Scintigraphy with In-111-labeled monoclonal antitumor antibodies: kinetics, biodistribution, and tumor detection

Radiology. 1988 Aug;168(2):529-36. doi: 10.1148/radiology.168.2.3393677.

Abstract

The purpose of this study was to evaluate and compare the kinetics, biodistribution, and tumor-depicting properties of three intact indium-111-labeled murine monoclonal antibodies (MoAb) and to determine if use of In-111-labeled F(ab')2 fragments of one of them had advantages over its intact counterpart for immunoscintigraphy. Ten patients with prostate cancer were studied with an anti-prostatic acid phosphatase MoAb (PAY-276), with a resultant tumor detection rate of 15%. Twenty-eight patients with melanoma were studied with ZME-018, a MoAb that targets the KD-240 melanoma antigen. Forty-three percent of the known lesions were detected. Forty patients with carcinoembryonic antigen (CEA)-producing tumors were studied, 24 with intact ZCE-025, and anti-CEA MoAb, and 16 with its F(ab')2 fragment. With use of intact ZCE-025, 34% of known lesions were detected versus 83% with its F(ab')2 fragment. The distribution of each MoAb appears unique unto itself with regard to kinetics, normal tissue distribution, and response to MoAb mass.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Antibodies, Monoclonal*
  • Antigens, Neoplasm / immunology*
  • Carcinoembryonic Antigen / immunology*
  • Female
  • Humans
  • Immunoglobulin Fab Fragments
  • Immunoglobulin Fragments
  • Indium Radioisotopes*
  • Kinetics
  • Male
  • Melanoma / diagnostic imaging*
  • Prostatic Neoplasms / diagnostic imaging*
  • Radionuclide Imaging
  • Tissue Distribution

Substances

  • Antibodies, Monoclonal
  • Antigens, Neoplasm
  • Carcinoembryonic Antigen
  • Immunoglobulin Fab Fragments
  • Immunoglobulin Fragments
  • Indium Radioisotopes