Clinical effects of monoclonal antibodies (MAb 17-1A) in patients with metastatic colorectal carcinomas

Hybridoma. 1988 Aug;7(4):309-21. doi: 10.1089/hyb.1988.7.309.

Abstract

Ten patients with metastatic colorectal carcinoma were treated with MAb 17-1A (IgG2A). Before infusion, MAb was incubated in vitro with isolated autologous blood mononuclear cells. Treatment was given in repeated courses (2-4 times) to a maximum dose of 1000 mg of MAb 17-1A. One patient achieved a clinical complete remission, two patients had a minor response and one patient had stable disease for 5 months. The median survival for the four responders was 19 months compared to 7 months for the six non-responders. Therapy was well tolerated. In this series, 32 infusions of MAb 17-1A were given. The serum half-life of MAb 17-1A was approximately 22 hours. All patients developed anti-mouse antibodies of both IgG and IgM classes. No relation between adverse reactions and anti-mouse antibodies was seen. At 3 occasions allergic reactions were noted. Skin test with MAb 17-1A seems to reliably predict for allergic reactions.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Antibodies, Anti-Idiotypic / biosynthesis
  • Antibodies, Monoclonal / administration & dosage
  • Antibodies, Monoclonal / adverse effects
  • Antibodies, Monoclonal / therapeutic use*
  • Biomarkers, Tumor / analysis
  • Colonic Neoplasms / secondary
  • Colonic Neoplasms / therapy*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Rectal Neoplasms / secondary
  • Rectal Neoplasms / therapy*

Substances

  • Antibodies, Anti-Idiotypic
  • Antibodies, Monoclonal
  • Biomarkers, Tumor