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铟-111 癌胚抗原单克隆抗体:首个获美国食品药品监督管理局批准用于肿瘤成像的单克隆抗体。

Indium-111 satumomab pendetide: the first FDA-approved monoclonal antibody for tumor imaging.

作者信息

Bohdiewicz P J

机构信息

Nuclear Medicine Department, William Beaumont Hospital, Royal Oak, MI 48073-6769, USA.

出版信息

J Nucl Med Technol. 1998 Sep;26(3):155-63; quiz 170-1.

PMID:9755434
Abstract

Colon cancer is the second most common cause of cancer mortality. Ovarian cancer is the most common gynecologic malignancy cause of death in women. A labeled monoclonal antibody attaches to a tumor-associated antigen and allows these tumor masses to be imaged or treated, depending on the radionuclide used. Indium-111 satumomab pendetide was the first labeled monoclonal antibody to be approved by the Food and Drug Administration (FDA) for tumor imaging. It is reactive with most colorectal and ovarian cancers, as well as other cancers. After reading this article, the technologist will understand the FDA approval process, phase trial results, safety and adverse reactions, human antimurine antibody response, indications, imaging protocol, and strengths and weaknesses of imaging with satumomab pendetide. Representative cases are presented.

摘要

结肠癌是癌症死亡的第二大常见原因。卵巢癌是女性妇科恶性肿瘤致死的最常见原因。标记单克隆抗体附着于肿瘤相关抗原,根据所使用的放射性核素,可对这些肿瘤块进行成像或治疗。铟-111 奥曲肽是首个获得美国食品药品监督管理局(FDA)批准用于肿瘤成像的标记单克隆抗体。它对大多数结直肠癌、卵巢癌以及其他癌症具有反应性。阅读本文后,技术人员将了解 FDA 的批准过程、各阶段试验结果、安全性和不良反应、人抗鼠抗体反应、适应症、成像方案以及奥曲肽成像的优缺点。文中还展示了代表性病例。

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1
Indium-111 satumomab pendetide: the first FDA-approved monoclonal antibody for tumor imaging.铟-111 癌胚抗原单克隆抗体:首个获美国食品药品监督管理局批准用于肿瘤成像的单克隆抗体。
J Nucl Med Technol. 1998 Sep;26(3):155-63; quiz 170-1.
2
The role of radioimmunoscintigraphy and computed tomography scan prior to reassessment laparotomy of patients with ovarian carcinoma. A preliminary report.放射免疫闪烁扫描术和计算机断层扫描在卵巢癌患者再次评估剖腹手术前的作用。初步报告。
Cancer. 1996 Jun 1;77(11):2286-93. doi: 10.1002/(SICI)1097-0142(19960601)77:11<2286::AID-CNCR16>3.0.CO;2-T.
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Clinical assessment of 111In-CYT-103 immunoscintigraphy in ovarian cancer.铟-111标记的CYT-103免疫闪烁显像在卵巢癌中的临床评估
Gynecol Oncol. 1993 Mar;48(3):285-92. doi: 10.1006/gyno.1993.1051.
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Immunoscintigraphy with 111In-satumomab pendetide in patients with colorectal adenocarcinoma: performance and impact on clinical management.111铟-奥曲肽免疫闪烁显像在结直肠癌患者中的应用:性能及对临床管理的影响。
Dis Colon Rectum. 1994 Feb;37(2):129-37. doi: 10.1007/BF02047534.
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Intense uptake of In-111 satumomab pendetide in an inflammatory mass.炎症性肿块中In-111 钐喷替肽摄取强烈。
Clin Nucl Med. 1996 Jan;21(1):53-5. doi: 10.1097/00003072-199601000-00013.
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Immunoscintigraphy in patients with colorectal, ovarian, and prostate cancer. Results with site-specific immunoconjugates.结直肠癌、卵巢癌和前列腺癌患者的免疫闪烁显像。位点特异性免疫偶联物的结果。
Cancer. 1993 Dec 1;72(11 Suppl):3453-62. doi: 10.1002/1097-0142(19931201)72:11+<3453::aid-cncr2820721612>3.0.co;2-#.
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Ovarian cancer: comparison of findings with perfluorocarbon-enhanced MR imaging, In-111-CYT-103 immunoscintigraphy, and CT.卵巢癌:全氟碳增强磁共振成像、铟-111-CYT-103免疫闪烁显像及CT检查结果的比较
Radiology. 1995 May;195(2):391-400. doi: 10.1148/radiology.195.2.7724757.
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Oncoscint for detection of disseminated colorectal and ovarian cancer.癌胚抗原放射性免疫显像用于检测播散性结直肠癌和卵巢癌。
Med Lett Drugs Ther. 1993 Jun 11;35(898):52-3.
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Multicenter clinical trial of 111In-CYT-103 in patients with ovarian cancer.111铟-CYT-103用于卵巢癌患者的多中心临床试验。
Targeted Diagn Ther. 1992;6:111-24.
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Quantitative analysis of In-111 satumomab pendetide immunoscintigraphy. An aid to visual interpretation of images in patients with suspected carcinomatosis.铟-111 沙妥莫单抗闪烁扫描术的定量分析。辅助疑似癌性腹膜炎患者图像的视觉解读。
Clin Nucl Med. 1996 Aug;21(8):638-42. doi: 10.1097/00003072-199608000-00010.

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