Literature DB >> 3267304

Neoplastic meningitis from a pineal tumour treated by antibody-guided irradiation via the intrathecal route.

H B Coakham1, R B Richardson, A G Davies, S P Bourne, H Eckert, J T Kemshead.   

Abstract

A monoclonal antibody (UJ181.4) was labelled with 131I and given intrathecally to a patient who was critically ill with neoplastic meningitis due to a disseminated pineoblastoma. The target antigen had first been demonstrated on tumour cells by immunocytological testing of cerebrospinal fluid (CSF). As a preparation for therapy, a test dose of 131I-UJ181.4 antibody was given simultaneously with a control antibody labelled with 125I. Good evidence of in vivo immunolocalization was obtained by external gamma counting and by analysis of the radiolabels on centrifuged CSF cells. Specificity ratios of between 10:1 and 20:1 were obtained by these methods. A single relatively small therapeutic dose of 131-I (870 MBq) given by the intrathecal route, resulted in a marked clinical improvement and sustained remission for 22 months.

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Year:  1988        PMID: 3267304     DOI: 10.3109/02688698808992670

Source DB:  PubMed          Journal:  Br J Neurosurg        ISSN: 0268-8697            Impact factor:   1.596


  10 in total

Review 1.  Toward a cure for infants with brain tumours: the challenge for the 1990's.

Authors:  P M Zeltzer
Journal:  Br J Cancer Suppl       Date:  1992-08

2.  Dosimetry of intrathecal iodine131 monoclonal antibody in cases of neoplastic meningitis.

Authors:  R B Richardson; J T Kemshead; A G Davies; G E Staddon; P C Jackson; H B Coakham; L S Lashford
Journal:  Eur J Nucl Med       Date:  1990

Review 3.  The present and future of radiolabelled antibodies in oncology.

Authors:  K E Britton; M Granowska
Journal:  Ann Nucl Med       Date:  1993-08       Impact factor: 2.668

Review 4.  Applications of monoclonal antibodies in the investigation, diagnosis, and treatment of retinoblastoma.

Authors:  J F Tarlton; D L Easty
Journal:  Br J Ophthalmol       Date:  1993-12       Impact factor: 4.638

5.  Neoplastic meningitis in malignant melanoma: diagnosis with monoclonal antibodies.

Authors:  R P Moseley; A G Davies; S P Bourne; C Popham; S Carrel; P Monro; H B Coakham
Journal:  J Neurol Neurosurg Psychiatry       Date:  1989-07       Impact factor: 10.154

Review 6.  Immunology of gliomas.

Authors:  N de Tribolet
Journal:  Childs Nerv Syst       Date:  1989-04       Impact factor: 1.475

Review 7.  Primary central nervous system lymphomas--an update.

Authors:  K A Jellinger; W Paulus
Journal:  J Cancer Res Clin Oncol       Date:  1992       Impact factor: 4.553

8.  Treatment of neoplastic meningitis by targeted radiation using (131)I-radiolabelled monoclonal antibodies. Results of responses and long term follow-up in 40 patients.

Authors:  H B Coakham; J T Kemshead
Journal:  J Neurooncol       Date:  1998 Jun-Jul       Impact factor: 4.130

Review 9.  Principles of radiotherapy of neoplastic meningosis.

Authors:  P E Hanssens; F J Lagerwaard; P C Levendag
Journal:  J Neurooncol       Date:  1998 Jun-Jul       Impact factor: 4.130

Review 10.  The therapy of primary brain lymphoma.

Authors:  F H Hochberg; J S Loeffler; M Prados
Journal:  J Neurooncol       Date:  1991-06       Impact factor: 4.130

  10 in total

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