Preoperative characterisation of clear-cell renal carcinoma using iodine-124-labelled antibody chimeric G250 (124I-cG250) and PET in patients with renal masses: a phase I trial

  • 0Memorial Sloan-Kettering Cancer Center, New York, NY, USA. chaitanya.divgi@uphs.upenn.edu

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Summary

This summary is machine-generated.

Iodine-124-labelled antibody chimeric G250 (124I-cG250) PET accurately identifies clear-cell renal carcinoma. This imaging technique helps stratify patients, predict tumor aggressiveness, and guide treatment decisions for kidney cancer.

Area Of Science

  • Oncology
  • Nuclear Medicine
  • Radiopharmaceuticals

Background

  • Preoperative tumor identification is crucial for effective renal cancer treatment.
  • Carbonic anhydrase-IX is over-expressed in clear-cell renal carcinomas.
  • Chimeric G250 antibody targets carbonic anhydrase-IX.

Purpose Of The Study

  • To evaluate the efficacy of iodine-124-labelled antibody chimeric G250 ((124)I-cG250) PET in predicting clear-cell renal carcinoma.
  • To assess the diagnostic accuracy of (124)I-cG250 PET for identifying the most common and aggressive renal tumor type.

Main Methods

  • A pilot study involving 26 patients with renal masses scheduled for surgery.
  • Patients received a single intravenous infusion of (124)I-cG250.
  • Abdominal PET and CT scans were performed before surgery, with results graded for antibody uptake.

Main Results

  • (124)I-cG250 PET accurately identified 15 out of 16 clear-cell carcinomas (94% sensitivity).
  • All nine non-clear-cell renal masses were negative for the tracer (100% specificity).
  • The study demonstrated high sensitivity (94%) and specificity (100%) for clear-cell renal carcinoma detection.

Conclusions

  • PET imaging with (124)I-cG250 accurately identifies clear-cell renal carcinoma.
  • A negative scan suggests a less aggressive tumor phenotype, aiding in treatment stratification.
  • (124)I-cG250 PET can assist in differentiating tumor types and guiding clinical management.

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