Radioimmunotherapy in Oncology: Overview of the Last Decade Clinical Trials

The specific irradiation of tumors with selective radiolabeled antibodies constitutes an attractive therapeutic approach. Consequent preclinical research has been conducted by both biologists to identify pertinent targets and to select corresponding antibodies (mAb) and by radiochemists to radiolabe...

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Autores principales: Aurélie Rondon, Jacques Rouanet, Françoise Degoul
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Lenguaje:EN
Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:84b9eabcb1ee4a7680734cf6d002e4ee2021-11-11T15:35:32ZRadioimmunotherapy in Oncology: Overview of the Last Decade Clinical Trials10.3390/cancers132155702072-6694https://doaj.org/article/84b9eabcb1ee4a7680734cf6d002e4ee2021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6694/13/21/5570https://doaj.org/toc/2072-6694The specific irradiation of tumors with selective radiolabeled antibodies constitutes an attractive therapeutic approach. Consequent preclinical research has been conducted by both biologists to identify pertinent targets and to select corresponding antibodies (mAb) and by radiochemists to radiolabel mAbs. These numerous preclinical investigations have ascertained the therapeutic interest of radioimmunotherapy (RIT) protocols in mice models. Here, we summarize the clinical studies that have been performed the last decade, including clinical trials (phases I, II, and III), prospective and retrospective studies, and cases series. We thereby reported 92 clinical studies. Among them, 62 concern the treatment of hematological malignancies, and 30 concern solid tumors. For hematologic diseases, the analysis was complex due to the high discrepancy of therapeutic strategies (first-line therapy, consolidation, stem cell transplantation conditioning) as well as the high variety of malignancies that were treated. The clinical studies from the last decade failed to expand anti-CD20 RIT indications but confirmed that RIT using radiolabeled anti-CD20 remains a pertinent choice for patients with relapse follicular lymphomas. For solid tumors, the positive benefit of RIT is more mitigated, apart for few malignancies that can be treated locally. Clinical trials also demonstrated the potential of some antibody formats, such as F(ab′)<sub>2</sub>, which has already been approved by the China State FDA under the trend name Licartin®. Despite disparate results, mAb fragments are an interesting prospect for the improvement of RIT efficiency as well as for pretargeted strategies that delay the injection of radioactive treatments from the mAb ones.Aurélie RondonJacques RouanetFrançoise DegoulMDPI AGarticleRIThematologic cancerssolid cancersantibody fragmentsPRITradionuclidesNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancers, Vol 13, Iss 5570, p 5570 (2021)
institution DOAJ
collection DOAJ
language EN
topic RIT
hematologic cancers
solid cancers
antibody fragments
PRIT
radionuclides
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle RIT
hematologic cancers
solid cancers
antibody fragments
PRIT
radionuclides
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Aurélie Rondon
Jacques Rouanet
Françoise Degoul
Radioimmunotherapy in Oncology: Overview of the Last Decade Clinical Trials
description The specific irradiation of tumors with selective radiolabeled antibodies constitutes an attractive therapeutic approach. Consequent preclinical research has been conducted by both biologists to identify pertinent targets and to select corresponding antibodies (mAb) and by radiochemists to radiolabel mAbs. These numerous preclinical investigations have ascertained the therapeutic interest of radioimmunotherapy (RIT) protocols in mice models. Here, we summarize the clinical studies that have been performed the last decade, including clinical trials (phases I, II, and III), prospective and retrospective studies, and cases series. We thereby reported 92 clinical studies. Among them, 62 concern the treatment of hematological malignancies, and 30 concern solid tumors. For hematologic diseases, the analysis was complex due to the high discrepancy of therapeutic strategies (first-line therapy, consolidation, stem cell transplantation conditioning) as well as the high variety of malignancies that were treated. The clinical studies from the last decade failed to expand anti-CD20 RIT indications but confirmed that RIT using radiolabeled anti-CD20 remains a pertinent choice for patients with relapse follicular lymphomas. For solid tumors, the positive benefit of RIT is more mitigated, apart for few malignancies that can be treated locally. Clinical trials also demonstrated the potential of some antibody formats, such as F(ab′)<sub>2</sub>, which has already been approved by the China State FDA under the trend name Licartin®. Despite disparate results, mAb fragments are an interesting prospect for the improvement of RIT efficiency as well as for pretargeted strategies that delay the injection of radioactive treatments from the mAb ones.
format article
author Aurélie Rondon
Jacques Rouanet
Françoise Degoul
author_facet Aurélie Rondon
Jacques Rouanet
Françoise Degoul
author_sort Aurélie Rondon
title Radioimmunotherapy in Oncology: Overview of the Last Decade Clinical Trials
title_short Radioimmunotherapy in Oncology: Overview of the Last Decade Clinical Trials
title_full Radioimmunotherapy in Oncology: Overview of the Last Decade Clinical Trials
title_fullStr Radioimmunotherapy in Oncology: Overview of the Last Decade Clinical Trials
title_full_unstemmed Radioimmunotherapy in Oncology: Overview of the Last Decade Clinical Trials
title_sort radioimmunotherapy in oncology: overview of the last decade clinical trials
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/84b9eabcb1ee4a7680734cf6d002e4ee
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