Issue>10 Pt 2</Issue>
<PubDate>
<Year>2003</Year>
<Month>Sep</Month>
<Day>1</Day>
</PubDate>
</JournalIssue>
<Title>Clinical cancer research : an official journal of the American Association for Cancer Research</Title>
<ISOAbbreviation>Clin. Cancer Res.</ISOAbbreviation>
</Journal>
<ArticleTitle>Pharmacokinetics and dosimetry studies for optimization of anti-carcinoembryonic antigen x anti-hapten bispecific antibody-mediated pretargeting of Iodine-131-labeled hapten in a phase I radioimmunotherapy trial.</ArticleTitle>
<Pagination>
<MedlinePgn>3973S-81S</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Pharmacokinetics and dosimetry of hMN-14 x m734 bispecific monoclonal antibody (BsMAb) and (131)I-labeled di-diethylenetriaminepentaacetic acid-indium ((131)I-hapten) were studied to optimize pretargeted radioimmunotherapy.</AbstractText>
<AbstractText Label="EXPERIMENTAL DESIGN" NlmCategory="METHODS">Thirty-five patients with carcinoembryonic antigen-expressing tumors were included. In a first group of 12 patients, (131)I-trace-labeled BsMAb doses were escalated from 10 to 100 mg/m(2), and 3.7 GBq of (131)I-hapten were administered 7 days later. In a second group, 12 patients received 75 mg/m(2) BsMAb and 2.6-4.2 GBq of (131)I-hapten 5 days later. The BsMAb dose was then reduced to 40 mg/m(2), and 10 patients received 1.9-5.5 GBq of (131)I-hapten. Blood samples were collected. Biodistribution was monitored by quantitative scintigraphy.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Directly labeled BsMAb pharmacokinetics was described by two exponentials: half-lives were 8.1 h (2.0-18.1 h) and 48.2 h (22.8-79.4 h); blood clearance was 123 ml/h (64-195 ml/h). With a 7-day interval, 10 or 30 mg/m(2) BsMAb resulted in fast elimination and very low tumor uptake of hapten, whereas 50 or 100 mg/m(2) resulted in favorable tumor accretion. With 75 mg/m(2) BsMAb and a 5-day interval, hapten clearance was 152 ml/h (81-298 ml/h). Calculated radiation dose to tumor was 3.9 Gy/GBq (0.4-22.4 Gy/GBq) for the hapten, compared with 2.0 Gy/GBq (0.3-3.8 Gy/GBq) for the BsMAb, but hematological toxicity prevented dose escalation. Reduction of the BsMAb dose to 40 mg/m(2) accelerated hapten clearance to 492 ml/h (113-2544 ml/h) and reduced hematological toxicity without compromising tumor uptake [5.2 Gy/GBq (0.5-12.6 Gy/GBq)].</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Optimized BsMAb doses and time interval will allow for the administration of higher, tumoricidal, activity doses.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Kraeber-Bodéré</LastName>
<ForeName>Françoise</ForeName>
<Initials>F</Initials>
<Affiliation>Nuclear Medicine Department, René Gauducheau Cancer Center, 44805 Saint Herblain, France.</Affiliation>
</Author>
<Author ValidYN="Y">
<LastName>Faivre-Chauvet</LastName>
<ForeName>Alain</ForeName>
<Initials>A</Initials>
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<LastName>Ferrer</LastName>
<ForeName>Ludovic</ForeName>
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<LastName>Vuillez</LastName>
<ForeName>Jean-Philippe</ForeName>
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<LastName>Brard</LastName>
<ForeName>Pierre-Yves</ForeName>
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<LastName>Rousseau</LastName>
<ForeName>Caroline</ForeName>
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<LastName>Resche</LastName>
<ForeName>Isabelle</ForeName>
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<LastName>Devillers</LastName>
<ForeName>Anne</ForeName>
<Initials>A</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Laffont</LastName>
<ForeName>Sophie</ForeName>
<Initials>S</Initials>
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<LastName>Bardiès</LastName>
<ForeName>Manuel</ForeName>
<Initials>M</Initials>
</Author>
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<LastName>Chang</LastName>
<ForeName>Ken</ForeName>
<Initials>K</Initials>
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<LastName>Sharkey</LastName>
<ForeName>Robert M</ForeName>
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<LastName>Goldenberg</LastName>
<ForeName>David M</ForeName>
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<LastName>Chatal</LastName>
<ForeName>Jean-François</ForeName>
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<LastName>Barbet</LastName>
<ForeName>Jacques</ForeName>
<Initials>J</Initials>
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<Language>eng</Language>
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<PublicationType>Clinical Trial</PublicationType>
<PublicationType>Clinical Trial, Phase I</PublicationType>
<PublicationType>Journal Article</PublicationType>
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<Country>United States</Country>
<MedlineTA>Clin Cancer Res</MedlineTA>
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<RegistryNumber>0</RegistryNumber>
<NameOfSubstance>Haptens</NameOfSubstance>
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<NameOfSubstance>Iodine Radioisotopes</NameOfSubstance>
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<DescriptorName MajorTopicYN="N">Bone Marrow</DescriptorName>
<QualifierName MajorTopicYN="N">pathology</QualifierName>
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<DescriptorName MajorTopicYN="N">Carcinoembryonic Antigen</DescriptorName>
<QualifierName MajorTopicYN="Y">chemistry</QualifierName>
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<DescriptorName MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N">Haptens</DescriptorName>
<QualifierName MajorTopicYN="Y">chemistry</QualifierName>
</MeshHeading>
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<DescriptorName MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
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<DescriptorName MajorTopicYN="N">Iodine Radioisotopes</DescriptorName>
<QualifierName MajorTopicYN="Y">therapeutic use</QualifierName>
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<DescriptorName MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName MajorTopicYN="N">Neoplasm Metastasis</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N">Neoplasms</DescriptorName>
<QualifierName MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N">Quality Control</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N">Radioimmunotherapy</DescriptorName>
<QualifierName MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N">Radiometry</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N">Time Factors</DescriptorName>
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<MeshHeading>
<DescriptorName MajorTopicYN="N">Tissue Distribution</DescriptorName>
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