Treatment of B-cell lymphomas with anti-idiotype antibodies alone and in combination with alpha interferon.

作者: SL Brown , RA Miller , SJ Horning , D Czerwinski , SM Hart

DOI: 10.1182/BLOOD.V73.3.651.651

关键词:

摘要: Idiotypes are distinct clonal markers for B-cell lymphomas. Previously we reported the use of anti-idiotype antibodies in therapy patients with malignancies. Because synergy was demonstrated addition alpha interferon to a murine lymphoma model, performed clinical trial combining these two agents. Here provide an update original anti- idiotype alone and report outcome new combination trial. In 16 treatment courses there were seven partial responses one complete response. 12 antibody responses. Substantial tumor regressions occurred minimal toxicity both trials even refractory conventional chemotherapy. Tumor specimens obtained at time disease progression often contained preponderance idiotype-negative cells, suggesting that exerted strong antitumor effect against antigen-positive cells. Anti-idiotype have reproducible objective activity lymphoma. The may improve initial rate response this treatment. Strategies deal effectively cells should extent duration

参考文章(37)
OW Press, F Appelbaum, JA Ledbetter, PJ Martin, J Zarling, P Kidd, ED Thomas, Monoclonal antibody 1F5 (anti-CD20) serotherapy of human B cell lymphomas Blood. ,vol. 69, pp. 584- 591 ,(1987) , 10.1182/BLOOD.V69.2.584.584
JN Lowder, TC Meeker, M Campbell, CF Garcia, J Gralow, RA Miller, R Warnke, R Levy, Studies on B lymphoid tumors treated with monoclonal anti-idiotype antibodies: correlation with clinical responses. Blood. ,vol. 69, pp. 199- 210 ,(1987) , 10.1182/BLOOD.V69.1.199.199
T C Merigan, T Y Basham, M S Kaminski, R Levy, K Kitamura, Synergistic antitumor effect of interferon and anti-idiotype monoclonal antibody in murine lymphoma. Journal of Immunology. ,vol. 137, pp. 3019- 3024 ,(1986)
KA Foon, RW Schroff, PA Bunn, D Mayer, PG Abrams, M Fer, J Ochs, GC Bottino, SA Sherwin, DJ Carlo, Effects of monoclonal antibody therapy in patients with chronic lymphocytic leukemia Blood. ,vol. 64, pp. 1085- 1093 ,(1984) , 10.1182/BLOOD.V64.5.1085.1085
Jerne Nk, Towards a network theory of the immune system. Annales De L'institut Pasteur. Immunologie. ,vol. 125, pp. 373- 389 ,(1974)
R Levy, N Berinstein, Treatment of a murine B cell lymphoma with monoclonal antibodies and IL 2. Journal of Immunology. ,vol. 139, pp. 971- 976 ,(1987)
R Levy, C O Starnes, L L Houston, G Apell, W L Carroll, M J Campbell, Heterogeneity of a murine B cell lymphoma. Isolation and characterization of idiotypic variants. Journal of Immunology. ,vol. 141, pp. 333- 339 ,(1988)
George F. Babcock, Lewis L. Lanier, Michael A. Lynes, Geoffrey Haughton, Antigen-Induced Murine B Cell Lymphomas: II. Exploitation of the Surface Idiotype As Tumor Specific Antigen Journal of Immunology. ,vol. 121, pp. 2358- 2362 ,(1978)
Henry F. Sears, Dorothee Herlyn, Zenon Steplewski, Hilary Koprowski, Phase II clinical trial of a murine monoclonal antibody cytotoxic for gastrointestinal adenocarcinoma. Cancer Research. ,vol. 45, pp. 5910- 5913 ,(1985)