Previous studies using murine Abs yielded human-anti-mouse-antibody (HAMA) responses, but chimeric Abs are not immunogenic. Iodine-131 radiolabelled mAbs for the TAA G250 have been studied in a phase I clinical study. The intent of a phase I study is to test toxicity, and in the phase I study most patients experience mild nausea without vomiting.
Some data from a phase I study (5):
patient #5 one week after first injection
3 weeks after first injection
Ant.
Post.
Ant.
Post.
Steffens et al.: Phase I Radioimmunotherapy
of Metastatic Renal Cell Carcinoma with 131-I labelled Chimeric Monoclonal
Antibody G250. Clinical Cancer Research, 5: 3268-3274, 1999.
Ant.
Post.
The above pictures are radioimmunoscintigrams of one the patients in the
study. In the left picture, an arrow points to a brain metasteses
which was not detected on a subsequent CT scan.
The pictures to the left are of another patient (#2). Arrows
point to 2 bone metastases, a lymph node metastasis, and massive tumor
infiltration of the lung.
Below is a table summarizing the results of the study:
Steffens et al.: Phase I Radioimmunotherapy
of Metastatic Renal Cell Carcinoma with 131-I labelled Chimeric Monoclonal
Antibody G250. Clinical Cancer Research, 5: 3268-3274, 1999.