
DOI . ORG {
}
Title[redir]:
High-Dose Radioimmunotherapy Combined with Fixed, Low-Dose Paclitaxel in Metastatic Prostate and Breast Cancer by Using a MUC-1 Monoclonal Antibody, m170, Linked to Indium-111/Yttrium-90 via a Cathepsin Cleavable Linker with Cyclosporine to Prevent Human Anti-mouse Antibody | Clinical Cancer Research | American Association for Cancer Research
Description:
Abstract. Purpose: Although radioimmunotherapy alone is effective in lymphoma, its application to solid tumors will likely require a combined modality approach. In these phase I studies, paclitaxel was combined with radioimmunotherapy in patients with metastatic hormone-refractory prostate cancer or advanced breast cancer.Experimental Design: Patients were imaged with indium-111 (111In)-1,4,7,10-tetraazacyclododecane-N,N′,N″,N‴-tetraacetic acid-peptide-m170. One week later, yttrium-90 (90Y)-m170 was infused (12 mCi/m2 for prostate cancer and 22 mCi/m2 for breast cancer). Initial cohorts received radioimmunotherapy alone. Subsequent cohorts received radioimmunotherapy followed 48 hours later by paclitaxel (75 mg/m2). Cyclosporine was given to prevent development of human anti-mouse antibody.Results: Bone and soft tissue metastases were targeted by 111In-m170 in 15 of the 16 patients imaged. Three prostate cancer patients treated with radioimmunotherapy alone had no grade 3 or 4 toxicity. With radioimmunotherapy and paclitaxel, two of three prostate cancer patients developed transient grade 4 neutropenia. Four breast cancer patients treated with radioimmunotherapy alone had grade 3 or 4 myelosuppression. With radioimmunotherapy and paclitaxel, both breast cancer patients developed grade 4 neutropenia. Three breast cancer patients required infusion of previously harvested peripheral blood stem cells because of neutropenic fever or bleeding. One patient in this trial developed human anti-mouse antibody in contrast to 12 of 17 patients in a prior trial using m170-radioimmunotherapy without cyclosporine.Conclusions:111In/90Y-m170 targets prostate and breast cancer and can be combined with paclitaxel with toxicity limited to marrow suppression at the dose levels above. The maximum tolerated dose of radioimmunotherapy and fixed-dose paclitaxel with peripheral blood stem cell support has not been reached. Cyclosporine is effective in preventing human anti-mouse antibody, suggesting the feasibility of multidose, “fractionated” therapy that could enhance clinical response.
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Keywords {🔍}
cancer, patients, breast, dose, prostate, radioimmunotherapy, antibody, therapy, denardo, paclitaxel, radiation, tumor, imaging, clinical, toxicity, monoclonal, patient, mcim, study, studies, bone, treatment, liver, dosimetry, linker, received, trial, clin, res, hama, metastatic, doses, days, table, cyclosporine, human, tumors, tissue, antibodies, normal, oncol, treated, grade, developed, cell, disease, imaged, stem, marrow, administration,
Topics {✒️}
dota-glycyl-glycyl-glycyl-phe-m170 recent articles latest yttrium-90/indium-111-dota-peptide-chimeric l6 yttrium-90-dota-peptide-chimeric l6 radioimmunoconjugate 111in/90y-m170 targets prostate iodine-131-labeled anti-cd20 antibody cancer prevention view cancer research transformed low-grade b-cell 111in/90y-dota-peptide-m170 patient receive 90y-dota-peptide-m170 open menu tetrapeptide-linked radiometal-labeled radiopharmaceutical human anti-mouse antibody 111in-dota-peptide-m170 targeting 90y/111in-dota-peptide-m170 provide information molecular sieving chromatography california-davis cancer center granulocyte colony-stimulating factor yttrium-90-labeled anti-tac nci molecular analysis 90y/111in-2it-bad-m170 131i-anti-cd45 antibody autologous stem-cell rescue hormone-refractory prostate cancer 111in-labeled dota-peptide radiolabeled anti-cd33 antibody aberrant carbohydrate residues peptide-linked dota derivative 90y-cyt-356 monoclonal antibody 67cu-2it-bat-lym-1 recurrent b-cell lymphoma dota-peptide-linked-m170 high-performance liquid chromatography cathepsin-degradable peptide linking 90y-dota-peptide-m170 stem cell–supported radioimmunotherapy stem cell–supported radioimmunotherapy 111in-dota-peptide-m170 111in dota-peptide-m170 article abstract materials 2it-bat-lym-1 immunoconjugates radiolabeled dota-peptide-m170 111in-dota-2it-m170 small volume nodal iodine-131-anti-b1 radioimmunotherapy dota-tetrapeptide-linked m170 chemotherapy-refractory low-grade conventional 2it-bad linker
Questions {❓}
- Does paclitaxel given after 111In labeled monoclonal antibodies increase tumor cumulated activity in epithelial cancers?
