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Intraperitoneal immunoconjugates.

T W Griffin1, J Collins, F Bokhari

  • 1Division of Oncology (Medicine), University of Massachusetts Medical School, Worcester 01655.

Cancer Research
|February 1, 1990
PubMed
Summary
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Intraperitoneal (IP) radioantibody therapy shows promise for localized cancers. This approach reduces isotope uptake in organs like the liver and kidneys, offering a potential advantage over intravenous administration for confined malignant disease.

Area of Science:

  • Oncology
  • Immunotherapy
  • Radiopharmaceutical Therapy

Background:

  • Intracavitary instillation of radioantibodies is a potential therapy for anatomically confined malignant disease.
  • The human transferrin receptor is a target for monoclonal antibody therapy.

Purpose of the Study:

  • To evaluate the localization of a monoclonal antibody (7D3) targeting the human transferrin receptor for intracavitary radioantibody therapy.
  • To compare the biodistribution of radioantibodies administered via intraperitoneal (IP) versus intravenous (IV) routes in a preclinical model.

Main Methods:

  • A monoclonal antibody (7D3) reactive with the human transferrin receptor was purified and radiolabeled with 131I, 125I, or 111In.
  • Radiolabeled antibody was administered IP or IV to athymic nude mice bearing human malignant mesothelioma xenografts.

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  • Biodistribution was assessed by measuring the percentage of injected dose per gram (% ID/g) in tumors and organs at various time points.
  • Clinical studies in ovarian cancer patients receiving IP radioantibodies were also reviewed.
  • Main Results:

    • IP administration resulted in higher initial tumor cell uptake of radiolabel compared to IV administration in free-floating ascites cells (31.0% ID/g vs 12.0% ID/g at 3h).
    • Localization in solid tumors was similar between IP and IV routes at 3h (5.37% ID/g vs 4.73% ID/g).
    • By 24h, both routes showed similar tumor localization.
    • IP administration led to significantly less radiolabel uptake in the liver, kidney, bone, and bone marrow compared to IV administration.
    • Clinical studies showed confined biodistribution with IP radioantibodies, though with interpatient variability in radiolabel egress.

    Conclusions:

    • IP radioantibody therapy may be advantageous for cancers confined to the peritoneal cavity due to reduced systemic exposure to the isotope.
    • The primary benefit appears to be reduced localization in organs of toxicity (liver, kidney, bone, bone marrow), not necessarily higher tumor levels.
    • Further research is needed to address antibody penetration into solid tumors, microdosimetry, and the overall effectiveness of radioantibody therapy for tumor killing.