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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
11
|
pubmed:dateCreated |
1996-1-11
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pubmed:abstractText |
Adult T-cell leukemia (ATL) is a malignancy of mature lymphocytes caused by the retrovirus human T-cell lymphotropic virus-I. It is an aggressive leukemia with a median survival time of 9 months; no chemotherapy regimen appears successful in inducing long-term disease-free survival. The scientific basis of the present study is that ATL cells express high-affinity interleukin-2 receptors identified by the anti-Tac monoclonal antibody, whereas normal resting cells do not. To exploit this difference, we administered anti-Tac armed with Yttrium-90 (90Y) to 18 patients with ATL initially (first 9 patients) in a phase I dose-escalation trial and subsequently (second group of 9 patients) in a phase II trial involving a uniform 10-mCi dose of 90Y-labeled anti-Tac. Patients undergoing a remission were permitted to receive up to eight additional doses. At the 5- to 15-mCi doses used, 9 of 16 evaluable patients responded to 90Y anti-Tac with a partial (7 patients) or complete (2 patients) remission. The responses observed represent improved efficacy in terms of length of remission when compared with previous results with unmodified anti-Tac. Clinically meaningful (> or = grade 3) toxicity was largely limited to the hematopoietic system. In conclusion, radioimmunotherapy with 90Y anti-Tac directed toward the IL-2R expressed on ATL cells may provide a useful approach for treatment of this aggressive malignancy.
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pubmed:commentsCorrections | |
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
AIM
|
pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Antibodies, Anti-Idiotypic,
http://linkedlifedata.com/resource/pubmed/chemical/Antibodies, Monoclonal,
http://linkedlifedata.com/resource/pubmed/chemical/Receptors, Interleukin-2,
http://linkedlifedata.com/resource/pubmed/chemical/Yttrium Radioisotopes
|
pubmed:status |
MEDLINE
|
pubmed:month |
Dec
|
pubmed:issn |
0006-4971
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pubmed:author |
pubmed-author:BamfordRR,
pubmed-author:BrechbielM WMW,
pubmed-author:CarrasquilloJ AJA,
pubmed-author:EnglandRR,
pubmed-author:FleisherT ATA,
pubmed-author:GansowO AOA,
pubmed-author:GoldmanC KCK,
pubmed-author:HanchardBB,
pubmed-author:Jackson-WhiteTT,
pubmed-author:JaffeE SES,
pubmed-author:JohnsonJ AJA,
pubmed-author:JunghansR PRP,
pubmed-author:Kasten-SportesCC,
pubmed-author:LitouHH,
pubmed-author:MannaSS,
pubmed-author:NelsonD LDL,
pubmed-author:PaikC HCH,
pubmed-author:ReynoldsJ CJC,
pubmed-author:RoesslerEE,
pubmed-author:TopL ELE,
pubmed-author:WaldmannT ATA,
pubmed-author:WhiteJ DJD,
pubmed-author:ZaknoenEE
|
pubmed:issnType |
Print
|
pubmed:day |
1
|
pubmed:volume |
86
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
4063-75
|
pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:7492762-Adult,
pubmed-meshheading:7492762-Animals,
pubmed-meshheading:7492762-Antibodies, Anti-Idiotypic,
pubmed-meshheading:7492762-Antibodies, Monoclonal,
pubmed-meshheading:7492762-Female,
pubmed-meshheading:7492762-Humans,
pubmed-meshheading:7492762-Immunocompetence,
pubmed-meshheading:7492762-Leukemia-Lymphoma, Adult T-Cell,
pubmed-meshheading:7492762-Lymphocyte Count,
pubmed-meshheading:7492762-Male,
pubmed-meshheading:7492762-Mice,
pubmed-meshheading:7492762-Middle Aged,
pubmed-meshheading:7492762-Radioimmunotherapy,
pubmed-meshheading:7492762-Receptors, Interleukin-2,
pubmed-meshheading:7492762-T-Lymphocytes,
pubmed-meshheading:7492762-Yttrium Radioisotopes
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pubmed:year |
1995
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pubmed:articleTitle |
Radioimmunotherapy of interleukin-2R alpha-expressing adult T-cell leukemia with Yttrium-90-labeled anti-Tac.
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pubmed:affiliation |
Metabolism Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Clinical Trial, Phase II,
Clinical Trial, Phase I
|