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Originally published as JCO Early Release 10.1200/JCO.2005.03.8471 on December 27 2005

Journal of Clinical Oncology, Vol 24, No 5 (February 10), 2006: pp. 823-834
© 2006 American Society of Clinical Oncology.

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REVIEW ARTICLE

Antibody Pretargeting Advances Cancer Radioimmunodetection and Radioimmunotherapy

David M. Goldenberg, Robert M. Sharkey, Giovanni Paganelli, Jacques Barbet, Jean-François Chatal

From the Garden State Cancer Center, Center for Molecular Medicine and Immunology, Belleville, NJ; Department of Nuclear Medicine, European Institute of Oncology, Milan, Italy; and Department of Nuclear Medicine, Institut Régional du Cancer and Institut National de la Santé et de la Recherche Médicale, Nantes, France

Address reprint requests to David M. Goldenberg, ScD, MD, Garden State Cancer Center, CMMI, 520 Belleville Avenue, Belleville, NJ 07109; e-mail: dmg.gscancer{at}att.net

This article reviews the methods of pretargeting, which involve separating the targeting antibody from the subsequent delivery of an imaging or therapeutic agent that binds to the tumor-localized antibody. This provides enhanced tumor:background ratios and the delivery of a higher therapeutic dose than when antibodies are directly conjugated with radionuclides, as currently practiced in cancer radioimmunotherapy. We describe initial promising clinical results using streptavidin-antibody constructs with biotin-radionuclide conjugates in the treatment of patients with malignant gliomas, and of bispecific antibodies with hapten-radionuclides in the therapy of tumors expressing carcinoembryonic antigen, such as medullary thyroid and small-cell lung cancers.

Supported in part by US Public Health Service Grant No. PO1 CA103985 from the National Cancer Institute (National Institutes of Health [NIH], Bethesda, MD); Office of Science, US Department of Energy Grant No. DE-FG02-95ER62028 and USPHS Grant No. EB002114 from the National Institute of Biomedical Imaging and Bioengineering, NIH; and Grant No. 05-1842-FS-N-0 from the New Jersey Department of Health and Senior Services; Italian Association for Cancer Research; and by grants from the French Ministry of Health (Programmes Hospitaliers de Recherche Clinique 1999 and 2002).

Terms in blue are defined in the glossary, found at the end of this article and online at www.jco.org.

Authors' disclosures of potential conflicts of interest and author contributions are found at the end of this article.


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