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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1992-2-18
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pubmed:abstractText |
Twelve patients with metastatic colorectal cancer participated in a Phase I trial of 131I-labeled chimeric B72.3 (human IgG4). Consecutive groups of patients received 18 mCi/m2, 27 mCi/m2 and 36 mCi/m2. No acute side effects related to antibody administration were noted. Bone marrow suppression was the only side effect; it was dose-dependent and correlated with whole-body radiation dose estimates. The lowest dose level produced no marrow suppression, whereas 27 mCi/m2 resulted in Grade 1 and 2 marrow suppression in two of three patients. The maximum tolerated dose was 36 mCi/m2 with all six patients at this dose level having at least Grade 1 and two patients with Grade 3 and 4 marrow suppression. Eight of 12 patients had radioimmune imaging of tumor sites at 5-22 days. Seven patients had an antibody response to initial infusion. On retreatment, whole-body kinetics and imaging were altered for patients with a high anti-ch-B72.3 response. Thus, chimeric B72.3 (IgG4) has limited utility as a means of delivering multiple therapeutic doses of 131I in the majority of patients; alternative strategies including second generation anti-TAG-72 monoclonal antibodies, other radioisotopes and other chimeric human isotypes will need to be pursued.
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pubmed:grant | |
pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0161-5505
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
33
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
23-9
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:1730991-Adenocarcinoma,
pubmed-meshheading:1730991-Adult,
pubmed-meshheading:1730991-Aged,
pubmed-meshheading:1730991-Antibodies, Monoclonal,
pubmed-meshheading:1730991-Colonic Neoplasms,
pubmed-meshheading:1730991-Drug Evaluation,
pubmed-meshheading:1730991-Humans,
pubmed-meshheading:1730991-Immunoglobulin G,
pubmed-meshheading:1730991-Iodine Radioisotopes,
pubmed-meshheading:1730991-Leukopenia,
pubmed-meshheading:1730991-Liver Neoplasms,
pubmed-meshheading:1730991-Middle Aged,
pubmed-meshheading:1730991-Radiotherapy Dosage,
pubmed-meshheading:1730991-Thrombocytopenia
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pubmed:year |
1992
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pubmed:articleTitle |
Phase I trial of iodine-131-chimeric B72.3 (human IgG4) in metastatic colorectal cancer.
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pubmed:affiliation |
Department of Radiation Oncology, University of Alabama, Birmingham 35294.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, U.S. Gov't, P.H.S.,
Research Support, U.S. Gov't, Non-P.H.S.
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