Document Detail


Immunoscintigraphy performed with In-111-labeled CYT-103 in the management of colorectal cancer: comparison with CT.
MedLine Citation:
PMID:  1523304     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Immunoscintigraphy performed after intravenous administration of indium-111-labeled CYT-103, an immunoconjugate of monoclonal antibody B72.3, was evaluated in patients with suspected primary or recurrent colorectal cancer at 25 centers in the United States. Gamma camera imaging, computed tomography (CT), and confirmatory surgical exploration were completed in 169 of 227 patients who received single infusions of In-111 CYT-103. Eight patients (3.5%) had reversible, nonserious adverse reactions, and 39% developed antimurine antibodies. Surgery revealed that 155 of 169 patients had colorectal carcinoma. In these 155 patients, immunoscintigraphy and CT demonstrated similar sensitivity (69% and 68%, respectively) and specificity (77%). However, immunoscintigraphy had greater sensitivity in detection of pelvic tumors (74% vs 57%, P = .035) and extrahepatic abdominal tumors (66% vs 34%, P less than .001); CT enabled detection of a greater proportion of liver metastases (84% vs 41%, P less than .001). These results indicate that In-111 CYT-103 can be administered safely and that immunoscintigraphy performed with this agent frequently enables identification of extrahepatic abdominal sites of disease not visualized with CT.
Authors:
B D Collier; H Abdel-Nabi; R J Doerr; S J Harwood; J Olsen; E H Kaplan; G G Winzelberg; S J Grossman; D N Krag; E P Mitchell
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Controlled Clinical Trial; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Radiology     Volume:  185     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1992 Oct 
Date Detail:
Created Date:  1992-10-15     Completed Date:  1992-10-15     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  179-86     Citation Subset:  AIM; IM    
Affiliation:
Department of Nuclear Medicine, Medical College of Wisconsin, Milwaukee 53226.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Antibodies, Monoclonal / diagnostic use*
Antigens, Neoplasm / blood
Colorectal Neoplasms / blood,  radionuclide imaging*
Female
Glycoproteins / blood
Humans
Indium Radioisotopes / diagnostic use*
Male
Middle Aged
Oligopeptides / diagnostic use*
Pentetic Acid / analogs & derivatives*,  diagnostic use
Radioimmunodetection*
Tomography, X-Ray Computed*
Chemical
Reg. No./Substance:
0/Antibodies, Monoclonal; 0/Antigens, Neoplasm; 0/Glycoproteins; 0/Indium 111In-satumomab pendetide; 0/Indium Radioisotopes; 0/Oligopeptides; 0/tumor-associated antigen 72; 67-43-6/Pentetic Acid

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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