Schema {🗺️}
ScholarlyArticle:
context:https://schema.org
id:https://aacrjournals.org/clincancerres/article/11/16/5920/185630/High-Dose-Radioimmunotherapy-Combined-with-Fixed
name:High-Dose Radioimmunotherapy Combined with Fixed, Low-Dose Paclitaxel in Metastatic Prostate and Breast Cancer by Using a MUC-1 Monoclonal Antibody, m170, Linked to Indium-111/Yttrium-90 via a Cathepsin Cleavable Linker with Cyclosporine to Prevent Human Anti-mouse Antibody
datePublished:2005-08-22
isPartOf:
id:https://aacrjournals.org/clincancerres/issue/11/16
type:PublicationIssue
issueNumber:16
datePublished:2005-08-15
isPartOf:
id:https://aacrjournals.org/clincancerres
type:Periodical
name:Clinical Cancer Research
issn:
1557-3265
url:https://dx.doi.org/10.1158/1078-0432.CCR-05-0211
keywords:
Combined modality radioimmunotherapy
Peripheral blood stem cell support
Fractionated radioimmunotherapy
Prostate cancer
Breast cancer
inLanguage:en
copyrightHolder:
copyrightYear:2025
publisher:
author:
name:Richman, Carol M.
affiliation:1 University of California-Davis, Sacramento, California;
type:Person
name:DeNardo, Sally J.
affiliation:1 University of California-Davis, Sacramento, California;
type:Person
name:O'Donnell, Robert T.
affiliation:1 University of California-Davis, Sacramento, California;
type:Person
name:Yuan, Aina
affiliation:1 University of California-Davis, Sacramento, California;
type:Person
name:Shen, Sui
affiliation:2 University of Alabama, Birmingham, Alabama; and
type:Person
name:Goldstein, Desiree S.
affiliation:1 University of California-Davis, Sacramento, California;
type:Person
name:Tuscano, Joseph M.
affiliation:1 University of California-Davis, Sacramento, California;
type:Person
name:Wun, Ted
affiliation:1 University of California-Davis, Sacramento, California;
type:Person
name:Chew, Helen K.
affiliation:1 University of California-Davis, Sacramento, California;
type:Person
name:Lara, Primo N.
affiliation:1 University of California-Davis, Sacramento, California;
type:Person
name:Kukis, David L.
affiliation:1 University of California-Davis, Sacramento, California;
type:Person
name:Natarajan, Arutselvan
affiliation:1 University of California-Davis, Sacramento, California;
type:Person
name:Meares, Claude F.
affiliation:1 University of California-Davis, Sacramento, California;
type:Person
name:Lamborn, Kathleen R.
affiliation:3 University of California-San Francisco, San Francisco, California
type:Person
name:DeNardo, Gerald L.
affiliation:1 University of California-Davis, Sacramento, California;
type:Person
description:Abstract. Purpose: Although radioimmunotherapy alone is effective in lymphoma, its application to solid tumors will likely require a combined modality approach. In these phase I studies, paclitaxel was combined with radioimmunotherapy in patients with metastatic hormone-refractory prostate cancer or advanced breast cancer.Experimental Design: Patients were imaged with indium-111 (111In)-1,4,7,10-tetraazacyclododecane-N,N′,N″,N‴-tetraacetic acid-peptide-m170. One week later, yttrium-90 (90Y)-m170 was infused (12 mCi/m2 for prostate cancer and 22 mCi/m2 for breast cancer). Initial cohorts received radioimmunotherapy alone. Subsequent cohorts received radioimmunotherapy followed 48 hours later by paclitaxel (75 mg/m2). Cyclosporine was given to prevent development of human anti-mouse antibody.Results: Bone and soft tissue metastases were targeted by 111In-m170 in 15 of the 16 patients imaged. Three prostate cancer patients treated with radioimmunotherapy alone had no grade 3 or 4 toxicity. With radioimmunotherapy and paclitaxel, two of three prostate cancer patients developed transient grade 4 neutropenia. Four breast cancer patients treated with radioimmunotherapy alone had grade 3 or 4 myelosuppression. With radioimmunotherapy and paclitaxel, both breast cancer patients developed grade 4 neutropenia. Three breast cancer patients required infusion of previously harvested peripheral blood stem cells because of neutropenic fever or bleeding. One patient in this trial developed human anti-mouse antibody in contrast to 12 of 17 patients in a prior trial using m170-radioimmunotherapy without cyclosporine.Conclusions:111In/90Y-m170 targets prostate and breast cancer and can be combined with paclitaxel with toxicity limited to marrow suppression at the dose levels above. The maximum tolerated dose of radioimmunotherapy and fixed-dose paclitaxel with peripheral blood stem cell support has not been reached. Cyclosporine is effective in preventing human anti-mouse antibody, suggesting the feasibility of multidose, “fractionated” therapy that could enhance clinical response.
