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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
1993-6-1
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pubmed:abstractText |
Anti-B-blocked ricin (anti-B4-bR) combines the specificity of the anti-B4 (CD19) monoclonal antibody with the protein toxin "blocked ricin." In blocked ricin, affinity ligands are attached to the ricin B-chain to attenuate its lectin binding capacity. In a phase I trial, Anti-B4-bR was administered by 7-day continuous infusion to 12 patients in complete remission after autologous bone marrow transplantation (ABMT) for relapsed B-cell non-Hodgkin's lymphoma (NHL). Patients were treated at 20, 40, and 50 micrograms/kg/d for 7 days. Potentially therapeutic serum levels could be sustained for 3 to 4 days. The maximum tolerated dose was 40 micrograms/kg/d for 7 days (total 280 micrograms/kg). The dose-limiting toxicities were reversible grade IV thrombocytopenia and elevation of hepatic transaminases. Mild capillary leak syndrome was manifested by hypoalbuminemia, peripheral edema (4 patients), and dyspnea (1 patient). Anti-immunotoxin antibodies developed in 7 patients. Eleven patients remain in complete remission between 13 and 26 months post-ABMT (median 17 months). These results show that Anti-B4-bR can be administered with tolerable, reversible toxicities to patients with B-cell NHL in complete remission following ABMT.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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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/DNA, Neoplasm,
http://linkedlifedata.com/resource/pubmed/chemical/Immunotoxins,
http://linkedlifedata.com/resource/pubmed/chemical/Protein-Tyrosine Kinases,
http://linkedlifedata.com/resource/pubmed/chemical/Proto-Oncogene Proteins,
http://linkedlifedata.com/resource/pubmed/chemical/Proto-Oncogene Proteins c-bcl-2,
http://linkedlifedata.com/resource/pubmed/chemical/Ricin
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pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0006-4971
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
1
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pubmed:volume |
81
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pubmed:geneSymbol |
bcl-2
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
2263-71
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pubmed:dateRevised |
2009-11-19
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pubmed:meshHeading |
pubmed-meshheading:8481509-Antibodies, Anti-Idiotypic,
pubmed-meshheading:8481509-Antibodies, Monoclonal,
pubmed-meshheading:8481509-Bone Marrow Transplantation,
pubmed-meshheading:8481509-Combined Modality Therapy,
pubmed-meshheading:8481509-DNA, Neoplasm,
pubmed-meshheading:8481509-Enzyme-Linked Immunosorbent Assay,
pubmed-meshheading:8481509-Follow-Up Studies,
pubmed-meshheading:8481509-Humans,
pubmed-meshheading:8481509-Immunotoxins,
pubmed-meshheading:8481509-Lymphoma, B-Cell,
pubmed-meshheading:8481509-Polymerase Chain Reaction,
pubmed-meshheading:8481509-Protein-Tyrosine Kinases,
pubmed-meshheading:8481509-Proto-Oncogene Proteins,
pubmed-meshheading:8481509-Proto-Oncogene Proteins c-bcl-2,
pubmed-meshheading:8481509-Proto-Oncogenes,
pubmed-meshheading:8481509-Ricin,
pubmed-meshheading:8481509-Transplantation, Autologous
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pubmed:year |
1993
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pubmed:articleTitle |
Adjuvant immunotoxin therapy with anti-B4-blocked ricin after autologous bone marrow transplantation for patients with B-cell non-Hodgkin's lymphoma.
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pubmed:affiliation |
Division of Tumor Immunology, Dana-Farber Cancer Institute, Boston, MA 02115.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, U.S. Gov't, P.H.S.,
Clinical Trial, Phase I
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