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Radioimmunotherapy as a novel treatment regimen: 125I-labeled monoclonal antibody 425 in the treatment of high-grade brain gliomas
Journal article

Radioimmunotherapy as a novel treatment regimen: 125I-labeled monoclonal antibody 425 in the treatment of high-grade brain gliomas

Tony S. Quang and Luther W. Brady
International journal of radiation oncology, biology, physics, v 58(3), pp 972-975
Mar 2004
PMID: 14967458

Abstract

Brain tumor Epidermal growth factor receptor Glioma Monoclonal antibody
A Phase I/II clinical trial was undertaken between January 29, 1987 and January 25, 1997 to assess the efficacy of 125I-labeled monoclonal antibody 425 (125I-MAb 425) in controlling high-grade brain gliomas. A total of 180 patients diagnosed with glioblastoma multiforme (GBM) and astrocytoma with anaplastic foci (AAF) were administered 125I-MAb 425 as an adjuvant treatment. All underwent initial surgery followed by postoperative external beam radiation therapy and a cumulative dose of 140 mCi of 125I-MAb 425. Biodistribution of radioactivity after antibody administration showed increased uptake in brain tumor cells due to enhanced expression of epidermal growth factor receptors. A longer half-life of 125I-MAb 425 in brain tumor cells compared to blood was observed. All patients were followed up for at least 5 years. Overall actuarial survival range for GBM and AAF patients showed 4-150 and 4-270 months, respectively. GBM and AAF patients under age 40 years with a Karnofsky performance status >70 had an actuarial median survival of 22.5 and 65 months, respectively. This adjuvant therapy demonstrates a significant increase in median survival and should be considered in the management of high-grade brain gliomas.

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Web of Science research areas
Oncology
Radiology, Nuclear Medicine & Medical Imaging
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