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News
Cancer treatment is first to
directly target tumor blood vessels in patients
By Krishna Ramanujan Original Source:
Cornell Chronicle
March 2007
A clinical trial has for the first time proven that an
antibody called J591 specifically targets an antigen found in high amounts on
both prostate tumors and on blood vessels of all solid tumors, according to a
study by medical researchers at NewYork-Presbyterian Hospital/Weill Cornell
Medical Center in New York City.
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Cancer Treatment Is First to Directly
Target Tumor Blood Supply in Patients
Phase I Trial Confirms Targeting Ability
of PSMA Antibody Treatment, a Potentially Major Advance in Cancer Care
New York (Feb
12, 2007)
For the first time, physician-scientists at NewYork-Presbyterian
Hospital/Weill Cornell Medical Center in New York City have demonstrated in
patients the ability of an antibody to directly target the blood supply of a
wide variety of tumors, leaving healthy tissues unharmed.
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Radioimmunotherapy of Prostate
Cancer Using 90Y- and 177Lu-LabeledJ591Monoclonal Antibodies: Effect of Multiple
Treatments on Myelotoxicity
Shankar Vallabhajosula,1Stanley J. Goldsmith,1Lale Kostakoglu,1 Mathew I.
Milowsky, 2, 3 David M. Nanus, 2, 3 and Neil H.Bander3
October 1, 2005
Purpose: Bone marrow is the dose-limiting organ in
radioimmunotherapy. Fractionated dose regimens may decrease myelotoxicity and
increase greater total administered dose. We have studied the effect of two or
three treatments of 177Lu-J591and 90Y-J591monoclonal antibodies (mAb) on
myelotoxicity.
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reading
Phase I Trial of Yttrium-90—Labeled
Anti—Prostate-Specific Membrane Antigen Monoclonal Antibody J591 for
Androgen-Independent Prostate Cancer
Matthew I. Milowsky, David M. Nanus, Lale Kostakoglu, Shankar Vallabhajosula,
Stanley J. Goldsmith, Neil H. Bander
From the Division of Hematology and Medical Oncology, Department of Medicine,
Division of Nuclear Medicine, Department of Radiology, and Department of
Urology, Weill Medical College of Cornell University, New York, NY
May 31, 2003
Purpose: To determine the maximum-tolerated dose (MTD),
toxicity, human antihuman antibody (HAHA) response, pharmacokinetics, organ
dosimetry, targeting, and preliminary efficacy of yttrium-90–labeled
anti–prostate-specific membrane antigen monoclonal antibody J591 (90Y-J591) in
patients with androgen-independent prostate cancer (PC).
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reading
Vascular Targeted Therapy With
Anti-Prostate-Specific Membrane Antigen Monoclonal Antibody J591 in Advanced
Solid Tumors -- Milowsky et al. 25 (5): 540 -- Journal of Clinical Oncology
Matthew I. Milowsky, David M. Nanus, Lale
Kostakoglu, Christine E. Sheehan, Shankar Vallabhajosula, Stanley J. Goldsmith,
Jeffrey S. Ross, Neil H. Bander
From the Division of Hematology and Medical Oncology,
Department of Medicine, Division of Nuclear Medicine, Department of Radiology,
Department of Urology, Weill Medical College of Cornell University, New York;
and Department of Pathology and Laboratory Medicine, Albany Medical Center,
Albany, NY
May 18, 2002
Purpose: Based on prostate-specific membrane antigen (PSMA)
expression on the vasculature of solid tumors, we performed a phase I trial of
antibody J591, targeting the extracellular domain of PSMA, in patients with
advanced solid tumor malignancies. This was a proof-of-principle evaluation of
PSMA as a potential neovascular target. The primary end points were
targeting,toxicity, maximum-tolerated dose, pharmacokinetics (PK), and human
antihuman antibody (HAHA) response.
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Prognostic Value of
[18F]Fluorodeoxyglucose Positron Emission Tomographic Scanning in Patients with
Thyroid Cancer
1 Weiping Wang, Steven M. Larson, Melissa Fazzari,
Satish K. Tickoo, Katherine Kolbert, George Sgouros, Henry Yeung, Homer
Macapinlac, Juan Rosai and Richard J. Robbins
Nuclear Medicine and Endocrinology Services, Departments of Radiology (W.W.,
S.M.L., H.Y., H.M.), Medicine (R.R.), Medical Physics (K.K., G.S.), Epidemiology
and Biostatistics (M.F.), and Pathology (S.T., J.R.), The Laurent and Alberta
Gerschel PET Center, Memorial Sloan Kettering Cancer Center, New York, New York
10021
November 30, 1999
Abstract
Poorly differentiated thyroid cancer lesions often
lose the ability to concentrate radioactive [131I]iodine (RAI) and exhibit
increased metabolic activity, as evidenced by enhanced glucose uptake. We
incorporated [18F]fluorodeoxyglucose (FDG) positron emission tomography (PET)
scanning into the routine follow-up of a cohort of thyroid cancer patients
undergoing annual evaluations. One hundred and twenty-five patients who had
previous thyroidectomies were included. They had diagnostic RAI whole body
scans, serum thyroglobulin measurements, and additional imaging studies as
clinically indicated. During 41 months of follow-up, 14 patients died.
Univariate analysis demonstrated that survival was reduced in those with age
over 45 yr, distant metastases, PET positivity, high rates of FDG uptake, and
high volume of the FDG-avid disease (>125 mL). Survival did not correlate with
gender, RAI uptake, initial histology, or grade. Multivariate analysis
demonstrated that the single strongest predictor of survival was the volume of
FDG-avid disease. The 3-yr survival probability of patients with FDG volumes of
125 mL or less was 0.96 (95% confidence interval, 0.91, 1.0) compared with 0.18
(95% confidence interval, 0.04, 0.85) in patients with FDG volume greater than
125 mL. Only 1 death (of leukemia) occurred in the PET-negative group (n = 66).
Of the 10 patients with distant metastases and negative PET scans, all were
alive and well. Patients over 45 yr with distant metastases that concentrate FDG
are at the highest risk. Once distant metastases are discovered in patients with
differentiated thyroid carcinoma, FDG-PET can identify high and low risk
subsets. Subjects with a FDG volume greater than 125 mL have significantly
reduced short term survival.
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