Treatment of recurrent and cystic malignant gliomas by a single intracavity injection of '131I monoclonal antibody: feasibility, pharmacokinetics and dosimetry
1993

Using Monoclonal Antibodies to Treat Brain Tumors

Sample size: 7 publication Evidence: low

Author Information

Author(s): V. Papanastassiou, B.L. Pizer, H.B. Coakham, J. Bullimore, T. Zananiri, J.T. Kemshead

Primary Institution: The Imperial Cancer Research Fund, Paediatric and Neuro-Oncology Group, Frenchay Hospital, Bristol

Hypothesis

Can injecting radiolabelled monoclonal antibodies directly into tumor cavities or cysts improve treatment outcomes for malignant gliomas?

Conclusion

The study shows that injecting '131I-MoAbs into tumor cavities is feasible and can deliver high radiation doses to tumor cells with low toxicity.

Supporting Evidence

  • Patients with cystic lesions showed a marked reduction in the need for fluid aspiration after treatment.
  • One patient remained asymptomatic for 5 months after treatment.
  • Minimal toxicity was observed even at high doses of the treatment.

Takeaway

Doctors tried giving special medicine directly into brain tumors to see if it helps fight the cancer better, and it seemed to work without making the patients very sick.

Methodology

Patients received a single injection of '131I conjugated to a monoclonal antibody after surgery for recurrent malignant gliomas, and their responses and toxicity were monitored.

Limitations

The small sample size limits the ability to determine accurate response rates.

Participant Demographics

Patients included 7 individuals with recurrent malignant gliomas, 2 with cystic lesions and 5 with resection cavities.

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