pageStart:5920
pageEnd:5927
siteName:American Association for Cancer Research
thumbnailURL:https://aacr.silverchair-cdn.com/aacr/content_public/journal/clincancerres/issue/11/16/2/m_cover.gif?Expires=1814574248&Signature=pRMsK1Zphtc-f6bB1w3jPEgv0ufWd3CRn3cWE-EtX7ZeeCgjeY7Cyv3~ZfXrWIVMH~o2RWs4cIhrL2HBv01j8H~3FNEyO3CN5afb2viU3tmYOoisLRSY~LSaKXfoFiJgDbHRnwftcVeqytFvynzpdiDdC8QXy~bgODLrBjYJHWJHlMIZRw4VHS8CeKFqXFeJteUaMm78jUQEU52DP9OR5tx-fLd~aM9sEBEG7MFZWTTgDVTyuXaG-LLkogGDZPJ6I8sAZtbHF03JucrZECsSc0tp8h2x1GCCGwJ0L~TuJUgHLvYmXOs4HVWVvcBF6uliznBNZAYOgGqWr1FUiZlCDg__&Key-Pair-Id=APKAIE5G5CRDK6RD3PGA
headline:High-Dose Radioimmunotherapy Combined with Fixed, Low-Dose Paclitaxel in Metastatic Prostate and Breast Cancer by Using a MUC-1 Monoclonal Antibody, m170, Linked to Indium-111/Yttrium-90 via a Cathepsin Cleavable Linker with Cyclosporine to Prevent Human Anti-mouse Antibody
image:https://aacr.silverchair-cdn.com/aacr/content_public/journal/clincancerres/issue/11/16/2/m_cover.gif?Expires=1814574248&Signature=pRMsK1Zphtc-f6bB1w3jPEgv0ufWd3CRn3cWE-EtX7ZeeCgjeY7Cyv3~ZfXrWIVMH~o2RWs4cIhrL2HBv01j8H~3FNEyO3CN5afb2viU3tmYOoisLRSY~LSaKXfoFiJgDbHRnwftcVeqytFvynzpdiDdC8QXy~bgODLrBjYJHWJHlMIZRw4VHS8CeKFqXFeJteUaMm78jUQEU52DP9OR5tx-fLd~aM9sEBEG7MFZWTTgDVTyuXaG-LLkogGDZPJ6I8sAZtbHF03JucrZECsSc0tp8h2x1GCCGwJ0L~TuJUgHLvYmXOs4HVWVvcBF6uliznBNZAYOgGqWr1FUiZlCDg__&Key-Pair-Id=APKAIE5G5CRDK6RD3PGA
image:alt:Issue Cover
PublicationIssue:
id:https://aacrjournals.org/clincancerres/issue/11/16
issueNumber:16
datePublished:2005-08-15
isPartOf:
id:https://aacrjournals.org/clincancerres
type:Periodical
name:Clinical Cancer Research
issn:
1557-3265
Periodical:
id:https://aacrjournals.org/clincancerres
name:Clinical Cancer Research
issn:
1557-3265
Person:
name:Richman, Carol M.
affiliation:1 University of California-Davis, Sacramento, California;
name:DeNardo, Sally J.
affiliation:1 University of California-Davis, Sacramento, California;
name:O'Donnell, Robert T.
affiliation:1 University of California-Davis, Sacramento, California;
name:Yuan, Aina
affiliation:1 University of California-Davis, Sacramento, California;
name:Shen, Sui
affiliation:2 University of Alabama, Birmingham, Alabama; and
name:Goldstein, Desiree S.
affiliation:1 University of California-Davis, Sacramento, California;
name:Tuscano, Joseph M.
affiliation:1 University of California-Davis, Sacramento, California;
name:Wun, Ted
affiliation:1 University of California-Davis, Sacramento, California;
name:Chew, Helen K.
affiliation:1 University of California-Davis, Sacramento, California;
name:Lara, Primo N.
affiliation:1 University of California-Davis, Sacramento, California;
name:Kukis, David L.
affiliation:1 University of California-Davis, Sacramento, California;
name:Natarajan, Arutselvan
affiliation:1 University of California-Davis, Sacramento, California;
name:Meares, Claude F.
affiliation:1 University of California-Davis, Sacramento, California;
name:Lamborn, Kathleen R.
affiliation:3 University of California-San Francisco, San Francisco, California
name:DeNardo, Gerald L.
affiliation:1 University of California-Davis, Sacramento, California;
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