Intrathecal administration of 131I radiolabelled monoclonal antibody as a treatment for neoplastic meningitis
Author(s) -
R P Moseley,
AG Davies,
RB Richardson,
Michael R. Zalutsky,
S Carrell,
John W. Fabre,
N.H. Slack,
J. Bullimore,
Barry Pizer,
Varnavas Papanastassiou,
JT Kemshead,
Hb Coakham,
LS Lashford
Publication year - 1990
Publication title -
british journal of cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.833
H-Index - 236
eISSN - 1532-1827
pISSN - 0007-0920
DOI - 10.1038/bjc.1990.345
Subject(s) - vomiting , medicine , nausea , intrathecal , meningitis , monoclonal antibody , toxicity , chemotherapy , meningeal carcinomatosis , central nervous system disease , monoclonal , cerebrospinal fluid , anesthesia , surgery , pathology , gastroenterology , antibody , immunology
Fifteen patients with neoplastic meningitis received a single intrathecal injection of between 11 and 60 mCi of a 131I radiolabelled monoclonal antibody (MoAb), chosen for its immunoreactivity to tumour. Major toxicity was manifest as nausea, vomiting and headache (7/15 patients), reversible bone marrow suppression (3/8 patients) and seizures (2/15 patients). Nine patients were evaluable for either a tumour or clinical response. Six of these demonstrated an event-free response that was maintained for periods of between 7 and 26 months.
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